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Question

I occasionally pass blood in my stools (bright blood, not dark) and I have a swollen back passage which can be incredibley itchy, especially at night time. The swelling is like a big hard ring around my back passage. I also get severe trapped wind which builds up under my ribs and up my back. It is extremely painful and can last a few hours, unless I am unable to lie down somewhere for a length of time to allow it to settle.

Submitted: 19 days and 10 hours ago.
Category: Health
Value: $15
Status: CLOSED
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Optional Information

Gender: Female
Age: 29

Already Tried:
germoloids ointment

Posted by Dr.Dev 19 days and 10 hours ago.

Answer

Hy.

 

Thses are symptoms of hemmorhoids.

 

Hemorrhoids refers to a condition in which the veins around the anus or lower rectum are swollen and inflamed.

Hemorrhoids may result from straining during passing stool.

Hemorrhoids usually are not dangerous , in most cases, hemorrhoidal symptoms will go away within a few days.

 

The most common symptom of internal hemorrhoids is bright red blood covering the stool, on toilet paper, or in the toilet bowl. Sometimes, an internal hemorrhoid may protrude through the anus outside the body, becoming irritated and painful.

 

Symptoms of external hemorrhoids may include painful swelling or a hard lump around the anus .. Draining mucus may also cause itching.

 

I suggest you visit a Surgeon for a evaluation and confirming this diagnosis.

 

The doctor will examine the anus and rectum to look for swollen blood vessels and will also perform a digital rectal exam with a gloved, lubricated finger to feel for abnormalities.

Closer evaluation of the rectum requires an examination using a proctoscope under local anaesthesia.


 

Medical treatment of hemorrhoids is aimed initially at relieving symptoms. Measures to reduce symptoms include

  • tub baths -(Sitz bath)several times a day in plain, warm water for about 10 minutes
  • application of a hemorrhoidal cream or suppository to the affected area for a limited time

Preventing the recurrence of hemorrhoids will require relieving the pressure and straining of constipation.

You should increasing fiber and fluids in the diet.

(drinking six to eight glasses of fluid).

A softer stool makes emptying the bowels easier and lessens the pressure on hemorrhoids caused by straining.

 

 

Good sources of fiber are fruits, vegetables, and whole grains. In addition, you should start on a fiber supplement such as psyllium (Metamucil) or methylcellulose (Citrucel).

 

In bad, cases, hemorrhoids must be treated endoscopically or surgically. These methods are used to shrink and destroy the hemorrhoidal tissue. The surgeon will perform the procedure during an office or hospital visit.

 

Please consult the surgeon for further follow up.

 

Dr.Dev

MD FCCS

Cardiac Anaesthesiologist and Criticare Physician.

Please press ACCEPT if this answer has been helpful.

This conversation is open till you are satisfied.

 

 


 

 

 

 

19 days and 10 hours ago.

Reply

So what about the severe trapped wind and pain this causes in my stomach and under my ribs/up my back?

Accepted Answer

Thats an associated symptom.
Some amount of smooth muscle spasm occurs with painful bleeding hemmorrhoids and would cause these symptoms.
They should subside with relief from the hemorrhoid.

Dr.Dev

MD FCCS

Cardiac Anaesthesiologist and critical care physician

Please press ACCEPT if this answer has been helpful.

This conversation is open till you are satisfied.

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Expert: Dr.Dev
Pos. Feedback: 98.9 %
Accepts: 
Answered: 11/2/2009

Doctor

MBBS, MD, FCCS, Post Doctoral Fellowship in Cardiac Anaesthesia and Critical Care.

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