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Bacterial infection of the hemorrhoids - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 2690 Questions
Doctor :   Hi
User :   Hey
Doctor :   How can I help you?
Doctor :   Are you there?
User :   Okay, so I felt i had hemmorroids and went to my family doctor. She checked and felt fairly certain I had them. i have had them in the past but this time there seemed to be a discharge leak of foul fish odor and a light brown in color. The doctor put me on Protcofoam HC...
User :   and sent me to a specialist...
Doctor :   Ok
User :   He didn't really check me and wanted to do a colonoscopy...
Doctor :   Ok
User :   He also has me on a more agresssive amount of proctofoam and preparation h
Doctor :   Ok
User :   i have had some itching associated with it as well
User :   it just has never done this before
User :   the discharge that is
Doctor :   Ok
Doctor :   Since when are you having the symptoms of hemorrhoids?
Doctor :   Since when have you noticed the discharges?
User :   well, i have had them from about 1 to 2 months ago. i had a severe herianted disc that i was dealing with and took alot of medince and ibproufen and then it just came out of the blue
User :   i do remember some difficutl bowel movements but cant remember if the discharge came after that or not
User :   my family doc did do a blood test on her rectal exam and there was blood
User :   i also had a stool of bright blood but was nothing different from hemmorroids i had in the past
Doctor :   Do you have fever?
User :   no fever
User :   feel fine otherwise
User :   since i was down with my back i did gain about 30 pounds
User :   i am a 43 male
Doctor :   Is the discharge persisting or have they reduced in amount?
User :   i have had it after every bowel movement...sometimes its worse than others but it happens every time
User :   after about a day it seems to go away
Doctor :   Do you have diabetes/hypertension?
User :   i don't have diabetes
User :   not sure what hypertention is
Doctor :   Ok
Doctor :   Let me explain it to you.
User :   please do
Doctor :   The discharge that you see, may be the mucous secretion of the rectal lining which is mixed with blood.
Doctor :   These secretion can be acted by the bacteria which would be reponsible of the foul smell and the itching.
Doctor :   If the itching persits, you may need topical antibiotic preparation for the use.
User :   i am using proctofoam HC
Doctor :   Proctofoam HC contains small amount of steroids in it.
Doctor :   Steroids can aggravte infections.
User :   oh great
Doctor :   It would be helpful if there is no infection though.
Doctor :   Since you have developed itching, I would suggest you to get back to your doctor or a gastroenterologist for reevaluation,
User :   the itching isn't as bad as it was
Doctor :   If infection is confirmed then it is advisable to stop this medications and start an antibiotic application.
User :   gotcha
User :   why wouldn't my doctor think of that
User :   so you think it is from hemmorroids?
Doctor :   Hemorro
Doctor :   *Hemmorrhoids are diagnosed
Doctor :   by physical examination alone and not based on the history.
Doctor :   If it has been diagnosed by the examination, then it should be.
Doctor :   I was explaining you about the discharge that you had mentioned.
Doctor :   These secretion can either be part of the symptoms of the hemmorrhoid (rectal secretions) or due to mild infections.
Doctor :   Steroid applications should not be used incase of an infection.
Doctor :   Hence I had suggested for an reevaluation, if it has not been checked earlier.
User :   the specialist wanted to do a colonoscopy but prescribed a months worth of HC and if it hasn't gone away to come back and see him...
User :   is there anything i could apply from over the counter?
Doctor :   Antibiotic creams are prescription drugs and not available over the counter.
Doctor :   I would suggest you to follow up with your treating doctor and use the antibiotics, if needed.
Doctor :   Have you followed?
User :   Have I followed up?
User :   Like with my family doctor?
Doctor :   * Have you followed what I suggested?
Doctor :   Do you have any queries?
User :   i don't believe so. It has been very helpful. Would you suggest me going back to my family doc or the specialist. I just didn't feel very satisfied with the specialist. Maybe i should get an altogether different opinion?
Doctor :   You can do that, if you were not satisfied with your previous specialist.
Doctor :   if that is going to take time, then you your family doctor can also do the needful.
User :   If it is what you said, and if it is not hemorroids what else could it be from...a tear or something?
Doctor :   The other condition that can cause similar symptoms and discharge is a pilonidal cyst or fistula.
Doctor :   These are the other most probable causes.
User :   thats very helpful
Doctor :   Do you have any other query?
User :   thanks you for your time
Doctor :   Please fill the feedback form.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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