Effective Remedies for Itchy Hemorrhoids: Tips and Treatments - Surgery

Share to:

Hemorrhoids can cause itching?


Hello Dr.
Ke: I have hemorrhoids that are between grade three and four.
For the past two weeks, I have been experiencing persistent itching around the anal area.
I have applied hemorrhoid ointment, but it hasn't helped, and the itching seems to be getting worse.
Is there any ointment or method that can relieve the itching? Thank you!

Ken, 40~49 year old female. Ask Date: 2006/10/05

Dr. Ke Fangxu reply Surgery


Hello: In response to your question, for anal itching, it is advisable to use a steroid cream to relieve the itching; however, long-term use is not recommended.
Additionally, avoiding scratching is crucial to prevent falling into a vicious cycle of increased itching.
Furthermore, it is important to avoid using soap to clean the anal area, as this can strip the skin of its natural oils and worsen the symptoms.

Reply Date: 2006/10/05

More Info


Hello! It sounds like you're dealing with a frustrating and uncomfortable situation regarding your hemorrhoids. Hemorrhoids, especially when they reach grades three or four, can cause significant discomfort, including itching, pain, and bleeding. Let's explore some effective remedies and treatments for itchy hemorrhoids.


Understanding Hemorrhoids
Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins. They can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum, while external hemorrhoids are under the skin around the anus. Symptoms can include itching, discomfort, and bleeding during bowel movements.


Effective Remedies for Itchy Hemorrhoids
1. Topical Treatments:
- Over-the-Counter Creams: There are various creams and ointments available that contain hydrocortisone, witch hazel, or lidocaine. These can help reduce inflammation and relieve itching. However, prolonged use of hydrocortisone creams should be avoided as it can lead to skin thinning.

- Witch Hazel: This natural astringent can reduce itching and irritation. You can apply it directly to the affected area using a cotton ball.

2. Warm Sitz Baths:
- Soaking in a warm bath for about 15-20 minutes several times a day can help soothe the area, reduce itching, and promote healing. Adding Epsom salts can enhance the soothing effect.

3. Cold Compresses:
- Applying a cold pack or ice wrapped in a cloth to the affected area can help reduce swelling and numb the area, providing temporary relief from itching.

4. Dietary Changes:
- Increasing fiber intake can help soften stools and reduce straining during bowel movements, which can aggravate hemorrhoids. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying hydrated is also crucial.

5. Avoiding Irritants:
- Avoid using scented soaps, toilet paper with dyes or fragrances, and other irritants that can worsen itching. Opt for unscented, soft toilet paper or consider using moist wipes.

6. Medications:
- If over-the-counter treatments are not effective, your doctor may prescribe stronger topical medications or oral medications to help manage symptoms.

7. Lifestyle Modifications:
- Regular exercise can improve circulation and reduce the risk of constipation. Avoid sitting for long periods, especially on the toilet, as this can exacerbate symptoms.

8. Surgical Options:
- If your hemorrhoids are severe and do not respond to conservative treatments, surgical options may be considered. Procedures like rubber band ligation, sclerotherapy, or hemorrhoidectomy can provide long-term relief.


When to See a Doctor
If your symptoms persist despite trying these remedies, or if you experience severe pain, bleeding, or any signs of infection (such as fever or pus), it's essential to consult a healthcare professional. They can provide a thorough examination and recommend appropriate treatments tailored to your condition.


Conclusion
Managing itchy hemorrhoids can be challenging, but with the right combination of treatments and lifestyle changes, you can find relief. Remember to be gentle with the affected area and avoid any harsh treatments that could worsen the irritation. If your symptoms continue or worsen, don't hesitate to seek medical advice for further evaluation and treatment options. Take care, and I hope you find relief soon!

Similar Q&A

Managing Mild Hemorrhoids: Tips for Dealing with Spicy Food and Bleeding

A few years ago, I was diagnosed with mild hemorrhoids. However, sometimes when I eat spicy food (just seasoning), I experience rectal bleeding. Currently, I only use a topical ointment for treatment, and it usually heals within a few days. If I accidentally consume spicy food, a...


Dr. Hou Yongji reply Surgery
1. If you experience blood in your stool, do not assume it is solely due to hemorrhoidal bleeding; you should go to the hospital for an examination to rule out other potential causes (such as colorectal cancer). 2. If it is indeed hemorrhoidal bleeding, it is usually advisable t...

[Read More] Managing Mild Hemorrhoids: Tips for Dealing with Spicy Food and Bleeding


Managing Internal Hemorrhoids: Essential Care Tips Beyond Medication

Recently, I have been experiencing issues with internal hemorrhoids. Besides medication treatment, what other areas should I pay special attention to?


Dr. Lin Zhemin reply Surgery
1. Avoid consuming fried foods and overly spicy or warming foods such as ginger duck and lamb hot pot. 2. Ensure adequate sleep and avoid staying up late. 3. After bowel movements, rinse with warm water to maintain dryness.

[Read More] Managing Internal Hemorrhoids: Essential Care Tips Beyond Medication


Effective Treatments for Hemorrhoids: Soaking and Medication Guidelines

For treating anal abscesses, warm sitz baths can be beneficial. You may consider adding anti-inflammatory medications such as hydrocortisone cream or witch hazel to help reduce inflammation. However, it is essential to consult a healthcare professional before adding any medicatio...


Dr. Ke Fangxu reply Surgery
Hello: In response to your question. First, if it is a simple hemorrhoid, it is generally not recommended to add any medication. If there is a wound, it is advisable to add a small amount of povidone-iodine solution, but the concentration should not be too high (5-10 cc in a basi...

[Read More] Effective Treatments for Hemorrhoids: Soaking and Medication Guidelines


Understanding Anal Itching: Causes and Effective Remedies

I have been experiencing itching around my anus for the past three days after having a bowel movement, as well as in the area connecting to the front. What could be the issue? I have to rinse with water after using the toilet, which alleviates the itching somewhat. After showerin...


Dr. Yuan Hongdao reply Gastroenterology and Hepatology
Hello: Anal itching is mostly due to insufficient cleaning. Other causes such as chronic eczema from prolonged scratching, parasites, hemorrhoids, or even tumors are also possible. It is recommended to wash the anal area with water after bowel movements. If itching occurs, you ma...

[Read More] Understanding Anal Itching: Causes and Effective Remedies


Related FAQ

Hemorrhoid Ointment

(Surgery)

Anal Itching

(Surgery)

Hemorrhoids

(Surgery)

Post-Hemorrhoid Surgery

(Surgery)

Prolapsed Hemorrhoid

(Surgery)

External Hemorrhoids

(Surgery)

Internal Hemorrhoid Bleeding

(Surgery)

Hemorrhoids

(Traditional Chinese Medicine)

Hemorrhoids

(Internal Medicine)

Anal Itching

(Dermatology)