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Suggest Treatment For Hemorrhoids And Soreness In Thighs

Posted on Thu, 13 Oct 2016

Question: blood and mucus on toilet paper. diagnosed with hemmorhoids 5 years ago.

groin and thigh soreness recently

Answered by Dr. T Chandrakant (40 minutes later)

Brief Answer:
Procto-colitis is the commonest cause but others to be ruled out

Detailed Answer:
Hi.
Thanks for your query, albeit short and specific.
To recapitulate: Male/35 - blood and mucus on toilet paper - diagnosed with hemorrhoid 5 years ago - groin and thigh soreness recently...

If there is blood and mucus on the toilet paper, there is more chance of having procto-colitis.
Hemorrhoid per se do not cause any mucus production.
Groin and thigh soreness can be due to dermatitis and better be seen by a Dermatologist.
For the blood and mucus on toilet paper, I would advise you the following:
Please consult a General Surgeon for clinical evaluation, examination of the abdomen and more importantly Ano-proctoscopy with per-rectal digital examination to see for any probable cause, the degree of hemorrhoids and to plan for further management.
Colonoscopy may be needed.
Tests of stool, blood and urine as routine.
The treatment will be as per the causes found.

I hope this answer helps you.

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

Follow up: Dr. T Chandrakant (3 minutes later)

attached image

Answered by Dr. T Chandrakant (2 hours later)

Brief Answer:
Excoriation. May need a course of an antibiotic and metronidazole.

Detailed Answer:
Hi.
Thanks for the image.
It shows peri-anal excoriation too.
Please get the stool test done and if there is an evidence of an infection, you may be given a course of an antibiotic and metronidazole or so, as per the choice of your Doctor.
The part on the left side of the image is not very clear.
Please post a clear and focused image.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. T Chandrakant (12 minutes later)

more photos

Answered by Dr. T Chandrakant (4 minutes later)

Brief Answer:
Thanks for images.

Detailed Answer:
The additional photos show:
Probably lax anal canal
Prolapsing piles - to be confirmed by proctoscopy.
There looks to be a bleeding spot in one of the images.
Peri-anal excoriation is more.

Please go for the management as explained in the first answer.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. T Chandrakant (3 hours later)

here is another photo. just to clarify, i am "pushing" a little to show everything.

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Needs evaluation and investigations and treatment asap

Detailed Answer:
The picture makes me think of excoriation, cracked skin, masses which need evaluation by a General Surgeon/Proctologist as well as needs a second opinion of a Dermatologist. Proper treatment should be initiated at the earliest as already explained in details.

Regards

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Above answer was peer-reviewed by : Dr. Arnab Banerjee