Effective Care Tips for Managing External Hemorrhoids: A Guide

Care for External Hemorrhoids

Hello Doctor: Six days ago, I developed an external hemorrhoid at the left lower side of the anus (at the 7 o'clock position).
I visited a colorectal specialist who prescribed a tube of hemorrhoid cream.
My usual symptoms include the hemorrhoid retracting in the morning, but during the day, while sitting at the computer for extended periods, I sometimes feel a bit of pain when I stand up, and the external hemorrhoid tends to protrude more.
I would like to ask the doctor: how should I care for this condition? It seems to be in a cycle of improvement and worsening without any real progress.
How long does it typically take for a small external hemorrhoid to resolve?

Cai Xiansheng, 40~49 year old female. Ask Date: 2011/11/03

Dr. Yu Mingchang reply Surgery

Hello^^ Hemorrhoids will not resolve on their own aside from surgery; applying ointments can only help constrict the blood vessels and slightly reduce the swelling.
To completely resolve the issue, surgical intervention is necessary.
It is recommended to consume fruits and vegetables, limit spicy foods, and maintain a regular sleep schedule to prevent the hemorrhoids from worsening.

Reply Date: 2011/11/03

More Info

Managing external hemorrhoids can be a challenging experience, but with the right care and understanding, you can alleviate symptoms and promote healing. External hemorrhoids are swollen veins located around the anus, and they can cause discomfort, pain, and itching. Here are some effective care tips to help manage your condition:
1. Maintain Good Hygiene: Keeping the anal area clean is crucial. After each bowel movement, gently clean the area with mild soap and water. Avoid using harsh soaps or wipes that contain alcohol, as they can irritate the skin. Pat the area dry with a soft towel instead of rubbing it.

2. Warm Sitz Baths: Taking warm sitz baths can provide relief from pain and discomfort. Fill a bathtub or a basin with warm water and sit in it for about 15-20 minutes, several times a day, especially after bowel movements. This can help reduce swelling and soothe the area.

3. Topical Treatments: As prescribed by your doctor, continue using the ointment (平痔隆軟膏) to reduce inflammation and pain. Over-the-counter creams containing hydrocortisone or witch hazel can also provide relief. Be sure to follow your doctor's instructions regarding the frequency and duration of use.

4. Dietary Changes: A high-fiber diet can help prevent constipation and reduce straining during bowel movements, which can aggravate hemorrhoids. Include plenty of fruits, vegetables, whole grains, and legumes in your diet. Additionally, staying well-hydrated by drinking plenty of water can help soften stools.

5. Avoid Straining: When using the bathroom, avoid straining or sitting for prolonged periods. If you feel the urge to go, try to respond promptly rather than delaying. If you find it difficult to pass stools, consider using a stool softener or fiber supplement after consulting with your healthcare provider.

6. Limit Sitting Time: Since you mentioned that sitting for long periods exacerbates your symptoms, try to take breaks to stand and walk around. This can help improve circulation and reduce pressure on the affected area.

7. Cold Compresses: Applying a cold compress or ice pack wrapped in a cloth to the affected area can help reduce swelling and numb the pain. Do this for about 10-15 minutes at a time, several times a day.

8. Avoid Heavy Lifting: Strenuous activities and heavy lifting can increase pressure on the veins in the anal area. If possible, avoid such activities until your symptoms improve.

9. Monitor Symptoms: Keep track of your symptoms and any changes. If you notice increased pain, bleeding, or if the hemorrhoid does not improve after a few weeks of home treatment, consult your healthcare provider for further evaluation.

10. Consider Medical Procedures: If conservative treatments do not provide relief, your doctor may discuss other options, such as rubber band ligation, sclerotherapy, or surgical removal of the hemorrhoid.

Regarding the duration for the external hemorrhoid to resolve, it can vary from person to person. Many external hemorrhoids can improve within a few days to a couple of weeks with proper care. However, if symptoms persist or worsen, it is essential to seek medical advice.

In conclusion, managing external hemorrhoids requires a combination of good hygiene, dietary adjustments, and lifestyle changes. By following these tips and maintaining open communication with your healthcare provider, you can effectively manage your symptoms and promote healing. Remember, if you have any concerns or if your condition does not improve, do not hesitate to reach out to your doctor for further guidance.

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