External hemorrhoid inflammation
Inflamed external hemorrhoids that protrude outside the anus may retract on their own after the swelling subsides.
However, if you push them back in, they may just protrude again after a while.
Not pushing them back in could potentially worsen the thrombosis.
Warm sitz baths can help reduce swelling and provide relief.
Thank you!
cir, 20~29 year old female. Ask Date: 2009/08/04
Dr. Ke Fangxu reply Surgery
Hello: Acute thrombosed hemorrhoids are generally not recommended to be pushed back in, as this can increase pain and be ineffective.
Once the thrombosis is absorbed, it will naturally shrink.
During this period, it is advisable to take warm sitz baths for three main benefits: 1.
Maintaining cleanliness, 2.
Promoting blood circulation to accelerate thrombosis absorption, and 3.
The warm treatment can relax the anal sphincter and alleviate pain.
Additionally, some oral and topical analgesics and anti-inflammatory medications can be helpful.
It is particularly important to avoid constipation to prevent the symptoms from worsening.
Wishing you a speedy recovery.
Reply Date: 2009/08/04
More Info
Managing external hemorrhoid inflammation can be quite uncomfortable, and it's important to understand the best practices for treatment and relief. External hemorrhoids are swollen veins located around the anus, and when they become inflamed, they can cause pain, itching, and bleeding. Here are some tips and treatments that can help manage the inflammation and discomfort associated with external hemorrhoids.
1. Avoid Straining:
One of the primary causes of external hemorrhoid inflammation is straining during bowel movements. To prevent this, ensure you maintain a diet high in fiber, which can help soften stools and make them easier to pass. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Additionally, staying well-hydrated by drinking plenty of water can also aid in digestion and stool formation.
2. Warm Sitz Baths:
Taking warm sitz baths can be very beneficial for reducing inflammation and discomfort. Soaking the affected area in warm water for about 15-20 minutes several times a day can help soothe the irritation and promote blood circulation, which may assist in reducing swelling. Adding Epsom salts to the bath can provide additional relief.
3. Over-the-Counter Treatments:
There are various over-the-counter creams and ointments specifically designed for hemorrhoid relief. These products often contain ingredients like hydrocortisone, witch hazel, or lidocaine, which can help reduce inflammation and numb the area, providing temporary relief from pain and itching.
4. Cold Compresses:
Applying a cold compress to the affected area can help reduce swelling and numb the pain. You can use a clean cloth soaked in cold water or a cold pack wrapped in a towel. Apply it for about 10-15 minutes at a time.
5. Avoiding Prolonged Sitting:
If you have external hemorrhoids, try to avoid sitting for long periods, especially on hard surfaces. If your job requires you to sit for extended periods, take regular breaks to stand up and move around.
6. When to Seek Medical Attention:
If the hemorrhoids are severely inflamed, painful, or if you notice significant bleeding, it is important to consult a healthcare professional. They may recommend treatments such as rubber band ligation, sclerotherapy, or in some cases, surgical intervention if the hemorrhoids do not respond to conservative treatments.
7. Self-Reduction:
Regarding your question about pushing the hemorrhoid back in, it is generally not advisable to force it back in if it keeps coming out. This could potentially worsen the condition or lead to complications such as thrombosis. Instead, focus on reducing inflammation and allowing the hemorrhoid to shrink naturally. If it does not return to its normal position after the swelling decreases, a healthcare provider can assess the situation.
8. Lifestyle Modifications:
Incorporating regular exercise into your routine can also help improve circulation and prevent constipation, which can contribute to hemorrhoid flare-ups. Aim for at least 30 minutes of moderate exercise most days of the week.
Conclusion:
In summary, managing external hemorrhoid inflammation involves a combination of dietary changes, topical treatments, and lifestyle modifications. Warm sitz baths, over-the-counter medications, and avoiding straining during bowel movements are key strategies. If symptoms persist or worsen, seeking medical advice is crucial to prevent complications. Remember, while self-care is important, professional guidance can provide tailored treatment options for your specific situation.
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