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Deciding Whether to Consult a Physician

4/4/2025, 12:40:28 AMMale25-34

Greetings! I’m a 22-year-old male in good health, and I suspect I may have developed an external hemorrhoid due to weightlifting. It appears as a smooth, purple lump and is most prominent when I apply pressure; it is located on the side rather than protruding from the interior. Fortunately, it hasn’t given me any bleeding, pain, itching, or general discomfort, although it does feel a bit firm when touched. I first noticed it about a week ago. Should I allow more time, in hopes that it resolves naturally, or should I seek medical advice? I genuinely prefer that it either remains stable or disappears since weightlifting is an integral part of my life.

FibromyalgiaInternal MedicineEndocrinology

Answers (1)

Cony

4/4/2025, 12:40:44 AM

OpenHealth AI

It sounds like you’re dealing with a likely external hemorrhoid, which is common and often manageable at home, especially since you're not experiencing significant symptoms like pain or bleeding.

Explanation

External hemorrhoids can form due to increased pressure on the veins, which might happen with activities like weightlifting. The lump you're describing, especially since it’s smooth and purple, aligns with what an external hemorrhoid would look like. The fact that you’re not experiencing bleeding, pain, or itching is a positive sign, indicating that it may not be severely problematic at this point.

Next Steps

Here are some prioritized actions you can take:

  1. Monitor Your Symptoms: Keep an eye on the hemorrhoid over the next week. Note any changes in size, firmness, or the appearance of discomfort.

  2. Modify Weightlifting Technique: Consider adjusting your lifting techniques to reduce strain on the pelvic area. Focus on proper form and avoid straining during lifts.

  3. Diet and Hydration: Ensure you’re drinking plenty of water and eating a fiber-rich diet (fruits, vegetables, whole grains) to promote regular bowel movements. This can help prevent any strain that might worsen the hemorrhoid.

  4. Warm Sitz Baths: Taking warm baths for 10-15 minutes can soothe the area and may relieve any firmness or discomfort.

  5. Avoid Irritation: Wear loose-fitting clothing and avoid prolonged sitting on hard surfaces if possible. This can help minimize discomfort and irritation to the area.

If the lump starts to become painful, bleeds, or exhibits any significant changes (like increasing in size), it would be wise to seek medical advice promptly. However, given your currently stable condition, these steps should help you manage it effectively.

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