What Happens If You Don't Wash Off Hemorrhoid Cream After Application?

If the hemorrhoid ointment is applied and not washed off, it may lead to skin irritation, increased discomfort, or allergic reactions in the affected area. Prolonged exposure to the ointment can also result in a buildup of the product, potentially worsening symptoms or causing additional complications. It is important to follow the application instructions and maintain proper hygiene to avoid these issues?

I went to the hospital and the doctor said I have an anal fissure.
They prescribed me a topical ointment called Nitroglycerin.
After applying it to the anal area and not showering for a day, I felt swelling around the anus.
What could that be? It also hurts when touched.
Is this a side effect of the ointment?

Mr. Chen, 20~29 year old female. Ask Date: 2016/02/14

Dr. Chen Qifeng reply Gastroenterology and Hepatology

It is likely not a side effect of the ointment, but rather an issue related to the disease itself.
Please consult a colorectal surgeon.
Wishing you good health.

Reply Date: 2016/02/14

More Info

When it comes to the use of hemorrhoid creams, such as the one you mentioned, it's important to understand how these medications work and what to expect after application. Hemorrhoid creams typically contain active ingredients that help reduce inflammation, relieve pain, and promote healing in the affected area. Common ingredients may include hydrocortisone, witch hazel, or lidocaine, among others.

In your case, you applied the cream for a day without washing it off, and you are experiencing swelling and pain in the anal area. This could be due to several factors:
1. Medication Absorption: Hemorrhoid creams are designed to be absorbed by the skin to provide localized relief. However, if the cream is not absorbed properly or if it remains on the skin for an extended period, it may lead to irritation or an adverse reaction. The ingredients in the cream can sometimes cause a reaction if they are left on the skin for too long, especially if they are occlusive (creating a barrier that traps moisture and heat).

2. Skin Irritation: The anal area is sensitive, and prolonged exposure to any topical medication can lead to irritation. This can manifest as swelling, redness, or discomfort. If the cream contains ingredients that are irritating to your skin, this could explain the symptoms you are experiencing.

3. Infection or Other Conditions: If the area is swollen and painful, it could also indicate an infection or another underlying condition unrelated to the cream. Hemorrhoids themselves can cause discomfort, and if there is a fissure (tear) in the anal tissue, it can lead to pain and swelling, especially if the area is irritated by the cream.

4. Allergic Reaction: Although less common, it is possible to have an allergic reaction to one of the components in the cream. Symptoms of an allergic reaction can include swelling, redness, itching, and pain.

Given your symptoms, here are some recommendations:
- Wash the Area: If you haven't done so already, gently wash the area with mild soap and water to remove any excess cream. This can help alleviate irritation caused by the cream itself.

- Monitor Symptoms: After washing, observe the area for any changes. If the swelling and pain persist or worsen, it may be necessary to consult your healthcare provider.

- Consult a Doctor: If you continue to experience discomfort, it is advisable to see a doctor. They can evaluate the area for any signs of infection, allergic reaction, or other complications. They may also recommend alternative treatments or adjustments to your current regimen.

- Follow Instructions: Always follow the instructions provided by your healthcare provider regarding the application and duration of use for any topical medication. If you are unsure about how long to leave a cream on or when to wash it off, it's best to ask your doctor or pharmacist for guidance.

In conclusion, while hemorrhoid creams can be effective in treating symptoms, it is crucial to use them as directed and to be aware of how your body reacts to them. If you experience any adverse effects, do not hesitate to seek medical advice.

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