HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Suggest Treatment For External Hemorrhoids

Posted on Fri, 16 Dec 2016

Question: About four days ago, I developed what I believe is an external hemorrhoid. I am traveling out of state and did not have access to my doctor, so I self-diagnosed, and have been treating it with Preparation H and warm baths. It has not abated. A day after the hemorrhoid developed, the area in my lower left pelvis became distended and a large bulge is present. While the hemorrhoid is painful, the bulge is not, but it does not look right. I am concerned something may possibly be wrong with my colon or intestines. Your thoughts?

Answered by Dr. T Chandrakant (36 minutes later)

Brief Answer:
As detailed below and give additional details ..

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/61 - self-diagnosed external hemorrhoid - painful - 4 days ago -
travelling out of state - Preparation H - warm baths - not abated - distension with a large bulge that is painless in the lower left pelvis - worried about wrong with colon or intestines - wants thoughts....

Please continue Sitz bath in a tub with warm water.
Take laxatives/stool softeners if the stool is hard. Try to push the external hemorrhoid if possible when lubricated with Preparation-H.
Do not do any activities that increase the straining like climbing up and down the stairs.

Please give some additional details for e to understand and assist you better:
Where exactly is the large bulge? (you have mentioned lower left pelvis)- Is it near the anal area or in the inguinal/groin area?
Does it increase on straining/coughing?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (2 minutes later)

It is in the groin area immediately to the left and slightly above the penis.

Answered by Dr. T Chandrakant (24 minutes later)

Brief Answer:
Hernia/ lymph node as the commonest cause

Detailed Answer:
This may either be a lymph node mass or a hernia.
Hernia: there is an impulse/enlargement on coughing, it is reducible, painless and might have been present for a long time but noticed recently.
Lymph node mass: stationary, does not increase or reduce on doing anything.

Please check and let me know.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (55 minutes later)

It is a hernia. I am sure based on your comments. I believe those are surgically repairable, so I will consult with my doctor upon returning home and ask for advice as to how to proceed. Thank you for the assistance.

Answered by Dr. T Chandrakant (41 minutes later)

Brief Answer:
Most welcome.

Detailed Answer:
Thanks for your appreciation.
Surely, hernia is always surgically repairable.
..
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar