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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Severe Hemorrhoid Problem. Having Tailbone Pain. Have To Put Pressure For Bowel Movements, On Medicines. Suggestions?

Hello & thank you for being here... I have been reading about what condition I might have. I had a severe hemorrhoid episode in September. I have had significant tailbone pain since then. After the bleeding and swelling subsided I noticed what feels for lack of a better word a hole where the perineum should be. I m pretty sure it wasn t like that before. I feel like I have to push from higher in the bowels to eliminate. To maintain regularity I just resorted to Polyethylene glycol ... which seems a severe method to keep things moving.
Sun, 18 Nov 2012
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Internal Medicine Specialist,  's  Response
Hi,
Welcome to Health care magic.
If you had some swelling and bleeding it may be a thrombosed internal pile or something else so first step would be to visit and get a complete examination that is internal and a Proctoscopy with a surgeon.
Once your diagnosis is confirmed proper advise can be given to you.
Please avoid constipation as it may make condition worse so take lot of water and take fresh fruits and lot of fibrous food including green vegetables.
If there is a hole it may be sinus or fistula which needs surgical care so do not delay and visit a surgeon as soon as possible.
You can take hot hip( Sitz)bath for 10 min twice daily.
Mild laxatives can be taken.
Good Luck to you.
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Had Severe Hemorrhoid Problem. Having Tailbone Pain. Have To Put Pressure For Bowel Movements, On Medicines. Suggestions?

Hi, Welcome to Health care magic. If you had some swelling and bleeding it may be a thrombosed internal pile or something else so first step would be to visit and get a complete examination that is internal and a Proctoscopy with a surgeon. Once your diagnosis is confirmed proper advise can be given to you. Please avoid constipation as it may make condition worse so take lot of water and take fresh fruits and lot of fibrous food including green vegetables. If there is a hole it may be sinus or fistula which needs surgical care so do not delay and visit a surgeon as soon as possible. You can take hot hip( Sitz)bath for 10 min twice daily. Mild laxatives can be taken. Good Luck to you.