Is Long-Term Use of Xylmol Ointment Safe for Hemorrhoids? - Surgery

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Is long-term use of mole removal ointment appropriate?


Dear Doctor, I have been suffering from hemorrhoids for many years.
In my student days, I experienced bleeding, and the condition worsened during my pregnancy.
I made an effort to eat more fruits to facilitate bowel movements and alleviate the symptoms.
After giving birth, the symptoms improved, but after two to three years, I now find that my hemorrhoids protrude before bowel movements, and I have to push them back in with my hand.
When it gets severe, they come back out within a minute.
I have been eating more fruits and vegetables to help with bowel regularity, but I also use a medication called Xylmol ointment, which was prescribed by my doctor during my pregnancy.
I have been using it for one to two years.
Is it appropriate to use hemorrhoid ointment long-term?

AMY, 30~39 year old female. Ask Date: 2005/01/30

Dr. Hou Yongji reply Surgery


Dear netizen: 1.
The mole ointment contains a local anesthetic, which is more effective for pain relief, but it is not suitable for long-term use.
2.
Please consult a colorectal surgeon for diagnosis and treatment.
Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/01/30

More Info


Long-term use of Xylmol ointment, which contains the active ingredient Xylometazoline, can be a concern for individuals suffering from hemorrhoids. While Xylometazoline is primarily used as a nasal decongestant, its application in treating hemorrhoids is less common and not extensively studied. However, it is essential to understand the implications of long-term use of any medication, especially topical treatments.

Xylometazoline works by constricting blood vessels in the area where it is applied, which can temporarily reduce swelling and discomfort associated with hemorrhoids. While this may provide relief, prolonged use can lead to several issues. One of the primary concerns with long-term use of vasoconstrictors like Xylometazoline is the potential for rebound effects. This means that after the medication is discontinued, the blood vessels may dilate excessively, leading to increased swelling and discomfort, which can create a cycle of dependency on the ointment.

Moreover, the skin and mucous membranes can become desensitized to the medication over time, potentially leading to reduced effectiveness. This can result in users applying more of the ointment or using it more frequently, which can exacerbate the problem rather than alleviate it. Additionally, long-term use of topical medications can sometimes lead to skin irritation or allergic reactions, which could further complicate the condition.

In terms of safety, while Xylometazoline is generally well-tolerated when used as directed, chronic use can pose risks. It is crucial to monitor for any signs of adverse effects, such as increased pain, swelling, or changes in the skin around the application site. If these symptoms occur, it would be advisable to consult a healthcare provider.

For individuals with hemorrhoids, it is essential to address the underlying causes of the condition. Dietary changes, such as increasing fiber intake and staying hydrated, can significantly improve bowel regularity and reduce the strain during defecation, which is a common trigger for hemorrhoids. Regular exercise can also help improve circulation and prevent constipation.

In conclusion, while Xylmol ointment may provide temporary relief for hemorrhoids, long-term use is not recommended due to the potential for rebound effects, skin irritation, and reduced effectiveness. It is advisable to consult with a healthcare provider for a comprehensive treatment plan that may include lifestyle modifications, dietary changes, and possibly other medications or treatments that are more suitable for long-term management of hemorrhoids. Regular follow-ups with a healthcare professional can help monitor the condition and adjust treatment as necessary to ensure optimal health and comfort.

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