Doctor insights on:
Internal Hemorrhoids Treatments
I have internal hemorrhoids but it appears one is becoming "external". What is treatment? I can actually push it back in but it doesn't want to stay
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
Sure: To reduce the swelling of internal hemorrhoids, you can take fiber therapy or stool softeners to keep your stool soft. Both are over the counter (colace, benefiber, etc) hemorrhoids are aggravated by straining and hard stools. External disease or symptoms such as burning, itching can be treated with witch hazel locally and sitz baths with epsom salts. ...Read more
Variable: It depends on size and location of the hemorrhoids. Prevention at home by avoiding constipation & avoid straining at toilet. Banding in the office for smaller internal hemorrhoids. Surgical options are hemorrhoid removal or hemorrhoid stapling procedures for larger hemorrhoids that may be both internal and external hemorrhoids. ...Read more
Lots of options, but: "healing" depends on whether the original cause for hemorrhoids persists. Have you been straining at stool, have rectal dysfunction, perform an activity that increases pelvic engorgement with blood or increases pelvic pressure (heavy lifting, prolonged sitting, etc.)? Have your hemorrhoids been surgically or medically managed (& with otc or prescription drugs)? Are you sure they're hemorrhoids? ...Read more
This treatment is usually performed on internal hemorrhoids, but it can be effective on external hemorrhoids as well?
No: Internal hemorrhoids do not have pain fibers like the skin does overlying the external ones. It will cause excruciating pain. It will like getting sharply pinched constantly around ur anus 24/7. Healing may also differ as it may cause spasm on internal sphincter that can add to prolong pain. ...Read moreSee 1 more doctor answer
Surgery, or not: We all have hemorrhoids. Unfortunately, in some of us, hemorrhoidal tissue can become inflamed and/or bleed. Internal hemorrhoids tend to bleed. The treatments are either local nonoperative therapy, ligating with rubber bands, or operation. Make sure you see a good CR surgeon. Good news is: your problem has a solution. ...Read more
Been seeing a colon rectal surgeon for internal hemorrhoids, had banding and laser treatment but still having rectal pain when I push to go to the bathroom. Could it be from the procedure or proctitis?
Which is more effective and common treatment for internal hemorrhoids inflammation: canasa 1000 mg suppository or anusol hc 2.5% cream. Thanks.
Canasa/Anusol: To treat internal hemorrhoid, i would recommend Anusol Hc 2.5% cream instead of canasa. Canasa enema is used to treat inflammation on the left side of the colon in ulcerative colitis. Suggest high fiber diet with diet supplement (goal of 25-30 grams per day), adequate hydration, avoid straining, avoid soap at anal area. If all failed, hemorrhoidal banding or other modalities. ...Read more
See your doctor: Assuming you have tried otc and home remedies without improvement, it's time to call your doctor. Many gps are very good in treating hemorrhoids so you should start by seeing your family doctor. However, you may need to visit a surgeon if you have advanced grade hemorrhoids. ...Read more
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