Dealing with Hemorrhoids: When to Seek Medical Attention

Q: Dealing with Hemorrhoids: When to Seek Medical Attention

Hello： 1. Please consult a colorectal surgeon to check for thrombosed hemorrhoids. 2. If it is a thrombosed hemorrhoid, pain typically alleviates in about a week, while swelling may take around four weeks to resolve. 3. The most important aspect of managing he

Hemorrhoid issues

Hello Dr.
Hou: Due to working excessively during the summer (lifting heavy objects and standing for long periods), along with insufficient hydration, I am now experiencing issues with hemorrhoids! I have read a lot of information online, and it seems to be what is referred to as a "thrombosed hemorrhoid" (about slightly larger than the size of my pinky nail, and it gets bigger when swollen).
Should I seek medical attention promptly? Should I quit my job? Thank you for answering my questions! Wishing you success in your work!

Aru Mi, 20~29 year old female. Ask Date: 2004/07/26

Dr. Hou Yongji reply Surgery

Hello: 1.
Please consult a colorectal surgeon to check for thrombosed hemorrhoids.
2.
If it is a thrombosed hemorrhoid, pain typically alleviates in about a week, while swelling may take around four weeks to resolve.
3.
The most important aspect of managing hemorrhoids is maintenance; please avoid unhealthy lifestyle and dietary habits to prevent hemorrhoid issues.
4.
Educational materials on our hospital's website may be helpful.

Reply Date: 2004/07/26

More Info

Dealing with hemorrhoids can be uncomfortable and concerning, especially when symptoms worsen or new complications arise. Given your situation, where you have developed a thrombosed hemorrhoid due to prolonged standing and inadequate hydration, it is essential to understand when to seek medical attention and how to manage your condition effectively.

When to Seek Medical Attention
1. Severe Pain: If you experience significant pain that interferes with your daily activities, it is advisable to consult a healthcare professional. Thrombosed hemorrhoids can be particularly painful, and while some discomfort is normal, severe pain may indicate a need for intervention.

2. Persistent Bleeding: If you notice blood in your stool or on toilet paper that does not resolve, or if the bleeding is heavy, you should seek medical attention. While hemorrhoids can cause minor bleeding, significant blood loss can lead to other health issues.

3. Changes in Bowel Habits: If you experience changes in your bowel habits, such as diarrhea or constipation, that persist, it is wise to consult a doctor. These changes can exacerbate hemorrhoid symptoms and may require treatment.

4. Signs of Infection: Symptoms such as fever, chills, or increased redness and swelling around the hemorrhoid area may indicate an infection. If you suspect an infection, seek medical attention promptly.

5. Thrombosed Hemorrhoid: Since you mentioned that your hemorrhoid has swollen to about the size of a small fingernail and is painful, this could be a thrombosed hemorrhoid. While many thrombosed hemorrhoids can resolve on their own, some may require surgical intervention, especially if they are causing significant pain.

Management and Treatment Options
1. Home Care: For mild cases, home treatments can be effective. This includes warm sitz baths, over-the-counter pain relievers (like ibuprofen or acetaminophen), and topical treatments that contain hydrocortisone or witch hazel. Increasing fiber intake and staying hydrated can also help alleviate symptoms.

2. Avoid Straining: It is crucial to avoid straining during bowel movements, as this can worsen hemorrhoids. If you are experiencing constipation, consider using a stool softener or increasing your fiber intake.

3. Medical Procedures: If home treatments do not alleviate your symptoms, or if your hemorrhoid is thrombosed and painful, a healthcare provider may recommend procedures such as rubber band ligation, sclerotherapy, or surgical removal of the hemorrhoid.

4. Lifestyle Changes: Given that your symptoms arose from overexertion and dehydration, it may be beneficial to reconsider your work situation. If your job involves prolonged standing and heavy lifting, you might want to discuss with your employer about modifying your duties or consider taking a break to allow your body to heal.

Conclusion
In summary, while hemorrhoids are common and often manageable at home, your symptoms suggest that it may be time to seek medical attention, especially given the size and pain associated with your thrombosed hemorrhoid. Consulting a healthcare professional can provide you with a tailored treatment plan and help you avoid further complications. Additionally, consider your work situation and whether it is contributing to your symptoms. Taking care of your health should always be a priority.

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