If you have any pain while doing a squat, it could be a sign of hemorrhoids.
If you’re experiencing pain from hemorrhoids, you should make an appointment with your doctor. They can diagnose the cause and recommend the best treatment.
When to see the doctor?
You should see your doctor if you’re experiencing any of the following symptoms:
- Skin that feels rough
- A lump
The doctor will ask you about your pain and whether you have any other symptoms.
The doctor will do a physical exam. They’ll look for signs of hemorrhoids, such as:
- Hard, lumpy, or tender skin
- Redness of the skin
- A bulge in the anus
- Rectal prolapse, which is an involuntary descent of the rectum
The doctor will also ask about your medical history. They’ll want to know how long you’ve been experiencing symptoms and whether you’ve had similar pain in the past.
In some cases, they may order a CT scan or an enema to rule out hemorrhoids.
The doctor might also recommend a digital rectal exam. This involves gently inserting a gloved finger into the anus to check for any prolapse or signs of blood in the stool.
How are hemorrhoids diagnosed?
The doctor will take a thorough medical history. They’ll ask about your symptoms and ask you about any recent changes.
For example, they may ask if you’ve been using an enema or any laxatives or stool softeners. They may ask if you’re pregnant or if you have a personal or family history of hemorrhoids.
They may also ask about the kind of clothing you wear and whether you sit for long periods of time. This can help them determine if you’re sitting on the toilet all day.
They may also ask whether you take any medications and if you have any bleeding disorders.
If you’re experiencing a sudden increase in pain, the doctor may order a rectal exam. This involves inserting an enema tube into the rectum and lifting the anal wall to check for hemorrhoids.
If you have any concerns about your symptoms, your doctor may refer you to a gastroenterologist. They’re a kind of doctor who specialize in digestive conditions.
How are hemorrhoids treated?
You may need to see a gastroenterologist for treatment. This is because hemorrhoids are often caused by a medical condition, such as:
- Peptic ulcer disease
- Crohn’s disease
- H. pylori
- Inflammatory bowel disease
- Colon cancer
- Perianal abscess
There are other causes of hemorrhoids. They include:
- Sitting for long periods, especially if you do heavy housework
- Being overweight
- Using laxatives or stool softeners
- Taking aspirin or other NSAIDs
- Having a family history of hemorrhoids
- Having a personal history of hemorrhoids
- Not eating a balanced diet
The doctor may refer you to a gastroenterologist to discuss treatment options. Treatment options include:
- Over-the-counter pain relievers
- Over-the-counter stool softeners
- A stool softener at night
- A hemorrhoid bandage
- A hemorrhoid enema
- A prescription for an anal abscess medication
- A prescription for a prescription for an antibiotic
The doctor may also recommend that you use a hemorrhoid brace. This may help relieve pain and discomfort. It can also help you sit for longer periods without the need for an enema.
In some cases, the doctor may recommend surgery. This is usually only recommended if hemorrhoids are severe and don’t respond to other treatments.
If you have a family history of hemorrhoids, you may also be a candidate for surgery. This is because some people are born with hemorrhoids or they can develop them at a younger age.
If you have a history of colorectal cancer, you may need colonoscopy. This is a procedure that can help determine the cause of hemorrhoids.
You may also need colonoscopy if your doctor suspects you have colon cancer.
The doctor may also recommend that you have a proctoscopy. This is a procedure that checks the inside of the anus, rectum, and colon.
What complications can occur from hemorrhoids?
In some cases, hemorrhoids can cause complications. These can include:
- Internal bleeding
- Anal abscess
- Anal stenosis, which is a narrowing of the anus
- Rectovaginal fistula
- Vaginal prolapse
- Anal incontinence
- Bowel obstruction
- Anal fissure
What’s the long-term outlook?
The outlook for hemorrhoids depends on the cause.
In some cases, hemorrhoids are a symptom of a chronic condition. This means they’ll go away on their own. However, you may need to see a doctor for treatment.
In other cases, hemorrhoids are a symptom of an underlying medical condition. This can mean you need to treat the underlying condition.
If you’re experiencing symptoms of hemorrhoids, see your doctor. They can diagnose the underlying cause and determine the best treatment for you.
How can I prevent hemorrhoids?
There are a few ways to prevent hemorrhoids:
- Laxative or stool softener use
- Sit less often on the toilet
- Lose weight if you’re overweight
- Drink more water
- Avoid aspirin and other NSAIDs
- Eat a balanced diet
- Eat more fiber
How can I manage the symptoms of hemorrhoids?
To manage the symptoms of hemorrhoids, you can try to:
- Use an enema once or twice a week
- Eat a high-fiber diet
- Reduce your pressure on the anus with a hemorrhoid brace or hemorrhoid bandage
- Use stool softeners
- See a doctor for hemorrhoids
The following can also help relieve the symptoms of hemorrhoids:
- Over-the-counter pain relieves such as acetaminophen
- Pain relievers, such as ibuprofen
The bottom line
If you don’t see any change in a week or more, it’s likely that you have hemorrhoids.
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