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What causes frequent urination while suffering from hemorrhoids?

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Posted on Mon, 1 Jun 2015
Question: I have hemroides and it feels like I need to urinate a lot I don't have a UTI but I think because of it being hard to clean I could get one. Is urination a symptom, sometimes they bleed also.
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Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
better to find the severity, causes and to get proper treatment

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate and simplify the matters: Female/ 45 - using preparation H for Hemorrhoids - hard to clean - sometimes they bleed too - also have feeling like need to urinate a lot - no UTI on tests and no burning - wants to know whether urination is a symptom ...

You have 3 issues:
1. related to hemorrhoids and
2. Frequent urination.
3. any co-relation?

1. Hemorrhoids - which bleed, make cleaning difficult must be large enough, preparation H may not work at all and you need the following:
- Clinical evaluation, actual examination by per-rectal examination, Proctoscopy to start with to know any associated problems like proctitis and to know the grades of hemorrhoids.
This will give an idea and a plan for its proper treatment to get a cure.
- Colonoscopy must be done in all patients having such problem at your age.

- Yes, the cleaning is very difficult in large prolapsed hemorrhoids; this itself is one of the indications for an active treatment and may be surgery is required.,

2. Tested for UTI- negative reports, no burning or any other symptoms.
Once may expect some problems at your age. The commonest is a presence of a Cystocele with uterine prolapse and rectocele too.

I would advise you to get clinical evaluation actual per-vaginal and per-speculum examination to see for the prolapse of the uterus, cystocele and rectocele.

Per-vaginal ultrasound also helps to give more information. This is very useful tool to get to the diagnosis.

- Examination of the blood, urine and stool to rule out diabetes, kidney/ liver functions, re-examination of the urine for microscopy, culture and sensitivity.
- Ultrasonography of the abdomen for genitourinary symptoms.

3. Correlation between the 2 points as discussed above; not much of importance. More important is to find the causes, severity and get the most proper treatment.

I hope you are not in the peri-menopausal period. Hormonal changes can cause some problems mimic the present ones.

I hope this answer helps you. Please feel free to ask for more if you need to or if you feel that there is a gap of communication.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19459 Questions

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What causes frequent urination while suffering from hemorrhoids?

Brief Answer: better to find the severity, causes and to get proper treatment Detailed Answer: Hi. Thanks for your query. To recapitulate and simplify the matters: Female/ 45 - using preparation H for Hemorrhoids - hard to clean - sometimes they bleed too - also have feeling like need to urinate a lot - no UTI on tests and no burning - wants to know whether urination is a symptom ... You have 3 issues: 1. related to hemorrhoids and 2. Frequent urination. 3. any co-relation? 1. Hemorrhoids - which bleed, make cleaning difficult must be large enough, preparation H may not work at all and you need the following: - Clinical evaluation, actual examination by per-rectal examination, Proctoscopy to start with to know any associated problems like proctitis and to know the grades of hemorrhoids. This will give an idea and a plan for its proper treatment to get a cure. - Colonoscopy must be done in all patients having such problem at your age. - Yes, the cleaning is very difficult in large prolapsed hemorrhoids; this itself is one of the indications for an active treatment and may be surgery is required., 2. Tested for UTI- negative reports, no burning or any other symptoms. Once may expect some problems at your age. The commonest is a presence of a Cystocele with uterine prolapse and rectocele too. I would advise you to get clinical evaluation actual per-vaginal and per-speculum examination to see for the prolapse of the uterus, cystocele and rectocele. Per-vaginal ultrasound also helps to give more information. This is very useful tool to get to the diagnosis. - Examination of the blood, urine and stool to rule out diabetes, kidney/ liver functions, re-examination of the urine for microscopy, culture and sensitivity. - Ultrasonography of the abdomen for genitourinary symptoms. 3. Correlation between the 2 points as discussed above; not much of importance. More important is to find the causes, severity and get the most proper treatment. I hope you are not in the peri-menopausal period. Hormonal changes can cause some problems mimic the present ones. I hope this answer helps you. Please feel free to ask for more if you need to or if you feel that there is a gap of communication.