Question:
I have hemorrhoids - how is the treatment?
Pharmacist's response:
Hemorrhoids are swollen veins in the anus and lower part of the rectum, similar to varicose veins. Hemorrhoids can develop in the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). Almost three out of four adults will experience hemorrhoids from time to time. There are many causes of hemorrhoids, but often the cause is unknown. Fortunately, there are effective options for the treatment of hemorrhoids. In addition, many people find relief from hemorrhoids with home remedies and lifestyle changes.
Symptoms of external hemorrhoids:
- Itching or irritation in the anal region
- Pain or discomfort
- Swelling around the anus
- Bleeding
Symptoms of internal hemorrhoids:
- Painless bleeding during bowel movements. You may notice small amounts of bright red blood on your toilet paper or in the toilet.
- Hemorrhoids push through the anal opening (prolapse), causing pain and irritation.
Symptoms of thrombosed hemorrhoids (if blood collects in external hemorrhoid and forms a clot (thrombus):
- Severe pain
- Swelling
- Inflammation
- Hard lump near the anus
How is the treatment of hemorrhoids carried out?
Hemorrhoids often get better without surgery or procedures in your doctor's office. Instead, start with over-the-counter products such as Detralex and lifestyle changes. (If pregnant, consult your doctor before trying medication or changing your diet.)
Home care for hemorrhoids:
A warm bath or sitz bath: Sit in about 3 inches of warm (not hot) water several times a day for about 15 minutes. This helps reduce swelling in the area and relaxes your sphincter muscles. It is perfect for carrying out the mentioned therapy after defecating.
Ointments: Apply Vaseline to the anus to make bowel movement less painful. You can also use over-the-counter creams or lotions for hemorrhoid symptoms. Also, 1% hydrocortisone cream on the skin outside the anus (not inside) can relieve itching. However, please do not use it for longer than one week unless otherwise instructed by your doctor or pharmacist.
Hemorrhoid: apply ointment or oil of evening primrose (hamamelis) to irritating hemorrhoids. It is a natural agent that can act against irritation and itching.
Soothing moist wipes: after passing the stool, gently clean the area of the anus and hemorrhoids with a baby wipe, a wet cloth, or a pad with medicinal ingredients.
Cold compress: Place a simple cold compress on the affected area for a few minutes to numb it and reduce swelling.
High-fiber diet: this is the best thing for hemorrhoids; a diet rich in high-fiber foods and low in processed foods. Eat mostly vegetables, fruits, nuts, and whole grains to prevent constipation.
Stool softeners: if you can't get enough fiber from food, your doctor may advise you to take a fiber supplement or a stool softener. Do not take laxatives because they can cause diarrhea, irritating the hemorrhoids.
Keep hydrated: drink seven to eight glasses of water daily, at least half a liter. You may need more if you are very active or live in a hot climate.
Interesting reading: External hemorrhoids - Pictures
Interesting reading: Internal hemorrhoids medicine
