Doctor insights on:
Treat External Hemorrhoid
Surgically if painfu: If your thrombosed external hemorrhoid is painful, you should see a surgeon about having it "lanced" for instant relief. This can usually be done in the office or er under local anesthesia and should totally resolve the issue for that hemorrhoid. However, there are usually several hemorrhoids (commonly 3 columns) so a recurrence in a different hemorrhoid is not uncommon. ...Read moreSee 1 more doctor answer
Conservatively: A very common problem that affects millions in your age bracket. Try conservative measures like stool softness on a regular basis, regular exercises and daily Sitz baths with Epson salt. There are some OTC hemorrhoid all creams you can also try. Get your GP examine these on your next check up for a proper assessment. ...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
Care of hemorrhoids: Hemorrhoids are dilation and swelling of the expandable tissue around the rectal opening. Non operative treatment recommended, and includes bowel regimen (fiber, stool softners, laxatices to goal of 2 soft bowel movements daily) local sauves (prep h, desitin, (zinc oxide diaper cream) anti fungals, other) and hygiene (shower, hair dryer area daily). Surgery only if above fails. Post op pain is expected, manageable. ...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
No: No they usually don't unless you have difficulty cleaning and there is residual stool that remains on the external hemorrhoid after each bm. I would recommend sitz baths after bms if you note an odor. If there continues to be an odor you may have a perianal abscess which would be accompanied by pain and pus drainage. For this you need to go to the er for treatment. ...Read moreSee 1 more doctor answer
Use suppositories : Preparation h also comes in suppositories probably more convenient for internal rectal discomfort. The cream or ointment contains Hydrocortisone 1% unless pt feels discomfort when applying it internally I do not think is absolutely contraindicated or may cause any serious harm. Only when there is a suspicion for infection with yeastnor bacteria we should avoid it. ...Read moreSee 1 more doctor answer
I'm confused w the correct way to use nifedipine oin. Fissure internal, prolapse hemorrhoid external. Ok to use on both? How much?
Will be fine: You want the ointment around the anal orifice. ...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
Pain: External hemorrhoids are painful. These are hemorrhoids near nerves and you'll know you have them from pain and irritation. Painless hemorrhoids are usually internal but may prolapse and you notice them when cleaning. Either one can affect your life. If so see your doctor for a referral to a colo-rectal surgeon. Improve your quality of life. ...Read more
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