Hemorrhoids: Managing Symptoms and Discomfort

Hemorrhoid issues

Hello Doctor, thank you for taking the time to respond to my questions.
Recently, I experienced slight bleeding during bowel movements and a persistent urge to use the restroom, so I consulted a doctor.
The doctor diagnosed me with mild internal hemorrhoids and prescribed an ointment and a three-day supply of suppositories.
Although the bleeding has stopped, the constant urge to use the restroom remains.
I asked the doctor about this, and he mentioned that my anal area might be more sensitive, which could explain the mild swelling and the associated sensation.
However, it has been a week, and this feeling has not subsided (it improves significantly after sleeping, but worsens again upon waking.
Warm sitz baths do not seem to alleviate this sensation).
I would like to know how long this feeling typically lasts.
Since I have not experienced this issue before, I am a bit worried and unsure if I genuinely need to use the restroom or if the urge is caused by the swelling from the hemorrhoids.
This is quite distressing.
Are there any methods to relieve this sensation? If I leave it untreated, will the feeling eventually go away? Thank you very much, Dr.
Ke, for patiently reading through my lengthy questions.

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

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
As long as there is no further bleeding, it should not be a major concern.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Spicy and irritating foods should be temporarily avoided, and increasing dietary fiber intake can be helpful.
Warm sitz baths should help alleviate symptoms, and you can also purchase hemorrhoidal suppositories at the pharmacy for use.
Generally, symptoms may last about a week.
It is best not to use stool softeners indiscriminately.
If bleeding persists, it is advisable to consult a physician for evaluation.

Reply Date: 2021/08/03

More Info

Understanding hemorrhoids and their management is crucial for those experiencing symptoms such as rectal bleeding and a persistent urge to defecate. Hemorrhoids, which can be internal or external, are swollen veins in the rectal area that can cause discomfort, pain, and bleeding during bowel movements. In your case, it appears that you have been diagnosed with mild internal hemorrhoids, which is a common condition.

The fact that you are no longer experiencing bleeding is a positive sign, indicating that the initial irritation may have subsided. However, the persistent sensation of needing to have a bowel movement can be quite distressing. This sensation can be attributed to several factors, including the sensitivity of the anal region, inflammation, or even muscle spasms in the anal sphincter. When hemorrhoids are present, they can cause a feeling of fullness or pressure in the rectal area, leading to the urge to defecate even when the bowel is empty.

In terms of duration, the feeling of needing to have a bowel movement can vary significantly from person to person. For some, it may resolve within a few days to a week as the inflammation decreases and the tissues heal. For others, especially if there is ongoing irritation or sensitivity, it may take longer. It is not uncommon for individuals to experience this sensation for weeks after the initial symptoms have improved.

To alleviate this feeling, there are several strategies you can consider:
1. Dietary Adjustments: Ensure you are consuming a high-fiber diet, which can help soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also essential.

2. Warm Sitz Baths: While you mentioned that warm sitz baths have not provided relief, they are generally recommended for soothing the anal area. You might try increasing the frequency or duration of these baths to see if they help.

3. Topical Treatments: Continue using the prescribed ointment and suppositories as directed. These can help reduce inflammation and discomfort in the anal area.

4. Avoid Straining: When you feel the urge to defecate, try to relax and avoid straining. If the urge is not strong, it may be beneficial to wait until you feel a more genuine need to go.

5. Pelvic Floor Exercises: Strengthening the pelvic floor muscles can sometimes help with bowel control and reduce the sensation of urgency.

6. Consultation with a Specialist: If the sensation persists or worsens, it may be worthwhile to follow up with a gastroenterologist or a colorectal specialist. They can perform a more thorough examination to rule out other potential issues, such as anal fissures or other conditions that may mimic hemorrhoid symptoms.

In conclusion, while the feeling of needing to have a bowel movement can be frustrating, it is often a temporary issue related to the sensitivity of the anal region due to hemorrhoids. With appropriate management and lifestyle adjustments, many individuals find relief. If symptoms persist, seeking further medical advice is advisable to ensure there are no underlying conditions that require treatment. Remember, your comfort and peace of mind are important, so don't hesitate to reach out to your healthcare provider for further guidance.

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