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Suggest Treatment For Mild Pain In Anus Caused By Haemorrhoids
Question: I have a purple ring around the anus that feels lumpy all around it. No bleeding, minimal pain when passing large stool. It's been this way for a couple months (that I noticed). Does this sound like external hemorrhoids? If so.. Do they go away? I've tried prep h cream, but nothing is helping them disappear. Also I saw my gynecologist for my annual and had her check. She just said "looks like it could be hemorrhoids". That didn't give me much reassurance. Of course my anxiety gives me anal cancer fears or something sinister.
Brief Answer:
Looks to be prolapse of mucosal.
Detailed Answer:
Hi.
Thanks for your query and the very clear picture.
To recapitulate: Female/34 - lumpy purple ring around the anus - no bleeding - minimal pain while passing large stool - for couple of months - tried prep-H - consulted Gyne - fear of anal cancer - wants to know whether this is external hemorrhoid - do they go away ...
The picture you have provided shows this to be prolapsed mucosa and not the hemorrhoids. No, they do not go away. This also give the feeling of a ring around as you have noted.
I would advise you the following:
Per-rectal and Proctoscopy examination by a General Surgeon or a Proctologist.
Colonoscopy.
Tests of stool, urine and blood.
The treatment will depend upon the final diagnosis and staging.
Please feel free to ask for the further relevant queries if you feel that there is a gap of communication.
Looks to be prolapse of mucosal.
Detailed Answer:
Hi.
Thanks for your query and the very clear picture.
To recapitulate: Female/34 - lumpy purple ring around the anus - no bleeding - minimal pain while passing large stool - for couple of months - tried prep-H - consulted Gyne - fear of anal cancer - wants to know whether this is external hemorrhoid - do they go away ...
The picture you have provided shows this to be prolapsed mucosa and not the hemorrhoids. No, they do not go away. This also give the feeling of a ring around as you have noted.
I would advise you the following:
Per-rectal and Proctoscopy examination by a General Surgeon or a Proctologist.
Colonoscopy.
Tests of stool, urine and blood.
The treatment will depend upon the final diagnosis and staging.
Please feel free to ask for the further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
My gynecologist mentioned anal skin tags as well. After bowel movement the protrusion looks like a purple bulge. Is that indicative of a prolapse?
Thank you.
Thank you.
Brief Answer:
Anal fissure - prolapse of mucosa
Detailed Answer:
Thanks for your feedback.
The skin tags if at all present are secondary to anal fissure and also called sentinel piles (not true piles/hemorrhoids).
The protrusion looking purple bulge on bowel movement is indicative of prolapse.
This may be the prolapse of the mucosa of the rectum only.
It is on actual examination by the Surgeon after you are asked to strain that decides the degree of prolapse.
Anal fissure - prolapse of mucosa
Detailed Answer:
Thanks for your feedback.
The skin tags if at all present are secondary to anal fissure and also called sentinel piles (not true piles/hemorrhoids).
The protrusion looking purple bulge on bowel movement is indicative of prolapse.
This may be the prolapse of the mucosa of the rectum only.
It is on actual examination by the Surgeon after you are asked to strain that decides the degree of prolapse.
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
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