External Hemorrhoids: Why Use Suppositories and Ointments? - Surgery

Share to:

External hemorrhoids ointment + suppository


Today I visited a colorectal surgeon, and the doctor said I have mild external hemorrhoids.
He prescribed me a topical ointment and suppositories, stating that no other special treatment is necessary.
I would like to ask, do external hemorrhoids also require suppositories? Why is that? Aren't they typically used for internal hemorrhoids? Or did the doctor forget to mention that I might also have internal hemorrhoids? Additionally, should I apply the ointment directly to the anal area? Will using the ointment help make the hemorrhoids go away? Thank you.

Mr. Chen, 20~29 year old female. Ask Date: 2016/03/17

Dr. Yu Mingchang reply Surgery


Hello: The ointment should only be applied to the external area of the anus.
Applying it to internal hemorrhoids may provide some relief.
Generally, general surgery encounters a few cases of internal hemorrhoids, varying in severity.
It may help alleviate swelling in the area.
The Changhua Hospital of the Ministry of Health and Welfare cares about your well-being.

Reply Date: 2016/03/17

More Info


Understanding external hemorrhoids and the rationale behind the use of suppositories and ointments is essential for effective management and relief of symptoms. External hemorrhoids are swollen veins located around the anus and lower rectum, often resulting in discomfort, pain, and sometimes bleeding. They can be caused by various factors, including straining during bowel movements, prolonged sitting, obesity, and pregnancy.

When it comes to treatment, the use of topical ointments and suppositories is common, even for external hemorrhoids. Here’s why:
1. Symptom Relief: Ointments, such as the one prescribed to you (益痔康軟膏), are designed to provide immediate relief from symptoms like itching, burning, and discomfort. They often contain ingredients that soothe the affected area, reduce inflammation, and promote healing. Suppositories, while typically associated with internal hemorrhoids, can also help in managing pain and discomfort by delivering medication directly to the affected area.

2. Moisturizing Effect: Ointments can help keep the anal area moist, which is crucial for healing. Dryness can exacerbate irritation and discomfort, so applying an ointment can provide a protective barrier against further irritation.

3. Combination Therapy: In some cases, patients may have both internal and external hemorrhoids. While your doctor may have primarily diagnosed you with external hemorrhoids, the use of a suppository could be a precautionary measure to address any potential internal issues that might not be immediately apparent. It’s not uncommon for patients to have overlapping conditions, and your doctor may have opted for a comprehensive treatment approach.

4. Application of Ointment: When applying the ointment, it is generally recommended to clean the area gently before application. You can apply the ointment directly to the affected area around the anus. It’s important to follow the instructions provided by your healthcare provider regarding the frequency and amount of ointment to use.
5. Expectations: While ointments can help alleviate symptoms, they may not completely eliminate hemorrhoids. Lifestyle changes, such as increasing fiber intake, staying hydrated, and avoiding prolonged sitting, are also crucial for long-term management. If symptoms persist despite treatment, further evaluation may be necessary.

6. Follow-Up: If you have concerns about whether you might have internal hemorrhoids or if your symptoms do not improve with the prescribed treatment, it’s important to follow up with your healthcare provider. They can perform a thorough examination and determine if additional treatments or interventions are necessary.

In summary, the use of suppositories and ointments for external hemorrhoids is a common practice aimed at providing symptom relief and promoting healing. It’s essential to adhere to your doctor’s recommendations and maintain open communication regarding your symptoms and treatment progress. If you have any lingering doubts about your diagnosis or treatment plan, don’t hesitate to ask your healthcare provider for clarification.

Similar Q&A

Can Suppositories Effectively Treat 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 a...


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 ...

[Read More] Can Suppositories Effectively Treat External Hemorrhoids?


Managing Hemorrhoids: Suppositories, Steroids, and Anal Fissures

Hello, doctor! I'm sorry to bother you again... At the beginning of the month, I had a hemorrhoid banding procedure for an internal hemorrhoid. However, during the second week, I experienced diarrhea which caused fissures inside. Whenever my stool is a bit hard or I exert my...


Dr. Ke Fangxu reply Surgery
1. If the thrombosed external hemorrhoid is not large, it can be surgically excised under local anesthesia in an outpatient setting without damaging the sphincter muscle. 2. There are specific medications for irritable bowel syndrome, and it is recommended that you consult a gast...

[Read More] Managing Hemorrhoids: Suppositories, Steroids, and Anal Fissures


Can You Use Suppositories or Ointments After Hemorrhoid Banding?

Due to having internal hemorrhoids, I have been purchasing suppositories and applying ointments from the pharmacy before the surgery. After undergoing hemorrhoid ligation surgery, can I continue to use suppositories or apply ointments?


Dr. Xu Kaixi reply Surgery
After hemorrhoid ligation surgery, the wound typically heals within two to three weeks. At this point, theoretically, the use of suppositories or ointments should be feasible. However, individual circumstances may vary, so it is advisable to consult with the surgeon who performed...

[Read More] Can You Use Suppositories or Ointments After Hemorrhoid Banding?


Consultation on Hemorrhoid Treatment: Suppository vs. Ointment Use

Hello, I have anal fissures with bleeding during bowel movements. The doctor prescribed me hemorrhoid suppositories and Yizhi Kang ointment. Should I use one in the morning and one in the evening, or should I finish the suppositories before using the ointment? Thank you for your ...


Dr. Zhang Shuhao reply Surgery
Apply the ointment once in the morning and once in the evening, using a fingertip or cotton swab to apply it to the swollen and painful area around the anus. Use the suppository once a day, typically before bedtime, and it can be inserted after applying a small amount of ointment...

[Read More] Consultation on Hemorrhoid Treatment: Suppository vs. Ointment Use


Related FAQ