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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy To Relieve Pain Due To Lump In Rectum

Hi. Last night I had my dinner in my bed and slept after half an hour. Woke up got dressed for work, spent 8 hours at work came back home without any problem. I undressed and during passing stool I suddenly felt great inflammation around my rectum. Got it cleaned and touched the rectum area I found a hard pea sized lump around it. Which was quite painful. No blood or puss was witnessed. I had the same issue last summer which lasted for a week and it went away. Same thing happened again this summer. I m taking strong painkiller *Acelofenac* at the moment to subside the pain. Please Help. Ps. Finding it very taboo to go to a doctor with such an issue.
Tue, 20 Jan 2015
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Pathologist and Microbiologist 's  Response

Hi, If I were your treating Doctor for this case of painful rectal lump, I would come up with three possibilities, these include:
1.     An INFLAMED PILES OR HEMORRHOIDS CAUSED DUE TO over-straining during defecation and this one needs antibiotic treatment for 5-7 days. You may take metrogyl + ornidazole for this.
2.     The second possibility is of a para-rectal abscess. In this case take some cold water / antiseptic bath and also antibiotics as above!

3.     The last possibility is of an infected sebaceous cyst or an infected fistulous tract. Treatment same!
But you need to rule out worms and should have a stool examination.

Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.
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Hematologist Dr. Hardik Sanghvi's  Response
Hi, dear
I have gone through your question. I can understand your concern.
You may have some piles in your anal region. You should take bland diet and plenty of water. Take high fiber diet, avoid constipation.
You can apply local anaesthetic gel in that area. Permanent treatment is surgery.
Consult your doctor and take treatment accordingly.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
I find this answer helpful

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Suggest Remedy To Relieve Pain Due To Lump In Rectum

Hi, If I were your treating Doctor for this case of painful rectal lump, I would come up with three possibilities, these include: 1. An INFLAMED PILES OR HEMORRHOIDS CAUSED DUE TO over-straining during defecation and this one needs antibiotic treatment for 5-7 days. You may take metrogyl + ornidazole for this. 2. The second possibility is of a para-rectal abscess. In this case take some cold water / antiseptic bath and also antibiotics as above! 3. The last possibility is of an infected sebaceous cyst or an infected fistulous tract. Treatment same! But you need to rule out worms and should have a stool examination. Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.