Hi! I am a 29 year old male with 171 cm height and 55kg weight and suffer from IBS. Every time I go to toilet, I have pain while defecating and after it, I have a burning sensation in the anus region for the whole day. Sometimes I also have abdominal pain but I think this is due to IBS. Before and after going to the toilet, my anal lining is normal but during defecation, something bulges out and I am not sure if these are hemoroids or this is mucosal rectal prolapse. After defecation I have burning sensation in my anus and mild pain in my left side. I also suffer from constipation (go to toilet 3 times per week) and almost always have to strain when going to toilet. When I am anxious, I suffer from diarrhea and my stool is mostly liquid. But if I am not anxious, I suffer from constipation. I already excluded all wheat / grain as it was causing me gases and pain and my IBS improved but I still have occasional abdominal pain (especially after defecation). Can you please help me understand if I have hemoroids or mucosal rectal prolapse and what I need to do to cure them?
Hi, Hope you are fine. 1) pain while defecating, and feeling of bulge, this is mostly a hemorrhoid, which sometimes could be associated with spot of blood on the toilet seat, and sometimes not. How to differentiate between a hemorrhoid and a rectal prolapse? to be examined by a surgeon, other wise it's difficult by history only. However, being young and healthy, it's unlikely to have a prolapse (it's a disease of elderly and anoreceptor intercourse). prolapse is usually completely circumferential, but hemorrhoids, usually one location (described as clockwise related 3,7,11 o'clock). 2) your abdominal pain, likely it's IBS, having intermittent diarrhea and constipation flavoring it. 3)- so to help ease your symptoms, we need to treat and fix your bowel habits, which is more fibers (green vegetables, avoid carbs), stool softener like Normacol (over the counter drug, which is basically fibers) 1 -2 sachet per day, till having soft easy stool. 4) part of IBS treatment, is psychological therapy, you need to relieve your stress, which will help you a lot with the diarrhea.