About hemorrhoids?
Hello doctor, this past Monday I suddenly noticed a lot of blood in the toilet after having a bowel movement (without pain).
This has continued until now.
Yesterday, I saw a surgeon who prescribed me oral medication and an ointment for three days.
I would like to know what kind of improvement would indicate that the symptoms are alleviating, and how many days it typically takes for the bleeding to resolve?
Mr. Zhou, 10~19 year old female. Ask Date: 2015/09/11
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 and shorten the time spent during bowel movements during this period.
If these precautions are followed, bleeding will typically stop within three days.
However, if the bleeding persists for more than a week, it is advisable to consult a physician for further evaluation.
Reply Date: 2015/09/11
More Info
Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, bleeding, and other symptoms. They can be classified into two main types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. Understanding the symptoms, treatment options, and recovery time is essential for managing this condition effectively.
Symptoms of Hemorrhoids
The most common symptoms of hemorrhoids include:
1. Bleeding: Bright red blood on toilet paper or in the toilet bowl after a bowel movement is a hallmark sign of hemorrhoids. This bleeding is usually painless.
2. Itching or irritation: The area around the anus may become itchy or irritated due to inflammation.
3. Pain or discomfort: While internal hemorrhoids typically do not cause pain, external hemorrhoids can be painful, especially when sitting or during bowel movements.
4. Swelling: You may notice swelling around the anus, which can be uncomfortable.
5. A lump: External hemorrhoids can form a lump near the anus, which may be sensitive or painful.
Treatment Options
Treatment for hemorrhoids often depends on the severity of the symptoms. Common treatment options include:
1. Over-the-counter medications: Creams, ointments, and suppositories can help relieve symptoms such as itching and pain. Your doctor may have prescribed a topical ointment for you.
2. Oral medications: Pain relievers like acetaminophen or ibuprofen can help alleviate discomfort.
3. Dietary changes: Increasing fiber intake through fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements, which can exacerbate hemorrhoids.
4. Hydration: Drinking plenty of water can help prevent constipation.
5. Sitz baths: Soaking in warm water for 10-15 minutes several times a day can help soothe the area and reduce discomfort.
6. Minimally invasive procedures: If conservative treatments do not provide relief, procedures such as rubber band ligation, sclerotherapy, or infrared coagulation may be recommended.
7. Surgery: In severe cases, surgical options may be necessary to remove hemorrhoids.
Recovery Time
The recovery time for hemorrhoids can vary based on the treatment method and the severity of the condition. Generally, if you are following your doctor's recommendations and taking prescribed medications, you may start to notice improvement within a few days. Bleeding should decrease significantly within a week. However, complete healing can take several weeks, especially if you have external hemorrhoids or if you have undergone a procedure.
When to Seek Further Medical Attention
You should contact your healthcare provider if:
- The bleeding persists or worsens.
- You experience severe pain or discomfort.
- You notice changes in your bowel habits.
- You have symptoms of anemia, such as fatigue or weakness, which could indicate significant blood loss.
In summary, while hemorrhoids can be uncomfortable and distressing, they are generally manageable with appropriate treatment. Following your doctor's advice, maintaining a high-fiber diet, and staying hydrated can significantly aid in your recovery. If you have concerns about your symptoms or the effectiveness of your treatment, do not hesitate to reach out to your healthcare provider for further guidance.
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