
What Causes Rectal Swelling And Intermittent Bleeding?

May be prolapsed hemorrhoids
Detailed Answer:
Hi.
Thanks for your query and picture.
Read and understood that you have swelling and intermittent bleeding from anus for years. This is usually painless but is sore and and bleeds when going to toilet. Has flared up in last few days.
The picture shows most probably that there are 2 prolapsed piles (hemorrhoids) with one showing granulomatous transformation, hence the bleed.
I would advise you the following:
Get clinical evaluation, per-rectal and proctoscopy examination to decide the most probable cause.
And get operated at an appropriate time.
This helps in a few ways. You get rid of the disease and you get a perfect his to pathological diagnosis.
I hope this helps you.
Please feel free to ask further relevant queries if you needs to or if you feel that there is a gap of communication.


8 years is a long time.
Detailed Answer:
Thanks for your feedback.
8 years is a long time to say this to be a carcinoma. And this is always a histopath diagnosis. No one can have such a long history.
As you have rightly mentioned, it usually starts as constipation to have anal fissure with a sentinel pile and progress to the present position.
I would advise in such a situation the following:
Sitz bath at least twice daily.
Proper laxative and dosages to have soft stools.
Antibiotic and metronidazole coverage as there would be an obvious injury.
Antiinflammatory medicines for reducing swelling and pain if you have.
Further investigations and proper treatment under the care of a General Surgeon.
I hope this help you.

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