When to Seek Medical Help for Hemorrhoids: A Guide

When to seek medical attention for hemorrhoids?

Hello, doctor.
I used to have the habit of using my phone while on the toilet, which led to the development of hemorrhoids.
I have since changed this habit, and I usually don't feel any discomfort from the hemorrhoids.
However, when I am tense, under pressure, or strain too much while using the toilet, they tend to protrude.
After they come out, I can push them back in, but they often come out again.
Although the discomfort is not unbearable, it is quite bothersome, and I would like to seek medical advice.
Should I go to the doctor when the hemorrhoids are protruding? Also, to what extent can this condition be treated? I anticipate that I will have significant stress while studying in the future, so I want to improve my condition as much as possible to avoid discomfort later on.

bing ren, 10~19 year old female. Ask Date: 2016/09/17

Dr. Ke Fangxu reply Surgery

The three indications for hemorrhoid treatment are bleeding, pain, and prolapse.
However, if none of these symptoms are severe, over-the-counter ointments and suppositories can be used initially.
If the symptoms are severe enough to affect daily life, medical evaluation and treatment should be sought.
Young patients with hemorrhoids are often related to poor lifestyle habits.
It is recommended to avoid constipation and shorten the time spent on bowel movements during this period.
Warm sitz baths may also help alleviate symptoms.
Laxatives should not be used indiscriminately; at this age, increasing dietary fiber and fluid intake should be sufficient.
If symptom improvement is not as expected, it is best to consult a physician for evaluation.

Reply Date: 2016/09/17

More Info

When it comes to hemorrhoids, knowing when to seek medical help is crucial for effective management and treatment. Hemorrhoids, which are swollen veins in the lower rectum and anus, can cause discomfort, pain, and bleeding. While many people experience hemorrhoids at some point in their lives, the severity of symptoms can vary widely. Here’s a guide on when to seek medical assistance and what treatment options may be available.

When to Seek Medical Help
1. Persistent Symptoms: If you notice that your hemorrhoids are consistently protruding, especially if they require manual reduction (pushing them back in), it’s a sign that you should consult a healthcare provider. While occasional protrusion may not be alarming, persistent symptoms indicate that the condition may be worsening.

2. Bleeding: If you experience rectal bleeding, even if it is minimal, it is essential to seek medical advice. While hemorrhoids can cause bleeding, it is crucial to rule out other potential causes, such as anal fissures or more serious conditions like colorectal cancer.

3. Severe Pain or Discomfort: If your hemorrhoids become painful or if you experience significant discomfort that interferes with daily activities, it’s time to see a doctor. Pain can indicate complications such as thrombosed hemorrhoids, where a blood clot forms within the hemorrhoid, leading to increased swelling and pain.

4. Changes in Bowel Habits: If you notice changes in your bowel habits, such as persistent diarrhea or constipation, it’s advisable to consult a healthcare professional. These changes can exacerbate hemorrhoid symptoms and may require treatment.

5. Signs of Infection: If you notice signs of infection, such as fever, increased swelling, or pus discharge, you should seek immediate medical attention. Infections can complicate hemorrhoid conditions and require prompt treatment.

Treatment Options
The treatment for hemorrhoids can vary based on the severity of the condition:
1. Lifestyle Modifications: For mild cases, lifestyle changes can significantly help. This includes increasing fiber intake, staying hydrated, and avoiding straining during bowel movements. Regular exercise can also improve bowel function.

2. Over-the-Counter Treatments: There are various over-the-counter creams, ointments, and suppositories available that can relieve symptoms such as itching and discomfort. These products often contain ingredients like hydrocortisone or witch hazel.

3. Minimally Invasive Procedures: If conservative measures fail, your doctor may recommend minimally invasive procedures. These can include rubber band ligation, sclerotherapy, or infrared coagulation, which can effectively reduce or eliminate hemorrhoids.

4. Surgical Options: In more severe cases, surgical intervention may be necessary. Hemorrhoidectomy (surgical removal of hemorrhoids) is typically reserved for large, persistent hemorrhoids that do not respond to other treatments.

Conclusion
Given your situation, where you experience hemorrhoids that protrude during times of stress or straining, it’s advisable to consult a healthcare provider sooner rather than later. They can assess the severity of your condition and recommend appropriate treatment options tailored to your needs. Additionally, addressing lifestyle factors that contribute to hemorrhoid flare-ups can help manage symptoms effectively, especially as you anticipate increased stress from studying.

Remember, while hemorrhoids are common and often manageable, it’s essential to monitor your symptoms and seek medical advice when necessary to prevent complications and improve your quality of life.

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