Symptoms and Treatment of External Hemorrhoids - Surgery

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External hemorrhoids, also known as external piles, are swollen veins located around the anus and lower rectum. They can cause discomfort, pain, and bleeding, particularly during bowel movements. Understanding the symptoms and treatment options for external hemorrhoids is crucial for managing this condition effectively.


Symptoms of External Hemorrhoids
1. Pain and Discomfort: One of the most common symptoms is pain around the anal area, especially when sitting or during bowel movements. This pain can be sharp and may worsen if a blood clot forms in the hemorrhoid.

2. Swelling: You may notice a lump or swelling near the anus. This lump can be soft or firm and may be sensitive to touch.

3. Bleeding: You might see bright red blood on toilet paper or in the toilet bowl after a bowel movement. This is usually due to irritation of the hemorrhoid.

4. Itching: The area around the anus may become itchy or irritated, which can be exacerbated by hygiene products or excessive wiping.

5. Skin Changes: Sometimes, the skin around the hemorrhoid can become inflamed or develop a rash.


Treatment Options
1. Topical Treatments: Over-the-counter creams and ointments can help relieve symptoms. These may contain hydrocortisone or witch hazel to reduce inflammation and itching. It's essential to apply these medications as directed, typically to the affected area.

2. Sitz Baths: Soaking in warm water for 10-15 minutes several times a day can help soothe the area and reduce swelling.

3. Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements. Staying hydrated is also crucial.

4. Pain Relief: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help alleviate discomfort.

5. Medical Procedures: If conservative treatments fail, procedures such as rubber band ligation, sclerotherapy, or surgical removal may be necessary.


Your Situation
Based on your description, it seems you are experiencing some common symptoms of external hemorrhoids. The fact that the area feels softer and somewhat larger could indicate that the hemorrhoid is becoming more prominent, possibly due to inflammation or the formation of a clot. The presence of a small, movable, painful lump could suggest a thrombosed hemorrhoid, which can be more painful and may require medical intervention.


Recommendations
1. Continue Using the Cream: If the cream has provided some relief, it may be beneficial to continue using it as directed. However, ensure that you are applying it correctly. It’s generally recommended to apply the cream to the external area, but if instructed, you may also need to apply it internally.

2. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased pain, swelling, or bleeding, or if the lump does not improve, it’s essential to seek medical attention.

3. Consult a Doctor: Since you mentioned that you have not seen significant improvement after two weeks, it would be wise to schedule an appointment with your healthcare provider. They can assess the situation more thoroughly and determine if further treatment is necessary.

4. Avoid Straining: While waiting for your appointment, try to avoid straining during bowel movements, as this can exacerbate the condition.

5. Consider Lifestyle Changes: Incorporate more fiber into your diet and ensure you are drinking plenty of fluids to help prevent constipation.

In summary, while some discomfort and minor bleeding can be typical with external hemorrhoids, persistent symptoms or changes in the condition warrant a visit to your healthcare provider. Early intervention can prevent complications and improve your quality of life.