painfull anal pain w- bleeding

[mmonica]

my fiance and i have been together for 11 years and he is very private and emarassed about his situation! for about 10 years he has had several  permenant hemroids,(im not sure if thats what they are,they dont go away.) and has been painfull for him when he goes to the bathroom www- a little bleeding.BUT for the past two weeks he has been in alot of pain and he has aolt of bleeding when he goes to the bathroom.it is now a constant paon that will not go away w- bleeding that soaks his toilet paper. Im very concerned he doesnt want to go to the doctors because he is embarassed.im not sure how long he can take it he works as a contractor and his moving around alot makes it worse.do you have any idea on what it may be or what he should do?Thank You

[unknowon101]

definatly a hemorrhoid an external one does he has a little ball on the out side of his anus cause if he does thats probally what is causing the bleeding because i had that i had a rip then it turned into hat embarassing as it sounds doctors are soo used to seeing millions of people that it will be a 5 sec look and theyll know what is wrong trusst me hope that helps!

[Bhupinder Kaur, MD]

Hello,

Anal fissure and hemorrhoids are the most common causes of anal pain and bleeding from the anus.Depending on their location,they can be internal(rectum) or external(near anus) hemorrhoids.Internal hemorrhoids are usually painless.It seems that your fiancé is having external hemorrhoids.

Diagnosed by clinical examination,Per rectal examination and anoscopy.

For the treatment,first of all make sure that your fiancé increases the fiber intake in his diet.Then local anesthetic creams,vasoconstrictors,protectants,antiseptics,analgesics(pain relievers),corticosteroids and keratolytics can be used.Non medical treatment involves sclerotherapy, Rubber band ligation,heat coagulation,cryotherapy and surgery.

Your fiancé should definitely consult a surgeon and get himself examined soon as treatment depends on the severity of hemorrhoids.

Hope it helps.Take care and pls do keep me posted on how your fiancé is doing.

[Bornsickie]

Hemmy's can be excruciating! It sounds like he has some internal ones as well. That could be why it pains when passing a BM. They have also been known to bleed allot. This is rare but, some can also develope blood clots in them causing severe pain as well.
It sounds like he needs to overlook up his embarrassment and get to the Dr.'s.
In the meantime he may want to try any number of OTC ointments/suppositories/etc. The best thing I found for mine (when they are not bleeding) is witch hazel. Soak a COTTON - cotton ball and tuck gently into the effected area and leave it. You can repeat this as often as needed. When that no longer helps I call for a script....Proctosol -HC 2.5% -Hydrocortisone cream USP, 2.5%. That has always helped the best, especially when the ones inside flare as well.
When he is at home he could try a stitz bath and ice packs to help the inflammation.
Perhaps surgery could be in his future if they are too painful and/or too large?
I hope this helps a bit. Keep us posted.