Hemorrhoids: Symptoms, Treatment, and When to Seek Help - Surgery

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Hello! Thank you for reaching out with your concerns regarding hemorrhoids. It sounds like you've been experiencing quite a bit of discomfort, and I’m here to help clarify your questions.

1. Understanding Internal vs. External Hemorrhoids: Hemorrhoids can be classified into internal and external types. Internal hemorrhoids are located inside the rectum and usually do not cause pain, but they can bleed during bowel movements. External hemorrhoids, on the other hand, are located under the skin around the anus and can be painful, especially when thrombosed (when a blood clot forms). Based on your description, it seems you might be experiencing external hemorrhoids, especially since you mentioned they "pop out" after bowel movements. The classification of hemorrhoids can also be based on their degree of prolapse:
- Grade I: Internal hemorrhoids that do not prolapse.

- Grade II: Prolapse during bowel movements but reduce spontaneously.

- Grade III: Prolapse that requires manual reduction.

- Grade IV: Prolapsed hemorrhoids that cannot be reduced.
Given that your hemorrhoids retract on their own after a few days, they may be classified as Grade II.

2. Seeking Further Medical Help: If your symptoms persist or worsen, it’s important to seek further medical evaluation. In Taoyuan, you might consider visiting a gastroenterologist or a colorectal surgeon. Hospitals such as Taoyuan General Hospital or other local clinics specializing in gastrointestinal issues could provide you with the care you need.

3. Managing Itching and Medication Use: If you are experiencing itching after using the topical medication for ten days, it may be a sign of irritation or an allergic reaction. It’s advisable to stop using the medication and consult with a healthcare provider about alternative treatments. They may recommend a different topical treatment or suggest other methods to alleviate your symptoms.

4. Softening Stool and Medication Duration: Softening agents can be very helpful in managing hemorrhoids, as they reduce straining during bowel movements, which can exacerbate symptoms. You can certainly ask your family doctor for a prescription for a stool softener. The duration of use can vary depending on your condition, but it’s generally safe to use them until your symptoms improve. Your doctor can provide specific recommendations based on your individual needs.

In addition to medication, there are lifestyle changes that can help manage and prevent hemorrhoids:
- Diet: Increase fiber intake through fruits, vegetables, and whole grains to promote regular bowel movements.

- Hydration: Drink plenty of water to help soften stools.

- Exercise: Regular physical activity can help improve bowel function.

- Avoid Straining: Try not to strain during bowel movements, as this can worsen hemorrhoids.

If your symptoms continue or if you experience severe pain, bleeding, or any other concerning symptoms, please seek medical attention promptly. It’s important to address these issues early to prevent complications.

I hope this information helps you feel more informed and at ease regarding your situation. Don’t hesitate to reach out to a healthcare professional for personalized advice and treatment options. Take care!