What Side Effects May I Notice From Receiving This Medicine
Side effects that you should report to your doctor or health care professional as soon as possible:
- bloody or black, tarry stools
- painful, red, pus filled blisters in hair follicles
- rectal pain, burning or bleeding after use of medicine
Side effects that usually do not require medical attention :
- changes in skin color
- dry skin
- itching or irritation
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
What Are The Best Home Remedies For Hemorrhoids
If youd prefer to avoid medication, or youd like to complement your treatment with at-home remedies, here are some ways you can alleviate your hemorrhoids at home:
- Sitz baths: A regular sitz bath can relieve itching and irritation. Fill a tub with three to four inches of warm water and sit in it with your knees bent for about 10 to 15 minutes. Gently pat yourself dry with a towel afterwards. For an extra soothing effect, try adding Epsom salts to the bath.
- Fiber supplements: These reduce hemorrhoid bleeding, inflammation, and enlargement by drawing water into your stool to make it easier to pass. A psyllium husk fiber supplement, such as Metamucil or a generic equivalent, is a good choice, although psyllium may cause gas or bloating. In that case, try a supplement containing wheat dextrin or methylcellulose .
- Cold compress: Applying ice packs to the anus for 10-15 minutes can help reduce swelling and reduce discomfort. To avoid ice burns always place ice in a cloth or paper towel, and never apply it directly to the skin.
- Aloe vera: Aloe vera has been used in many cultures for centuries to treat hemorrhoids due to its believed anti-inflammatory properties. Given the sensitivity of the area, only use pure aloe vera to treat hemorrhoids, and perform a patch test 24-48 hours on your inner wrist prior to application to check there is no allergic reaction.
Best Hydrocortisone Cream For Hemorrhoids
While there are some effective hydrocortisone suppositories on the market to treat hemorrhoids, creams are much more readily available.
Many popular brands offer an anti-itch hemorrhoidal cream to treat the bothersome symptom of itching.
These hemorrhoid creams can provide anti-itch relief without a prescription needed. They may also work for other skin conditions.
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When Hemorrhoid Surgery May Be Necessary
Very few people fewer than 10 percent of all adults who see a doctor because of symptomatic hemorrhoids will require a surgical operation.
Surgery to remove hemorrhoids is called a hemorrhoidectomy.
Your doctor may recommend a hemorrhoidectomy if:
- You have large external hemorrhoids
- You have both internal and external hemorrhoids
- An internal hemorrhoid has prolapsed
In a hemorrhoidectomy, the doctor makes a small incision to remove the hemorrhoid and surrounding tissue before closing the wound with stitches.
A hemorrhoidectomy is performed in an operating room and can be done under general anesthesia, in which you are unconscious and unable to feel pain.
It can also be done with a spinal anesthetic block while you are awake , or with a combination of relaxing and sedating drugs given intravenously and a local anesthetic injected around the anus.
Hemorrhoidectomy is associated with postoperative pain, but the procedure is successful for 95 percent of cases.
More recently, another option aimed at avoiding the postoperative pain of a hemorrhoidectomy has become available, called a stapled hemorrhoidopexy. A circular stapling device pulls the hemorrhoidal tissue upward and to its normal position, stapling it in place. The staples eventually fall out over time.
There are many options for the treatment of hemorrhoids. Its best to discuss the benefits and risks of each of these with your doctor in order to come up with the treatment plan that is best for your particular case.
Why Suppository Over Topical Treatment
Internal hemorrhoids also cause similar symptoms but theyre not as severe as external hemorrhoids. Thats because the external hemorrhoids include tissue lining and internal hemorrhoids dont have enough nerve endings.
OTC Hemorrhoid Medications
There are a lot of OTC medications that can be prescribed by your doctor to treat the symptoms of both types of hemorrhoids. Now, you can use topical ointments, creams, and pastes to apply on external hemorrhoids to get rid of the annoying symptoms.
But suppositories are better for both internal and external hemorrhoids, and especially best for internal hemorrhoids. Since there is pretty much no use of topical medications for internal hemorrhoids.
The suppositories work by getting absorbed by the rectal tissues. And thats how it helps to reduce the irritation and discomfort that are caused by hemorrhoids.
They also work great with external hemorrhoid conditions. The suppositories can also work by soothing the symptoms from external hemorrhoids.
When Do I Use Suppositories?
If youre using hemorrhoid suppositories, you should probably know that they are typically used 2-4 times a day for a week. If you want the effects to last longer, its recommended that you use the hemorrhoid suppositories right after passing stools.
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Preparation H Hemorrhoid Suppositories
Preparation H is a popular brand of hemorrhoid treatment medications.
The popular website sells Preparation H Suppositories. The suppositories have received sixty-four reviews.
Preparation H suppositories have 65% of customers providing a 5-star review.
Most of the comments accompanying the five-star reviews indicate that the product does what it is intended to, works well, and is offered at a great price.
On the opposite end, 8% of customers gave the product a one-star review.
The Preparation H hemorrhoidal suppositories provide fast relief for bothersome hemorrhoid symptoms such as:
- Anal swelling
Preparation H suppositories contain 85.9% cocoa butter and 0.25% phenylephrine HCl.
Cocoa butter works as a skin protectant to minimize discomfort to the soft tissues of the anal canal.
Once the suppository is inserted into the rectum, the cocoa butter melts and covers and lubricates the anorectal surface membranes.
Phenylephrine HCl is then released. This is a vasoconstrictor. It works to reduce inflammation and minimize engorged hemorrhoidal veins.
The hemorrhoid tissue shrinks, and normal blood flow is restored to the affected area. Preparation H suppositories help heal hemorrhoid tissues, alleviate symptoms, and ease painful bowel movements.
They can be used up to four times a day.
The cocoa butter in Preparation H suppositories contains flavonoids. These antioxidants help relax the veins and reduce pain.
- MAO inhibitors
Do Hemorrhoidal Suppositories Provide Relief
Hemorrhoids can get in the way of life, causing pain, itching, swelling and discomfort. This condition is caused by constipation and excessive pressure on the rectum which irritates and enlarges blood vessels in and around the anus. It can be an incredibly intrusive condition to have to cope with but its also one for which there are many relief remedies available. Hemorrhoidal suppositories are one of these remedies that can calm swelling and pain or tackle the constipation that is causing the hemorrhoids in the first place.
In this guide, well go over the effectiveness of hemorrhoidal suppositories as well as what they can treat and how to use them. Well talk about how quickly they work, hemorrhoidal suppositories side effects and drug interactions and how suppositories compare to other hemorrhoid treatments that are available. By the time youre done reading, youll be able to decide whether or not hemorrhoidal suppositories are right for you. Lets jump in and take a look at how suppositories for hemorrhoids work!
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Possible Side Effects From Using Suppositories For Hemorrhoids
In the vast majority of cases using suppositories will not cause any alarming side effects. However, it is best to follow your doctors prescription or, stick to the advised dosage on the packaging which will tell you how many suppositories you should be using daily and the best times when they should be used, doing so will ensure you avoid any additional problems due to excessive use.
There are always exceptions and in rare cases, this type of medication can cause allergic reactions to users. Therefore, if you start having headaches, dizziness, excessive and abnormal sweating, shivers, rashes, abnormal heart rhythm, sleep and breathing problems, stop using the medication and consult your doctor right away.
Hemorrhoid Cream Vs Hemorrhoid Suppository
Many people wonder wether a hemorrhoid cream or suppository is better. Neither one is necessarily better overall, but will help more depending on the circumstance you are in.
If you have internal hemorrhoids, a suppository will be better for you. There are some hemorrhoid creams that are great and do have applicators.
If you have external hemorrhoids, a hemorrhoid cream will work better than a hemorrhoid suppository. Suppositories do work for external hemorrhoids but hemorrhoid cream is likely better.
You can use both at the same time for best results.
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How To Use Hemorrhoidal Suppositories
Using suppositories can be uncomfortable but its relatively easy when you take your time and read all of the instructions that come with the medication. Its also important to consult with your physician when you have questions about the use of suppositories and clarify any drug interactions. If you are struggling with the application of hemorrhoidal suppositories, you may wish to ask someone close to you to assist.
To use a suppository for hemorrhoids, take these steps:
First, youll want to evacuate your bowels. That way, you can give the suppository time to dissolve before you have a bowel movement and potentially lose the suppository, so its always a good first step to make sure youre working with empty bowels.
Next, wash your hands. Its always best to ensure any bacteria on your hands is washed away prior to handling the suppository so germs are kept away from the affected area.
Now, its time to remove your clothes. Youll only need your pants and underwear removed far enough to be able to put one leg up.
If your suppository is wrapped, open it up. Often suppositories will come in individual wrappings which should be discarded.
At this point, you can apply lubrication to the suppository. Some people prefer to apply a non-petroleum based lubricant to the suppository to make it easier to insert. Petroleum-based lubricants may prevent the suppository from melting, so its best to use a different kind of lubricant.
What Is The Best Hemorrhoid Medication
With so many medications available to treat hemorrhoids, you may be wondering which option is the best. Like most prescriptions, that can only be determined by your healthcare provider on a case by case basis. The best option will depend on your medical history, the severity of your hemorrhoids, and if youre taking any other medications that may negatively interact with hemorrhoid medication.
To make things easier to understand, weve broken down some of the different prescription medications available to treat hemorrhoids:
|Best medications for hemorrhoids|
|30 gm of 2.5%||Shortness of breath, stomach pain, rectal bleeding, headaches|
Dosage is determined by your doctor based on your medical condition, response to treatment, age, and weight. Other possible side effects exist. This is not a complete list.
Again, the best option available for you will be determined by having an open conversation with your healthcare providers. Theyll take all the variables into account, such as your symptoms, lifestyle, medical history, and if youre taking any other medications that may interact with treatment.
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What Causes Hemorrhoids
Traditionally, hemorrhoids are associated with chronic constipation, straining during bowel movements, and prolonged sitting on the toilet all of which interfere with blood flow to and from the area, causing it to pool and enlarge the vessels. This also explains why hemorrhoids are common during pregnancy, when the enlarging uterus presses on the veins.
More recent studies show that patients with hemorrhoids tend to have a higher resting anal canal tone that is, the smooth muscle of the anal canal tends to be tighter than average . Constipation adds to these troubles, because straining during a bowel movement increases pressure in the anal canal and pushes the hemorrhoids against the sphincter muscle. Finally, the connective tissues that support and hold hemorrhoids in place can weaken with age, causing hemorrhoids to bulge and prolapse.
Dont Make Things Worse
Bump up the fiber. It softens your stools and makes them move through your body more easily. Youll find it in beans, whole-grain breads and cereals, and fresh fruits and veggies. You may also want to try a supplement if you cant get enough from foods. Add fiber slowly to help avoid gas and bloating.
Drink lots of fluids. Stay well hydrated to keep stools soft so theyre easier to pass. Water is the best choice. Drink plenty throughout the day. Prune juice is a natural laxative and can help you go.
Exercise regularly. Even brisk walking 20-30 minutes every day can help keep you from getting stopped up.
Breathe! Keep the air moving in and out when youre working hard. Its common to hold your breath as youre pushing, pulling, or making an effort and that can lead to hemorrhoid pain and bleeding.
Use a pillow. Sit on a cushion instead of a hard surface. It will ease swelling for any hemorrhoids you have. It may also help prevent new ones from forming.
Take breaks. If you must sit for a long time, get up every hour and move around for at least 5 minutes.
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How And When To Use Hydrocortisone For Piles And Itchy Bottom
Youll usually use most treatments for piles or itchy bottom several times a day first thing in the morning, last thing at night and after youve done a poo. Check the leaflet which comes with the product you are using.
Some treatments are only used on the skin around your anus such as creams, ointments and sprays. These are for piles on the outside or itchy bottom.
Some piles treatments, such as hydrocortisone suppositories, are used inside your anus. These are for piles on the inside .
Do not use hydrocortisone treatments for more than 7 days. Make an appointment to see your doctor if your symptoms:
- have not got better
- come back quickly after treatment
Best Soak: Thena Natural Wellness Organic Sitz Bath Soak
Courtesy of Amazon
Made with soothing, natural oils
Safe to use during pregnancy
May irritate sensitive skin
A sitz bath can be an incredibly soothing treatment for hemorrhoids and postpartum care, with both the warm water and the Epsom salts content working wonders for irritated, delicate skin.
“During a sitz bath, you soak the rectal area in warm water for 10 to 15 minutes, two to three times daily,” says Dr. Arturo Bravo, a gastroenterologist at Houston Methodist Willowbrook Hospital. “Sitz baths work by improving blood flow and relaxing the muscle around the anus, called the internal anal sphincter.”
This sitz bath made by Thena, which includes Epsom salts and dead sea salt as well as nourishing coconut and magnesium oils, is both soothing and healing, reducing inflammation while repairing tissue damage. It can be dissolved into a special sitz device or simply blended into a warm bath within your tub.
Active Ingredients: 100% pure natural Epsom salts, 100% pure natural dead sea salt, organic coconut oil, and other natural oils | Dose: 1/2 cup for a sitz bath | Uses: Hemorrhoid relief during a sitz bath
Offers itch and pain relief
Can stain clothing
While the first line of defense for most people with hemorrhoids is medicated creams and ointments, pregnant women have to take a pause before running to the pharmacy for an OTC drug.
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Acutely Thrombosed Or Strangulated Internal Hemorrhoids
Patients with acutely thrombosed or strangulated internal hemorrhoids usually present with severely painful and irreducible hemorrhoids. The incarcerated hemorrhoids may become necrotic and drain. This situation is quite difficult to treat particularly in a case of extensive strangulation or thrombosis ,3A), or the presence of underlying circumferential prolapse of high-graded hemorrhoids. Manual reduction of the hemorrhoid masses, with or without intravenous analgesia or sedation, might help reducing pain and tissue congestion. Urgent hemorrhoidectomy is usually required in these circumstances. Unless the tissues are necrotic, mucosa and anoderm should be preserved as much as possible to prevent postoperative anal stricture. In expert hands, surgical outcomes of urgent hemorrhoidectomy were comparable to those of elective hemorrhoidectomy.
Complicated hemorrhoids. A: Strangulated internal hemorrhoid B: Acutely thrombosed external hemorrhoid.
Dibucaine Ointment 1% Usp Anesthetic Hemorrhoids Ointment
Dibucaine is a brand of medical creams that makes all kinds of ointments and solutions. You can also find a cream for hemorrhoids and piles from Dibucaine that is quite effective.
The Dibucaine Ointment for hemorrhoids is present in the 1st position in this article as it is highly effective. It is a 1% ointment or cream that is made for hemorrhoidal and topical analgesics. You can use this cream for the relief of local discomfort that includes things like burning, itching, dermatitis, and others.
As per its name, it is a 2 pack cream for piles where each cream tube contains 28 grams of cream or ointment. In other words, you get a total of 56 grams of 1% ointment cream with this Dibucaine option. This cream has a high user rating as it is highly effective against any issues that are associated with inflamed hemorrhoidal tissues.
- Highly effective 1% ointment cream
- Works against any issues related to inflamed hemorrhoidal tissues
- Relief for burning, itching, dermatitis, and other issues
- Slightly expensive
You can go with the Dibucaine Oint 1% cream for hemorrhoids if you are looking for a highly effective option out there. It works against issues related to inflamed hemorrhoidal tissues, including burning, itching, dermatitis, and others. This offers 2 cream packs that provide a total of 56 grams of ointment.
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