the Side Effects of Hemorrhoid Cream: Do You Need a Follow-Up? - Surgery

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Side effects of the treatment for moles?


Hello Doctor: I previously experienced constipation and bleeding, and after seeing a doctor, I was diagnosed with internal hemorrhoids.
After taking medication, I no longer had bleeding during bowel movements.
The doctor advised that I didn't need to take medication but should pay attention to my diet.
However, I have recently started experiencing constipation again.
Although there is no bleeding during bowel movements, my internal hemorrhoids protrude after defecation.
I have started using the "Hiyu Zhi Ointment" that the doctor prescribed before, along with warm sitz baths.
I would like to know if there are any side effects of Hiyu Zhi Ointment? Do I need to schedule a follow-up appointment?

Ms. Lin, 20~29 year old female. Ask Date: 2016/08/20

Dr. Ke Fangxu reply Surgery


Topical hemorrhoid creams typically do not have significant side effects if not used long-term.
If you have concerns, you can refer to the instructions in the packaging.
If there is no further bleeding or discomfort, a follow-up appointment may not be necessary.

Reply Date: 2016/08/20

More Info


When dealing with hemorrhoids, it's important to understand both the condition itself and the treatments available, including topical creams like "喜癒痣軟膏" (which I assume is a hemorrhoid cream). Hemorrhoids, or piles, are swollen veins in the lower rectum and anus that can cause discomfort, bleeding, and other symptoms, especially during bowel movements.
The use of topical treatments, such as hemorrhoid creams, can provide relief from symptoms like itching, burning, and swelling. However, like any medication, they can have side effects. Common side effects of hemorrhoid creams may include:
1. Skin Irritation: Some individuals may experience irritation at the application site, which can manifest as redness, burning, or itching. This is often due to the active ingredients in the cream, such as hydrocortisone or other anti-inflammatory agents.

2. Allergic Reactions: Although rare, some people may have an allergic reaction to one of the components in the cream, leading to more severe symptoms like rash, swelling, or difficulty breathing. If you notice any of these symptoms, you should discontinue use immediately and seek medical attention.

3. Thinning of the Skin: Prolonged use of topical steroids can lead to skin thinning, especially in sensitive areas like the anal region. This can make the skin more susceptible to injury and infection.

4. Systemic Absorption: While unlikely with topical applications, there is a potential for systemic absorption of the medication, especially if used over large areas or for extended periods. This can lead to side effects associated with steroids, such as hormonal imbalances.

Regarding your question about follow-up, it's advisable to consult your healthcare provider if you are experiencing recurring symptoms, such as the hemorrhoids protruding after bowel movements. Even if there is no bleeding, the fact that your symptoms have returned suggests that your condition may require further evaluation. Your doctor may want to assess the severity of your hemorrhoids and determine if additional treatment is necessary, such as dietary changes, increased fluid intake, or possibly more invasive procedures if conservative measures fail.

In the meantime, continuing with warm water sitz baths and using the hemorrhoid cream as directed can help alleviate discomfort. However, if you find that the cream is not providing relief or if you experience any adverse effects, it’s important to stop using it and consult your doctor.

In summary, while "喜癒痣軟膏" can be effective for managing symptoms of hemorrhoids, it is crucial to be aware of potential side effects and to maintain open communication with your healthcare provider. Regular follow-ups can help ensure that your condition is managed effectively and that any complications are addressed promptly.

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