Consultation on Hemorrhoid Treatment: Suppository vs. Ointment Use - Surgery

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Consultation for Internal Boils Medication


Hello, I have anal fissures with bleeding during bowel movements.
The doctor prescribed me hemorrhoid suppositories and Yizhi Kang ointment.
Should I use one in the morning and one in the evening, or should I finish the suppositories before using the ointment? Thank you for your answer.

TING, 40~49 year old female. Ask Date: 2023/07/27

Dr. Zhang Shuhao reply Surgery


Apply the ointment once in the morning and once in the evening, using a fingertip or cotton swab to apply it to the swollen and painful area around the anus.
Use the suppository once a day, typically before bedtime, and it can be inserted after applying a small amount of ointment for lubrication.

Reply Date: 2023/07/27

More Info


When dealing with hemorrhoids and associated conditions such as anal fissures, it's important to understand the different forms of treatment available, including suppositories and ointments. Both forms of medication can be effective, but they serve slightly different purposes and can be used in conjunction for optimal relief.

Suppositories, such as the hemorrhoid suppository you mentioned, are designed to be inserted into the rectum. They typically contain active ingredients that help reduce inflammation, relieve pain, and promote healing. The suppository form allows the medication to be absorbed directly at the site of discomfort, which can provide quicker relief for symptoms like pain and bleeding during bowel movements.

On the other hand, ointments, like the one you referred to (益痣康軟膏), are applied externally to the affected area. They can provide a protective barrier, soothe irritation, and help with moisture retention, which is crucial for healing. Ointments often contain ingredients that can help alleviate itching and discomfort, making them a good adjunct to suppository treatment.

In your case, using both the suppository and the ointment can be beneficial. Here’s a suggested approach:
1. Use the Suppository: Insert the suppository as directed by your physician, typically once or twice a day. This will help address the internal symptoms of hemorrhoids and any associated anal fissures.

2. Apply the Ointment: After using the suppository, you can apply the ointment externally to the anal area. This can help soothe any external irritation and provide additional moisture, which is particularly helpful if you are experiencing discomfort during bowel movements.

3. Timing: You can use the suppository in the morning and the ointment after bowel movements or as needed throughout the day. This way, you ensure that you are addressing both internal and external symptoms effectively.

4. Monitor Symptoms: Keep track of your symptoms. If you notice any worsening of your condition or if the bleeding persists, it is important to consult your physician for further evaluation and possible adjustment of your treatment plan.

5. Lifestyle Considerations: In addition to medication, consider dietary changes to promote softer stools, such as increasing fiber intake and staying hydrated. This can help reduce strain during bowel movements, which is crucial for healing anal fissures and preventing further irritation of hemorrhoids.

In summary, using both a suppository and an ointment can provide comprehensive relief from hemorrhoid symptoms. Always follow your healthcare provider's instructions regarding the use of these medications, and don't hesitate to reach out to them if you have any questions or concerns about your treatment plan.

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