Managing Hemorrhoids: Questions About Suppository Use and Treatment Options - Surgery

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The hemorrhoids have been treated with suppositories for a week?


Hello, I would like to ask two questions:
1.
I have hemorrhoids and consulted a colorectal surgeon.
The doctor advised me to use suppositories, which I have been using for about a week.
However, every time I have a bowel movement, one hemorrhoid still protrudes.
Should I consider other treatments? Besides the hemorrhoid coming out during bowel movements (which I can easily push back in with my finger), I notice a bit of blood when wiping if my stool is hard, but I don't have any other discomfort.
Should I see a doctor again, or can I improve this condition through dietary changes?
2.
During this time of using the suppositories, I feel like I am unable to have a bowel movement every day (I used to go daily unless I had diarrhea, in which case I would go every other day).
Now, I feel like my bowel movements are incomplete, and on days when I do go, I need to use the restroom two to three times, but it's not diarrhea.
Is this situation coincidental, or could it be related to the use of the suppositories?

Chang Gan Mao De Ren, 20~29 year old female. Ask Date: 2005/12/11

Dr. Hou Yongji reply Surgery


Hello: 1.
Based on your description, a proper diagnosis cannot be made.
Please consult a colorectal surgeon to discuss whether it is an internal or external hemorrhoid.
If it is an internal hemorrhoid, you may consider ligation treatment; if it is an external hemorrhoid, surgical intervention may be necessary, but this should be discussed with your physician.
2.
Further examination is required; please consult with your physician (colorectal specialist) for discussion.
Wishing you good health!

Reply Date: 2005/12/11

More Info


Managing hemorrhoids can be a challenging experience, especially when it comes to understanding the appropriate treatment options and the effects of medications like suppositories. Let's address your questions one by one.

1. Ongoing Symptoms with Suppository Use: It seems that you have been using a suppository for about a week as advised by your colorectal surgeon, but you are still experiencing symptoms where a hemorrhoid protrudes during bowel movements. This is not uncommon, especially with external hemorrhoids, which can become more prominent during straining. The fact that you can easily push it back in is a good sign, but the presence of blood when wiping indicates that there may be some irritation or inflammation.

If the suppository is not providing relief and you continue to experience bleeding, it may be time to consult your doctor again. They may recommend additional treatments, such as a stronger topical medication, dietary changes, or even procedures like rubber band ligation or sclerotherapy if the hemorrhoids are severe. It's also essential to ensure that your diet is high in fiber and that you are drinking plenty of fluids to help soften your stool and reduce straining during bowel movements.

2. Changes in Bowel Habits: You mentioned that since starting the suppository, you have experienced changes in your bowel habits, including difficulty having a bowel movement and feeling like you haven't completely emptied your bowels. This could be related to the suppository itself, as some formulations can cause changes in bowel habits. For example, some suppositories contain ingredients that may lead to a temporary decrease in bowel motility or alter the consistency of your stool.

It’s crucial to maintain a balanced diet rich in fiber, which can help promote regular bowel movements. Foods like fruits, vegetables, whole grains, and legumes are excellent sources of fiber. Additionally, staying hydrated is vital, as it helps soften the stool and makes it easier to pass. If you find that your bowel habits do not return to normal after stopping the suppository or if you continue to experience discomfort, it would be wise to follow up with your healthcare provider.

In summary, while suppositories can be effective in managing hemorrhoids, they may not be a one-size-fits-all solution. If your symptoms persist or worsen, or if you have concerns about your bowel habits, it is essential to seek further medical advice. Your healthcare provider can assess your condition more thoroughly and recommend the best course of action tailored to your needs. Remember, managing hemorrhoids often requires a combination of dietary changes, lifestyle modifications, and sometimes medical interventions.

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