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Hemorrhoids filled with small pin-sized knots?

I am actually pretty sure that I have had hemorrhoids for years. It would itch every now and then but the bulge would always go back in. However, this morning was different. After I pushed quite hard during a bowel movement, which I honestly always do, I saw blood on the toilet paper and there were also a few blood streaks in the bowl. It was as if something had dripped out. I also feel like something has been scratched or torn.
All of this would be fine, but I am currently freaking out because I felt a small pinhead-sized lump in a fold of skin right at the edge of the anus. Could that still be a hemorrhoid? Do hemorrhoids consist of such small lumps? I hope you can help me quickly. I was planning to go to the doctor tomorrow, but otherwise I will be going crazy all night because I have a real panic about possibly having colon cancer, even though it is uncommon at my age... I am 29.

med. pract. Arzt Online

Dear questioner,

The described situation strongly indicates the presence of hemorrhoids. Especially the pin-sized spontaneous protrusion is characteristic.

Please do not worry about colorectal cancer, as this is extremely unlikely in your situation. However, it is important that you start any therapy early, as this will help achieve significant regression without much effort. Please consult your primary care physician in the near future about therapy options (e.g. dietary changes).

I hope I have been able to help you. I am happy to answer any further questions you may have.

Best regards

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