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Try A Drugstore Product
Look for hemorrhoid creams and suppositories that contain hydrocortisone, a medicine that helps reduce swelling, itching, and burning. Wipes and pads containing witch hazel might help reduce discomfort, especially following bowel movement. Using moist wipes can also avoid irritation caused by regular toilet paper.
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What Causes Internal And External Hemorrhoids And Simple Ways To Treat Them
Hemorrhoids are usually caused by increased pressure due to pregnancy, being overweight, or straining during bowel movements. By midlife, hemorrhoids often become an ongoing complaint. By age 50, about half the population has experienced one or more of the classic symptoms, which include rectal pain, itching, bleeding, and possibly prolapse . Although hemorrhoids are rarely dangerous, they can be a recurrent and painful intrusion. Fortunately, there’s a lot we can do about hemorrhoids.
Essential Orgs For Hemorrhoid Information
This site provides a comprehensive review of what hemorrhoids are, what causes them, and how to treat them. In cases when pain is severe and hemorrhoids aren’t healing with at-home treatment, in-office treatment by a healthcare provider is necessary. This can involve surgical and nonsurgical options.
The Mayo Clinic offers trusted guidance on symptoms, causes, diagnosis, and treatment of hemorrhoids. You can also find answers to specific questions about home remedies and hemorrhoid treatment during pregnancy.
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How Are Hemorrhoids Diagnosed
This check is known as a digital rectal exam. During this exam, your doctor inserts a gloved and lubricated finger into your rectum.
Depending on your risk factors for gastrointestinal disease, your doctor may order an additional test like an anoscopy, sigmoidoscopy, or colonoscopy.
In these tests, a small fiber-optic camera fits into a small tube thats inserted into your rectum. With this test, your doctor gets a clear view of the inside of your rectum so that they can examine the hemorrhoid up close.
You can find a primary care doctor, gastroenterologist, or other specialist near you through the Healthline FindCare tool.
You can have hemorrhoids treated at home or at a doctors office.
How Are Hemorrhoids Treated
Your healthcare provider will create a care plan for you based on:
- Your age, overall health, and past health
- How serious your case is
- Whether you have internal hemorrhoids, external hemorrhoids, or both
- How well you handle certain medicines, treatments, or therapies
- If your condition is expected to get worse
- What you would like to do
The main goal of treatment is to reduce your symptoms. This may be done by:
- Sitting in plain, warm water in a bathtub several times a day
- Using ice packs to reduce swelling
- Using hemorrhoid creams or medicines inserted into your rectum
Your healthcare provider may also suggest that you add more fiber and fluids to your diet to help soften your stools. Having softer stools means you don’t have to strain during bowel movements. This reduces the pressure on your hemorrhoids.
Adding more fiber to your diet means eating more:
Tips to help you get the most from a visit to your healthcare provider:
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Do Hemorrhoids Cause Constipation
It is possible that the pain of hemorrhoids might cause a person to avoid going to the bathroom. Fighting the urge to go is definitely one of the causes of constipation.
This, however, is rare. In most instances it is constipation that puts undue pressure on the hemorrhoid blood vessels, causing them to swell and become inflamed.
If You Notice Bleeding Before During Or After Bowel Movements
If you notice blood before, during, or after bowel movements, you should seek medical care. Bleeding during bowel movements may be associated with hemorrhoids, but it could also be . Call your doctor so you can get an accurate diagnosis and rule out anything life-threatening. Your doctor can help you identify and address the cause of your bleeding. And if its hemorrhoids, they can offer treatment, relief, and suggestions to help you prevent hemorrhoids from recurring.
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If Discomfort From Hemorrhoids Isnt Resolved Within A Week
When youve had persistent discomfort, pain, or itching for a week, its time to talk to a doctor. While some symptoms of hemorrhoids resolve on their own, others do not and can be treated by a doctor, so you dont have to live with the daily symptoms. Your doctor can recommend treatments that range from the conservative, like dietary and behavioral changes, or in-office procedures, such as rubber band ligation, to more invasive approaches like surgery.
Keeping Yourself Comfortable During The Day
Though hemorrhoid symptoms vary depending on the location and type, if you have external hemorrhoids, a thrombosed hemorrhoid , or a prolapsed internal hemorrhoid , simple things like sitting at your desk at work can cause extreme discomfort. For immediate pain relief, we recommend oral pain relievers or topical treatments such as an over-the-counter hemorrhoid cream or witch hazel. We may also prescribe a numbing cream to ease your pain.
To reduce irritation, you should wear clean, cotton underwear and loose-fitted clothing to help keep the area dry. Moisture may lead to itching and irritation. If you find it too difficult to sit in your office chair, you may want to invest in a donut cushion to ease the pressure on your backside.
At home, soak in a warm sitz bath for 1015 minutes a few times a day to relieve itching, muscle spasms, and pain. You can find a sitz bath tub at your local pharmacy that fits over your toilet to make the process easier.
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Can Hemorrhoids Be Prevented
You can help prevent hemorrhoids by:
- Eating foods that are high in fiber
- Taking a stool softener or a fiber supplement
- Drinking enough fluids every day
- Not straining during bowel movements
- Not sitting on the toilet for long periods of time
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
How Can I Treat My Hemorrhoids
You can most often treat your hemorrhoids at home by
- taking a stool softener or a fiber supplement such as psyllium or methylcellulose
- drinking water or other nonalcoholic liquids each day as recommended by your health care professional
- not straining during bowel movements
- not sitting on the toilet for long periods of time
- taking over-the-counter pain relievers such as acetaminophen, ibuprofen, naproxen, or aspirin
- sitting in a tub of warm water, called a sitz bath, several times a day to help relieve pain
Applying over-the-counter hemorrhoid creams or ointments or using suppositoriesa medicine you insert into your rectummay relieve mild pain, swelling, and itching of external hemorrhoids. Most often, doctors recommend using over-the-counter products for 1 week. You should follow up with your doctor if the products
- do not relieve your symptoms after 1 week
Most prolapsed internal hemorrhoids go away without at-home treatment. However, severely prolapsed or bleeding internal hemorrhoids may need medical treatment.
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What Questions Should I Ask My Doctor
You may want to ask your healthcare provider:
- Why did I get hemorrhoids?
- What is the best treatment for me?
- What lifestyle changes can I make to keep from getting hemorrhoids again?
- When will symptoms improve?
- Should I look out for signs of complications?
A note from Cleveland Clinic
An estimated 15 million Americans have sought treatments for hemorrhoids at some point in their lives. But many more suffer needlessly. Dont be too embarrassed to talk to your healthcare provider about your symptoms. If hemorrhoids cause pain or discomfort, your provider has treatments that can help. You can also take steps to keep hemorrhoids from coming back.
Last reviewed by a Cleveland Clinic medical professional on 01/18/2021.
References
Questions To Ask Your Doctor
- Why do I have hemorrhoids?
- Are there any lifestyle changes I can do that can relieve or prevent hemorrhoids?
- I saw blood on toilet paper. Is this serious?
- Are having hemorrhoids a sign of another health condition?
- Will I always have hemorrhoids?
- Is there medicine I can take for hemorrhoids? Are there side effects?
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Can Hemorrhoid Pain Radiate
In rare cases, hemorrhoids can create pressure on nerves and cause pain elsewhere.
Except in rare cases, radiating pain is not generally linked to hemorrhoids.
While many cases of external or thrombosed hemorrhoids are accompanied by pain, there are many ways to control the pain associated with hemorrhoids.
If the at-home hemorrhoid remedies dont work to relieve your pain, contact your doctor. We have a full guide on how to get rid of external hemorrhoids.
Hemorrhoid Medication: When Why And Which Ones To Use
A number of OTC creams, ointments, and pads that contain hydrocortisone or witch hazel are available to help relieve pain, swelling, and itching caused by hemorrhoids. According to the National Institute of Diabetes and Digestive and Kidney Diseases, doctors recommend using over-the-counter products for a week. If symptoms persist beyond a week, follow up with your doctor.
Creams and suppositories containing hydrocortisone can cause the skin to weaken and thin, so they should not be used for more than a week. If any of these creams cause a rash or dry skin around the area, contact your healthcare provider.
A fiber supplement, such as Metamucil , or a stool softener, such as Citrucel , can help prevent constipation.
Avoid laxatives, which can lead to diarrhea and worsen hemorrhoid symptoms.
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What Can I Do To Ease Hemorrhoid Pain
There are many ways to ease the pain of hemorrhoids.
At-home methods include over-the-counter pain medications, creams or wipes, sitz baths, and many lifestyle changes to prevent the worsening of your hemorrhoids.
If at-home treatments are not working, talk to your doctor about non-invasive treatments.
Rubber band ligation is a non-invasive procedure that involves placing one or two rubber bands on the internal hemorrhoids to cut off the circulation.
Injection or sclerotherapy involves the injection of a chemical solution to shrink the hemorrhoid tissue.
Coagulation is also an option. Lasers, infrared light, or heat can be used to harden and shrivel your hemorrhoids.
If all else fails, you can talk to your doctor about the surgical procedures to alleviate hemorrhoids.
Be careful when trying laser hemorrhoid surgery, as it can be very painful.
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Symptoms And Signs Of Hemorrhoids
Hemorrhoids are often asymptomatic, or they may simply protrude. Pruritus ani Pruritus Ani The perianal skin tends to itch, which can result from numerous causes . This condition is also known as pruritus ani. Occasionally, the irritation is… read more is not commonly caused by hemorrhoids unless they are significantly prolapsed.
Internal hemorrhoids typically manifest with bleeding after defecation blood is noted on toilet tissue and sometimes in the toilet bowl. Internal hemorrhoids may be uncomfortable but are not as painful as thrombosed external hemorrhoids. Internal hemorrhoids sometimes cause mucus discharge and a sensation of incomplete evacuation.
Strangulated hemorrhoids occur when protrusion and constriction occlude the blood supply. They cause pain that is occasionally followed by necrosis and ulceration.
What Are The Treatment Options
Small hemorrhoids often clear up without treatment or with home treatment and lifestyle changes. If youve continued problems or complications, such as bleeding, you should see your doctor.
Your doctor can rule out other causes of bleeding during bowel movements, such as colon or . If your symptoms become severe, your doctor may recommend medical procedures to remove or shrink the hemorrhoids.
Your doctor may recommend a minimally invasive outpatient treatment. Outpatient treatments are treatments that your doctor performs in their office. Some treatments include the following:
- Rubber band ligation is the most common nonsurgical treatment, and it involves your doctor tying a tight band around the base of the hemorrhoid to cut off the blood supply. Eighty percent of people who receive treatment for hemorrhoids have this type of treatment.
- During coagulation, your doctor uses infrared light, heat, or extreme cold to shrink the hemorrhoid.
- During sclerotherapy, your doctor injects a chemical to shrink the hemorrhoid.
If you have severe hemorrhoids or hemorrhoids that dont respond to in-office medical treatments, you may need a doctor to surgically extract them. This has been shown to provide symptom relief and reduce future outbreaks.
study in 2004 compared the rate of recurrence of hemorrhoids in 231 people.
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Treat Yourself With An Otc Hemorrhoid Cream
There are many hemorrhoid creams and suppositories on the market, and while they generally will not make your problem disappear, most are designed as local painkillers and can relieve some of the discomfort, says Gathright. Limit their use to 1 week they can cause the skin to get too thin. Choose a hemorrhoid cream like Preparation H over a suppository, says Leff. Suppositories are absolutely useless for external hemorrhoids. Even for internal hemorrhoids, they tend to float too far up the rectum to do much good, he says.
How Should I Use Hemorrhoidal Rectal
Use exactly as directed on the label, or as prescribed by your doctor.
You may use Hemorrhoidal up to 4 times daily, especially after a bowel movement.
Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.
Do not place Hemorrhoidal cream, gel, or ointment inside your rectum. These forms of phenylephrine rectal are for use only on the area around and just outside of your rectum.
Only the rectal suppository should be placed into the rectum.
Store at room temperature away from moisture and heat.
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How Does Hemorrhoid Banding Work
When a doctor uses a ligator to place a tiny elastic band around a hemorrhoid, it cuts off the hemorrhoidal tissues blood supply. This causes the hemorrhoid to painlessly wither and fall from the living tissue in about a week. The surrounding tissue then forms a small scar as it heals. Once a scar forms where the hemorrhoid used to be, it helps keep hemorrhoids from coming back in the same spot.
Is Hemorrhoid Banding Painful
The procedure of rubber band ligation, also known as banding, is painful.
Your doctor will work with you to keep pain to a minimum.
For severe pain during the procedure, your doctor can inject a medication to numb the area .
Pain is likely to last 24 to 48 hours after the procedure.
Take a look at our guide on laser hemorrhoid surgery for a different option.
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Internal Hemorrhoid Treatment Options
Many internal piles treatment options are available to those experiencing symptoms. Some of the most common treatments for hemorrhoids that people are familiar with are aimed at providing temporary relief from pain, itching or general discomfort. These methods include things like sitz baths, over-the-counter creams and ointments or natural home remedies like aloe vera and apple cider vinegar.
Unfortunately, these treatment methods only provide momentary relief, and they only really work for external hemorrhoid symptoms.
Internal hemorrhoids treatment must be aimed at addressing the problem long-term by actually removing the internal hemorrhoids.
How Long Does Thrombosed Hemorrhoid Pain Last
Thrombosed hemorrhoids can be very painful. How long the pain lasts depends on what action you take to treat these hemorrhoids.
A surgical procedure is often performed within three days of the onset of thrombosed hemorrhoids.
While you may still experience pain after hemorrhoid surgery, you should notice a substantial difference.
Pain of thrombosed hemorrhoids should subside within seven to ten days when no treatment is provided.
Make sure you do not lift anything heavy after your surgery . A very common procedure for thrombosed hemorrhoids is called banding.
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