Brief Answer:
Most likely Hemorrhoid.

Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query.

As per the history was given by you most likely cause of your problem is Hemorrhoids.

Hemorrhoids are swollen veins in the lowest part of your rectum and anus. Sometimes the walls of these blood vessels stretch so thin that the veins bulge and get irritated, especially when you pass stool. This can get bigger and bulge outside the anal sphincter as in your case. Then you may be able to feel them as lumps in the area.

Proctoscopic examination if anal and rectal canal should be done by a general surgeon.
Initially, we start with conservative management for at least 3 months-
Suggestion for conservative management are-

Start taking Syp. Lactulose 10-15ml once daily before going to bed. It is one of the most frequently used laxatives, tolerated very well by patients in long terms with minimal side effects. Using laxative would prevent straining while defecating.

-Secondly, start using Preparation H (a combination containing contains Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc.) locally over the prolapsed hemorrhoids.

Thirdly, request your gastroenterologist to prescribe you with oral Calcium Dobesilate-Doxium therapy for 3 months. Initially twice daily for 21 days followed by once daily for 10 weeks. Trials have shown that 3-month therapy can cause shrinkage of Hemorrhoids in almost 60% cases.It was demonstrated that calcium dobesilate decreased capillary permeability, inhibited platelet aggregation and improved blood viscosity; thus resulting in a reduction of tissue edema.

Add Metamucil/Fybrogel to your regimen. It's a natural laxative containing husk. It absorbs water from the intestine and swells up making passage of stool easy and add bulk to stool. Take it 2 tsp twice daily with half a cup of XXXXXXX warm milk.


Please discuss these with your treating surgeon.

Hope the information was helpful.
Thanks.

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Brief Answer:
Follow up.

Detailed Answer:
Hi again Dear,

Hemorrhoids are two types-
1) External hemorrhoids- Comes out of the anus and are painful.
2) Internal hemorrhoid -Remains inside rectal canal and are not painful or itchy.

Yes, a Proctoscopic examination should be done either by a Gastroenterologist or General Surgeon (2 minutes test). Treatment should be started after that.

Till then start taking lactulose and Metamucil this will help you in passing bowels.

Good luck.

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