Patient's Query
Hello doctor,
I see a lump at the opening of the anus. It is been there for over a week. It is not much painful but it is uncomfortable while sitting. I am a 25-year-old male. It never happened before and no current medications.
Hello,
Welcome to icliniq.com.
I have seen the picture you have uploaded. (attachment removed to protect patient identity).
It appears to be thrombosed piles. It takes a few days for it to settle down well, but it is not anything sinister. A few things would help to give relief. Take Sitz bath (a large basin to be filled with warm water and a couple of spoons of common salt to be added and sit in it for 10 minutes) twice a day. Take analgesics Ibuprofen or Paracetamol twice a day for five days, laxatives Fybogel for three days, and Laxido before bedtime for a week. These would sort out the pain and discomfort. You have higher chances of developing hemorrhoids (piles) in the long term. Do exercise regularly,eat high fiber diet (no restrictions in having nonvegetarian) and reduce straining while opening bowels.
Patient's Query
Thank you doctor,
Does it need any further physical examination? Any reason why it appeared? I involve in receptive anal sex, is it got anything to do with it?
Hello,
Welcome back to icliniq.com.
It would not need any further physical examination if it is improving in the next couple of days, otherwise, you would need one. The common precipitant is straining while defecating or forceful expulsion of flatus. There is no definite evidence in the medical literature of thrombosed hemorrhoids (piles) due to anal receptive sex.
Patient's Query
Thank you doctor,
I also feel itching around the anus area a few times a day. It started a week before I have seen the lump. I do not see any blood as of now. So it is not an infection or STD, right? How many days should I wait before I see a doctor?
Hi,
Welcome back to icliniq.com.
If you have itching going around the anal region, it could be a possible skin infection or pinworms. It is difficult to comment right now. If possible, you could try a single tablet of Albendazole 400 mg at night, just once only, after the current medications are over. You could wait for two to three days and then see a doctor if you think it is not improving. In the meantime please follow my earlier advice.
Patient's Query
Thank you doctor,
Please find the attached latest pictures and please let me know if you find any difference?
Same symptoms don't mean you have the same problem. Consult a doctor now!
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