Internal haemorrhoid or hematoma?

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I'm in my early thirties, male and have suffered from hemorrhoids on and off over the years. I've had thrombosed external hemorrhoids since my late teens and have had surgery in the past.

About 2 years ago, maybe less, I had a small pea sized hard lump inside my anus and thought oh no, here we go, another hemorrhoid. I visited a specialist and he told me that it was actually a perianal hematoma, not a hemorrhoid, and to leave it for a few weeks. Essentially it was a blood blister, I was a bit dubious with this diagnosis but it did completely go within 3-4 weeks max.

I've currently just noticed something similar, it's a hard lump inside the anus (not on the outside), and if I look (and I'm well practiced in having a look...) then it is visible from the outside just at the entrance to the anus, but seems fairly mobile and can be moved inside.

From my research I am pretty confused-it's a hard lump and blueish suggesting a blood clot or something similar. It's fairly painless and i don't notice it unless prodding it. I cannot find anything online to suggest what an internal hemorrhoid feels like-are they very hard lumps and would they have this blueish tinge? Even re-researching hematoma's, it says they never occur internally in the anus...although mine did last time.

What does an internal hemorrhoid feel like? Is it just a bulging but soft vein? Anyone else had similar to me or a hematoma diagnosed in the past?

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  • Posted

    Internal piles aren't usually "felt" unless they are angry. Some say its almost like you feel a slight balloon like feeling when sitting down. Remember, the flare up can last months, before finally starting to heal up. Especially if theres still slight constipation. Its not uncommon to also have a external connect to an internal. The goal is to resolve the internal, which will (should) absolve the external.

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