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What Causes Blood Discharge And Swelling From Anal Lump?
Question: Hello doctor. I have a 5 + year history of intermittent bleeding and swelling from anal lump. Picture attached. Pls advise
Brief Answer:
fissure, external hemorrhoid, surgery
Detailed Answer:
Hello dear,
Your description and pictures appears to be most likely an Anal Fissure with external skin tag (called as sentinal pile mass) at the front end at 12 to 1 o'clock position. The lump on left behind at 5 o'clock position is an External Hemorrhoid. However I cannot make a conclusive diagnosis based on your descriptions and photograph alone. Consultation with detailed history of all symptoms and examination is required to arrive at a definitive diagnosis. Hence I urge you to see a doctor preferably a proctologist or colorectal surgeon.
In the meanwhile for pain:
1) take any analgesic (pain killer tablets) available over the counter
2) Apply 2% lignocaine jelly before and after motions. (If you are not allergic to this medicine)
3) Sit in a tub filled with warm water for 10 minutes after every motions and also otherwise whenever you experience more pain.
And for constipation:
Take a liquid paraffin or lactulose syrup 15ml once at night just to keep your stools on loose side so as to avoid friction by hard stools and reduce pain as well as bleeding.
If bleeding persists, we need to find the source first to offer any advice on treatment. Is it from the fissure or from the hemorrhoid
Besides aforementioned treatment measures, for a long term solution you may have to undergo surgery for the fissure as well as the hemorrhoid. You may possible discus and decide about surgical options after a consultation with a Proctologist & Colorectal surgeon.
Hope this helps you tide over the acute situation now.
I would strongly recommend a Colorectal surgeon/ proctologist consultation.
Take care.
fissure, external hemorrhoid, surgery
Detailed Answer:
Hello dear,
Your description and pictures appears to be most likely an Anal Fissure with external skin tag (called as sentinal pile mass) at the front end at 12 to 1 o'clock position. The lump on left behind at 5 o'clock position is an External Hemorrhoid. However I cannot make a conclusive diagnosis based on your descriptions and photograph alone. Consultation with detailed history of all symptoms and examination is required to arrive at a definitive diagnosis. Hence I urge you to see a doctor preferably a proctologist or colorectal surgeon.
In the meanwhile for pain:
1) take any analgesic (pain killer tablets) available over the counter
2) Apply 2% lignocaine jelly before and after motions. (If you are not allergic to this medicine)
3) Sit in a tub filled with warm water for 10 minutes after every motions and also otherwise whenever you experience more pain.
And for constipation:
Take a liquid paraffin or lactulose syrup 15ml once at night just to keep your stools on loose side so as to avoid friction by hard stools and reduce pain as well as bleeding.
If bleeding persists, we need to find the source first to offer any advice on treatment. Is it from the fissure or from the hemorrhoid
Besides aforementioned treatment measures, for a long term solution you may have to undergo surgery for the fissure as well as the hemorrhoid. You may possible discus and decide about surgical options after a consultation with a Proctologist & Colorectal surgeon.
Hope this helps you tide over the acute situation now.
I would strongly recommend a Colorectal surgeon/ proctologist consultation.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
Thanks very much for your reply. I do remember being constipated about 8 years back and feeling a tear which bled. It improves for months then bleeds then gets more painful and swollen etc etc. was worried it may be cancer but time frame is long! There is a clinic near me that does laser removal and repair. What do you think about laser treatment under local ? Thanks
Brief Answer:
laser treatment, Colorectal surgeon
Detailed Answer:
Hi,
The only way to rule out your fear of cancer is by doing an endoscopy from below which is called Colonoscopy.
As for the Laser thing. Laser is just a cutting instrument and is used in Colorectal surgery. It would be difficult for me to suggest you for or against going ahead with laser treatment as i donot know the doctor, his area or his experience. You have to use your judgement for it.
I can offer you treatment only if i see you clinically which will help us to discuss the best possible option to treat you. Just a word of caution... dont get blinded or carried away jusy by the word 'Laser'.
Take care.
Wish you good health
laser treatment, Colorectal surgeon
Detailed Answer:
Hi,
The only way to rule out your fear of cancer is by doing an endoscopy from below which is called Colonoscopy.
As for the Laser thing. Laser is just a cutting instrument and is used in Colorectal surgery. It would be difficult for me to suggest you for or against going ahead with laser treatment as i donot know the doctor, his area or his experience. You have to use your judgement for it.
I can offer you treatment only if i see you clinically which will help us to discuss the best possible option to treat you. Just a word of caution... dont get blinded or carried away jusy by the word 'Laser'.
Take care.
Wish you good health
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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