How Long Does It Take for External Hemorrhoids to Heal?

How long does it take for an external mole to heal?

Hello, Doctor: I recently visited the clinic for an examination, and the doctor said I have hemorrhoids, specifically an external hemorrhoid about the size of my pinky finger.
It doesn't hurt and there's no bleeding, but I feel a strange sensation around the anal area, and it only hurts a little when I touch it.
The doctor prescribed me medication, both oral and topical.
How long does it usually take for this condition to improve? If after two or three weeks it remains the same, what should I do? Thank you.

Liu Xiaoqiang, 20~29 year old female. Ask Date: 2010/07/03

Dr. Lin Zhiguang reply Surgery

Hello, your symptoms sound more like hemorrhoidal thrombosis, which is essentially a stroke of the hemorrhoid.
Generally, it will be swollen and painful for about two weeks.
If you still have symptoms after a long time, please come to my clinic for an evaluation!

Reply Date: 2010/07/03

More Info

External hemorrhoids, also known as external piles, are swollen veins located around the anus and lower rectum. They can cause discomfort, itching, and in some cases, pain, especially when sitting or during bowel movements. The healing time for external hemorrhoids can vary significantly based on several factors, including the severity of the condition, the treatment approach, and individual health factors.

In general, if external hemorrhoids are mild and not causing significant pain or bleeding, they may resolve on their own within a few days to a couple of weeks. However, if they are larger, inflamed, or if there is a clot (thrombosed hemorrhoid), the healing process may take longer. Typically, with appropriate treatment, most external hemorrhoids can improve within two to four weeks.

The treatment prescribed by your doctor, which includes both oral medications and topical ointments, is aimed at reducing inflammation, alleviating pain, and promoting healing. Commonly recommended treatments include over-the-counter creams containing hydrocortisone, witch hazel, or other soothing agents. Additionally, sitz baths (sitting in warm water) can help relieve discomfort and promote healing.

If after two to three weeks of treatment you notice no improvement or if your symptoms worsen—such as increased pain, bleeding, or the hemorrhoid becoming larger—it is essential to follow up with your healthcare provider. They may need to reassess your condition and consider other treatment options. In some cases, procedures such as rubber band ligation, sclerotherapy, or surgical removal may be necessary for persistent or severe hemorrhoids.

Moreover, lifestyle changes can significantly aid in the healing process and prevent future occurrences. These include:
1. Dietary Adjustments: Increasing fiber intake through fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements. Staying well-hydrated is also crucial.

2. Regular Exercise: Engaging in regular physical activity can help stimulate bowel function and prevent constipation.

3. Avoiding Straining: When using the bathroom, try to avoid straining, which can exacerbate hemorrhoids. If you feel the urge to go, do so promptly.

4. Good Hygiene: Keeping the anal area clean and dry can help prevent irritation and infection.

5. Avoiding Prolonged Sitting: If your job requires long periods of sitting, take regular breaks to stand and move around.

In conclusion, while external hemorrhoids can often heal within a few weeks with proper care, it is essential to monitor your symptoms closely. If there is no improvement after a couple of weeks or if you experience worsening symptoms, do not hesitate to consult your healthcare provider for further evaluation and management. They can provide tailored advice and treatment options based on your specific situation.

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