Can Topical Creams Effectively Treat Mild Internal Hemorrhoid Swelling?

Internal hemorrhoid swelling

Hello, Dr.
Ke.
I have been experiencing a persistent urge to have a bowel movement, so I consulted a doctor who diagnosed me with mild internal hemorrhoid swelling.
The doctor mentioned that it is not severe and there is no bleeding, so they only prescribed an ointment for me to apply and did not prescribe any suppositories.
Can the ointment effectively treat the swelling of the internal hemorrhoids? How long will it take for the sensation of persistent urge to resolve? Thank you!

Zhang, 20~29 year old female. Ask Date: 2021/08/02

Dr. Ke Fangxu reply Surgery

For mild internal hemorrhoids, using suppositories can be sufficient.
However, to effectively address issues with bowel movements, it is recommended to improve bowel habits.
During this period, it is advisable to avoid constipation and shorten the time spent on the toilet.
Spicy and irritating foods should be temporarily avoided, and increasing dietary fiber can be beneficial.
Warm sitz baths may also help alleviate symptoms.
If the physician has not performed a digital rectal examination, there is a possibility of missing the issue of thrombosed internal hemorrhoids.
If thrombosed internal hemorrhoids are present, symptoms may persist longer until the thrombus is absorbed, which generally takes about a week for improvement.

Reply Date: 2021/08/02

More Info

Topical creams can indeed be effective in managing mild internal hemorrhoid swelling, particularly when used as part of a comprehensive treatment plan. Internal hemorrhoids, which are located inside the rectum, can become swollen and inflamed, leading to discomfort, a feeling of fullness, and sometimes pain during bowel movements. While topical treatments cannot directly address the internal hemorrhoids themselves, they can alleviate symptoms associated with the condition.

The topical creams prescribed by your doctor likely contain ingredients that help reduce inflammation, soothe irritation, and provide relief from discomfort. Common active ingredients in these creams may include hydrocortisone, witch hazel, or lidocaine, which can help reduce swelling and provide temporary pain relief. These creams can be particularly beneficial for managing symptoms such as itching, burning, and discomfort around the anal area.

In terms of effectiveness, topical treatments can help reduce the symptoms of mild internal hemorrhoids, but they may not eliminate the underlying issue. It is important to follow your doctor's instructions regarding the application of the cream, as well as any lifestyle modifications that may help alleviate your symptoms. These modifications can include increasing dietary fiber intake, staying hydrated, and avoiding straining during bowel movements.

As for the duration of treatment, it can vary from person to person. Generally, you may start to notice improvement within a few days of using the topical cream, but complete resolution of symptoms can take longer, depending on the severity of the hemorrhoids and your overall health. If you continue to experience persistent symptoms or if your condition worsens, it is crucial to follow up with your healthcare provider for further evaluation and management.

In addition to topical treatments, there are other conservative measures you can take to help manage mild internal hemorrhoids. These include:
1. Dietary Changes: Increasing your intake of fiber-rich foods, such as fruits, vegetables, and whole grains, can help soften stools and reduce straining during bowel movements. Additionally, drinking plenty of water can aid in digestion and prevent constipation.

2. Warm Baths: Soaking in a warm bath can provide relief from discomfort and help reduce swelling. This practice, often referred to as a sitz bath, can be particularly soothing for the anal area.

3. Over-the-Counter Pain Relief: If you experience significant discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen may help alleviate pain and inflammation.

4. Avoiding Prolonged Sitting: If your job requires you to sit for extended periods, try to take breaks to stand and move around. This can help reduce pressure on the rectal area.

5. Regular Exercise: Engaging in regular physical activity can promote healthy bowel function and reduce the risk of constipation.

In conclusion, while topical creams can effectively manage the symptoms of mild internal hemorrhoid swelling, they should be part of a broader approach that includes lifestyle modifications and possibly dietary changes. If symptoms persist or worsen, it is essential to consult your healthcare provider for further evaluation and treatment options.

Similar Q&A

Managing Internal Hemorrhoid Swelling: Creams vs. Suppositories

Hello, Dr. Ke. I inquired about the swelling of internal hemorrhoids yesterday and would like to ask you another question. After seeing the doctor, I only received an ointment and was not provided with suppositories. However, based on your previous response, it seems you recommen...

Dr. Ke Fangxu reply Surgery
Both suppositories and ointments can be used. If the ointment is applied properly inside the anus, its effectiveness is similar to that of suppositories. If there are difficulties with the application of the ointment, using suppositories may be more convenient. The sensation of f...

Managing Hemorrhoids and Warts: Effective Treatment Strategies

Recently, I visited a proctology clinic and was diagnosed with a grade III external hemorrhoid and genital warts. The doctor prescribed me to apply wart cream, while for the hemorrhoid issue, I was given suppositories and pain relief capsules. After two weeks, I noticed that the ...

Dr. Ke Fangxu reply Surgery
The area below the testicles is likely the location of the prostate, and an anal abscess could also be a possibility, as well as swollen internal hemorrhoids. It is essential to consult a physician for a definitive diagnosis. The application sites for imiquimod cream and topical ...

Understanding Symptoms and Treatment of External Hemorrhoids

Hello, due to work commitments, it's difficult for me to find time for a consultation in the evening. Previously, I visited a doctor for some unusual symptoms and was diagnosed with mild internal hemorrhoids. Since this is my first experience with hemorrhoids, I followed the...

Dr. Ke Fangxu reply Surgery
What does "previously" refer to in terms of time? Does "two weeks ago" mean two weeks prior to the onset of the current symptoms? Without a personal examination and consultation, it is impossible to make a definitive diagnosis. Conditions such as anal fissures...

Effective Treatment Options for Mixed Hemorrhoids: Banding vs. Topical Creams

Hello, doctor. I recently had an examination and was diagnosed with mixed hemorrhoids. The doctor mentioned that banding would be sufficient. Is this a viable option? Can I also use ointment to treat the small blood clots located at the external anal area?

Dr. Ke Fangxu reply Surgery
Hemorrhoids that are not swollen, painful, or bleeding generally do not require surgical intervention or ligation for symptom control and can often be managed with medication. Traditionally, ligation is indicated for internal hemorrhoids, and it is usually not recommended for mix...