Hi guys,

Over the course of the past year, I have experienced a significant alteration in my bowel habits, characterized by an inability to pass gas or stools. As a 40-year-old male, measuring 5'10" and weighing 47 kilograms, I possess a slender physique. However, I have detected a small lump, approximately the size of a pea, located adjacent to my hemorrhoids near the end of my anus. While it is only painful upon contact or pressure, my attempts to alleviate the discomfort by pushing the lump inward have proven futile, as it reappears shortly thereafter. It is worth noting that I have been afflicted with hemorrhoids since childhood, though this particular occurrence is quite anomalous. Additionally, I suffer from ulcerative colitis, which I believe is currently in a state of remission.

The lump in question is situated proximate to my anal sphincter on the right side, and I also exhibit a protruding hemorrhoid, as confirmed by a medical examination involving manual exploration. Severe bloating induces pain in my lower back and liver region, particularly near the coccyx. However, I have observed that employing germonoid and manually repositioning the hemorrhoid permits the temporary passage of gas. Unfortunately, the blockage recurs shortly thereafter, resulting in the production of thin, pencil-like stools. Occasionally, the presence of blood accompanies the stool, which I attribute to my ulcerative colitis. It is my impression that the lump may be expanding, potentially impeding the elimination of waste. Consequently, even the administration of laxatives such as laxido fails to alleviate the obstruction. Furthermore, I have experienced palpitations on occasion, which coincide with sensations resembling those of a chest infection or flu. However, I have not been diagnosed with either condition. Could it be possible that the pea-sized lump is infected?

I must confess that I am exceedingly apprehensive. Although I do not experience fatigue and maintain a healthy appetite, I am reluctant to eat due to concerns regarding the blockage. I have an appointment with a nurse scheduled for this Friday, which gives me some reassurance. However, the pain I endure during episodes of severe discomfort instills fear in my children, and my panic-induced reactions have caused them distress. This behavior is uncharacteristic of my previous strong-willed disposition, leaving me feeling deeply ashamed of my current state of vulnerability. Recently, a cousin in his early twenties was diagnosed with cancer, yet his remarkable composure upon discussing his condition with me was both surprising and inspiring. He expressed gratitude towards a higher power and conveyed a sense of well-being. In contrast, were I faced with a cancer diagnosis, I would undoubtedly find it overwhelming.

It is important to disclose that I have a history of abusing cocaine hydrochloride for a period of approximately 15 years. During this time, I regularly snorted approximately 3 grams of the substance per week. Curiously, I noticed that cocaine usage provided a temporary improvement in my symptoms, including a reduction in the size of my hemorrhoids and an easier passage of gas and stool. However, I ceased indulging in this substance in December of last year, limiting subsequent usage to only two occasions. These instances arose solely from the extreme pain and difficulties I encountered while attempting to defecate. Remarkably, not even my long-standing general practitioner, whom I have known since childhood, is aware of my history of cocaine abuse. I refrained from disclosing this information to medical professionals out of fear that they might discontinue my current medication regimen. It is my fervent desire to avoid a relapse, as the associated costs are exorbitant.