Can hemorrhoids cause anal swelling and painful bowel movements?

Question

Hello doctor,

I had a very painful bowel movement and saw swelling on the left side of the anus that caused agony. It has improved but then flared again, therefore I am going to see a colorectal surgeon because sitting is unpleasant. Please look at the photos and establish if this is an external hemorrhoid.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I reviewed your history and pictures (the attachments removed to protect the patient's identity). It appears to be an anal fissure with some abscess formation. It usually occurs due to the passage of hard stools. But there is nothing to worry about.

You might probably have constipation or an anal fissure with a tag or abscess. So the treatment plan for you may include:

Ispaghula Husk 2 TSF at night in one glass of water.
GTN (Glyceryl trinitrate) plus ointment and 2 % Diltaizem ointment. Apply both to this area three times daily.
Syrup Cremaffen twice a day.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I understand your concern.

Based on your current history and the photographs (the attachments removed to protect the patient's identity) you shared, it does not appear to be anal cancer; instead, it appears to be an anal fissure with a tiny abscess and tag.

You do not need to worry about it. There are no alarming indicators of cancer. Constipation is frequently the cause. Please begin treatment as I recommended, and it will resolve in a few days; you can then see your colorectal surgeon.

I am available if you have any further concerns.

I hope things will be better.

Best of luck

Thank you.

Regards.