What Should I Do I Have Been Suffering From Excess Flatulence Which Triggers Predominantly At Night?

Posted on Sat, 30 May 2020

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 30 May 2020 Answered on

Fri, 10 Oct 2025 Last reviewed on

Question : Hi I have been suffering from excess flatulence which triggers predominantly at night. I also suffer from bloating. I had an external thrombosis haemorrhoid which popped but the skin tag is still hanging out. Along with this I have a pimple like thing which bleeds on the toilet paper if I pass a hard stool or am constipated. The pain is excruciating and can go on for several hours after passing the stool. It makes sitting very uncomfortable as well. I also have to strain sometimes when I want to pass a stool due to constipation. Other times my motion is loose but not diarrhoea like- more like a paste. Then when the times when the stool looks normal it comes out narrow. I have previous had FOCULT test to see if there was blood in stools and ultrasound and FBC as Hpylori test. All have come back normal. This was in April 2019. These symptoms are ongoing and still are present. I have 2 months ago started Exercising and following an intermittent diet. Things improved a bit but not enough. I know I have Hamerroids but I don’t know if i suffer from IBS or UC or fistula or fissures or is there something more serious . Please advise

Answered by Dr. Hari Charan Perigela (48 minutes later)

Brief Answer:
Please eat high fibre diet

Detailed Answer:
Hi
As per your description,you have Thrombosed Haemorrhoid.
It is a very painful condition.Blood gets clotted in the Haemorrhoid.Due to this,many individuals will avoid going to stool.It doesn't subside with medicines.I will do Haemorrhoidectomy surgery to my patients with Thrombosed pile.Removal of the pile mass along with Blood clot will give relief to the patient.
Till Surgery, please take high fiber diet.Drink plenty of liquids.Take fresh fruits and vegetables.Your stool should be soft.
Please consult a Surgical Gastroenterologist and proceed further.
If you want to exclude any other condition , Colonoscopy is preferred.It cannot be a Fistula.Skin tag can also be due to Fissure in Ano.Ulcerative colitis can be diagnosed by COLONOSCOPY.It doesn't look like IBS.
Nothing to worry.
Surgery for Haemorrhoids is a simple procedure.
Hope I answered your query.If you have any questions,I will clarify further
Wish you good health and speedy recovery
Regards

Above answer was peer-reviewed by : Dr. Raju A.T