Doctor insights on:
External Piles Treatment
Miralax (polyethylene glycol): The first line treatment for hemorrhoids is actually making sure that no hard stools are passing by the swollen hemorrhoidal tissue and causing more trauma and inflammation. Miralax (polyethylene glycol) and generic MiraLAX (polyethylene glycol) works well for most people to make the stool soft and allow healing of the hemorrhoids. If that doesn't solve the problem or if there is any bleeding then go see a surgeon for further treatment. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Conservatively: A very common problem that affects millions in your age bracket. Try conservative measures like stool softness on a regular basis, regular exercises and daily Sitz baths with Epson salt. There are some OTC hemorrhoid all creams you can also try. Get your GP examine these on your next check up for a proper assessment. ...Read more
What surgical procedures exist for thrombosed external hemorrhoids? what other treatment will hasten recovery?
Excision or drainage: The only surgical procedure for thrombosed external hemorrhoid is to open the skin and drain it usually under local anesthesia in an office setting or to excise the entire hemorrhoid and clot and this also can be done under local. Banding and similar procedures are done for INTERNAL hemorrhoids. Important to know thrombosis will resolve without procedure with hot sitz bath and time. ...Read moreSee 1 more doctor answer
Pain: External hemorrhoids are painful. These are hemorrhoids near nerves and you'll know you have them from pain and irritation. Painless hemorrhoids are usually internal but may prolapse and you notice them when cleaning. Either one can affect your life. If so see your doctor for a referral to a colo-rectal surgeon. Improve your quality of life. ...Read more
Care of hemorrhoids: Hemorrhoids are dilation and swelling of the expandable tissue around the rectal opening. Non operative treatment recommended, and includes bowel regimen (fiber, stool softners, laxatices to goal of 2 soft bowel movements daily) local sauves (prep h, desitin, (zinc oxide diaper cream) anti fungals, other) and hygiene (shower, hair dryer area daily). Surgery only if above fails. Post op pain is expected, manageable. ...Read more
An infection: In the perianal region, usually derived from the anal glands inside the rectum. A fistula is an abnormal communication between two organs, in this case the rectum and the skin outside the anus. Both require evaluation and often surgery to permanently resolve and prevent recurrences or complications. ...Read moreSee 1 more doctor answer
Depends on time: An anal fissure is simply a tear in the lining of the anal canal that exposes the internal anal muscle which reacts by going into spasm therefore the pain and bleeding. An acute fissure is up to 6 weeks and almost always responds to softening stool with fiber and warm sitz baths. After this it becomes chronic and would require medicine to relax the muscle like nifedipine/NTG/Botox or surgery. ...Read moreSee 1 more doctor answer
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
Is neo healar effective for external hemorrhoids and anal fissures.Will it cure completely after 3 weeks.?
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
Sure: To reduce the swelling of internal hemorrhoids, you can take fiber therapy or stool softeners to keep your stool soft. Both are over the counter (colace, benefiber, etc) hemorrhoids are aggravated by straining and hard stools. External disease or symptoms such as burning, itching can be treated with witch hazel locally and sitz baths with epsom salts. ...Read more
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