Hemorrhoids: Symptoms, Treatments, and When to See a Doctor - Surgery

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Hemorrhoids, commonly known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. They can be classified into two main types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. Understanding the symptoms, treatments, and when to seek medical attention is crucial for managing this condition effectively.


Symptoms of Hemorrhoids
The symptoms of hemorrhoids can vary depending on their type and severity. Common symptoms include:
1. Pain and Discomfort: This is often felt during bowel movements or when sitting.

2. Bleeding: Bright red blood on toilet paper, in the toilet bowl, or on the stool itself is a common sign.

3. Swelling: A lump near the anus, which may be sensitive or painful, can indicate an external hemorrhoid.

4. Itching or Irritation: This can occur around the anal area due to inflammation.

5. Mucus Discharge: Sometimes, there may be a discharge of mucus from the anus.


Treatment Options
For mild cases of hemorrhoids, several home remedies and over-the-counter treatments can be effective:
1. Topical Treatments: Creams and ointments, such as those containing hydrocortisone or witch hazel, can reduce inflammation and provide relief from itching and pain. The product you mentioned, “痔免腫,” may also help alleviate symptoms.


2. Sitz Baths: Soaking the affected area in warm water for 10-15 minutes several times a day can help reduce swelling and discomfort.

3. Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements, which is a significant contributor to hemorrhoids.

4. Hydration: Drinking plenty of water can help prevent constipation and promote regular bowel movements.

5. Pain Relief: Over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and discomfort.


When to See a Doctor
While many cases of hemorrhoids can be managed at home, there are specific situations where you should seek medical attention:
1. Severe Pain: If the pain becomes unbearable or does not improve with home treatments.


2. Persistent Bleeding: If you notice significant bleeding or if the bleeding continues after a few days of treatment.

3. Prolapsed Hemorrhoids: If a hemorrhoid protrudes from the anus and cannot be pushed back in, or if it becomes very painful.

4. Changes in Bowel Habits: If you experience changes in your bowel habits, such as diarrhea or constipation, that last more than a few days.

5. New Symptoms: If you develop new symptoms that concern you, such as severe abdominal pain or changes in stool color.


Conclusion
In your case, it seems that you are experiencing typical symptoms of hemorrhoids, including pain during bowel movements and bleeding. While over-the-counter treatments can provide some relief, it is essential to monitor your symptoms closely. If you notice any worsening of your condition or if home treatments do not yield satisfactory results, it would be wise to consult a healthcare professional. They can provide a thorough examination and may recommend additional treatments, such as rubber band ligation or surgical options, if necessary.

Remember, while self-treatment can be effective for mild cases, professional guidance is crucial for managing more severe or persistent symptoms. Taking proactive steps towards your health will help you find relief and improve your quality of life.