This question was answered on Tue 17, Nov 2009 09:20pm by Dr. Srivastava

question about anus swelling...

    
Asked by cdquestion (Male; 30; Healthy, excercise. ) on Tue 17, Nov 2009 06:09pm

As far as I can remember I believe around 16 or so..when I go to the bathroom my anus or the lips would swell up a little probarly smaller than my pinky or so. Afterwards It would return back to normal... My question is this hemroids? I checked my proctologist and she couldn't see any hemroids nor internal ones.. but never mentioned about going to the bathroom swelling. Also I have anal sex rarely, like once a month or so with plenty of lube. My question is ...is this normal for everone? The anus swells a little for bowel movement? I read that it's still consider hemorids but it's to protect the anus from injury when defecating.. Can anyone please help me with this? Thanks just nervous now that i'm 30 I want to make sure i'm doing everything i can to keep my body healthy. i don't want it to be ending up to a prolapse anus or anything. Plus I don't push as it's not recommended.. Thanks! CD

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Answer by Dr. Srivastava  on Tue 17, Nov 2009 09:20pm:

Hi, Welcome to the AMD forum. There are several reasons for anal swelling but the most likely in your case it is hemorrhoid. Hemorrhoids are simply swollen blood vessel or blood filled cavities similar to varicose vein and they may appear due to unknown cause, constipation, hypertension and anal sex. The good thing is they are not quite dangerous but can cause a lot of discomfort while defecating. In hemorrhoids, there could be possible symptoms of appearance of a swelling at the rim of the anus that might only appear with straining at the toilet then disappear again subsequently or you may experience pain/discomfort while going to the toilet and sometimes they bleed and seems like bright red blood on the toilet paper. The only way to know the exact diagnosis is evaluation through a doctor. In the investigations, the examining doctor would like to perform complete examination to find out if there are any other possible causes of the bleeding such as an abscess (infection), anal fissure, fistula & inflammation of other parts. The doctor will inspect the membrane of the rectum (Per-rectal examination) and lower part of the intestine using an examination tube sigmoidoscope/ proctoscope and then finally make a diagnosis. For the treatment part, if doctor confirms that it is hemorrhoid and they can get better without medical treatment if they are appeared by constipation. He /She may recommend addition of more fibre in diet and eating more green vegetables, fresh fruit and bran. Drinking a lot of water (usually 8-10 glasses daily) is advisable. You must be recommended to avoid straining when passing a bowel motion. In addition, it will be also recommended to completely avoid anal sex to prevent this condition aggravating further. In the case, if it appears protruded from the anus and sometimes become swollen and painful, bed rest with an ice pack/topical anesthetic cream applied to the affected area should be helpful. Also, sitting in a bath tub of hot water for about 15-20 minutes several times a day, will surely reduce the pain. In extreme cases when situation is not controllable by any measure, specialist may suggest surgical options like band ligation, hemorroidectomy and sclerotherapy. Hope this information proves helpful to you. Please do keep us informed about your health status. Take Care & stay healthy.

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Comments:

Comment by Dr Bhupinder K, MD on Tue 17, Nov 2009 10:08pm:
Hello, The possibility of hemorrhoids has been very well explained by Dr Anurag. We cannot label it as hemorrhoids without per rectal examination and confirmation by anoscopy or sigmoidoscopy. From the symptoms it looks like grade 2 of internal hemorrhoids (hemorrhoids prolapse upon defecation but spontaneously reduce) but a surgeon is the best person to confirm that after the above said investigations. Normally the anus swells a bit during defecation but it is essential to differentiate normal from an abnormal one. So the need for anscopy/sigmoidoscopy arises. Secondly rectal prolapsed and any rectal pathology may present with such symptoms and they also need to be ruled out. Till the time you consult a surgeon, you can adopt the life style measures which have been very properly explained by Dr Anurag. Hope it helps. Take care and please do keep us posted if you have any additional queries. Kind regards.

Comment by cdquestion on Tue 22, Dec 2009 09:55am:
I have checked with my doctor again and he said it's normal for people when pooping that anus area is fill with blood to protect the anus from damage. He also said everyone is different when it comes to size/even/etc. etc. But it's clearly normal. Unless of course something is hanging out afterwards, blood, spots, etc.

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