Doctor insights on:
Yes: There are many creams and suppositories that are available without a prescription and available at most pharmacies. Since everyone responds differently, there's no particular one better than the other. Trial and error will find the best solution for you. If severe and/or unrelenting, consider a consult with a colorectal surgeon. Ask your primary if colonoscopy is appropriate for you. Hope this helps! ...Read more
Ok to use Proctofoam: But just as important is to be sure to be eating a high fiber diet and most importantly drinking 80-100oz of caffeine free, alcohol free fluid daily, more if you workout strenuously. There are other meds that work better but if no repsonse to above after2 months you may need surgery to avoid complications such as an abscess. See a colorectal surgeon. ...Read more
No straining: Straining is the chief cause of hemorrhoids and their symptoms. So stop. You can use local therapy with 2.5% Hydrocortisone cream or suppositories. Be sure to see a doctor to verify the diagnosis because fissures are usually the cause of painful bleeding. Sitz bath in very warm water may also help. Only 10% of people who think they have hemorrhoids actually have them. ...Read more
Laxatives: Constipation, if acute and limited, does not need a workup. If chronic or worsening, you may need to see someone. You can try a light otc laxative like milk of magnesia (magnesium hydroxide) with or without a supposistoy lile glycerine. If this fails, magnesuim citrate orally with or without a fllets enema from below will be very effective. If the symptoms persist, see someone. ...Read more
Rectal pain and pain relief question. Are acetominophen suppositories for treating anus or rectal pain?
Not necessarily: Acetomenophen, whether taken orally or per recum, is absorbed into the bloodstream and circulates to its site of action. There is no advantage to take the drug rectally if you have rectal pain because the drug does not produce its effects at the sie of administration. ...Read moreSee 1 more doctor answer
Intense lower abdomin pain after bowel movement. Had anal fissures and internal hemorrhoid's recently. Taking Metamucil for 1 wk. No relief from pain?
Abd pain s/p/ BM: Hard BM or soft? May have diverticulitis ( which is an infection in colon outpouching) - as it appears you may have some constipation- or infection from fissure Would follow up with doc urgent care today as may need antibiotics and/or anusol to decrease hemorrhoid inflammation. ...Read more
No: Hemorrhoid cream decreases the inflammation of the hemorrhoid, which is a dilated vein. It does not destroy the vein or eliminate it. They can recurr again if the patient strains, has hard stools, has constipation, pregnancy , and other causes. There are some surgical options for hemorrhoid removal. Consult a proctologist for these options. ...Read moreSee 1 more doctor answer
Depends on grade: If gr. 1, treatment is ice, rest ; activity modification. Gr 2 means some muscle damage but no loss of continuity, same rx 4 a longer time 4-6 wks.Gr.3=significant tear of muscle ; recovery is long, now months not was . If there is an avulsion of the attachments with boney involvement @ the knee or pelvis which becomes a surgical problem. 1 ;2 also use nsaids. ...Read more
Would oral prednisone help a thrombosed external hemorrhoid thats failed tx w/ hc suppositories & cream? What's best for pain control?
Hemrrhoid: Oral Prednisone has not been well documented in the literature in the treatment of hemrrhoids. Keeping on a strict schedule of nsaids for their anti-inflammatory effect, barring no contra-indications in your personal history, would be beneficial to you. I would recomment starting with Ibuprofen (motrin) 600mg 3 times a day for 30 days. The anti-inflammatory effects take a full week before benefit. ...Read moreSee 1 more doctor answer
Constipation: If you simply cannot pass stool and feel very uncomfortable, a rectal suppository may induce a bowel movement. If that does not work, opt for a fleet enema. That's a first aid treatment. A high fiber and high fluis diet should be instituted immediately. Further evacuation problems need you to take laxatives; MiraLAX (polyethylene glycol) is one. Persistent problems needs evaluation by your doctor. ...Read more
Depends: Internal hemorrhoids rarely cause pain. If you have anal pain with a bm, then you either have a fissure or external hemorrhoids. Nupercainal may help but it may also give you worse pain if applied to a fissure. Better to get examined and find the cause and get proper treatment. ...Read more
Before treatment...: Could you be referring to fissures, fistula, abscess? Sexually transmitted disease (syphilis, gc, hiv, etc.) should be considered. Hemorrhoids & rectal prolapse can appear as a painful swelling. Anal trauma of any kind may cause mechanical injury. Skin eruptions need to be considered. But if fissure is confirmed, topical Nitroglycerin is traditionally used, although other agents can be compounded. ...Read more
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
Severe pain possible anal fissure w/some bleeding for 5 months. Miralax (polyethylene glycol) softened too much. Citrucel = fissure pain back. OK to alternate both meds?
Several possibls: First you can reduce the dose of MiraLAX (polyethylene glycol) to whatever level it needs to be to prevent you from being loose. You can also used scheduled emptying to be sure the lower bowel stays as empty as possible for as long as needed to heal. Twice a day works for most.Avoid the foods that plug like apples, pasta, bananas, and enjoy fruits that loosen if it helps.(Peaches,plums,prunes) ...Read moreSee 1 more doctor answer
Yes: Triamcinolone is stronger version of hydrocortisone which is steroid commonly used in over-the-counter hemorrhoid creams. But as Dr. Simpson said (https://goo.gl/8fvAPm), 1st make sure it's just a hemorrhoid and not something else. Also plan on eating more fiber, drinking more water & exercising regularly (all good advice anyway) to reduce constipation & need to push hard which aggravates 'rrhoids ...Read more