Should You See a Specialist for Eczema from Hemorrhoid Cream? - Surgery

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If hemorrhoid ointment causes eczema or dermatitis, you should consult a dermatologist?


Hello, doctor.
Two weeks ago, I experienced an outbreak of external hemorrhoids.
After examination, the doctor diagnosed it as mixed internal and external hemorrhoids and prescribed topical medication.
However, a week ago, I started experiencing pain in the skin around the anus.
Upon inspection, it appears to resemble eczema, but it also looks like folliculitis with some red raised areas that have a whitish top.
Should I return to see the original doctor or consult a dermatologist? Could this be a side effect of the medication?

A, 20~29 year old female. Ask Date: 2021/09/18

Dr. Ke Fangxu reply Surgery


If the ingredient name of the medication is unknown, it is difficult to determine whether the ointment is causing the skin inflammation.
It is recommended to temporarily discontinue the use of the topical ointment, wash the area with clean water for a few days, and then observe for improvement.
If there is no improvement, you may consult either a proctologist or a dermatologist for further evaluation.

Reply Date: 2021/09/18

More Info


When dealing with skin conditions such as eczema or dermatitis, especially in sensitive areas like around the anus, it is essential to approach treatment carefully. Your situation, where you have experienced pain and skin changes after using hemorrhoid cream, raises several important considerations.

Firstly, the symptoms you describe—pain around the anus, redness, and raised white-topped bumps—could indeed suggest a few different dermatological issues. These may include contact dermatitis, which can occur due to irritation from topical medications, or even an allergic reaction to one of the ingredients in the hemorrhoid cream. Additionally, folliculitis, which is inflammation of the hair follicles, could also present with similar symptoms.

Given that you have already been diagnosed with mixed hemorrhoids and are using topical treatments, it is possible that the cream may be causing irritation or an allergic reaction, particularly if it contains steroids or other active ingredients that can lead to skin thinning or sensitivity over time. If the cream has a high concentration of active ingredients, it could exacerbate existing skin conditions or lead to new ones, especially in delicate areas.

In terms of whether you should see your original physician or a dermatologist, both options are valid. If your original physician is familiar with your medical history and the treatments you have been prescribed, they may be able to provide insight into whether the symptoms are a side effect of the medication. They can also assess whether the current treatment plan is appropriate or if adjustments are needed.

On the other hand, a dermatologist specializes in skin conditions and may offer a more focused evaluation of your symptoms. They can provide a thorough examination and may suggest alternative treatments or diagnostic tests to determine the exact cause of your skin issues. If you suspect that the symptoms are related to the topical treatment, a dermatologist can also recommend appropriate alternatives that are less likely to irritate your skin.

In the meantime, it is advisable to stop using the hemorrhoid cream until you can consult with a healthcare professional. Continuing to apply the cream may worsen the irritation or delay healing. Instead, consider using a gentle, fragrance-free moisturizer to soothe the area while you seek medical advice. Avoid any harsh soaps or irritants that could exacerbate the condition.

In summary, both options of consulting your original physician or a dermatologist are valid, and the choice may depend on your comfort level and the urgency of your symptoms. It is crucial to address these skin changes promptly to prevent further complications and to ensure that you receive the most appropriate care for your condition.

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