Hemorrhoids: Treatment, Symptoms, and Lifestyle Impact - Surgery

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Hemorrhoid-related issues


Hello, Dr.
Ke.
I would like to ask you a question.
I have both internal and external hemorrhoids along with an anal fissure, and I have already seen a doctor in a major hospital's colorectal department.
After three months of medication treatment, my condition has improved significantly.
However, recently, due to working overtime and staying up late, I noticed a new bump near my anus, which I believe is an external hemorrhoid (as it hurts when I touch it).
Since I still have the ointment and suppositories that the doctor prescribed, I was wondering if I could continue using them?
P.S.
(Currently, it hurts a little when I touch it, but I don't feel much pain when having a bowel movement or while walking or sitting.) P.S.
(Since this external hemorrhoid is quite noticeable and I can easily feel it, I am a bit worried.) How long does it usually take for an external hemorrhoid to reduce in size? Also, I would like to ask if lack of sleep or staying up late can trigger hemorrhoids?

taco, 20~29 year old female. Ask Date: 2009/10/19

Dr. Ke Fangxu reply Surgery


Hello: Based on what you described, this situation is likely an acute thrombosed external hemorrhoid, although the size and extent are not very large.
According to previous medication treatments, it should be manageable, but there is also a possibility of an anal abscess, which can present with fever.
If there is no improvement within three days and fever is present, it is essential to seek medical attention for a definitive diagnosis.
Generally, acute thrombosed external hemorrhoids will improve with topical medications in about 7-10 days if no thrombectomy is performed.
If the size is greater than 2 centimeters, the time required for swelling to subside will be longer.
Insufficient sleep is an interesting issue regarding hemorrhoids; theoretically, it should not cause them, but more than half of patients experiencing acute episodes report this situation.
Therefore, it might be better to believe it could be a contributing factor.
Additionally, staying up late is not a healthy lifestyle habit, so it's best to maintain a routine of going to bed early and waking up early for better health.
Wishing you a speedy recovery!

Reply Date: 2009/10/19

More Info


Hello! It sounds like you’ve been dealing with a challenging situation regarding your hemorrhoids and anal fissures. Let’s break down your concerns regarding treatment, symptoms, and lifestyle impacts related to hemorrhoids.


Understanding Hemorrhoids
Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. They can be classified into two types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. Symptoms can include itching, discomfort, pain during bowel movements, and sometimes bleeding.


Treatment Options
Since you’ve already seen a specialist and have been undergoing treatment for three months, it’s good to hear that your condition has improved. The medications you mentioned, such as topical ointments and suppositories, are commonly prescribed to reduce inflammation and alleviate pain.
Regarding your question about continuing to use the ointment and suppositories, it’s generally safe to do so as long as they were prescribed by your doctor. However, if you notice any worsening symptoms or if the new lump you felt is causing significant pain, it would be wise to consult your healthcare provider again. They can assess whether the new lump is indeed an external hemorrhoid or something else that may require different treatment.


Duration of Treatment
The duration for external hemorrhoids to shrink can vary widely among individuals. Typically, with proper care, external hemorrhoids can take a few days to a couple of weeks to resolve. Factors that can influence this include the severity of the hemorrhoids, your overall health, and adherence to treatment recommendations.

Lifestyle Factors
Regarding your question about sleep deprivation and its connection to hemorrhoids, yes, lifestyle factors can indeed play a role. Lack of sleep and increased stress from working late hours can lead to constipation, which is a significant contributor to hemorrhoid flare-ups. When you’re tired, your body may not function optimally, leading to irregular bowel movements. Straining during bowel movements can exacerbate hemorrhoids, so maintaining a regular sleep schedule and managing stress is crucial.


Recommendations
1. Dietary Changes: Ensure you’re consuming a high-fiber diet to promote regular bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying hydrated is also essential.

2. Regular Exercise: Engaging in regular physical activity can help improve bowel function and reduce the risk of constipation.

3. Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can worsen hemorrhoids.

4. Sleep Hygiene: Prioritize getting enough sleep. Establish a regular sleep schedule and create a restful environment to improve your overall well-being.

5. Follow-Up: Since you’ve noticed a new lump, it’s essential to keep your healthcare provider informed. They may want to examine it to rule out any complications.

In conclusion, while it’s understandable to feel anxious about new symptoms, maintaining open communication with your healthcare provider and adhering to a healthy lifestyle can significantly impact your recovery and overall health. If you have any further questions or concerns, don’t hesitate to reach out to your doctor. Wishing you a smooth recovery!

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