Constipation cause bleeding from external hemorrhoids with abdominal pain. Is it diverticulitis?

Question

Hi doctor,

I am a 22-year-old female who often suffers constipation to the point where I feel like I get minor external hemorrhoids that often bleed. Again, I have not got doctor verification for this but that is what I think. Recently, I have been experiencing pain around the left side of my stomach. I cannot localize it. Sometimes I feel like it is on my back, sometimes the lateral side, and sometimes the front. It usually happens after I eat or pass a stool but I have a minor sensation of discomfort even when I am just sitting. All of this has been getting a lot worse the past couple of days. I often feel nauseated too. I think I may have diverticulitis, however, I am not sure how common it is for my age. I also feel like I have a small localized swelling on the LUQ that hurts when I press on it. I am not sure what is wrong and I really want to go get some tests done but I do not feel safe going to a hospital with certain circumstances.

Answer 1

Hello,

Welcome to icliniq.com.

I think you are overthinking about your symptoms. To be conscious is good but to be over conscious may fall in the category of anxiety and is not good. I will advise you to be relaxed. Based on your symptoms, I do not feel anything to be worried of. Considering your age and symptoms of constipation and feeling something more probably pointing towards hemorrhoids or some local pathology. But physical examination and maybe flexible sigmoidoscopy would be appropriate to confirm underlying pathology or maybe online video consultation with gastroenterologist if you are worried about going to the hospital.

I will advise you following general measures to follow that will help you.

1) Try to relax. Do not overthink. There is nothing serious we are thinking of.

2) Take fibers. Increase it in the diet in the form of vegetables. Add Ispagol in your diet.

3) Avoid constipation.

4) Take plenty of water.

5) Do regular walk, exercise inside your home if you can not go outside.

6) Do not strain in the restroom.

7) Take a sitz bath daily.

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