Managing Internal Hemorrhoid Swelling: Creams vs. Suppositories - Surgery

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Internal hemorrhoid swelling


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 recommend suppositories for internal hemorrhoids.
If I only use the ointment and do not use suppositories, how long does it generally take to alleviate the swelling and the feeling of a foreign body? Or should I go to the pharmacy to purchase suppositories to help reduce the swelling?

Zhang, 20~29 year old female. Ask Date: 2021/08/03

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 foreign body feeling will also subside in about a week.

Reply Date: 2021/08/03

More Info


Managing internal hemorrhoid swelling can be a challenging experience, and understanding the differences between creams and suppositories is crucial for effective treatment. Internal hemorrhoids are swollen veins located inside the rectum, and they can cause discomfort, pain, and a feeling of fullness or pressure. When it comes to treating these symptoms, both topical creams and suppositories have their roles, but they work in different ways.

Topical creams, such as hydrocortisone or other anti-inflammatory medications, can help reduce inflammation and provide temporary relief from itching and discomfort. They are applied externally and can be effective for external hemorrhoids or for providing relief from symptoms associated with internal hemorrhoids. However, their effectiveness in treating internal hemorrhoids is limited because they do not reach the internal area where the hemorrhoids are located.

On the other hand, suppositories are designed to be inserted into the rectum, allowing the medication to be delivered directly to the site of the problem. This method can provide more targeted relief for internal hemorrhoids. Suppositories often contain ingredients that help reduce swelling, relieve pain, and promote healing. They may include local anesthetics, anti-inflammatory agents, or other compounds that can effectively address the symptoms of internal hemorrhoids.

If you have only been prescribed a cream and are experiencing persistent swelling and discomfort, it may take longer for the cream to alleviate your symptoms compared to using a suppository. The duration for swelling to subside can vary widely depending on the severity of the hemorrhoids, the specific medication used, and individual factors such as diet and hydration. Generally, if you are only using a cream, you might expect to see some improvement within a few days to a week, but complete resolution may take longer.

If you find that the cream is not providing adequate relief, it would be advisable to consult your healthcare provider about the possibility of adding a suppository to your treatment regimen. They can recommend an appropriate product based on your specific symptoms and medical history. Additionally, over-the-counter options are available at pharmacies, but it is always best to seek professional advice before starting any new treatment.

In the meantime, there are several self-care measures you can take to help manage your symptoms. These include:
1. Dietary Changes: Increasing your fiber intake can help soften stools and reduce straining during bowel movements, which can aggravate hemorrhoids. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

2. Hydration: Drinking plenty of water can help keep stools soft and prevent constipation.

3. Warm Baths: Soaking in a warm bath for 10-15 minutes can help relieve discomfort and reduce swelling.

4. Avoiding Straining: Try to avoid straining during bowel movements, as this can worsen hemorrhoid symptoms.

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

In conclusion, while topical creams can provide some relief for internal hemorrhoids, suppositories are often more effective for addressing the underlying issues. If your symptoms persist despite using a cream, consider discussing the addition of a suppository with your healthcare provider. Remember that managing hemorrhoids often requires a combination of medication, lifestyle changes, and self-care practices to achieve the best results.

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