Topic Explanation
The discussion centers around a person who has recently experienced the sudden appearance of hemorrhoid-like lumps after surgery and while on blood thinners. The individual has a complex medical history, including an ostomy following bowel surgery, multiple leukemia diagnoses, and large embolisms in the lungs and legs. They are on Eliquis, a blood thinner, and have experienced issues with a PICC line. The person is seeking advice on managing the hemorrhoids and understanding their sudden onset, especially given their medical background and current medications.

Advice and Insights
1. Phantom Rectal Urges:
- Residual urges to use the rectum are normal after ostomy surgery, similar to phantom limb syndrome. The body still sends signals as if the rectum is functional.

2. Hemorrhoid Concerns:
- Sudden hemorrhoids should be checked by a healthcare professional. They are typically caused by straining, which may not apply here, indicating a need for medical evaluation.
- Suppositories might be an option if there is a rectal stump, but this should be discussed with a doctor.

3. Blood Thinners:
- Blood thinners like Eliquis are unlikely to be the direct cause of hemorrhoids, though they can affect bleeding.

4. PICC Line and Portacath Issues:
- Problems with PICC lines, such as clotting, are not uncommon. Switching to a chemo port might be a more stable option.
- Vein failure can occur with prolonged use of PICC lines or portacaths, leading to the need for alternative blood draw methods.

5. Medical Appointments and Scans:
- It is important to have medical appointments scheduled to address these issues, even if there are delays.
- Scans may be necessary to provide a clearer picture of what is happening internally, though access can be challenging.

6. General Health Management:
- Persistent pain and discomfort should be addressed with healthcare providers, even if hospital visits are undesirable.
- Maintaining communication with healthcare providers is crucial for managing complex health issues.