HomeAnswersObstetrics and GynecologyhemorrhoidsI have constipation with pain on passing stools and knot inside the butt. Please help.

I feel pain while passing stools with a knot inside my butt. Is this hemorrhoid?


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At August 23, 2020
Reviewed AtSeptember 5, 2023

Patient's Query

Hello doctor,

I am a 19-year-old female with a possible hemorrhoid. For the past week and a half, I have been having pain when I pass stool or sit down. I noticed blood after wiping for a few days, and today I went to the store and bought a suppository that was recommended to me to try. I put it inside and felt a bump inside. When I stuck a clean finger in, I have a big knot right inside of my butt.


Welcome to icliniq.com.

I understand your concern and would help you for sure. I have gone through the description you provided, and yes, you do have hemorrhoids. Your symptoms and finding are suggestive of the same. Hemorrhoids or piles are dilated and engorged veins in the rectal and anal region. When they rupture, they cause bleeding, most commonly when you have hard stools or are constipated. They can be in turn a consequence of chronic constipation too. The knot you felt is the same. You should avoid constipation and should try to have certain modifications in your diet. Consume more quantities of high fiber low residue diet like leafy vegetables, salads, fruits, etc. Also, drink plenty of water and fluids. This will prevent the occurrence of hemorrhoids in the future again. You can do Sitz baths or apply Lignocaine jelly for pain relief. Take laxatives in case of constipation.If the hemorrhoids progress, then you need to consult a surgeon for further evaluation and management. As of now, you can manage conservatively with diet modifications.

The Probable causes

Hemorrhoids grade 1-2.

Treatment plan

Sitz baths for pain relief. Lignocaine jelly for local application for pain relief. Laxatives in case of constipation.

Preventive measures

Avoid constipation and spicy foods. Take high fiber diet. Drink plenty of fluids at least 0.7 to 1 gallon a day.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sravanthi Nuthalapati
Dr. Sravanthi Nuthalapati

Obstetrics and Gynecology

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