Effective Medications for Reducing Swelling After Hemorrhoid Surgery - Surgery

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What medications are available to reduce swelling after hemorrhoid surgery?


After surgery, the wound outside the anus may become red and swollen, and there is no improvement even after sitz baths.
Doctor, what can I apply to reduce the swelling (such as Lidocaine, Hemorrhoid Cream, or Gentamicin)? I have these medications on hand but am unsure which one to use, or could you suggest something else?

Niming, 30~39 year old female. Ask Date: 2016/11/18

Dr. Yu Mingchang reply Surgery


Hello; soaking in water, lowering the water temperature, and using cold water can help reduce swelling.
The Ministry of Health and Welfare Changhua Hospital cares about you.

Reply Date: 2016/11/18

More Info


After hemorrhoid surgery, it is common for patients to experience swelling and discomfort around the anal area. This can be due to the surgical trauma and the healing process. Managing post-operative swelling is crucial for recovery and comfort.
The medications you mentioned—臨得隆 (Lindelone), 喜癒痔 (Hiyuzhi), and 欣黴素 (Xinmison)—are topical treatments that can help alleviate symptoms. However, it's essential to understand the specific properties and indications of each medication to determine which might be most effective for your situation.

1. 臨得隆 (Lindelone): This medication is a topical corticosteroid that can reduce inflammation and swelling. It is often used to treat various inflammatory skin conditions. If the swelling is due to inflammation, this could be a suitable option. However, corticosteroids should be used cautiously and typically for short durations to avoid potential side effects like skin thinning.

2. 喜癒痔 (Hiyuzhi): This is a topical preparation specifically designed for hemorrhoid treatment. It usually contains a combination of ingredients that can help reduce swelling, relieve pain, and promote healing. This might be a good choice if your primary concern is related to hemorrhoid surgery.

3. 欣黴素 (Xinmison): This medication is an antibiotic ointment that can help prevent or treat infections in the surgical area. While it may not directly reduce swelling, it is essential if there are signs of infection, such as increased redness, warmth, or discharge.

In addition to these medications, there are other strategies you can employ to manage swelling and discomfort after hemorrhoid surgery:
- Sitz Baths: Regular sitz baths can help soothe the area, promote blood circulation, and reduce swelling. Make sure the water is warm, not hot, and soak for about 15-20 minutes several times a day.

- Cold Compresses: Applying a cold compress to the area can help reduce swelling and numb pain. Just be sure to wrap ice in a cloth to avoid direct contact with the skin.

- Pain Relief Medications: Over-the-counter pain relievers like acetaminophen or ibuprofen can help manage pain and reduce inflammation.

- Dietary Adjustments: Eating a high-fiber diet and staying hydrated can help prevent constipation, which can exacerbate discomfort after surgery.

- Follow-Up Care: It's crucial to follow up with your surgeon or healthcare provider to monitor your recovery. If swelling persists or worsens, or if you notice any signs of infection, you should seek medical attention promptly.

Ultimately, the choice of medication should be guided by your healthcare provider, who can assess your specific situation and recommend the most appropriate treatment. If you have any concerns about the medications you have on hand or their suitability for your condition, please consult your doctor for personalized advice.

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