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Dr. Phil, MD
Dr. Phil, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 56498
Experience:  GP in the United States
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Hi, I have had a problem with my for a few years now,

Resolved Question:


I have had a problem with my anus for a few years now, specifically when passing stool. When wiping I began to notice some tenderness and what felt like a lump. On examination I found that something was slipping out of the anus when I was passing stool, and I learned to push this back in with a finger before cleaning the area thoroughly. This is not such a problem when I am at home, but it can become a real issue if I have to use the toilet when out and about.

Lately I have noticed a feeling of fullness or an awareness of the area after passing a stool. I have also noticed that when I pass wind it sounds strained.

I exercise 5 times a week and eat healthily.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Phil, MD replied 3 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

This is most likely a hemorrhoid

Any bleeding?
Customer: replied 3 years ago.

Hi Dr Phil.


No bleeding no. I have attached a photo for you, taken just after bowel movement.


Expert:  Dr. Phil, MD replied 3 years ago.
This is a huge thrombosed hemorrhoid or pile

Your GP should look at it and you need a referral to a surgeon to take care of this. It can be cured with minor surgery.
Customer: replied 3 years ago.



Please note that this only protrudes after passing a stool. Once I replace it with a finger it resolves and the anus appears normal. I have had this problem for over 2 years now, is it possible that this could just be a hemorrhoid given my history?

Expert:  Dr. Phil, MD replied 3 years ago.

This is common with an internal hemorrhoid and actually quite typical

The stool pushes out the hemorrhoid which can then be pushed back in

I'm quite sure it's a hemorrhoid but you should always have it looked at in person
Customer: replied 3 years ago.

Okay thanks. I have been very anxious about a cancerous tumour of some kind - you don't think I should be concerned about that?

Expert:  Dr. Phil, MD replied 3 years ago.
No I don't

Very very likely that this is a thrombosed internal hemorrhoid

Please don't forget a positive rating. I appreciate it. :)
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Expert:  Dr. Phil, MD replied 3 years ago.
I appreciate the excellent rating.

I would be happy to help you in the future. Just ask for feedback. Thank you. :) Dr. Phil in your question opening or bookmark this page

I greatly appreciate a positive rating in the customer satisfaction survey that you will receive via email. It is important for me to get your feedback. Thank you. :)