Anal Pain: Treatment Options for Hemorrhoids and Relief

Anal pain and swelling?

Hello, doctor.
In the past, after having a bowel movement, I would notice several soft lumps that I could push back in.
Recently, these lumps have become hard and swollen, causing pain that prevents me from sleeping well at night.
Could you please advise how many days of sitz baths or applying ointment might alleviate the discomfort? Is it possible to use suppositories? Thank you, doctor.

Miss Hsu, 30~39 year old female. Ask Date: 2018/10/01

Dr. Ke Fangxu reply Surgery

Based on your description, it seems you may have acute thrombosed hemorrhoids.
Using topical ointments and warm sitz baths should gradually alleviate your symptoms.
If the affected area is small, you should start to feel better within 1-2 weeks.
However, if the thrombosed hemorrhoids are extensive, surgical intervention may be necessary to prevent potential damage to the anal sphincter.
It is advisable to consult a physician for an examination and appropriate treatment.
Do not hesitate to seek medical attention, as delaying could lead to permanent damage to the anal area.

Reply Date: 2018/10/01

More Info

Anal pain, particularly associated with hemorrhoids, can be quite distressing and significantly affect your quality of life. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. The symptoms you describe, such as the presence of soft lumps that have now become hard and painful, suggest that your hemorrhoids may have become thrombosed or inflamed.

Treatment Options for Hemorrhoids
1. Sitz Baths: Taking warm sitz baths several times a day, especially after bowel movements, can provide significant relief. The warmth helps to soothe the area, reduce swelling, and promote blood flow, which can aid in healing. Typically, you can expect some relief within a few days of consistent use. Aim for 15-20 minutes per session.

2. Topical Treatments: Over-the-counter creams and ointments containing hydrocortisone or witch hazel can help reduce inflammation and relieve itching and pain. These can be applied directly to the affected area. If you are considering using a topical anesthetic, ensure it is suitable for anal use and follow the instructions carefully.

3. Suppositories: Using suppositories can be beneficial, especially if they contain ingredients that help reduce inflammation or provide lubrication. They can deliver medication directly to the affected area, which may enhance their effectiveness. However, it's essential to follow the dosage instructions on the packaging.

4. Dietary Changes: Increasing your fiber intake can help soften stools and reduce straining during bowel movements, which is crucial for preventing further irritation of hemorrhoids. Consider incorporating more fruits, vegetables, whole grains, and plenty of fluids into your diet.

5. Pain Relief Medications: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage pain and discomfort associated with hemorrhoids. Be sure to follow the recommended dosages.

6. Avoid Straining: When using the bathroom, try to avoid straining, as this can exacerbate hemorrhoids. If you feel the urge to go, do so promptly rather than waiting, which can lead to harder stools.

When to Seek Medical Attention
If your symptoms persist despite home treatment, or if you experience severe pain, significant bleeding, or if the lumps do not improve, it is essential to consult a healthcare professional. They may recommend additional treatments, such as rubber band ligation, sclerotherapy, or even surgical options if the hemorrhoids are severe.

Conclusion
In summary, sitz baths and topical treatments can provide relief from hemorrhoid-related pain. Using suppositories may also be beneficial, but it's essential to choose the right type for your symptoms. If your condition does not improve or worsens, seeking medical advice is crucial. Remember that lifestyle changes, particularly regarding diet and bowel habits, play a significant role in managing and preventing hemorrhoids.

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