Managing Internal Hemorrhoids: Symptoms, Treatment, and Care Tips

Internal hemorrhoids issues?

Hello Doctor: Previously, I experienced a burning sensation and a feeling of swelling or a foreign body in the anus.
After seeing a doctor, I was told it was mild internal hemorrhoid inflammation and a slight fissure, but not an anal fissure.
I would like to ask if the intermittent burning sensation and feeling of a foreign body indicate that the internal hemorrhoids are inflamed again, even though there is no blood in my stool and it often occurs during work, which is quite bothersome.
Besides warm sitz baths and improving my lifestyle habits, are there any other methods? Additionally, is it not advisable to take warm sitz baths during menstruation? Thank you.

CI, 20~29 year old female. Ask Date: 2014/09/29

Dr. Ke Fangxu reply Surgery

Hemorrhoidal swelling may also cause intermittent burning sensations and a feeling of foreign body presence.
If warm sitz baths are ineffective, it is recommended to use rectal suppositories, which may provide better relief for anal symptoms.
Additionally, it is advisable to avoid spicy foods.
During menstruation, if warm sitz baths are inconvenient, a handheld showerhead can be used as an alternative for cleansing.

Reply Date: 2014/09/29

More Info

Managing internal hemorrhoids can be a challenging experience, especially when symptoms such as burning sensations, swelling, and the feeling of a foreign body in the anal area occur. Internal hemorrhoids are swollen veins located inside the rectum, and they can become inflamed due to various factors, including straining during bowel movements, prolonged sitting, and a low-fiber diet.

Symptoms of Internal Hemorrhoids
The symptoms of internal hemorrhoids can vary, but common signs include:
- Discomfort or Pain: This can manifest as a burning sensation or a feeling of fullness in the anal area.

- Swelling: You may notice swelling around the anus.

- Itching: The area may feel itchy or irritated.

- Mucus Discharge: Sometimes, there may be a discharge of mucus from the rectum.

- Bleeding: While you mentioned that there is no blood in your stool, it is important to note that bleeding can occur during bowel movements.

Treatment Options
1. Dietary Changes: Increasing fiber intake can help soften stools and reduce straining. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Additionally, staying well-hydrated is crucial.

2. Over-the-Counter Medications: Topical treatments such as hydrocortisone creams or witch hazel pads can provide relief from itching and inflammation. Oral pain relievers like acetaminophen or ibuprofen can also help manage discomfort.

3. Warm Sitz Baths: Soaking in warm water for about 15-20 minutes several times a day can soothe the area and reduce inflammation. It is generally safe to continue this practice during menstruation, but you should ensure that the water is not too hot and that you maintain good hygiene.

4. Avoid Straining: When using the bathroom, try not to strain or sit for prolonged periods. If you feel the urge to go, do so promptly rather than waiting.

5. Exercise: Regular physical activity can help stimulate bowel function and reduce the risk of constipation.

6. Topical Treatments: Over-the-counter creams or ointments specifically designed for hemorrhoids can provide temporary relief from symptoms.

7. Medical Procedures: If conservative measures fail, procedures such as rubber band ligation, sclerotherapy, or infrared coagulation may be recommended by your healthcare provider.

Care Tips
- Maintain Good Hygiene: Keep the anal area clean and dry. After bowel movements, gently clean the area with mild soap and water.

- Wear Loose Clothing: Tight clothing can increase irritation, so opt for loose-fitting garments.

- Avoid Sitting for Long Periods: If your job requires prolonged sitting, take breaks to stand and move around.

Conclusion
The intermittent burning sensation and feeling of a foreign body could indicate that your internal hemorrhoids are indeed inflamed. It is essential to monitor your symptoms and consult with your healthcare provider if they worsen or if you experience any new symptoms, such as bleeding. While lifestyle modifications and home treatments can be effective, persistent or severe cases may require further medical intervention. Always prioritize your comfort and well-being, and do not hesitate to seek professional advice when needed.

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