What causes painful hemorrhoids after the menstrual cycle?

Question

Hi doctor,

I am a 25-year-old female with a history of hemorrhoids. I usually have the problem after my menstrual cycle, but this time it is severe. There is no visible tag, so I suppose it is internal, but my entire left butt cheek is sore because of it. Also, I am having trouble while standing and sitting.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I will definitely help you regarding your query. Anal inflammation and pain may be present in two conditions. One is an anal fissure, and another is the formation of perianal abscesses. If you have fever also than might it be anal abscess, for confirmation of diagnosis local examination is mandatory.If it is associated with bleeding, then it may also be associated with fever.

I will advise you on some treatment. Start as soon as possible, but if it is a well-formed abscess, then incision and drainage may be required. If it is only an anal fissure, then the following treatment is sufficient. Please get back to me if there is bleeding or pus discharge, as it will alter the treatment plan. Please continue your antibiotics and do not miss a dose. Get back to me anytime.

Sitz bath with Betadine 2 times for 15 minutes, syrup Duphalac 4 teaspoons HS, ointment Diclofenac locally 3 times, ointment Smuth locally 3 times, tablet Enzoflam 2 times daily, tablet Pantop DSR OD.

I hope this helps you.

Take care.