Managing Prolapsed Hemorrhoids: Tips for Relief While Abroad - Surgery

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Prolapsed internal hemorrhoids


Dear Doctor: I have a problem with protruding internal hemorrhoids, but due to my work obligations abroad, I am unable to return to my home country for treatment at this time.
I have been using an ointment, which has alleviated the pain, but the internal hemorrhoids are still protruding and cannot be retracted, and they continue to bleed.
Are there any methods for improvement?

Niming, 30~39 year old female. Ask Date: 2018/07/26

Dr. Ke Fangxu reply Surgery


If medical attention is not available, the only thing you can do is take warm sitz baths and apply topical ointments.
Oral pain relievers can also help alleviate pain.
If left untreated, bleeding is inevitable.
However, if it is a severe thrombosed hemorrhoid, delaying medical treatment may cause damage to the sphincter, which should not be taken lightly.

Reply Date: 2018/07/26

More Info


Managing prolapsed hemorrhoids, especially while abroad, can be challenging, but there are several strategies you can employ to find relief and manage your symptoms until you can seek professional medical treatment.


Understanding Prolapsed Hemorrhoids
Prolapsed hemorrhoids occur when the tissue supporting the hemorrhoids becomes weakened, allowing them to protrude outside the anal canal. This condition can lead to discomfort, bleeding, and irritation. While topical treatments like ointments can help alleviate pain and inflammation, they may not address the underlying issue of the prolapse itself.


Tips for Relief
1. Maintain Good Hygiene: Keeping the anal area clean is crucial. After each bowel movement, gently clean the area with mild soap and water. Avoid using harsh wipes or toilet paper that can irritate the area further. Pat the area dry instead of rubbing.

2. Warm Sitz Baths: Soaking in a warm sitz bath for 10-15 minutes several times a day can help reduce swelling and promote healing. This can also provide temporary relief from pain and discomfort.

3. Dietary Adjustments: Ensure you are consuming a high-fiber diet to prevent constipation, which can exacerbate hemorrhoid symptoms. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying hydrated by drinking plenty of water is also essential.

4. Over-the-Counter Medications: If you haven't already, consider using over-the-counter medications such as stool softeners or fiber supplements to ease bowel movements. This can help reduce straining, which can worsen hemorrhoids.

5. Avoid Prolonged Sitting: If your work requires you to sit for long periods, take regular breaks to stand up and move around. This can help reduce pressure on the anal area.

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

7. Topical Treatments: Continue using the ointment you mentioned, as it can help with pain relief and inflammation. Look for products that contain hydrocortisone or witch hazel, which can provide additional relief.

8. Avoid Straining: When using the restroom, avoid straining or sitting for prolonged periods. If you feel the urge to go, try to respond promptly rather than waiting, as this can help prevent worsening of the prolapse.


When to Seek Medical Attention
While these tips can help manage your symptoms, it is important to seek medical attention as soon as possible, especially if you experience:
- Increased bleeding
- Severe pain
- Signs of infection (such as fever or pus)
- The hemorrhoid becomes trapped or cannot be pushed back in

Conclusion
While managing prolapsed hemorrhoids abroad can be difficult, implementing these strategies can provide temporary relief. However, it is crucial to plan for a medical consultation as soon as you return home or find a local healthcare provider who can assist you. Prolapsed hemorrhoids may require more definitive treatment, such as rubber band ligation or surgical intervention, depending on their severity and your overall health. Remember, addressing the issue sooner rather than later can prevent complications and improve your quality of life.

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