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Experienced on and off discomfort from hemorrhoids, pain in perineum, swelling. Will I be okay?

I have experienced on and off discomfort from hemorrhoids since birthing my son a year ago. Recently I ve experienced pain from my perineum and discovered a small bulge or swelling there. Could this be caused by an internal hemorrhoid? I saw a gastroenterologist who made it seem like my concerns were silly, and while he offered to do a colonoscopy I left the office with a certainty that he thought my concerns were unfounded as, everyone has hemorrhoids he said.
Asked On : Sat, 30 Mar 2013
Answers:  2 Views:  88
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Oncologist, Surgical 's  Response
Dear Ma'am,

Sorry to hear about your problem. This bulge can be caused by hemorroids but when they become painful and come out they become external hemorrhoids. They are very rarely associated with cancer but it is better to have them evaluated by a surgeon once. A simple proctoscopy is enough and colonoscopy is usually not required.
Answered: Sat, 30 Mar 2013
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General Surgeon Dr. Hari Charan Perigela's  Response
Haemorrhoids can be caused by pregnancy.In some women,they may subside.
The swelling could be haemorrhoid which comes out in few patients.It will be painful when blood clots in it.
The pain sometimes is due to associated Fissure in ano,a crack like condition in the anal canal.
Get examined by a Surgeon and go for surgery
Till then take high fiber diet and drink plenty of liquids
Wish you good health and speedy recovery
Answered: Sat, 30 Mar 2013
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