External Hemmorrhoids?? (TMI Pics)

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Hey all 😃

36 year-old male here. So let me briefly explain what has been happening. In February of 2018, I was very ill and my doctor put me on a several rounds of antibiotics along with high daily doses of IBprofen. During this time, I experienced the worst constipation of my life. I was having bowel movements nearly every day but the stool itself was extremely large and difficult to pass. The amount of straining was monumental and the result was a terrible, ripping pain, bright red bleeding on the toilet paper, sides of the stool, and in the toilet bowl. This lasted for weeks before there was improvement.

Since that time, I continue to have problems on and off. Weeks will go by with no pain or bleeding and I believe I have finally put it behind me but then a large or "dry" stool will immediately re-injure the problem area and I will again see blood on the toilet paper, sides of stool, and in the toilet bowl. I talked to my doctor last month during a routine physical about this apparently chronic and reoccurring issue and he has suggested fiber supplements, increased water intake, stool softeners, topical cream, etc. I had tried many of these things already over the last year. So I have been drinking 2+ liters of water a day and taking fiber supplements as well as eating daily helpings of whole grains, black beans, avacados and other food sources of soluble fiber.

Over the last few weeks, however, the problem has only seemed to worsen. And then tonight happened. The bowel movement was again particularly large and difficult to pass and very painful. So I looked down there and this is what I saw. I have never seen this before. Are these external hemmorroids? Right after the bowel movement it was extremely inflamed and looked engorged. An hour later, the "lumps" seems less inflamed. Are these "thrombosed?" They were certainly bleeding. I could literally see bright red blood coming from them in very small amounts. My apologies for the graphic nature of the pictures. I thank you all for your patience and assistance. !

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0 likes, 4 replies

4 Replies

  • Posted

    I'm no doctor but I have had my share of hemorrhoids. They look like thrombosis but I cant be sure.

    I came on to comment on the fibre supplements. I know everyone suggests taking them....but for me all they did was constipate me. Stool softeners worked well for me but they only work of you drink plenty of water...which you have been doing.

    Try everything you can to avoid surgery because, to be honest, it is an absolutely brutal recovery.

    Good luck

    • Posted

      Thank you for your reply 😃

      Your comment about fiber is interesting, to be sure. I was under the possibly erroneous impression that soluble fiber could not constipate a person as it merely caused stool to retain water. I thought it was insoluble fiber that could cause stool bulking and constipation. Is this an oversimplification of it? Now I am wondering lol.

      In either case, I am certainly drinking quite a bit of water. 2 liters of water minimum a day in addition to other liquids such as almond milk/juice. Thank you for your kind reply!

    • Posted

      I had surgery in NOV and yes it is brutal but mine was necessary about the fiber softeners i was told to do them and CITRACEL for the rest of my life i was also have issues after with hard bowel I continue the citracel today and eat 20 grams of fiber daily at least 80 to 120 oz water but i started eating 3 to 4 prunes right before i go to bed at night and drink 16 oz water it really seems to kept the stool soft and is easier on my stomach! I hope one day to not need the citracel but at least for now i will continue, your doctor can lance the thrombosed hemmies for you it may give you some relief! BEST OF LUCK

    • Posted

      Thank you so much for your kind reply 😃

      So prunes are high in soluble fiber, yes? I think I will add them to my diet for suuure. I have been using basically whole grains, black beans, carrots, and fiber supplements. Sometimes I know I am getting 30g+ in a day. I will keep at it I guess!

      But yes, in your experience, you think it is highly likely that the pictures are showing hemmerhoids? And you said they look thrombosed? 😦

      Thank you again!

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