Hemmrhoids ?

[anjolive]

Hi Dr,
Male age 46 with occasional hem. issue..Had routine colonoscopy 8 months ago...perfect....Anyhow...1st of July this year had a bout with hems. Just one that was either a external or prolapsed internal. Went away after about a month of warm soaks etc. Just a it was going away had the sensation of "pressure" in rectal/anal area off and on. No pain..After 3 weeks saw my Gastro Doc...He did digital exam...zero blood...no lumps etc...He has ZERO bedside manner...Gave me 25mg hc suppositories twice a day for 10 days. He said "try this" amd if it doesnt work maybe another colonoscopy ?  Really ? The supps didint help much and I gave them up becasue of the discomfort thay gave me.  Anyhow...Any insight on my issue ?  My doc doesnt like questions. (sad)  I'm just worried about anything serious like cancer of course...No family history..Bowel movements soft..No Diarrea etc...Any thoughts ?

Thank you for your time

[Vaibhav Banait, MD]

Dear Anjolive,

From your history, it seems you are having pain/burning in anal area, worse while defecation and when you sit. This symptom is usually caused when a person has a tear in the anal area known as anal fissure. At times the fissure may not be seen on inspection.

The treatment involves sitting in a warm water for 20 min (sietz bath), application of lignocaine jelly before and after defecation to ease pain, and stool softener like lactulose. In case of no response, diltiazem local application and surgical procedure is option.

From your history and symptoms, the likelihood of cancer appears very less.

Hope that this information helps and hope that you will get better soon.

Thank you for using MedHelp's "Ask an Expert" Service, where we feature some of world's renowned medical experts in their fields. Millions have benefitted from our service to get personalized advice for them and for their loved ones.

Best Regards,
Dr. Vaibhav Banait

[anjolive]

I also wanted to add its worse when I sit down.. I feel alot of "heat" in the area...After a bowel movement i feel some "stinging" as well.. But no blood...When my doctor did the digital was it not possible to "feel" the hemmrhoids for inflammation if it is the hemms ?