Doctor insights on:
Hemorrhoid Treatment Pain
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
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
What do you have?: Bleeding per rectum may originate in the anal canal, the rectum, or further up the line. Frequent anal sources of bleeding include hemorrhoids & fissures, that may respond to modifying stool texture (fiber, softeners) and topical agents, or require further intervention. Similar bleeds can be seen with anal & rectal cancer, infections, ischemic colitis, diverticular bleeds, inflammatory bowel, etc. ...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
Take pain meds given: Apply ice packs. Soak your bottom in warm water after each bm. It usually takes few days for the pain to go away. Take stool softeners as well so you dont have to strain which can make the pain worse. Goodluck! ...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
Two ways: Non surgical: most hemorrhoids can be treated with simple changes to diet and bowel habits. Fixative procedures include tying off the hemorrhoids with a rubber band or using heat, lasers, or electric current to create scar tissue (coagulation therapy). Surgical: surgical removal of hemorrhoids. Some we mix both methods. ...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
Im going to do surgery to anal fissure.I have chronic fissure with sentinel pile.No pain in defecation...Opinions?Is the pos operation painfull?
Not painful: Most patients report improvement of pain with first bm. Depends on if the pile is removed and specifics of surgery. ...Read more
It depends: On the cause. Most joint pain can be helped with gentle manual therapies to improve alignment (osteopathy, feldenkrais, cranial), physical therapy, home exercise to strengthen muscles & support joints. Add an anti-inflammatory diet (find online), same (400-1600 mg/day) (not if bipolar or prostate cancer), take with b-complex, and glucosamine-15oo mg/d. All nutritional changes take time to work. ...Read moreSee 1 more doctor answer
Anal fissure: An exam under anesthesia, is the first part of the rectal operation. While you are comfortable and under general anesthesia your surgeon will examine the rectum, and make best judgment for actual procedure. In many cases there will be a finding on the exam that impacts your surgeons options to benefit your health. Be well. ...Read moreSee 1 more doctor answer
Having anal fissure and hemorroids. Extreme pain and burning. Using ointments but no relief. What can help relieve the pain. Is there a solution?
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
Anal fissure: The management of primary anal fissures is generally non-operative and includes increased dietary fibre, warm baths, topical ointments and sometimes botulinum toxin injections. If these treatments are ineffective then surgical intervention may be considered ...Read moreSee 2 more doctor answers
See your doctor: These are different problems and treatment may also differ. Pain is common with fissure: increase water and fiber intake, use stool softener and sitz baths. Topical nitroglycerine or Diltiazem ointment helps heal fissure. Hemorrhoids don't cause pain unless thrombosed- a firm swelling on the outside of the anus. Fiber, fluids, sitz baths help. Most resolve on their own. ...Read moreSee 1 more doctor answer
Find out what is: Causing your pain first. Please seek help from a good gyn physician. Good luck! ...Read more
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