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Something protrudes out after passing stools

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I am having itchiness and discomfort in the Anal area. There seems to be a little swelling around the anus. No pus, blood etc is being excreted. Sometimes when after passing motion, the seem to be something protuting out from the anus. Have tried taking a picture, please see he same and advise on the condition.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 31 Doctors Online


Thank you for asking your query at DoctorSpring.

You appear to have a hemorrhoid / prolapsed piles. Hemorrhoids are enlarged or swollen veins in the lower rectum. The most common symptoms of hemorrhoids are rectal bleeding, itching, and pain.

You will need to consult a General Surgeon and get this examined for confirmation. Your Doctor will do a per rectal examination to see what exacly is the swelling. If the diagnosis of haemorrhoids is confirmed then the treatment is straightforward. But this confirmation is necessary.

One of the most important steps in treating hemorrhoids is avoiding constipation (hard or infrequent stools). Hard stools can lead to rectal bleeding and/or a tear in the anus, called an anal fissure. In addition, pushing and straining to move your bowels can worsen existing hemorrhoids and increase the risk of developing new hemorrhoids. Take high fibre diets. Laxatives and ointments like Sumth syrup and Smuth cream can be used in consult with your Doctor. In rare cases it might require surgical correction or further followup.

Hope this helps
Please feel free to ask followup questions.

Thank you

Patient replied :

Kindly advise what treatment should be prescribed in my case if it is prolapsed piles.

I wish to be fully aware of the situation and treatment before I go to consult a Doctor in my area.

Inacse this is not prolapsed piles then what else could it be.

Kindly let me know in detail, since I am out of my hometown in a remote area and the doctors here are not so trust worthy.


Haemorrhoids or Piles is the most possible diagnosis. Other possibilities are condyloma, rectal prolapse, polyps, tumor masses etc. A simple per digital examination will give the diagnostic confirmation.

You should increase the fibre content of the diet. Eat high fibre fruits and vegetables often. Do not excessively stain while passing the motion. An OTC anti haemorrhoid cream or Anti haemorrhoid creams containing hydrocortisone (Cotrisone – 10 Anal itch cream). Use clean gloves or finger and insert the cream while reducing the swelling inside – as in pushing in the swelling using the cream.

The cream should not be used for more than 10 days.
Take medicines called stool softeners such as docusate sodium (sample brand names: Colace®, Dulcolax®) in consult with your Doctor.
Some people feel better if they soak their buttocks in 2 or 3 inches of warm water. You can do this up to 2 to 3 times a day for 10 to 15 minutes. Do not add soap, bubble bath, or anything to the water.

Try these measures, but remember you should get the diagnosis confirmed as soon as possible. Among the recommendations fibre rich diets is the most important ones.

Hope this helps.
Thank you.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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