Dear jet19ski-ga
Thank you for allowing me to answer your interesting question.
Assuming that what you are experiencing is indeed related to
hemorrhoids, as alluded to in Pinkfreud?s comment, there are a number
of things you should probably know:
A prolapsed hemorrhoid, like the kind you described, will initially
only protrude upon bowel movement, and will spontaneously retract
itself. In severe cases or in cases that are left untreated and become
more severe, the hemorrhoid can become strangulated or ?thrombosed?
and it often cannot be manually replaced because it will just keep
coming out.
Believe it or not there are varying degrees of hemorrhoids:
?A prolapsed hemorrhoid is a second, third or fourth degree hemorrhoid
(first degree hemorrhoids being those that do not protrude outside of
the anal canal). A second degree is a prolapsed hemorrhoid that
spontaneously retracts. A third degree is a prolapsed hemorrhoid that
can be manually re-inserted. A fourth degree is one where the
hemorrhoid can?t be replaced.?
PROLAPSED HEMMORRHOIDS
http://www.4www.us/hemorrhoid/prolapsed-hemorrhoid.htm
The absence of pain that you noted upon defecation is good because
this isn?t normally a symptom of a non-strangulated prolapsed
hemorrhoid. While slightly soiled undergarments, difficulty finishing
a bowel movement completely or even a bit of blood in the stool is
common to this condition; pain is not always part of the deal. The
presence of pain of course would immediately be a signal that one
needs to be examined by his or her physician.
External hemorrhoids (and any hemorrhoids outside anus or even inside
the anus but very near to the anal opening are considered ?external?)
are inflamed veins of the anus. Some physicians recommend that to
avoid hemorrhoid problems to or ease the problem once it occurs there
are several things people can do:
Include more fiber in your diet. Fresh fruits, leafy vegetables, and
whole-grain breads and cereals are good sources of fiber. If you are
already eating a lot of fiber, you might try to change your diet up a
bit so that you can find out which fibers work best for you.
Drink plenty of fluids. This is very important. Eight glasses of water
a day is ideal but one should avoid alcohol, as this is NEVER
considered a fluid drink by physicians and alcohol can, in some
instances, make matters worse.
Exercise regularly. This is another very important suggestion. Do not
do exercises that require a lot of strain but do exercise enough that
your metabolism increases and encourages your body to operate at
optimum capacity. These can also strengthen muscles and help to some
extent tighten your bowel and anus so that it is more retentive.
Exercise can also reduce your weight, a contributing factor in many
cases like yours. Even if you don?t particularly consider yourself
obese, dropping a few pounds might help.
Avoid laxatives except bulk-forming laxatives such as Fiberall,
Metamucil, etc. Other types of laxatives can lead to diarrhea, which
can worsen hemorrhoids.
When you feel the need to have a bowel movement, go do it. Waiting
around can lead to more difficulty and in turn more inflammation.
FAMILY DOCTOR
http://familydoctor.org/x5049.xml
?To reduce the extent of your problem and some of the symptoms
associated with it you can try these recommended solutions:
Take warm soaks three or four times a day.
Clean your anus well after each bowel movement by patting gently with
moist toilet paper or moistened pads, such as baby wipes.
Use ice packs to relieve swelling. [Don?t confuse pain with swelling.
If you can reduce this painless swelling you might resolve your
problem to some extent]
Use acetaminophen (Tylenol®), ibuprofen (Motrin®), or aspirin to help
relieve pain [if you can take these drugs and ?if? you do experience
any pain].
Apply a cream that contains witch hazel to the area or use a numbing
ointment. Creams that contain hydrocortisone can be used for itching
or pain.?
PPH INFO
http://www.pphinfo.com/faqs.html
As a rule, only chronic or extraordinarily painful cases of
hemorrhoids require surgery. Because of your youth, the fact that you
have a relatively healthy lifestyle and the fact that your problem has
persisted now for a ?couple of months?, I?d say (and your question was
?What do you think I should do?) that is it time to see your doctor.
Even though you are passing waste to a degree, it is possible to
develop an impaction from the remaining waste that is not being
purged. What this means is that some waste stays behind and, for lack
of a simpler explanation, becomes ?over processed? or overly
dehydrated. Dry, difficult feces that is allowed to remain behind can
accumulate in the bowel and cause a blockage that is not only painful
and will further aggravate your condition, it can be extremely
unhealthy as well. One would think that constipation always
accompanies this type of impaction but that is not universally true.
It is even possible to have diarrhea and an impaction at the same time
when the body expels fecal matter ?around? a blockage yet the blockage
remains. Rest assured, you?d like to avoid this experience.
Your physician may recommend some form of removal but not all
hemorrhoids require removal and not all hemorrhoids that should be
removed require actual surgery. There are some treatments today that
involve an ?office call? where you go on and the doctor does what is
necessary without surgery. These include injections and banding among
others perhaps. With these treatments the doctor injects a solution
into the hemorrhoid that causes it to go away or with banding he
places a rubber band of sorts around the protrusion that causes it to
wither away and die. Still another office treatment involves burning
the hemorrhoid off under local anesthesia. While these certainly don?t
sound like the most appealing solutions, they beat a hemorrhoidectomy
(surgical removal under general anesthesia) in terms of cost, risk and
recovery time.
Millions of people each year are treated for hemorrhoids but only
about 20% of these people require surgery. What is plaguing you is one
of the most common complaints of pregnant women and all people over
the age of 30. So much so that treatment of hemorrhoids has almost
become a routine request of physicians. I think, given the totality of
the circumstances, you should just take the leap, grit your teeth and
go see your physician too.
I hope you find that my research exceeds your expectations. If you
have any questions about my research please post a clarification
request prior to rating the answer. Otherwise I welcome your rating
and your final comments and I look forward to working with you again
in the near future. Thank you for bringing your question to us.
Best regards;
Tutuzdad-ga ? Google Answers Researcher
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