Managing Itching and Hemorrhoids: Proper Application of Topical Treatments - Surgery

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When managing itching and hemorrhoids, especially in the context of your symptoms and treatment, it's essential to understand both the proper application of topical treatments and the underlying causes of your discomfort.

Proper Application of Topical Treatments
You mentioned using a topical ointment called "益痔康軟膏" (Yizhi Kang ointment) for your mild internal hemorrhoids. The application method is crucial for effective treatment. Generally, the following guidelines should be followed:
1. Clean the Area: Before applying any ointment, ensure that the area is clean. Use mild soap and water, and pat the area dry gently with a soft towel. Avoid vigorous rubbing, as this can irritate the skin further.

2. Application Technique:
- External Application: For the areas that are itchy, you can apply the ointment directly to the external skin around the anus and the groin area.
- Internal Application: If the product is designed for internal use, you can use the applicator provided to insert a small amount of the ointment into the rectum. It’s generally recommended to insert the applicator just inside the anal opening rather than deep into the rectum unless specified by your healthcare provider. A small amount is usually sufficient.

3. Frequency of Application: Follow the instructions provided by your doctor or the product label regarding how often to apply the ointment. Overuse can lead to irritation or other complications.


Addressing Bleeding and Itching
You noted that you experienced a small amount of blood on the toilet paper after applying the ointment. This could be due to several factors:
- Irritation: If you are wiping too vigorously or using too much toilet paper, this can cause irritation to the sensitive skin around the anus, leading to minor bleeding. It's advisable to use soft, unscented toilet paper and to wipe gently.


- Hemorrhoid Symptoms: Minor bleeding can occur with hemorrhoids, especially if they are inflamed or if there is straining during bowel movements. If the bleeding persists or increases, it is essential to consult your healthcare provider.

- Application Technique: If you are inserting the applicator too deeply or using too much pressure, this could also cause irritation and bleeding. Ensure that you are applying the ointment gently.


Additional Considerations
- Diet and Hydration: To prevent straining during bowel movements, ensure you are consuming a high-fiber diet and staying well-hydrated. This can help soften stools and reduce the risk of aggravating hemorrhoids.

- Avoiding Irritants: Be cautious with any products you use in the area, including soaps, wipes, or other topical treatments that may contain fragrances or harsh chemicals.

- Follow-Up: Since you have been diagnosed with mild internal hemorrhoids, it’s important to follow up with your healthcare provider if your symptoms do not improve or if you experience increased bleeding, pain, or changes in bowel habits.


Conclusion
In summary, your application technique seems appropriate, but ensure you are gentle and not inserting the applicator too deeply. Monitor your symptoms closely, and if you notice any changes, especially an increase in bleeding or discomfort, consult your healthcare provider for further evaluation and management. Proper care and attention to your symptoms can help manage your condition effectively.