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Small blue lump on anus. Painful on touching. Suggestion?

Im 23 years old student on university, i traveling by train two times per week for 4 hours. Yesterday on my way to university i felt a small pain on my anus. After i got out from train and finished my classes i check it and it looks like a blue lump right by the entrance of my anus. Its about 5 milimeters large and its quite painful when touching. I read some articles about hemeroids and by now im pretty confused, cause i tryid to foumd some strange mass inside of my anus but its nothing there also no bleeding.
Asked On : Mon, 15 Apr 2013
Answers:  2 Views:  153
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General & Family Physician 's  Response
Hi and thanks for the query,
What you describe fits almost exactly with a possible hemorroid. It would be interesting to know whether you have ever had this feeling before, any past history of stool in the stomach or not. Chronic constipation at times, due to excessive pressure during when you stool could partly explain this.
However, making an appropriate diagnosis, to determine the extent and start appropriate treatment is important, You might need to consult your primary care physician. while waiting, you might need to drink a lot of water, and eat a lot of vegetables and fruits. Thanks and hope this helps.
Luchuo, MD.
Answered: Mon, 15 Apr 2013
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General Surgeon Dr. Grzegorz Stanko's  Response

Thank you for the query.

What you have noticed is a hemorrhoid indeed. It gets painful when a blood clot appears inside.

It is impossible to palpate or even see a hemorrhoids which are inside the anus. It is because when you press them, it simply collapses. Hemorrhoids (if not external) can be only seen in the rectoscopy.
Also bleeding does not have to be present. It appears when hard stool tears a hemorrhoid.

Usually hemorrhoids do appear because of lac of physical activity (sitting for long time), pushing hard on stool, constipation or due to pregnancy (uterine compresses veins in the pelvis).

To improve your hemorrhoid, you should: increase fiber rich products and mineral water intake, do not push hard on stool, use OTC hemorrhoids suppositories, have sitz baths with Quercus Cortex twice a day, wash your rectum after every stool. Such treated hemorrhoid should improve in a week or so, but it wont disappear completely. Sooner or later you will have to ask for surgical removal of it.

Hope this will help.
Answered: Mon, 15 Apr 2013
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