Can recurring hemorrhoids develop at 18 years old?

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Based on what you have described, it sounds like you are experiencing a thrombosed external hemorrhoid. This is a painful lump near the anus caused by a blood clot in an external hemorrhoidal vein.

What it likely is

1. A thrombosed external hemorrhoid usually appears suddenly as a hard, painful lump around the anus.

2. Symptoms may include pain, itching, and discomfort, especially when sitting, walking, or passing stool.

Your situation

1. You are 18 years old, and this is your second episode in two months, which suggests recurrence.

2. While less common at your age, it is not unheard of, especially with certain lifestyle factors.

Possible causes (especially in young adults)

1. Straining during bowel movements (often due to constipation).

2. Prolonged sitting (for example, studying or gaming).

3. Heavy lifting or intense physical activity.

4. Low-fiber diet and inadequate hydration.

5. Ignoring the urge to go to the toilet.

What you can do at home

1. Warm sitz baths (two to three times a day)

   1. Sit in warm (not hot) water for 15 to 20 minutes.

   2. Helps reduce pain, relaxes the muscles, and promotes healing.

2. Topical relief

   1. Use Lidocaine gel or OTC (over-the-counter) creams containing hydrocortisone.

   2. Avoid products with fragrances or unnecessary ingredients.

3. Cold compress

   1. Apply an ice pack wrapped in a cloth for 10 to 15 minutes to reduce swelling and pain.

4. Diet and hydration

   1. Eat high-fiber foods: fruits (like papaya), vegetables, oats, and whole grains.

   2. Drink two to three liters of water daily.

   3. Avoid spicy foods, caffeine, and processed or low-fiber foods.

   4. Do not strain or sit too long on the toilet.

Optional medications

1. Pain relief: Ibuprofen or Paracetamol.

2. If constipated: Consider a stool softener like Docusate sodium or Lactulose.

When to see a doctor

Consult a general surgeon or proctologist if:

1. The pain is severe or getting worse.

2. The lump is enlarging.

3. There is bleeding during bowel movements.

4. You have repeated episodes.

In some cases, a minor surgical procedure (thrombectomy) may be needed, ideally within 72 hours of symptom onset for best relief.

What to avoid:

1. Do not try to pop or cut the lump yourself.

2. Avoid scrubbing the area or using harsh soaps.

3. Do not sit for long periods without breaks.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.