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Sentinel piles - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2165 Questions
Doctor :   hi
User :   hi
Doctor :   how can i help you?
User :   I have some protological and possibly tail bone pain questions, but first not sure if this is the same doctor I chatted with last time or not.
Doctor :   ya u spoke to me yesterday
Doctor :   i remember you
Doctor :   Proceed with your queries
User :   I didn't come here yesterday only a few days ago
User :   do you remember the information we discussed?
Doctor :   2 days ago to be perfect
Doctor :   at the same time
Doctor :   ya i do remember go ahead with your queries
User :   ok good, I only wanted to add a little more information about the lump and see if you had a better idea
User :   I noticed the lump seems to grow when the sphyncter is contracting or flexing during and right after BM
User :   but as soon as it starts to relax the lump settles down
Doctor :   k
User :   past few days it has been smaller
User :   but was as big as a grape for a few weeks
User :   is this consistent with a hemmorhoid or something else?
Doctor :   k
User :   it is not visable or fealable most of the time
User :   only during and right after BM
Doctor :   k
Doctor :   as i have told you before lump is nothing but a skin tag
Doctor :   k can you tell me in which position is ti
User :   I have a skin tag that is small and soft and always there, but I also have a lump that is harder and much bigger and can feel blood pumping through it
User :   but dissapears after BM
Doctor :   k
User :   I don't believe that bump is a skin tag
User :   and further external from where I had a fissure
Doctor :   i had asked you to consult a specialist and get physical examination done
Doctor :   r u done with it?
User :   should I go to a specialist or my GP?
Doctor :   any 1 is fine
User :   ok, sorry just worried he won't find anything because it can't be felt when no BM
Doctor :   but make sure you get proper examination done and description
User :   ok
Doctor :   no he can stimulate and make it contract
User :   ok, that is important information
Doctor :   it is always visible when it is contracting
Doctor :   u didn't go in these 2 days
User :   to GP?
Doctor :   k
User :   go where?
Doctor :   because according to me the lump can be due to collection of blood or soft tissue or scar tissue or due to infection
Doctor :   you can go to a good gp
Doctor :   he should be good enough in clinical skills
Doctor :   better experienced
User :   ok, I'll have to make a list of items, it will be a week or so before I schedule time off from work and get an appointment
Doctor :   k
User :   I've been trying to eat very little meat and lots of fibre now to help my fissure heal better and to not make the lump worse, and am loosing too much weight
Doctor :   where exactly i mean in which position is it?clock position
User :   which way is the clock oriented?
Doctor :   you can always plan your diet
User :   which time is posterior?
Doctor :   vegitarian food is equally good enough for providing best nutrients
Doctor :   it is from 12 to 12 .. we call it clockwise and anticlockwise na
Doctor :   if it is in 12 th then it is straight upwards
Doctor :   got my point?
Doctor :   if it is in 6 then straight downwards
Doctor :   posterior is 6
Doctor :   anterior is 12
User :   so posterior towards coccyx?
Doctor :   k
Doctor :   how is the pain?
User :   I was diagnosed with enlarged papillae at 12, skin tag (sentinel pile) at 6 & likely location of fissure at 6
Doctor :   dull or sharper or pricking or
Doctor :   k
User :   the lump has not been so painfull today
User :   it felt just like a little pressure
Doctor :   then it might be a muscle mass with blood filled in internally
User :   the fissure has had mild burning like a bee sting since my BM today
User :   but no blood
Doctor :   are you using sitz bath and that cream twice a day?
User :   I'm not sure you specified a cream last time
Doctor :   because these are effective ones that decrease pain and relieve spasm
User :   no sitz bath but wash with warm shower head in the morning and pat with cloth with warm water
Doctor :   u were using 1 cream before and i told you to continue with that na
User :   oh, no cream
User :   I was using a stool softener
User :   the doctor did not recommend a cream
Doctor :   k
User :   but they do use a nitroglycern cream for more severe cases
User :   not for me though
Doctor :   ya k
User :   ok, I guess that's all we can determine with that for now until I get an exam
User :   one other problem that I've had for about a year though I'd like to ask questions about
Doctor :   ya but i remember i had told you to get it done
Doctor :   ya sure go ahead
User :   I think I have some mild burning feeling in my lower intestine too, it comes and it goes
User :   it is about around the belt line
User :   sometimes it complete goes away after a BM
User :   not always though
User :   but a lot of the time I have no pain there at all
Doctor :   k
User :   first time I got this about a year ago I went to my GP
User :   and he felt around, did blood and urine tests
Doctor :   k
User :   all were normal
User :   another doctor I shared my symptoms with said IBS
User :   but not fully sure
User :   it was gone for months
User :   but has returned a bit lately
Doctor :   k
Doctor :   i don't think it is an ibs
User :   it feels very close to the surface
User :   but the skin around there is not red
Doctor :   is there any mass felt?
User :   no mass
User :   don't think it's a hernia
User :   no mass and my GP could not feel a mass
Doctor :   k u have only the pain?
Doctor :   when does it increase?
User :   that is the only symptom
User :   sometimes if I twist it will increase it a little bit for a second, but if I have no pain and twist, still no pain
User :   even with situps it doesn't seem to add pain
Doctor :   k
User :   i thought maybe it could be a skin reaction to my wasteband
User :   but I think it's inside
User :   because no redness on the skin
User :   and seems to have something to do with digestive processes
Doctor :   k
Doctor :   when is the pain more during morning or night or which part of day
User :   I think morning

User :   tends to be a little more
Doctor :   i think it might be due to acidity .. that is ulcer gastric or intestinal
Doctor :   was there any other tests done along with blood and urine
User :   no that was it
Doctor :   k
Doctor :   did you try out any medicines or tablets for that?
User :   it is several inches bellow the belly button
User :   on both sides
User :   have not tried any meds
Doctor :   k
User :   none were recommended
User :   no stomach pain
User :   deffinately lower
Doctor :   for internal stuff u need a physical examination
Doctor :   as u don't have any other symptoms
Doctor :   it is difficult to make a diagnosis at this level
User :   do you know of any tests that would be usefull?
Doctor :   ultrasound scanning and gastroscopy
User :   he did recommend an ultrasound if pain continued
User :   can ultrasound find ulcers?
Doctor :   ultrasound for abdomen and kub region
Doctor :   ya it can find the sites that are abnormal
Doctor :   so did you try that test?
User :   ok, maybe I'll try to get that when I go for a sinus CT scan
User :   no I hadn't because the sensation went away for a while
User :   I will this time
User :   my goal is to get into perfect health before I move overseas
User :   or as close as possible
Doctor :   k
Doctor :   fine i wish you all the very best
User :   great, thank you very much for your time today
User :   I can fill out a survey if you wish
Doctor :   Is there any thing else I can help you with?
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   that is all, thank you
Doctor :   thank you
Doctor :   bye
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