Hemorrhoids?

I'm not sure whether i have hemorrhoids or not and am looking for some help. I am a 29 year old, otherwise healhty male.  For the past few weeks i have had a persistent anal itch, the intensity of witch varies from not at all to briefly intense (had something similar about a year ago and it went away with the use of witch hazel and hydrocortisone suppositories from my Dr).  

Decided to take a look at my anus tonight to see if i could see any obvious irritation - looked normal to me.  Though I did notice that when i beared down for a prolong period and "manhandled" the area as it were - some blueish/purlished swelling developed.  it quickly subsided but i have never noticed that before - but im not usually looking and bearing down.

I am wondering if this could be hemorrhoids and could explain my persistent itch in the area. Im not bleeding, i am in no pain, i notice no blood on my stool, its not a hard bump - nothing like that.

Thoughts?  If hemorrhoids - can they go away on their own or is this a chronic problem that i have to deal with forever?  

[Kevin Pho, MD]

Hemorrhoids is a possibility, and can be evaluated during a physical exam with your doctor as well as during an anoscopy or flexible sigmoidoscopy.  If hemorrhoids is the culprit, I agree with the hydrocortisone cream, as well as stool softeners to prevent irritation.

If negative, and the itch continues, you can consider a parasitic infection, which can also lead to constant itching.  If this is suspected, sending the stool off for culture and analysis can be considered as well.  

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin Pho, M.D.

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Twitter.com/kevinmd