How Long Should I Use Ointment for Internal Moles? - Surgery

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How long should the internal mole ointment be applied?


Hello, I would like to ask about the initial bleeding from an internal hemorrhoid.
The doctor prescribed three suppositories and an ointment.
How long should I apply the ointment? I stopped the medication after using the suppository and ointment on the same day because there was no more bleeding, but two days later, there was a little bleeding again.
How long should I continue using the suppositories and ointment? When can I stop the medication? Thank you.

MM, 30~39 year old female. Ask Date: 2024/02/11

Dr. Zhang Shuhao reply Surgery


The most effective treatments for internal hemorrhoids include increasing fluid intake and dietary fiber, taking warm sitz baths, and using oral medications for hemorrhoid relief and anti-inflammation.
Suppositories and ointments primarily alleviate swelling and pain, typically used for no longer than two weeks.
If bleeding recurs after discontinuation of medication, options such as hemorrhoid banding, laser treatment, or minimally invasive surgery may be considered.
If there is a family history or gastrointestinal symptoms, a colonoscopy should also be considered.
During the treatment period, it is important to maintain local cleanliness and avoid vigorous wiping or friction in the area to aid recovery.

Reply Date: 2024/02/11

More Info


When dealing with internal moles, especially those that have started to bleed, it is crucial to follow your doctor's recommendations closely. The use of ointments and suppositories is typically aimed at managing symptoms and preventing further complications. Based on your description, it seems that the bleeding has subsided initially after treatment, but has recurred after a couple of days. This situation warrants careful consideration.

1. Duration of Treatment: Generally, the duration for which you should continue using ointments or suppositories depends on the specific medication prescribed and the underlying condition being treated. If your doctor has not specified a duration, it is advisable to continue using the ointment until the area is completely healed and there are no signs of bleeding. This could be anywhere from a few days to a couple of weeks, depending on the severity of the condition and your body's healing response.

2. Signs to Monitor: You should monitor the area for any signs of infection, increased bleeding, or worsening symptoms. If you notice any of these, it is essential to contact your healthcare provider immediately. They may need to reassess your condition and adjust your treatment plan accordingly.

3. When to Stop Medication: You can consider stopping the ointment or suppository once the area appears to be healed, there is no bleeding, and you have not experienced any discomfort for a few consecutive days. However, it is always best to consult your healthcare provider before making this decision. They may want to evaluate the mole and ensure that it is healing properly.

4. Follow-Up Care: It is crucial to have follow-up appointments with your doctor to monitor the mole's condition. If the bleeding persists or if you have concerns about the mole's appearance or any changes, do not hesitate to seek medical advice. Continuous monitoring is essential, especially if there is a history of bleeding or other complications.

5. Potential Complications: Internal moles can sometimes indicate underlying issues, and if they are bleeding, it may be a sign that further evaluation is necessary. Your doctor may recommend imaging studies or even a biopsy if there is a concern about malignancy or other serious conditions.

In summary, while it is tempting to stop treatment once symptoms improve, it is essential to follow a comprehensive approach that includes monitoring, follow-up care, and consultation with your healthcare provider. Healing can take time, and ensuring that the mole is properly managed will help prevent further complications. Always prioritize your health and safety by seeking professional guidance when in doubt.

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