The squishy part of the anus. It may be "hemorrhoids (piles)"? Types of hemorrhoids according to the swelling

I have swelling around my anus! Such a case may indicate hemorrhoids (piles) or anal abscess, a stage before anal fistula.

In the case of hemorrhoids (piles), the type of hemorrhoids is further classified according to swelling.

1. Swelling like something comes out of the anus (internal hemorrhoids)

If you feel some swelling like something coming out of the anus, the hemorrhoids (piles) inside the anus (internal hemorrhoids) may become large and come out of the anus (prolapse). In that case, you do not feel much pain but have bleeding.

If you do not feel pain when touching it with your fingers, push the prolapsed wart (hemorrhoid) back into the anus as an emergency treatmenta. OTC drugs for hemorrhoids can be used because active ingredients reduce swelling and other symptoms associated with hemorrhoids. You tend to leave hemorrhoids (piles) inside the anus (internal hemorrhoids) due to little pain. However, you should be careful because it may worsen, such as incarcerated hemorrhoids.

2. Something comes out of the anus and the outside is also greatly swollen (incarcerated hemorrhoids)

If something comes out of the anus and the outside is also greatly swollen, you may have incarcerated hemorrhoids. Incarcerated hemorrhoids are caused by the progress in the hemorrhoids (piles) inside the anus (internal hemorrhoids) and the prolapsed wart (hemorrhoids) does not return into the anus and a thrombus is formed. It is greatly swollen with severe pain.

As an emergency treatmenta, return the prolapsed wart (hemorrhoids) into the inside of the anus as much as possible and warm the anus by taking a bath or using a heat pack. However, if it does not return into the anus, be careful not to push it hard. OTC drugs for hemorrhoids containing a steroid are effective to relieve swelling and pain in the affected area. Incarcerated hemorrhoids do not require surgery immediately. However, emergency treatment is required, so visit a specialized hospital immediately.

[How to properly return the prolapsed wart]

If the warts (hemorrhoids) have come out of the anus after a bowel movement, first clean yourself, then, while sitting on the toilet seat, slowly push them back inside with your fingers. Then, stand up while holding them in to ensure they go back in smoothly.

If it is difficult to push piles back in, use a warm water washing toilet seat or a warm shower to warm the anus to make it easier. However, make sure not to use warm water for too long. If the piles still will not go back in, go to the hospital instead of trying to force them in.

Note that prolapse of rectum can be mistaken for internal hemorrhoids that have come out of the anus, so make sure to go to a hospital instead of trying to diagnose the illness yourself.

3. Puffy swelling (external thrombosed hemorrhoids)

Sudden "puffy" swelling that contacts the exit of the anus may be external thrombosed hemorrhoids. This can be caused by too much burden on the anus due to sports, too much strain, stress, or constipation. The degree of pain varies from severe pain to discomfort.

As an emergency treatmenta for external thrombosed hemorrhoids, it is effective to warm the anus by taking a bath or using a hot pack just like for incarcerated hemorrhoids. OTC drugs containing steroid are also effective. Most of the cases do not require immediate surgery, but it is recommended that you consult a specialist if the pain is severe or the symptoms are persistent.

4. Swelling, which is soft when pressed, accompanied by fever and a throbbing pain (anal abscess)

If you have a throbbing pain in the perianal area and have swelling with heat on the buttocks, you may have anal abscess. There are also symptoms such as inflammation of the perianal tissues, accumulation of pus, and discharge of pus from the anus. If this worsens, the inside and outside of the anus is connected with a tunnel, which results in anal fistula with constant discharge of pus. When anal abscess develops, you should consult a specialist as soon as possible because it cannot be cured with OTC drugs.