Managing Hemorrhoids: Medication, Care, and Exercise Guidelines

Medication and Care for Hemorrhoids After Diagnosis

Hello Doctor, I would like to ask you a few questions.
Recently, I experienced itching and sharp pain around my anus, so last week I visited a colorectal surgeon.
The doctor diagnosed me with internal hemorrhoids and seemed to have treated it with a rubber band.
That day, the doctor prescribed "Hemorrhoid Relief" ointment.
The instructions on the medication state to apply it to the affected area.
Should I use the included suppository to apply it inside the anal area, or should I only apply it to the skin around the anus where I feel pain and itching?
Additionally, the medication bag indicates to use it every night before bed, but the ointment instructions say to apply it 2-3 times a day.
Which guideline should I follow for the medication? Since the doctor did not provide a follow-up appointment, should I schedule an appointment with him weekly for check-ups?
Regarding warm water sitz baths, is it acceptable to use a bathtub for this, or is a sitz bath basin necessary? Can I also engage in normal exercise, such as running, swimming, or soaking in hot springs? I appreciate your help in answering all these questions.
Thank you very much!

KANE, 30~39 year old female. Ask Date: 2013/01/24

Dr. Ke Fangxu reply Surgery

1.
Hemorrhoid ointment can be applied externally or inserted into the rectum; however, if you have recently undergone rubber band ligation, it is recommended to apply it externally only to avoid affecting the ligation site.

2.
The ointment is generally recommended for use in the morning and evening.

3.
If symptoms improve, a follow-up visit may not be necessary; however, if there is no improvement, it is advisable to consult your physician for a re-evaluation.

4.
The principle of warm sitz baths is to soak the anal area in warm water, so either a basin or a bathtub can be used.

5.
Normal exercise is fine, but prolonged or excessively vigorous exercise should be avoided.

Reply Date: 2013/01/24

More Info

Managing hemorrhoids can be a multifaceted approach that includes medication, self-care, and lifestyle modifications. Based on your situation, it sounds like you have been diagnosed with internal hemorrhoids and have been prescribed "痔淨能" (a topical ointment). Let's address your questions one by one.

Application of Medication
The ointment you have been prescribed is intended for application to the affected area. Typically, you would apply it to the anal area where you are experiencing discomfort, which may include the skin around the anus and the anal canal itself. If the medication comes with a suppository (栓劑), it is usually designed to be inserted into the rectum for more direct treatment of internal hemorrhoids. You should follow the instructions provided with the medication. If the instructions are unclear, it’s best to consult your healthcare provider for clarification.

Frequency of Use
Regarding the frequency of application, it’s essential to follow the guidance of your healthcare provider. If the medication instructions indicate using it 2-3 times a day, but your doctor advised using it only at night, it may be wise to prioritize your doctor's advice unless you have been specifically instructed otherwise. If you are unsure, contacting your healthcare provider for clarification is a good idea.

Follow-Up Appointments
Since your doctor did not provide a follow-up appointment, it is advisable to schedule a visit for a check-up, especially if your symptoms persist or worsen. Regular follow-ups can help monitor the condition and adjust treatment as necessary. It’s better to be proactive about your health, particularly with conditions like hemorrhoids that can lead to complications if left untreated.

Warm Water Sitz Baths
Warm water sitz baths can be very soothing for hemorrhoid discomfort. You can use either a bathtub or a sitz bath. If using a bathtub, ensure that the water is warm (not hot) and soak for about 15-20 minutes. This can help relieve pain and reduce swelling. If you prefer a sitz bath, it is specifically designed for this purpose and can be more convenient.

Exercise and Physical Activity
Regarding exercise, it is generally advisable to maintain a level of physical activity, as it can help prevent constipation, which is a common aggravator of hemorrhoids. However, you should avoid high-impact activities that could exacerbate your symptoms, such as heavy lifting or intense running. Swimming is usually a safe option, but listen to your body and avoid any activities that cause discomfort. As for soaking in hot springs, it’s best to consult your doctor, as the heat may exacerbate swelling in some cases.

Additional Care Tips
1. Dietary Changes: Incorporate a high-fiber diet to help soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

2. Hydration: Drink plenty of water throughout the day to help keep stools soft.

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

4. Over-the-Counter Options: If your symptoms persist, consider over-the-counter treatments such as witch hazel pads or hydrocortisone creams, but consult your doctor before starting any new medication.

Conclusion
Managing hemorrhoids involves a combination of medication, proper application techniques, dietary adjustments, and lifestyle changes. Regular follow-ups with your healthcare provider are crucial for monitoring your condition and making necessary adjustments to your treatment plan. If you have any further questions or concerns, don’t hesitate to reach out to your healthcare provider for personalized advice.

Similar Q&A

Understanding Hemorrhoids: Symptoms, Treatments, and When to See a Specialist

Hello Doctor: Before this year's Lunar New Year, around January 24, I started experiencing a sharp pain in my buttocks (anus) and noticed some blood when wiping. I visited a general clinic on January 29, and the doctor diagnosed it as external hemorrhoids. They prescribed an...

Dr. Ke Fangxu reply Surgery
This situation likely indicates a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period, shorten the time spent on bowel movements, and increase the intake of di...

Understanding Hemorrhoids: When to Seek Medical Help and Treatment Options

Hello, I have been suffering from hemorrhoids for 8 years. I have seen doctors intermittently, but they only prescribed topical medications. I haven't addressed it for the past five years. Recently, I have been experiencing pain during bowel movements, and upon inspection, I...

Dr. Ke Fangxu reply Surgery
Hemorrhoids that are not accompanied by pain or bleeding do not necessarily require surgical intervention. Even in the presence of these symptoms, it is recommended to first try medication treatment. Surgery should only be considered if medication is ineffective or if the hemorrh...

Can People with Grade II Hemorrhoids Safely Practice Muay Thai?

Hello, Doctor. I have been suffering from severe constipation since high school and was diagnosed with internal hemorrhoids. I currently have one grade II internal hemorrhoid that usually protrudes when I strain too hard, sit for more than five minutes, or adopt a squatting posit...

Dr. Ke Fangxu reply Surgery
If you have first or second degree hemorrhoids, engaging in regular exercise is generally not a problem. However, if squatting causes the hemorrhoids to protrude, then during intense exercise, the increased abdominal pressure may also lead to protrusion. During acute episodes, it...

Do You Need Surgery for Hemorrhoids? Exploring Medication Options

Do hemorrhoids always require surgery, or is there a possibility of healing with medication?

Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! Hemorrhoids are formed due to impaired blood flow in the blood vessels around the anal area, and their causes are related to diet, bowel habits, hygiene practices, and emotional stress. It is advisable to consume more high-fiber foods and drink plenty of water, as well as ...