Doctor insights on:
How To Treat A Long Term External Hemirroids
External Hemorrhoids: External hemorrhoids can be treated medically or by surgical excision. Surgery can be done under general or local anesthesia and is painful. I recommend it only when medical management fails. In most cases, topical barrier cream, fiber, and fluids and careful hygience suffice. If you consider surgery, try to identify what symptom is bothering you and if is your hemorrhoids or something els. ...Read moreSee 3 more doctor answers
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
Variable: It really depends on maintaining bowel habit modifications.Good results can last several years if constipation is avoided.Those with familial tendencies may need retreatments sooner.Office methods have excellent long term results, avoiding surgical recovery time. ...Read moreSee 1 more doctor answer
Get Right Diagnosis: Most hemorrhoids (varicose veins of anus) are soft, squishy tissue that stretch after straining/having a bm: no pain. If a hemorrhoid becomes firm, enlarged, and tender, it may thrombose (clot). This is treated without surgery w/pain meds and time. Any painful anal lump that is present all the time, however, requires medical attention to assure that the right diagnosis & treatment. Good luck! ...Read more
Can prolonged sitting on a toilet everyday reading exert enough pressure to cause hemorrhoids or anything else long term?
Sitting on toilet: Sitting on the toilet for prolonged period of time waiting for a bowel movement is like putting a tourniquet around your hemorrhoids, so they engorge with blood and then become symptomaticc when passing the stool. For the same reason i discourage sitting on those inflatable donuts when you have rectal pain. Use a broad surfaced bed pillow rather than the donut if needed. Indeed if your are constip. ...Read moreSee 1 more doctor answer
What are my options for treating hemorrhoids? Already tried a 5 day supply of hydrocortisone suppositories. Do i maybe just need them treated longer?
Fiber: The simple answer is diet and fiber. Try to avoid foods that constipated you. Add a fiber supplement powder to your diet. Don't sit on the toilet for extended periods of time. Use a barrier cream or low grade Hydrocortisone cream from time to time as needed. If there is any bleeding, however, you should see your doctor immediately. ...Read moreSee 1 more doctor answer
They are just veins: Internal hemorrhoids are simply veins underneath the lining of the anal canal starting about 5 cm up. Squeeziong during bm's or internal trauma can make them bulge and bleed. They have low pressure so bleeding should stop quickly though there may be some spotting. The best treatment is to minimize squeezing during bms by keeping them soft. Use medicines that reduce internal anal swelling. ...Read moreSee 1 more doctor answer
Care of hemorrhoids: A care team starts with self care: daily shower, then hair dryer the area, apply over the counter salves, Lidocaine gel, and a bowel regimen. The goal is two soft bowel movements daily, to decrease rectal irritation of passing hard, large caliber stools. If your problem persists despite the above care, okay to check in with your doc. You may benefit from a surgery consult. ...Read more
Normal anatomy: Hemorrhoid veins are normal anatomy at the anal opening. These normal veins can develop enlargement or irritation from constipation & straining at the toilet. Avoid constipation & straining at the toilet. Eat high fiber foods, take metamucil. See a surgeon if there is persistent pain or bleeding. ...Read more
Hemorroids: Hemmoroids that are very symptomatic should be referred for surgical treatment. ...Read more
Options: Warm sitz baths, sitting in a warm tub for 20 minutes, two or three times a day may be helpful. Over-the-counter medications may be helpful such as stool softeners, otc creams or suppositories, rx creams or suppositories, injections to scar the hemorrhoid, banding to shrivel it up, or surgery. See your doctor for help. ...Read more
No: You can never remove all of the external hemorrhoids even with surgery. What most people think are external hemorrhoids are actually residual benign skin tags from prior hemorrhoidal flares. I personally do not recommend witch hazel ever, as many people will develop a sensitivity reaction, like an allergic reaction, to it after repeated use. ...Read moreSee 1 more doctor answer
See below: May get relief with warm soaks in a bathtub. May use Ibuprofen or similar for discomfort. Suppositories from drug store may help some. Best is to avoid hemorrhoid irritation by avoiding constipation or straining at the toilet, dink plenty liquids, use fiber supplements such as metamucil. See your doctor for prescription medications if needed. ...Read more
Not at all!: Most physicians can treat hemorrhoids medically - usually use of supplemental fiber in your diet will cure most symptoms. If this fails, then office techniques can be used. These techniques usually fall under the purview of general surgeons and colorectal surgeons. Some colorectal surgeons who only deal with rectal issues call themselves proctologists. ...Read moreSee 1 more doctor answer
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