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Anal issue
Severe constipation before periods. I can see some bump in anal area. Which doctor I should consult
Photo attached. Is this severe issue?
Answers (20)
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I am Dr. Shamoon. From what you describe - severe constipation that worsens in the days before your periods, and a bump you can now see and feel at the anal opening - this is most likely a sentinel skin tag or an external pile (sometimes a small clotted pile) formed by repeated straining against hard stool. Progesterone in the premenstrual phase slows the gut, so stool hardens for about a week each cycle and the anal canal takes the brunt of it. If passing stool gives you a sharp cutting or burning pain that lingers for several minutes afterwards, with bright red streaks on the paper, there is very likely a small anal fissure under that tag - the tag is the body's scar response to a chronic fissure, not a tumour. The right specialist for you is a General Surgeon or Proctologist; you do not need a gynaecologist for this even though the timing follows your cycle. At 42, with the picture you have given, this is not a severe or dangerous problem and it usually settles with stool softening and local care rather than surgery - but it will keep returning every cycle until the constipation itself is corrected. What would change my advice is a hard fixed lump that keeps growing, bleeding that is dark or mixed into the stool, unexplained weight loss, or a lasting change in your bowel habit - those need examination and possibly a scope, not reassurance.
Next Steps
1) See a General Surgeon or Proctologist in person for a simple local examination - that single look settles whether this is a sentinel tag, a pile or a fissure. 2) Start warm sitz baths: sit in a tub of plain warm water for 10-15 minutes, twice a day and after every stool - this relaxes the anal spasm that keeps the pain going. 3) Fix the stool consistency before your period, not after: 25-30 g fibre daily (soaked figs, papaya, oats, whole dals), 2.5-3 litres of water, and a bulk laxative such as isabgol husk 1-2 teaspoons in a glass of water at bedtime, started 5-6 days before your expected date. 4) Never strain or sit on the toilet for more than 3-4 minutes; go as soon as you feel the urge rather than postponing it. 5) A short course of a local anaesthetic-plus-healing ointment applied gently at the anal opening after each sitz bath usually helps a lot - please take that on prescription after examination rather than picking a steroid-containing cream off the shelf. 6) Ask the surgeon to also check your haemoglobin if you have been bleeding with stool along with heavy periods. 7) If you would like me to review your photograph and periods pattern together and plan the medicines before you go for the examination, you can book a consult with me here on Practo, or meet me at Synergy Multispeciality Hospital, Miraj.
Health Tips
See a surgeon the same day if the lump becomes acutely painful, hard and bluish (a clotted pile is best treated within 48-72 hours), or if you develop fever, swelling with pus discharge, or heavy bleeding with giddiness. Avoid over-the-counter steroid creams and repeated stimulant laxatives - both worsen the anal skin and the constipation in the long run.
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Already answered general surgeon
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I understood your concern and noted the problem as well .I need to ask few more details to make a diagnosis and start treatment and advice which suits you. You can discuss via whatsapp on 971*66*33*129
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It's a sentinel pile.
Consult a general surgeon
Do sitz bath
Increase fiber in your diet
Adequate hydration
Soft diet
Avoid oily spicy food
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Kindly do connect and consult for better treatment
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Thorough examination needed
Kindly consult for further advice
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Pump in Anal Area is very common and aften caused by a Hamorrhoid, a blood clot under skin
( Peripheral Hematoma) a skin tag,
Advise...
Take warm bath ( sitz Bath) for 10 to 15 minutes
few times a day to ease pain and swelling
Keep area clean and dry
Eat more fiber containing food and drink plenty of water to soften your stool,
Stop Straining
Do not try to squeeze, pop or lance any bump your self.
Constipation....
Constipation is main root cause of these problems so Take measures to avoid Constipation....as advised above.
If not relief please consult to Surgeon
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Mam prolonged constipation has led to such a problem this could be a sinus or fistula which could be confirmed through fitulography but the attached picture looks more like fistula. You need to make an effort on your diet and start with medication so that u won't have discharge pus or blood. Consult general surgeon for the same.
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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General surgeon
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Seems like a sentinel tag.. consult general surgeon nereby
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Consult with a Surgeon
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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