Can Suppositories Effectively Treat External Hemorrhoids? - Surgery

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Will using a suppository help with external hemorrhoids?


A week ago, I went to see a doctor for hemorrhoids.
I have external hemorrhoids, but the doctor only prescribed me two medications: one for treating constipation and the other a suppository.
However, after a week, I don't feel much improvement...
that lump is still near my anus.
Did the doctor make a mistake? Can suppositories be used to treat external hemorrhoids, or are they only for internal hemorrhoids?

AA, 10~19 year old female. Ask Date: 2012/04/03

Dr. Ke Fangxu reply Surgery


External hemorrhoids can be classified into several types.
Acute external hemorrhoids can indeed be alleviated with topical medications, but the effectiveness is limited for chronic external hemorrhoids.
Based on the limited information you provided, it is difficult to determine which type you are experiencing.
However, it is common for some residual skin tags to remain after the symptoms of acute external hemorrhoids have resolved.
To help with hemorrhoid symptoms, it is advisable to avoid constipation and to take warm sitz baths.
I recommend returning to the original physician for an assessment of the treatment and improvement.

Reply Date: 2012/04/03

More Info


Suppositories can be an effective treatment option for external hemorrhoids, but their efficacy may vary depending on the specific formulation and the individual’s condition. External hemorrhoids are swollen veins located outside the anal canal, and they can cause discomfort, pain, and itching. While suppositories are commonly used for internal hemorrhoids, they can also provide relief for external hemorrhoids when they contain appropriate active ingredients.

The primary purpose of a suppository is to deliver medication directly to the rectal area, which can help reduce inflammation, relieve pain, and promote healing. Many suppositories contain ingredients such as hydrocortisone, witch hazel, or lidocaine, which can help alleviate symptoms associated with hemorrhoids. Hydrocortisone is a corticosteroid that reduces inflammation, while lidocaine is a local anesthetic that can numb the area and relieve pain.

However, it is important to note that not all suppositories are designed for external hemorrhoids. Some are specifically formulated for internal use, and using them for external hemorrhoids may not provide the desired results. If your doctor prescribed a suppository for your external hemorrhoids, it is crucial to ensure that it is suitable for that purpose. If you have been using the suppository for a week without improvement, it may be worth discussing this with your healthcare provider.

In addition to suppositories, other treatment options for external hemorrhoids include topical creams, ointments, and lifestyle modifications. Over-the-counter creams containing hydrocortisone or witch hazel can be applied directly to the affected area to reduce swelling and discomfort. Increasing dietary fiber intake, staying hydrated, and avoiding straining during bowel movements can also help manage symptoms and prevent further irritation.

If your symptoms persist despite treatment, it may be necessary to explore other options. In some cases, more invasive procedures may be required to address external hemorrhoids, especially if they are thrombosed (clotted) or causing significant pain. Procedures such as rubber band ligation, sclerotherapy, or surgical removal may be considered based on the severity of your condition.

In summary, while suppositories can be used to treat external hemorrhoids, their effectiveness depends on the specific formulation and the individual’s response to treatment. If you are not experiencing improvement after a week of using the prescribed suppository, it is advisable to consult your healthcare provider for further evaluation and potential alternative treatments. They can help determine the best course of action based on your specific situation and ensure that you receive the appropriate care for your external hemorrhoids.

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