Doctor insights on:
Generally Treat Hemorrhoids
Steroid cream: Hemorrhoids are swollen, dilated veins that cause pain and itching. Steroid creams or suppositories will shrink most hemorrhoids. On occasion a hemorrrhoid vein will develop a thrombus. This requires excision, usually in the office under local anesthetic. Problematic hemorhoids that cause a lot of blood loss or incapacitating pain will need excision in the or. ...Read moreSee 1 more doctor answer
The veins in the rectum can swell and become puffy when a person has frequent pressure on them from pushing out a bm. This is constipation. The swollen veins can burn, itch, or sometimes become severely painful (from a clot building up inside). Veins in the rectum are called hemorrhoidal veins and the sick, stretched out vein ...Read more
Depends: You may be able to avoid irritating the internal hemorrhoids and thus may allow them to be less bothersome, but they may not go away completely. Drink plenty of liquids, eat high river foods, take fiber supplements like metamucil, avoid constipation and straining or sitting too long at the toilet. ...Read more
I have been suffering from haemorrhoids lately and the pain is significant. I've been on medication but it's not helping much. Are they treatable?
Maybe not hemorrhoid: Are you sure you have just hemorrhoids? Pain +/- pruritis (itching) from the rectum that recurs may also indicate anal fissures, proctitis (due to infection, inflammatory bowel disease, radiation therapy, stercoral ulcers, rectal prolapse, trauma, etc.), prctalgia fugax. Depending on your age, risk factors, current medication (aspirin, nsaid's), circumstances, please seek evaluation to be certain. ...Read more
Home treatment: For most hemorrhoids, home treatment is all you need. This includes slowly adding fiber to your meals, drinking more water, and using over-the-counter ointments for a limited time to stop itching. You also may use stool softeners. Surgery to remove hemorrhoids is generally reserved for when medical treatments fail, or if complications occur. ...Read moreSee 1 more doctor answer
Conservative mgmt: Conservative management (non surgical) includes things like: sitz baths 2x/day, balneol lotion, wet wipes, calmol 4 rectal suppositories 2x/d-all for 7-10 days. Avoid constipation, use a stool softener if needed, avoid spicy foods (if it burns on the way in, it burns on the way out), coffee, alcohol, tobacco. Frequent, ongoing, or recurr symptoms, e.g. Pain, bleeding, lump- see colorectal surgeon. ...Read moreSee 2 more doctor answers
Hemorrhoids: Key is to avoid constipation and avoid increased intra abdominal pressure. You can try preparation H, sitz bath that is sitting in a bowl of luke warm water for about 10 minutes 2-3 times day would help. If get infected or blood clot happens in the veins it may be very painful, see your doctor at that time, You may need prescription medication then. ...Read moreSee 1 more doctor answer
Time works but...: Depends on what you have already tried. The first things are conservative including increasing fluid and fiber in diet to ensure that you bms are soft, losing weight, limiting the time sitting on the toilet. Flare ups are then treated with creams, ointments. If still a problem you could try banding and finally excision/ligation. Surgery is the last, definitive treatment for this. ...Read more
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