Is it Haemorrhoids?

Well again and again, we are met with patients who were either wrongly diagnosed as having haemorrhoids or patients who by their own intelligence decided to diagnose themselves as having haemorrhoids.

Not all swellings that arise around the anus equals to haemorrhoids and not all bleeding from the anus is due to haemorrhoids. The pictures below is another example of a case being treated as for haemorrhoids because initially the patient thought that it was haemorrhoids from the stories her friends and neighbours told her. Later as it got bigger and more irritating, she decided to see two doctors, one that took her word for it and just gave medications without much advice and examination. I think the patient was also a little shy to be examined then. The other, examined her but then decided that it would be easier to call it haemorrhoids and treat it first only later referring her to us!

These are actually 3 large pedunculated frond-like growths from the inside of the anus.
Rectal papillomas?.

7 Responses to “Is it Haemorrhoids?”

  1. spazm Says:

    Good Macro shot doc!!…An eye opener right after my lunch…heh heh..:P

  2. shafi Says:

    poor girl… how long did she suffer for like that! Can’t imagine how she could even sit down. I hope it was not cancerous.

    From the looks of it, it seemed like she has been ’sitting’ on it for a quite a while. Should have gotten it checked before it started to bleed like that. Some doctors can be so nonchalant with their diagnosis.

    That is why I now go to doctors with additional skills in taking macro shots! Did I mention my gynae loves taking landscape shots of wildlife.. especially big cats in Africa.

    last sentence to Spazm deleted as this blog has a wide reader-age coverage

  3. shireen Says:

    Presented a case like this on a poster featuring giant rectal polyps in children…how old was she?

  4. azrin Says:

    Possibility of colon or colorectal cancer will be inherrent from my experience after this surgery.

    Good luck to the patient.

    azrin @ http://www.azrin.net

  5. Judy Leese Says:

    Ouch! George, who was taking the photo and who was performing the procedure? Thanks for making us aware.

  6. Lynnwei Says:

    wow…really interesting!
    hhmm…..must be v careful with diagnosing….primary diagnosing..

  7. george Says:

    Shireen, she was above 40

    Hi Azrin, long time no news! Hope you are keeping well!

    There is always a way to do this, Judy.

    Lynnwei, welcome, yeah, never take short cuts in making a diagnosis.

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