I have had mild internal hemorrhoids for over 10 years that haven’t caused me much more than discomfort. One month ago, over the course of several long haul trips, I developed a small pea size lump just over my anus, no pain. Three days ago, after yet another long bus ride, the lump grew bigger (about the size of a thumb), red, warm and very tender. It got to the point where I had to lay of my side and take ibuprofen because everything else was painful. Yesterday, the lump burst and there was a significant discharge of pus and blood and the pain instantly went away. I cleansed the area thouroughly with antiseptic wipes, and this morning, apart from a little more pus and blood, it is looking even better. The lump is still there, but more like a pea size again. It is “connected” to a haemorrhoid that is sticking out of the rectum that ressembles a string of flesh, but apart from discomfort when I wipe and to the touch, I have almost no pain.

I am a 32 year old female, 5’7”, 120 lbs. I am very active and eat a balanced, fibre rich vegetarian diet. My bowel movements are very normal, but I have had a history of diarrhoea in the past. My father had Chronh’s disease, but I was never diagnosed with anything of the like, nor have I had any symptom, apart from sporadic diarrhoea.

I am currently travelling in Thailand for an extended period of time far from a big hub and it would be difficult to see an english speaking doctor at the moment. I would appreciate an opinion on the matter.