Is my swelling near anal opening due to hemorrhoids?

Question

Hi doctor,

I recently noticed a small, painless swelling near my anal opening. It appeared today, right after a bowel movement, and I observed a small amount of blood on the tissue. The swelling does not hurt, although I sometimes spend a long time sitting on the toilet.

I would like to know if this could be an early external hemorrhoid or something else. There is no discharge, itching, or severe pain.

Please advise what this condition might be and what treatment or care you recommend.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

The condition you described is a clear case of hemorrhoids, and it appears to be a mild (first-degree) case, not advanced at all.

The main reason for this is spending a long time on the toilet, which usually happens because of constipation. So, we need to treat constipation first.

If you also spend long periods sitting, for example, if your work involves driving or sitting for many hours, we should try to reduce that as much as possible.

For now, you will need to take some medications, such as an antibiotic to prevent any infection in the area and an anti-inflammatory to reduce the swelling.

Hemorrhoids are part of the digestive system; they have veins inside the rectum that have moved out of place due to constipation and pressure. When they move out, they become inflamed, which causes a little bleeding (a few drops of blood).

That is why we will give you something to strengthen the blood vessels and stop the bleeding, and something to reduce the inflammation. Topical creams and suppositories will help the swelling go down and allow the hemorrhoids to return to their normal position.

There is no need to worry; this condition is very common and usually easy to treat. With treatment, the swelling should gradually get smaller until it disappears completely, and the bleeding will stop as well.

However, if the hemorrhoids get larger, more painful, or the bleeding increases, you should see a surgeon for an in-person examination to make sure everything is okay. But from what you described, I am confident that with treatment, you’ll achieve a very good result.

The treatment plan will include:

Amoxicillin 500 mg thrice daily.
Ibuprofen 400 mg twice daily.
Daflon 500 mg twice daily, and
Proctoheal (Tribenoside, Lidocaine) suppositories twice daily.

Follow-up should be scheduled in seven days.

Preventive measures include avoiding prolonged sitting and addressing constipation.

I hope this has helped you.

Please feel free to reach out to me again for further queries.

Thank you.