|
|
| |
|
|
| |
| |
|
Headlines:
|
 |
|
|
|
|
|
| |
Doctors Lounge - Oncology Answers
"The information provided
on www.doctorslounge.com is designed to support, not replace, the
relationship that exists between a patient/site visitor and his/her
physician."
Back to Oncology Answers List
| Dallas72
- Mon Dec 26, 2005 8:00 pm |
|
Hi, I'm a 33 yer old male in good health and active in sports(soccer). Just had a CBC last month and everything was good. But now I'm a little bit concerned. Three weeks ago today I had what I hope was a bad case of hemorrhoids. I went to the bathroom and was trying to rush and I was a little bit constipated. The next day i was so sore I could hardly walk. I checked myself and found a large lump on the right side of my anus. It scared me really bad, plus it was really tender. I bought some Prep H and put it on. By the 4th or 5th day the pain started to go away, but the lump didn't. I looked this up on the internet and all signs point to a thrombosed external hemorrhoid. I've taken warm baths nearly everyday, but haven't been doing the Prep H thing because it didn't hurt anymore. Still, to this day the lump is still there. It's about the size of a peanut or half of a grape and it's a light purple in color.
I got worried because it doesn't seem to be going away. And today I noticed that I have one swollen gland in my groin on the right side. It's more like my upper inner thigh, just next to my testicles. It's a little sore. Now, I'm a hypochondriac by nature and have been freaking out thinking that it could be some sort of cancer because of the swollen gland and the hemorrhoid lump not going away yet. I constantly look up symtpoms on the net and keep finding more and more terrible stuff. My insurance ran out this month because I was just layed off from work, so I can't really afford to go to the Dr. without it coming out of my pocket.
Dr., what should I do? Does this sound like something that is serious? Or could it just be a really bad external hemorrhoid that my body is fighting, causing my gland to swell? Is there anything I can do if it's just an external hemorrhoid? Will it go away on its own or do I need to see a doctor? Please advise because I'm a worrier. Sorry this was so long...
|
| Dr. Tamer Fouad
- Sat Jan 21, 2006 12:41 pm |
|
 Hello,
I hope you're feeling better by now.
The differential diagnosis of anal mass includes many benign diseases. Haemorrhoids, rectal prolapse, perianal haematomas, anal tags, polyps, warts or condylomas, anal abscesses can all present as an anal mass. Non-proctological lumps can also be present from time to time. These include sebaceous cysts and lipomas. On the other hand, a palpable mass and/or bleeding is the presenting symptom in 50% of patients that are later found to have anal cancer.
External hemorrhoids are asymptomatic except when secondary thrombosis occurs. Thrombosis may result from defecatory straining or extreme physical activity, or it may be a random event. Patients often report feeling the sensation of sitting on a tender marble. Physical examination identifies the external thrombosis as a purple mass at the anal verge.
If infected this can lead to inguinal lymph node enlargement. The inguinal lymph nodes are situated in the crease between the leg and pelvis (more on the outside of that crease, ie, laterally). They drain the penis, scrotum, vulva, vagina, perineum, gluteal region, lower abdominal wall, lower anal canal. Common causes of enlargement include infections of the leg or foot, STDs (eg, herpes simplex virus, gonococcal infection, syphilis, chancroid, granuloma inguinale, lymphogranuloma venereum), lymphoma, pelvic malignancy, bubonic plague.
Another possibility is anal abscess. I would recommend that you have someone look at this.
Best regards.
|
| Dallas72
- Sat Jan 21, 2006 7:37 pm |
|
Thanks for getting back to me, and yes I am better now. Like I mentioned, I'm a bit of a hypochondriac. I ended up going to the doctor and he looked at it for a second and told me what I really already knew. I had a thrombosed external hemorrhoid that he said would go away on its own, though it may take a little while. He said I may have a skin tag that he could remove if I wanted him to later, but that it wasn't necessary. As for the swollen gland in my groin, it turned out to be nothing more than a sebaceous cyst that was infected. He gave me an antibiotic and sent me on my way. Now all is well. I felt so much better after he told me I was fine. I shouldn't have been embarrassed or scared to see the doctor about this. Thanks Doc!
|
|
|
|
|
|
Are you a Doctor, Pharmacist, PA or a Nurse?
Join the Doctors Lounge online medical community
-
Editorial activities: Publish, peer review, edit online articles.
-
Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.
Doctors Lounge Membership
Application |
|
|
|
| |
|
|
|
|
