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Old 01-14-2011, 06:42 AM   #1
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thrombosed (perianal haematoma) or something else?

Hello. I am sorry to write such a long winded question but I am quite worried because I think I have lost all faith in doctors amidst all the medical and health advice we have read and been told over the years and and I am concerned about the mixed diagnosis's which I am receiving.

About three months ago I suddenly began suffering severe lower back pains. This pain was situated right at the base of my spine in the pelvic area and would radiate across my hips. For a period of about four days I could hardly walk at all and in one instance I actually collapsed onto my kitchen floor - my legs literally gave way. As I am only 39 and quite fit (being a keen hill walker and previously until recently attending martial arts classes) this actually seemed quite serious and I called out the doctor for the first time in my adult life. I am used to suffering aches and pains, back and neck ache, bouts of mild siatica etc due to bad posture and joint pains due to being double jointed (hypermobility syndrome I am told) and I usually just get on with it - not even taking over-the-counter meds. So when the doctor came in and diagnosed 'typical back ache' without even physically touching me I was pretty shocked. When I got to see a G.P at my surgery I was told it was siatica. I made another appointment and was then told it was mechanical wear and tear somewhere in my lower back ( but not identifiable as to whether it was/is cartilage, bone or disc). I was not referred for a definite answer but thankfully the pain has slowly gone and my back is getting back to normal. The treatment involved Codeine Phosphate 15mg 8 per day, Naproxen anti-inflamortory 250mg 3 per day and Lansoprazole Gastro resistant 15mg one per day.
The strange thing is that I am convinced that the Lansoprazole had an effect on the haemeroid (spelling?) problems I have had four about 8 years. I have not had solid stools for nearly 8 years - almost upon immedietely beginning this medication my stools went back to normal and my half a decade daily bleeding stopped.
Then suddenly shortly after this medication stopped I found a lump to the rear of and above my anus. This small lump was clearly internal and not skin related. Despite the literature and advice on what to do when finding lumps I still felt bad for some reason about going to the doctor (I always feel like I am wasting their time or being hyperbolic). The doctor examined the lump and said it was an absess probably caused by an infected hair folicle (spelling?). That was about two weeks ago. I was given anti-biotics -a rare treat for me - but the lump has now grown and today I returned to see a doctor (a different doctor) who told me that it is likely to be a thrombosed pile.
Well a thrombosed pile is certainly different from an absess, but although I understand that doctors are human and it is not always possible to accurately identify anything in any line of work involving examination / investigation (from personal experience) - I am very worried. For a year, the same surgery told my uncle he was suffering from chronic indigestion - then he died of liver cancer.
Now I have read up about thrombosed (perianal haematoma) on the internet this afternoon and it does seem to fall in line with the lump I have - apart from one thing - I have no pain with it. I would like to know whether (internal) thrombosed piles can be painless or whether this may be leading down a path of discovery which I don't want to go down? After many years I finally have a referral to a specialist about my haemorroids but not until late March - is it safe for me to wait that long?

 
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