How painful can hemorrhoids be?

Are you able to squat over a mirror and see what's there? If it's an external hemmie, you should be able to see it. If you don't see anything, it can be an internal hemmeroid or a fissure. I have both internal and external hemmies and yes it can burn when I go and especially if I am having more acidic bm's. Are you still on the predfoam?

I use a prescription steroid cream. This tube has an applicator so I can apply to both the inside and outside. I have tried Preperation H and Tucks but it wasn't helping. After one dose of this steroid cream and I feel so much better. The predfoam might help shrink the hemmies.

I had what I thought was a hemorrhoid this past spring which got progressively more discomforting as the week went by. By Saturday, I just about passed out from the pain when using the toilet so I called the doctor on call and she thought it was a thrombosed hemorrhoid. I saw my doctor on Monday and he shipped me off to a rectal surgeon who diagnosed me with a perianal abscess. Although the pain from hemorrhoids is significant when using the toilet, I currently have active hemorrhoids, the perianal abscess was significantly worse. I have bleeding with the hemorrhoids while the perianal abscess produced no bleeding. I had night sweats with the perianal abscess as well.

Do you have bleeding (fresh red blood)? Is the pain localized to a certain position relative to the anus?

Hil...don't cancel the c-scope. It's an opportunity for the doc to see what exactly is going on. If you're able, ask for a conscious sedation so YOU can see what's going on as well.

Purchase some over the counter hydrocortisone cream...even one that has a numbing agent in it to help ease the pain.

Is what you see in one area a blue/black colour? If so, that would be an external hemmie.

The sitz baths are helpful after every bm (or using a hand shower in the tub). Than apply the product.

I would also suggest you use the predfoam. Maybe even squirt a bit on your finger and apply it externally before inserting the nozzle.

I just got over a bout of what you're going through ..... yeeeowchie!!!
I used Proctocedyl suppositories, external proctocedyl and hydrocortisone cream as well as my rectal UC 5ASA meds.

Hope you feel better soon.

Oh, what prep are you using for the c-scope?

quincy

When I had a perianal abscess I could press the area and immense pain would occur. Were you having night sweats prior to the problem showing up? I'm on prednisone right now and had night sweats until I shifted the dose to the morning, now I have day sweats. At one point I ended up going to the ER to get the perianal abscess treated because I started running a fever. Hemorrhoid cream had no effect on the pain and sitz baths only reduced the pain while soaking. Once I got out of the tub the pain returned almost immediately.

Here is a description of the different anal abscesses: www.webmd.com/a-to-z-guides/anal-abscess

I have never had a fissure so I don't know its symptoms.

Quincy - Yes, I can see a swelling that seems to dark brownish, that could be the hemmy.

Tap - Yes, the nightsweats started a long time ago, though they are not as bad now.

I will see my Dr in the morning to get the protocedyl and hydrocortisone.

Thanks for all your help, it is much appreciated.

 

thrombosed hemmies can be EXTREMELY painful. I had to have one removed this year as it was beyone unbearable. It was however the size of a golf ball the doc said. They do not neccessarilly bleed. Mine did not, but it was extremely painful I had another one recently that thrombosed, but because I got into remission, it is not bothering me anymore...get it checked out, no reason to live with the pain, it can be treated.

Good luck on your scope. I shudder to think of what your poor tush is going to go thru! Maybe once they put you out, the doc can get a better look and see what you're dealing with.

The only time I had such pain as you describe was when I had a perianal abscess- I thought it was a bad hemmorhoid & treated it as such. Warm baths, Tylenol, etc. But jeez, it HURT!!!!!!!! And I did run a low fever. It started as a small area of pain, to the left of my anus in the perineum area. Which gradually grew more & more painful, especially if I pressed on the area. I couldn't see anything, nothing looked different. I wound up going to bed it hurt so bad, crying. Then a day or so later, it burst. That's when I realized it wasn't a hemmorhoid! I was at the YMCA for my daughters swim class, & felt a gushing, wet sensation. Ran to the bathroom, & when I wiped the area, lots of bloody pus on the TP, which kept coming & coming, especially when I applied pressure. The pain was gone though! Hopped right into a hot bath when I got home, to clean the area out, then called my GI, who put me on Flagyl & Cipro to prevent infection. After a week of 2 baths a day, to keep it clean, it healed up nicely, but unfortunately turned into a rectovaginal fistula, which I still have. This was 2 years ago now. Sooo.... I'd vote for the safe route & have the GI take a look ASAP, or it may rupture & develop into a fistual. Which are very hard to get rid of! I do have some hemmorhoids, which can swell up & become sore, but nothing like the pain I had from the abscess. It was horrendous!!!!! Every BM was excruciating- & I blamed it on the chili I had recently made!