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Suggest Treatment For Internal Haemorrhoids

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Posted on Mon, 13 Feb 2017
Question: I had a noticable large hard bowl movment that i pushed hard to get out.
I now noticed a liitle blood wiping and some anal discomfort and feeling like i still go.
I had a colonoscopy just under 3 years ago where they did say i had an internal hemorrhoid.
Is this likely my hemorrhoid flared up. How long should i wait until i should see a dictor.
Im 42, and have had a hemorrhoid removed about 10 years ago.
doctor
Answered by Dr. Michelle Gibson James (29 minutes later)
Brief Answer:
hemorrhoid and having to strain

Detailed Answer:
HI, thanks for using healthcare magic

It is likely the hemorrhoid acting up as you suggested plus the straining.

Hemorrhoids tend to be associated with blood on wiping.

Colonoscopy is normally scheduled every 5 to 10 years because it takes a long time for colon cancer to develop.
Since you were screened 3 years, you would still be considered in the clear unless you have symptoms indicating otherwise eg loss of appetite, abdominal pain, change in bowel habits, weight loss and continued bleeding.

You may have to increase your fluids and fiber intake to try and avoid further straining to see if this helps.

You can consider monitoring for at least a week, with changes in diet (in terms of fiber) and fluids, to see if this helps unless the bleeding is severe, worsens or you remain very concerned.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (10 hours later)
Only noticed bleeding wehen i passed the large hard stool, maybe a little the next day.
The discomfort isnt a sharp pain but more of a feeling of pressure and feel like i need to have BM.
I have some anucort suppositories. I used only one suppository 2 days ago and it reduced stuff by 85 % for a few days but i started feeling pressure again yesterday after BM. sat on bleachers for 2-3 hours and i think that didnt help.
Ill try fiber.
doctor
Answered by Dr. Michelle Gibson James (2 hours later)
Brief Answer:
fiber is a good idea

Detailed Answer:
HI

Ok, you can try the fiber , also consider increasing fluids if you currently do not currently use 8 glasses a day.
Caffeine products do not count because they have a diuretic effect and cause weight loss

Please feel free to ask anything else
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Michelle Gibson James (25 minutes later)
My stools havent changed, no abdominal pain and no weight loss.
I have noticed blood when wiping intermitently now and then for 10 years. I had an internal hemorrhoid banded 10+ years ago and i think the proctologyst said i had a few other small ones(all internal).
Anyway, noticing blood when wiping has always been associated with hard or more difficult bowel movments but its only at those times, most times are normal. My colonoscopy which was 2.75 years ago did confirm hemorrhoids but everything else was normal.
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
the colonoscopy would rule out a more serious cause

Detailed Answer:
Okay

The straining can cause bleeding to occur because of mild trauma to the anus, hemorrhoids would then add to this

The clear colonoscopy would rule out a cancer cause
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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Suggest Treatment For Internal Haemorrhoids

Brief Answer: hemorrhoid and having to strain Detailed Answer: HI, thanks for using healthcare magic It is likely the hemorrhoid acting up as you suggested plus the straining. Hemorrhoids tend to be associated with blood on wiping. Colonoscopy is normally scheduled every 5 to 10 years because it takes a long time for colon cancer to develop. Since you were screened 3 years, you would still be considered in the clear unless you have symptoms indicating otherwise eg loss of appetite, abdominal pain, change in bowel habits, weight loss and continued bleeding. You may have to increase your fluids and fiber intake to try and avoid further straining to see if this helps. You can consider monitoring for at least a week, with changes in diet (in terms of fiber) and fluids, to see if this helps unless the bleeding is severe, worsens or you remain very concerned. I hope this helps, feel free to ask any other questions