instruction: hi I am a 29 year old male with 171 am height and 5kg weight and suffer from is every time I go to toilet I have pain while defecating and after it I have a burning sensation in the anus region for the whole day sometimes I also have abdominal pain but I think this is due to is before and after going to the toilet my anal lining is normal but during defecation something bulges out and I am not sure if these are hemoroids or this is mucosal rectal prolapse after defecation I have burning sensation in my anus and mild pain in my left side I also suffer from constipation go to toilet times per week and almost always have to strain when going to toilet when I am anxious I suffer from diarrhea and my stool is mostly liquid but if I am not anxious I suffer from constipation I already excluded all wheat grain as it was causing me gases and pain and my is improved but I still have occasional abdominal pain especially after defecation can you please help me understand if I have hemoroids or mucosal rectal prolapse and what I need to do to cure them
output: hi hope you are fine pain while defecating and feeling of bulge this is mostly a hemorrhoid which sometimes could be associated with spot of blood on the toilet seat and sometimes not how to differentiate between a hemorrhoid and a rectal prolapse to be examined by a surgeon other wise it is difficult by history only however being young and healthy it is unlikely to have a prolapse it a disease of elderly and anoreceptor intercourse prolapse is usually completely circumferential but hemorrhoids usually one location described as clockwise related 7 o clock your abdominal pain likely it is having intermittent diarrhea and constipation flavoring it so to help ease your symptoms we need to treat and fix your bowel habits which is more fibers green vegetables avoid carbs stool softener like normacol over the counter drug which is basically fibers sachet per day till having soft easy stool part of is treatment is psychological therapy you need to relieve your stress which will help you a lot with the diarrhea