Second-Degree Mixed Hemorrhoids: Treatment and Concerns - Surgery

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Second-degree mixed hemorrhoids


I was diagnosed with grade II mixed hemorrhoids in November 2020 at the hospital.
The physician prescribed High-Xylmol ointment for me to apply once daily, and I have been using it for almost three months now.
I have a few questions: 1.
Will long-term use of this ointment cause any side effects? 2.
Is it possible for hemorrhoids to heal solely by using this ointment? Thank you, doctor!

Niming, 20~29 year old female. Ask Date: 2021/02/18

Dr. Ke Fangxu reply Surgery


1.
No.
2.
What is the definition of healing? Normal individuals can have hemorrhoidal tissue, which functions to assist in the closure of liquids and gases.
If there is no bleeding, pain, or prolapse, there is no need for treatment.

Reply Date: 2021/02/18

More Info


When it comes to managing second-degree mixed hemorrhoids, it's essential to understand both the treatment options and the potential concerns associated with long-term medication use. Mixed hemorrhoids, which involve both internal and external hemorrhoids, can cause discomfort, pain, and bleeding. The treatment typically aims to alleviate symptoms and promote healing.


1. Long-term Use of High-Xylmol Ointment
High-Xylmol ointment is often prescribed for hemorrhoids due to its soothing properties. It usually contains ingredients that can help reduce inflammation, relieve pain, and promote healing. However, like any medication, long-term use can have potential side effects.
Possible Side Effects:
- Skin Irritation: Prolonged application of any topical medication can lead to skin irritation or allergic reactions. If you notice increased redness, itching, or burning sensations, it may be a sign that your skin is reacting negatively to the ointment.

- Thinning of Skin: Continuous use of topical steroids (if present in the ointment) can lead to skin thinning, which may increase the risk of skin tears or infections.

- Dependency: Relying solely on topical treatments without addressing underlying causes (like diet or lifestyle factors) may lead to a cycle of dependency on the ointment for symptom relief.


2. Can Topical Ointments Heal Hemorrhoids?
While topical treatments like High-Xylmol can provide symptomatic relief, they may not be sufficient for complete healing of hemorrhoids, especially if lifestyle factors contributing to the condition are not addressed.
Factors to Consider:
- Dietary Changes: Increasing fiber intake can help soften stools and reduce straining during bowel movements, which is crucial for preventing hemorrhoid exacerbation.

- Hydration: Staying well-hydrated can also aid in preventing constipation.

- Regular Exercise: Physical activity can promote healthy bowel function and reduce the risk of developing hemorrhoids.

- Avoiding Prolonged Sitting: If your lifestyle involves long periods of sitting, consider taking breaks to stand or walk around, as this can alleviate pressure on the rectal area.


Additional Treatment Options
If topical treatments alone are not effective, there are other options to consider:
- Oral Medications: Over-the-counter pain relievers can help manage discomfort.

- Minimally Invasive Procedures: If symptoms persist, procedures such as rubber band ligation or sclerotherapy may be recommended by your healthcare provider.

- Surgery: In severe cases, surgical options may be necessary to remove the hemorrhoids.


Conclusion
In summary, while High-Xylmol ointment can be effective for managing symptoms of second-degree mixed hemorrhoids, it is essential to monitor for potential side effects from long-term use. Additionally, relying solely on topical treatments may not lead to complete healing. It is advisable to adopt a holistic approach that includes dietary changes, lifestyle modifications, and possibly consulting with a healthcare provider for further treatment options if symptoms persist. Always communicate openly with your physician about your concerns and any side effects you may experience to ensure the best possible care for your condition.

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