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
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
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
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
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
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
Have internal hemmorhoid/possible fissure. Will preparation h suppositories (cocoa butter&vasoconstrictor) be good for both? (or vasodilator needed?)
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
Fairly Good: Fairly good.Get a more detailed answer ›
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
Ok to use Anusol: 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
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
Have fissure and Tight Anus after applying Hydrocortisone and lidocaine Topical, I get incontinence, mucus discharge from anus, hemorrhoids, TREATMENT?
A proctologist: is whom you need to see, you may need more than just topical therapy, a good exam by an experienced surgeon / proctologist is your best option, good luck ...Read more