Managing Hemorrhoids: Softener and Ointment Usage Guidelines - Surgery

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Thrombosed external hemorrhoids: Use of stool softeners and topical ointments?


Hello, Doctor.
Thank you for your response.
I would like to ask for your advice regarding the use of stool softeners and ointments.
I have been experiencing bleeding for the past two to three days, so I visited the hospital yesterday.
Today, the amount of bleeding has decreased.
The hospital prescribed a stool softener, but after using it with dinner last night, I felt discomfort in my abdomen after noon and had two bowel movements that were quite loose (almost diarrhea).
After having a bowel movement, I felt heat and pain in the affected area, and I'm worried it might worsen.
Therefore, after each bowel movement, I have been applying the ointment for hemorrhoids.
I would like to know if it is okay to apply the hemorrhoid ointment after each bowel movement, or should I stop using the stool softener first? Thank you, Doctor, for your time and effort.

Lin M, 30~39 year old female. Ask Date: 2020/08/11

Dr. Ke Fangxu reply Surgery


1.
You can apply the ointment for hemorrhoids as needed without strict limitations on frequency.
2.
Hemorrhoids are mostly caused by constipation, so doctors often prescribe laxatives.
If your stools become too soft, it is advisable to stop taking them.

Reply Date: 2020/08/11

More Info


Managing hemorrhoids can be a challenging experience, especially when dealing with symptoms such as bleeding, pain, and discomfort. It’s great that you are seeking guidance on the use of stool softeners and ointments like XYLMOL OINTMENT (喜癒痔) for your condition. Here’s a comprehensive overview of how to manage hemorrhoids effectively, focusing on the use of stool softeners and topical treatments.


Stool Softeners
Stool softeners are often prescribed to help alleviate constipation, which can exacerbate hemorrhoid symptoms. They work by increasing the water content in the stool, making it easier to pass. However, it’s important to use them correctly to avoid gastrointestinal discomfort.

1. Dosage and Timing: It’s crucial to follow the dosage prescribed by your physician. If you experience discomfort or diarrhea after taking a stool softener, it may be beneficial to discuss this with your healthcare provider. They might adjust the dosage or suggest a different type of stool softener that may be gentler on your system.

2. Hydration: When using stool softeners, ensure you are drinking plenty of water. Adequate hydration helps the stool softener work effectively and reduces the risk of side effects like cramping or diarrhea.

3. Dietary Considerations: Incorporating high-fiber foods into your diet can also help manage constipation. Foods such as fruits, vegetables, whole grains, and legumes can promote regular bowel movements and reduce the need for stool softeners.


Topical Treatments
Using topical treatments like XYLMOL OINTMENT can provide relief from the discomfort associated with hemorrhoids. Here are some guidelines for their use:
1. Frequency of Application: It is generally safe to apply the ointment after each bowel movement, especially if you are experiencing pain or discomfort. This can help soothe the area and reduce inflammation.

2. Application Technique: When applying the ointment, ensure that your hands are clean to prevent introducing any bacteria to the affected area. Gently apply a thin layer of the ointment to the external hemorrhoids and surrounding skin.

3. Monitoring Symptoms: Keep an eye on your symptoms. If you notice increased pain, swelling, or any signs of infection (such as pus or fever), it’s important to contact your healthcare provider promptly.

4. Combination with Stool Softeners: If you are experiencing discomfort after bowel movements, it may be beneficial to continue using the stool softener while applying the ointment. However, if the stool softener is causing significant gastrointestinal upset, you might want to discuss with your doctor whether to pause its use temporarily.


Additional Considerations
- Warm Baths: Taking warm baths can also provide relief from hemorrhoid symptoms. Soaking in warm water for about 15-20 minutes can help reduce swelling and discomfort.


- Avoid Straining: When using the bathroom, try to avoid straining, as this can worsen hemorrhoid symptoms. If you feel the urge to go but are unable to, consider waiting a bit before trying again.

- Follow-Up: Since you mentioned that you have been experiencing bleeding, it’s essential to keep your healthcare provider informed about your symptoms. Regular follow-ups can help monitor your condition and adjust treatment as necessary.

In conclusion, managing hemorrhoids effectively involves a combination of dietary adjustments, proper use of stool softeners, and topical treatments. Always consult with your healthcare provider before making any changes to your treatment plan, especially if you experience any adverse effects. Your health and comfort are paramount, and your provider can help tailor a plan that works best for you.

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