Need help with the query

2026-08-05 07:55:44
I am having a swollen clot type near my anus.i do afraid this as piles.first it was a small clot type & not painful but now it has increased in size n now painful.it also somewhat  obstructs the anal opening.also I am feeling like constipation like issue & having hard time at bathroom. Can I take it as piles only & Please suggest what can be best treatment for this MALE/38 YEARS
52 Views
It's hammrroids

Answered2026-08-06 07:21:05

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Didn't find the answer you are looking for?

Talk to experienced doctor online and get your health questions answered in just 5 minutes.

+194
Consult with a doctor
Online now
Yeah it’s piles ( hemorrhoids)
Next Steps
Avoid straining while passing stools. Use stool softeners to prevent constipation. Drink plenty of water
Health Tips
Consult nearest general surgeon for early examination and start treatment

Answered2026-08-06 03:22:50

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

It could be a thrombosed external hemorrhoid (piles), or sentinel pile but other conditions can also be there .Since it is increasing in size and painful, consult a general surgeon for examination as soon as possible. Meanwhile, avoid straining, increase fluids and fiber, and use warm sitz baths for relief.

Answered2026-08-05 18:13:13

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

It could be a thrombosed external hemorrhoids.If it's painful consult an surgeon in your area for a clinical examination and appropriate treatment

Answered2026-08-05 15:49:26

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

From the information you have provided,it can be Sentinel pile Or External haemorrhoids ( pile) In such cases, the more you put efforts to push stool, or the more hard the stool is, the more it's size and pain increases . So you should consider steps to soften your stool. If you are seeing a color change or blackish discoloration it can be thrombosed pile, which mandates immediate management. Meet a general surgeon and get yourself examined and follow as advised.
Next Steps
feel free to consult me on practo if you have any further queries
Health Tips
adequate hydration avoid spicy and oily food increase fiber in your diet sitz bath will help

Answered2026-08-05 13:40:26

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Please consult a gen surgeon physically for clinical examination. Correct constipation by high fiber diet, regular exercise, drinking more water.  Drink hot water, before sleeping.

Answered2026-08-05 13:26:37

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

It could be an anal fissure or piles. Only a doctor , after physical examination can conclude , the diagnosis. Please consult a surgeon..
Next Steps
Take sitz bath , take plenty of water and fiber in your diet . Maintain hygiene around that area.
Health Tips
For many more tips, kindly contact n book a consultation on Practo .

Answered2026-08-05 13:19:07

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2026-08-05 12:21:43

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Look like piles or heamoroid Take a sitz bath(take medium hot water and sit in it) Take fibrous diet avoid fatty food junk food Take lactulose 15ml at night time Consult a surgeon

Answered2026-08-05 12:16:27

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Could bea peri Anal abscess.needs proper examination to diagnose and treat

Answered2026-08-05 11:13:46

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Most probably External hemorrhoids or Abscess. 1. Sitz bath for 15-20 mins twice a day. 2. Anovate gel apply locally. 3. High Fibre diet and adequate water intake atleaast 2.5 L. 4. Syp lactose - 15ml before bedtime at night.
Next Steps
for confirmation of the diagnosis visit a general surgeon fir thorough examination.

Answered2026-08-05 10:56:41

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Hi, By your history it looks like you could have a thrombosed external hemorrhoids or could be an abscess. Kindly consult a General surgeon to get thoroughly examined and treated.
Next Steps
For the time being you can use a Laxative like Syrup. LOOZ 20 ml at night before sleeping to soften your stools and prevent further pain and bleeding
Health Tips
Do not try to manipulate the swelling as it could lead to further bleeding.

Answered2026-08-05 09:49:51

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Take/do the following: 1. Sit on a tub of warm water (sitz tub available in Amazon) soaking your anus and buttocks, for 15-20 minutes, two to three times a day. Dry the anus with patting with towel. Do not rub. 2. Then apply Anosedyl or Proctosedyl cream over the swelling. 3. Take plenty of high fibre diet and water to keep your stool soft. 4. Take Venusmin tablet twice daily for 5 days.

Answered2026-08-05 09:27:19

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

This sounds like a thrombosed external haemorrhoid — a blood clot that forms in an external pile, causing a painful, firm, swollen lump near the anus. It can enlarge and become very painful. It's not dangerous but needs treatment.
Next Steps
Apply Anovate or Proctosedyl cream 2–3 times daily. Take stool softeners (lactulose or isabgol) and drink plenty of water. Sitz bath (warm water soak) 10–15 min twice daily helps. If the swelling is very large and painful, a minor procedure to drain the clot gives quick relief — see a surgeon soon. Consult me on Practo for prescription.

Answered2026-08-05 09:11:05

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app

Answered2026-08-05 09:06:30

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.

Answered2026-08-05 09:05:47

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Examination needed as no attachment.  Consult superspecialist like general surgeon

Answered2026-08-05 08:51:40

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Need to see and check. Kindly consult with me on 94 two six eight six 78 nine six for proper guidance and treatment.

Answered2026-08-05 08:45:06

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Better if you nearby hospital and consult with general surgeon asap.

Answered2026-08-05 08:44:17

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

From your description, this is most likely a Thrombosed external hemorrhoid (piles) or a Perianal hematoma - where a blood clot forms near the anal opening. The increase in size, new onset of pain, and difficulty during bowel movements suggest that it should not be ignored. Please let me know how many days ago the swelling first appeared ? whether there is bleeding during stool ? and whether the lump is bluish/black in color ?
Next Steps
Because the swelling has increased in size and is now painful and partially obstructing the anal opening, I recommend that you consult a General Surgeon within the next 24 hours. If this is a thrombosed external hemorrhoid and the pain is severe (especially if it started within the last 48–72 hours), a small procedure to remove the clot may provide rapid relief.
Health Tips
At present, I would advise: - Warm sitz bath (sit in warm water for 10–15 minutes, 3–4 times daily and after passing stool) - Increase water intake (2.5–3 L/day if not medically restricted) - High-fiber diet (fruits, vegetables, whole grains) and avoid excessive straining during bowel movements - A stool softener such as lactulose or polyethylene glycol may help if you are constipated - A topical  ointment may provide temporary relief, but it is not sufficient if the swelling is large or very painful

Answered2026-08-06 10:43:35

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Is it bleed any time??
Next Steps
Take sitez bath
Health Tips
Use more fiber in diet , exercise

Answered2026-08-06 09:39:59

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

It can be piles or fissures or both together . By physical examination (or proctoscopic examination) have confirmed the right diagnosis by general surgeon . As you said that it’s increasing and painful, you should go to surgeon as soon as possible for prevent more complications such like anemia and other systemic infection.
Next Steps
go to surgeon and Examine.
Health Tips
Add plenty of water + fiber rich diet like cucumber , oats , whole grains, fruits + avoid heavy meals Do not sit on toilet for a long time (5-7 mint ) Avoid continuous sitting & take break and walk 5-10 mint . Take warm water and sit in this for 7-10 mint , 2-4 time a day And maintain hygiene.

Answered2026-08-06 07:35:12

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Based on your description, this could be a thrombosed external hemorrhoid (thrombosed pile), prolapsed internal hemorrhoid, or less commonly a perianal abscess. Since the swelling has increased in size, become painful, and is causing difficulty during bowel movements, it requires an in-person examination by a General Surgeon or Colorectal Surgeon
Next Steps
Avoid straining during bowel movements. Take plenty of fluids (2–3 L/day) and a high-fiber diet. You may use a stool softener such as Lactulose 15–30 mL at bedtime or Polyethylene glycol (PEG) as advised to relieve constipation. Take warm sitz baths for 15–20 minutes, 3–4 times daily and after bowel movements. For pain, Paracetamol may be taken if there are no contraindications. Avoid prolonged sitting and heavy lifting.

Answered2026-08-06 06:42:31

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

The above stated symptoms hints diagnosis towards " Thrombosed external hemorrhoids which is generally painless and associated with constipation. Diagnosis - Thrombosed external hemorrhoids
Next Steps
Visit Surgery OPD to get a thorough examination. currently you can do following things. 1. Warm Sitz Baths : fill a tub with luke warm water and sit in it to relax the hemorrhoids. 2.Eat more high-fiber foods like fruits, vegetables. 3.Avoid Straining 4.do not sit on chair for long hours .

Answered2026-08-06 05:40:49

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Consult online Will guide you further

Answered2026-08-06 05:40:11

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

I know this can be uncomfortable and even a little worrying. While a painful lump near the anus is often caused by a thrombosed external hemorrhoid (piles with a blood clot inside), it's important not to assume that's the cause without being examined by a healthcare professional. Other conditions, such as a perianal abscess (an infection), can look similar but need different treatment. What could it be? Thrombosed external hemorrhoid: This happens when blood collects and clots inside an external hemorrhoid. It usually appears suddenly as a firm, swollen, bluish or purplish lump and can be quite painful, especially when sitting or passing stool. Perianal abscess: This is an infection that causes a painful, swollen lump near the anus. The pain often becomes more intense over time and may be accompanied by fever, chills, tiredness, or pus drainage. It usually needs prompt medical treatment. Anal fissure or swollen skin tag: A small tear in the lining of the anus, often after passing hard stool, can cause severe pain during bowel movements and sometimes swelling around the area. What you can do for now While waiting to be seen by a doctor: Take warm sitz baths for 15–20 minutes, 2–3 times a day to help relieve pain and swelling. Avoid straining during bowel movements. Drink plenty of water and eat fiber-rich foods, or consider a fiber supplement if appropriate. If needed, an over-the-counter stool softener may help, but check with a doctor or pharmacist first. Try to avoid prolonged sitting, especially on hard surfaces, and don't spend long periods on the toilet. Why you should get it checked A simple physical examination by a healthcare professional can usually identify the cause. If it's a thrombosed hemorrhoid, treatment may range from conservative care to a small procedure to remove the clot if appropriate. If it's an abscess, it often requires drainage and antibiotics may also be needed. Seek urgent medical care if you have: Fever or chills Severe or rapidly worsening pain Heavy bleeding Pus or foul-smelling discharge A lump that is becoming increasingly swollen or painful Getting evaluated early can help relieve your symptoms sooner and ensure that the right treatment is started.

Answered2026-08-05 19:20:59

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Consult

Answered2026-08-05 17:26:17

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Do consult

Answered2026-08-05 14:04:58

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Consult to general surgeon

Answered2026-08-05 13:01:04

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

May be haemorrhoids If it is  long term constipation And see whether increase in size during the days of constipation And also note for any bleeding per retum If no fever then may not be abscess Note whether it is reducible wen I push with Ur hand If it is going inside  then haemorrhoids

Answered2026-08-05 11:36:47

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Can be a small granuloma which may bleed or  external haemorrhoids. You need to visit a doctor in order to confirm the diagnosis. Take precautionary measures like eat more fibre and drink fluids. If severe constipation take laxative.

Answered2026-08-05 11:15:15

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

So In view of Your Complain, it can be thrombosed external pile or prolapsed( coming out from inside ) pile. As you mention it is painless before and later got painful
Next Steps
I would suggest to visit hospital for general and location examination and for further evaluation (Reports)
Health Tips
Avoid spicy food Eat fibre rich food Take warm sitz bath(3-4) times a day. If more painful take Ibuprofen 400mg(1-0-1) after food

Answered2026-08-05 08:41:06

Was this answer useful

Not finding what you need? Ask Practo AI

FREE

Chat with Practo AI on Whatsapp

Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.