Doctor insights on:
Treating External Hemorrhoids Without Surgery
No.: External hemorrhoids are covered by " anoderm", which is the skin like tissue in the anal region. The anoderm is innervated by a lot of pain fibers; therefore, when external hemorrhoids cause pain, they cannot be removed by rubber banding, like their internal counterpart. On the other hand, if treated conservatively, the pain from (thrombosed) ext. Hem. Will resolve w/o surgery most of the time. ...Read more
Not removed: While they cannot be removed, they can get better in terms of reduced size and symptoms. This can be done with of a variety of medications in cream and suppository forms, as well as managing bowel habits and the use of soaking in water with or without medication in it. Consider a consultation with a colorectal surgeon or your primary care to find out what's best for you. Hope this helps! ...Read more
Hi Doc, in how many days the stitches of External Hemorrhoids surgery removed from the wound? Ps: Forgot to enquiry this question from the doc I know
The definition of grade 3 is that you have internal hemorrhoids that prolapse out, but will go back in if you push on them.
Sometimes, grade 3 hemorrhoids will respond to rubber banding or injection. It is not guaranteed and may take multiple procedures. Consult an expert.
Start first, though, with Sitz baths in epsom salt and reduce straining and long times on the toilet. Increase fiber/water. ...Read more
Hello, I have external hemorrhoids stage 4, recommended I do surgery. Nevertheless, this thingy does't really bother me (age 30). What do you suggest?
Staging is used for: Internal hemms. Stage IV is when they are prolapsed and can't be reduced. They are usually associated with intense pain and some bleeding. There is a risk of strangulation the longer they are incarcerated. Even in this setting theycan be managed in office at times with local anesthesia and rubber banding. I will recommend seeing a colorectal surgeon who can examine you and advice how to proceed. ...Read more
Colorectal doc said need surgery for external hemorrhoids causing feeling of muscle/ball that has to be pushed in after each bm. Is surgery really nec?
In general: It is best to obtain this type of guidance from medical providers who have examined you and know your history. The providers on HealhTap basic are here to provide medical education - not second opinions. You may wish to ask your surgeon to help arrange a second opinion evaluation by another colorectal surgeon. Good luck. ...Read more
I'm a gay male and I have external hemorrhoids that don't seem to be responding well to Anusol HC. Is it possible to return to "pain free" anal sex if I get a hemorrhoid surgery? Can it be normal again?
Colorectal doc said I need surgery for external hemorrhoids (also have internal ones). NO bleeding or pain, just feel like need to push in muscle after BMs. Is surgery really nec or are there other options can be tried first? Hear surgery very painful
Most operations: Involve some pain, but usually controlled well with pain meds. If you are unsure about your doctor's recommendation, you should get a second opinion. ...Read more
I had external hemorrhoids removed yesterday morning. I still have some blood today. Is that normal? If so then how long will it bleed? Thanks
Yes: Normal. Can bleed for up to a week or 2 sometimes. Continue to monitor. If it does not stop in a week or worsens, please see your doctor. Hope this helps. Best of luck with this painful condition. Dr R ...Read more
I got external hemorrhoids removed yesterday. Now that is itchy. Can I use hydrocortisone cream there?
Yes: Very common to have itching and ok to use topical Hydrocort cream. Just be sure to apply GENTLY. Hope this helps. Best of luck with this issue and thanks for using Healthtap. Dr R ...Read more
Yes: Hemorrhoids ate veins under the skin in the anal area. They become enlarged or irritated with constipation & sitting at the toilet straining too long. The veins can continue to enlarge with repeated irritation from constipation. Dink more water, eat more fiber (fruits & vegetables, metamucil). ...Read more
No: No they usually don't unless you have difficulty cleaning and there is residual stool that remains on the external hemorrhoid after each bm. I would recommend sitz baths after bms if you note an odor. If there continues to be an odor you may have a perianal abscess which would be accompanied by pain and pus drainage. For this you need to go to the er for treatment. ...Read more
External hemorrhoids: External hemorrhoids, based on location and the kind of nerves affected, are more painful. This is by definition. ...Read more
Pressure: External hemorrhoids are like varicose veins in your rear end. Often caused by constipation or straining (like a women having a baby.). Often resolve on their own. Treated by treating the underlying constipation (if present) warm baths, and local creams such as preparation h. Prescription meds are also available. See your family doc if not improving in a few days. ...Read more
Hemorrhoid pain: External hemorrhoids thrombose (blood clotting in them) causing stretching of the tissue and pain. If nothing is done, the swelling and pain can last up to 2 weeks. Softening stool, preventing loose stools, sitz baths, and healing ointments (not prep-h) help relieve the pain. Opening the hem and extracting the clots of blood will also shorten the recovery. ...Read more
Celery: External hemorroids are engorged veins around the anus. The most common cause is increased pressure during defecation from constipation. Otc remedies are of little or no proven benefit. Increased dietary fiber and lots of water makes stooling easier and will help. Painful thrombosed hemorrhoids should be seen by a doctor. Hemorroids from liver cirrhosis must be seen by your doctor asap. ...Read more
External hemorrhoids really really hurting. Tried h cream but with not much luck. What should I do?
See below: The pain is due to small blood clot (thrombosis) in the hemorrhoid. The pain may last for 4-7 days and gradually the clot disappears. Immediate relief for the pain can be had by the physician making a small incision (using local anesthetic) in the hemorrhoid releasing the clot. Topical hydrocortisone/lidocaine cream can help the pain. OTC products with 5% Lidocaine and hydrocortisone are available ...Read more
Can external hemorrhoids cause problems for someone who is going to undergo colonoscopy procedure?
What are the signs of external hemorrhoids? And do they self resolve? Any otc stuff you can recommend?
External hemorrhoids: Symptoms of external hemorrhoids can vary from burning and itching to acute severe pain cause by a clot developing in the dilated veins that make up a hemorrhoid). If you have minor irritation hygiene and topical treatments work well. If acute thrombosis I recommend you get into a surgeon quickly because they can help. ...Read more
Hi I am from south india. If I have external hemorrhoids, can continuous coughing for a week aggravate it?
I have colonoscopy procedure friday, right now I have external hemorrhoids can I use preperation h right now, until friday?
Yes: The chemicals in the bowel prep and the diarrhea you get will make your hemmorrhoids inflammed and painful. It is ok to use topical medications to ease this discomfort right up to the day of the procedure. ...Read more
Prescribed 3 weeks anusol for external hemorrhoids, how long before I notice it really start to work? I've had them persisting for about 2 years.
Diet and exercise: Hemorrhoids are enlarged veins in the rectal area. Anusol only for relief of itching and pain, not a cure for hemorrhoids. Eating a balanced diet, rich in fiber, together with plenty of fluids, softens the stool and increases its bulk, which will help you avoid the straining that can cause hemorrhoids or worsen symptoms from existing hemorrhoids. In addition, exercise can help with bowel movement. ...Read more
Shrink vs remove: External hemorrhoids hurt when inflamed. Creams, ointments can help with flareups as can avoiding constipation by keeping your fluid and fiber up and dropping weight if obese. Still, these things do not remove the hemorrhoid. If a continuing problem or if acutely painful (thrombosed) then excision with surgery is the answer. This can be done as an outpatient. Good luck. Feel better soon. ...Read more
Surgically if painfu: If your thrombosed external hemorrhoid is painful, you should see a surgeon about having it "lanced" for instant relief. This can usually be done in the office or er under local anesthesia and should totally resolve the issue for that hemorrhoid. However, there are usually several hemorrhoids (commonly 3 columns) so a recurrence in a different hemorrhoid is not uncommon. ...Read more
No: You can never remove all of the external hemorrhoids even with surgery. What most people think are external hemorrhoids are actually residual benign skin tags from prior hemorrhoidal flares. I personally do not recommend witch hazel ever, as many people will develop a sensitivity reaction, like an allergic reaction, to it after repeated use. ...Read more
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