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Suggest Treatment For Hemorrhoids

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Posted on Fri, 12 Sep 2014
Question: I have hemorrhoids. I am 26 male. relatively healthy (avoid fast food, no soda. plenty of fruit and water, exercise regularly.). I have a sharp pain. Usually flares up during urination, or when i have to urinate and I've been holding it. The pain feels like its coming from my rectum and kinda moves up very quickly as the pressure from my bladder is relieved. very sharp pain and doesn't last long at all. Wondering if it could have something to do with hemorrhoids, or if it could be more serious. It is very painful and makes me very hesitant to pee. Also when no having to urinate sometimes I do feel as thought there is a pressure on my anus. actually I would more describe it like restless leg syndrome.... but for my ass.
doctor
Answered by Dr. Dr. Klerida Shehu (13 hours later)
Brief Answer:
Uro-genital problems to rule out...

Detailed Answer:
Hi,

I am sorry for the uncomfortable situation you are facing.

The very first thing is to prevent (severe) constipation. The changes you are implementing in your diet and lifestyle regimen are excellent options to prevent constipation.

I also advise to use stool softeners to stool, thus, making it easier to get a bowel movement without lacerating the mucosa of anus. Probiotics are needed to stabilize your intestinal flora, thus, improving bowel movement.

Next, colonoscopy/anoscopy is needed to evaluate:
- the grade of hemorrhoids
- the damages done to the mucosa
- the status of nearby tissues

This will help determine the further treatment:
- local medications only
- surgery by proctologist

I advise to run:
- urine analysis
- abdominal/uro-genital ultrasound
- semen analysis/culture

to determine possible problems related to your uro-genital tract. If they are confirmed, proper treatment (with antibiotics) are advised.

Hope it helped! Let me know if anything unclear!
Dr.Klerida
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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Suggest Treatment For Hemorrhoids

Brief Answer: Uro-genital problems to rule out... Detailed Answer: Hi, I am sorry for the uncomfortable situation you are facing. The very first thing is to prevent (severe) constipation. The changes you are implementing in your diet and lifestyle regimen are excellent options to prevent constipation. I also advise to use stool softeners to stool, thus, making it easier to get a bowel movement without lacerating the mucosa of anus. Probiotics are needed to stabilize your intestinal flora, thus, improving bowel movement. Next, colonoscopy/anoscopy is needed to evaluate: - the grade of hemorrhoids - the damages done to the mucosa - the status of nearby tissues This will help determine the further treatment: - local medications only - surgery by proctologist I advise to run: - urine analysis - abdominal/uro-genital ultrasound - semen analysis/culture to determine possible problems related to your uro-genital tract. If they are confirmed, proper treatment (with antibiotics) are advised. Hope it helped! Let me know if anything unclear! Dr.Klerida