External Hemorrhoids: Treatment and Recovery Insights - Surgery

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External hemorrhoids, commonly known as external piles, are swollen veins located around the anus and lower rectum. They can be quite uncomfortable and may cause symptoms such as pain, itching, and bleeding during bowel movements. Understanding the treatment options and recovery process is essential for managing this condition effectively.


Understanding External Hemorrhoids
External hemorrhoids develop when the veins around the anus become swollen and inflamed. They can result from various factors, including straining during bowel movements, chronic constipation or diarrhea, pregnancy, and prolonged sitting. In your case, it seems that you have a history of internal hemorrhoids, which can sometimes coexist with external hemorrhoids.


Treatment Options
1. Topical Treatments: The use of over-the-counter creams or ointments, such as the one you mentioned (痔坐乳膏), can help alleviate symptoms. These products often contain ingredients like hydrocortisone, which can reduce inflammation and itching. It's important to follow the instructions on the packaging regarding duration of use, as prolonged use of steroid creams can lead to skin thinning.

2. Sitz Baths: Soaking in warm water for about 15-20 minutes several times a day can help relieve discomfort and promote healing. This method is particularly effective for external hemorrhoids, as it can soothe the area and improve blood circulation.

3. Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains can help prevent constipation 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 manage pain associated with external hemorrhoids.

5. Surgical Options: If conservative treatments do not provide relief, or if the external hemorrhoid is thrombosed (contains a blood clot), surgical options may be considered. This can include procedures to remove the hemorrhoid or to alleviate the symptoms.


Recovery Insights
The recovery from external hemorrhoids can vary depending on the severity of the condition and the treatment approach. In many cases, external hemorrhoids can resolve on their own, especially with proper care and lifestyle modifications. The blood clot associated with a thrombosed external hemorrhoid may take a few weeks to dissolve, and the swelling should gradually decrease.


Addressing Your Concerns
1. Are the external hemorrhoids and internal hemorrhoids the same?: External hemorrhoids and internal hemorrhoids are distinct entities. Internal hemorrhoids are located inside the rectum and are usually not visible. They can sometimes protrude during bowel movements but typically retract afterward. In your case, it is likely that you have both internal and external hemorrhoids, but they are separate conditions.

2. Will the external hemorrhoid blood clot completely disappear?: Yes, in many cases, the blood clot will dissolve over time, and the external hemorrhoid will shrink. However, some residual skin tags may remain after the clot resolves.

3. Duration of using痔坐乳膏: You should follow the instructions provided by your healthcare provider or the product label. If it contains steroids, it is generally recommended to limit usage to avoid potential side effects.

4. Can I engage in vigorous activities?: It is advisable to avoid heavy lifting or strenuous activities until the symptoms subside. Engaging in activities that put pressure on the anal area may exacerbate your condition.

5. Long-term management: To prevent future occurrences, focus on maintaining a high-fiber diet, staying hydrated, and avoiding prolonged sitting. Regular exercise can also help promote healthy bowel function.

In conclusion, while external hemorrhoids can be uncomfortable, they are manageable with appropriate treatment and lifestyle changes. If symptoms persist or worsen, it is essential to consult with a healthcare professional for further evaluation and management.