Hemorrhoids In Patients With Cirrhosis Or Portal Hypertension
A clinician must differentiate bleeding hemorrhoids form bleeding anorectal varices because the latter can be managed by suture ligation along the course of varices, transjugular intrahepatic portosystemic shunt, or pharmacological treatment of portal hypertension. Since a majority of bleeding hemorrhoids in such patients is not life threatening, conservative measure with the correction of any coagulopathy is a preferential initial approach. Of note, rubber band ligation is generally contraindicated in patients with advanced cirrhosis due to the risk of profound secondary bleeding following the procedure. Injection sclerotherapy is an effective and safe procedure for treating bleeding hemorrhoids in this situation. In a refractory case, suture ligation at the bleeder is advised. Hemorrhoidectomy is indicated when bleeding hemorrhoids are refractory to other approaches.
Risk Factors For Hemorrhoids
Several risk factors have been claimed to be the etiologies of hemorrhoid development including aging, obesity, abdominal obesity, depressive mood and pregnancy. Meanwhile, some conditions related to increased intraabdominal pressure, such as constipation and prolonged straining, are widely believed to cause hemorrhoids as a result of compromised venous drainage of hemorrhoid plexus. Some types of food and lifestyle, including low fiber diet, spicy foods and alcohol intake, was reported to link with the development of hemorrhoids and the aggravation of acute hemorrhoid symptoms.
Who Can And Cannot Use Hydrocortisone For Piles And Itchy Bottom
Hydrocortisone treatments for piles and itchy bottom can be used by most adults .
Young people aged 16 to 17 years can only use some products. Do not use these treatments on children under the age of 16 unless a doctor prescribes them.
Hydrocortisone treatments are not suitable for some people. To make sure they are safe for you, tell your pharmacist or doctor if you:
- are allergic to hydrocortisone or any other medicine
- have a skin infection
- are pregnant, trying to get pregnant or you’re breastfeeding
- are taking other medicines, such as codeine, which might be making you constipated. Being constipated means you’re more likely to get piles.
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Don’t Make Things Worse
Bump up the fiber. It softens your stools and makes them move through your body more easily. You’ll find it in beans, whole-grain breads and cereals, and fresh fruits and veggies. You may also want to try a supplement if you can’t 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 they’re 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 you’re working hard. It’s common to hold your breath as you’re 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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What Do Hemorrhoids Look Like
The appearance of hemorrhoids can vary, and sometimes they cannot be seen without an internal examination. Generally, thrombosed hemorrhoids protrude from the anus as a dark bluish lump. The color is due to a blood clot inside a blood vessel. Non-thrombosed piles, however, lack this color and look more like a rubbery lump at the anal verge.
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Preparation H Suppositories Or Ointment For External Hemorrhoids
First things first, as with any medical condition, there is no miracle cure that works for everybody.
Choosing the best OTC hemorrhoid medicine and other hemorrhoid products can help you greatly.
This is why we recommend using multiple products in addition, like witch hazel wipes and hemorrhoid supplements like HemRid Max.
That being said, if you have external hemorrhoids, it may be more beneficial for you to use hemorrhoid cream or hemorrhoid ointment.
If your hemorrhoids are outside your anus and you use a suppository, the medicine may stay internal or inside the anus and not come in contact with the hemorrhoid tissue which is external, decreasing your chances of getting relief.
However, it is also possible that some of the medicine leaks out onto your external hemorrhoids and provides relief.
The great thing about hemorrhoid cream is that you use it both internally and externally.
For those of you with external hemorrhoids, this may be the best way to get relief because it ensures all of the hemorrhoid tissue is exposed to the medicine.
For that reason, we believe that those suffering from external hemorrhoids are best using hemorrhoid cream rather than a hemorrhoid suppository.
If you had a hemorrhoid burst it will probably bleed for about 10 seconds. If it bleeds longer than that make sure you see a doctor.
When To See A Physician
If you experience anorectal discomfort of some type , the first thing to consider is that it may be a more serious condition, such as a fissure, abscess, or fistula, or simple anal irritation caused by allergies or incomplete cleansing following a bowel movement. For this reason, it is wise to follow directions on the product labels that advise use for no more than 7 days. If the problem persists for longer than 1 week from the time it began, see a physician to ensure that you do not have a more serious condition.
It is also important to note that rectal bleeding requires an immediate physician appointment. Never assume that rectal bleeding is a minor problem that will disappear on its own. Rather, view it as a cause for alarm that requires an immediate physician appointment to screen you for such problems as colorectal cancer.
Hemorrhoids occur with greater frequency as a person ages. Thus, hemorrhoid products should never be used on anyone under the age of 12 years. If you experience protrusion , you should also see a physician. These are prolapsed internal hemorrhoids that should be checked to see if they require surgical correction.
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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?
Best Ointment: Doctor Butler’s Hemorrhoid & Fissure Ointment
Packed with organic herbs, minerals, and amino acids, this popular ointment reduces pain, itching, and burning protects and soothes irritations reduces swelling and stops bleeding from hemorrhoids and small anal tears. With over 2,000 five-star reviews, you know itll provide some relief.
This really is a miracle ointment, . Ive been suffering from hemorrhoids for years and I knew when I became pregnant I was in for some trouble. Im now 5 weeks postpartum and a few days ago I developed a thrombosed hemorrhoid. It was excruciating I am on day two with five applications already and I have much improvement.
Also Check: How Can You Tell If You Have Hemorrhoids
How To Use Hydrocortisone Antipruritic Cream
Use this medication on the skin only. However, do not use it on the face, groin, or underarms unless directed to do so by your doctor.
Wash and dry your hands before using. Clean and dry the affected area. Apply a small amount of medication to the affected area and gently rub in, usually 2-4 times daily or as directed by your doctor. Do not bandage, cover, or wrap the area unless directed to do so by your doctor. If used in the diaper area on an infant, do not use tight-fitting diapers or plastic pants.
After applying the medication, wash your hands. Avoid getting this medication in the eyes, nose, or mouth. If you get the medication in these areas, rinse with plenty of water.
Use this medication only for the condition for which it was prescribed. Do not use it for longer than prescribed.
Inform your doctor if your condition persists or worsens after 2 weeks.
Can I Use Diaper Rash Cream On Hemorrhoids
Zinc oxide is a mineral. Zinc oxide topical is used to treat diaper rash, minor burns, severely chapped skin, or other minor skin irritations. Zinc oxide rectal suppositories are used to treat itching, burning, irritation, and other rectal discomfort caused by hemorrhoids or painful bowel movements.
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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.
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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Equate Maximum Strength Hemorrhoid Relief
Equate is one of the most trusted company when it comes to providing products with promising results. This is a specially formulated cream which is extremely effective in targeting the pain, soreness and burning associated with hemorrhoids.
This cream works by shrinking the swollen hemorrhoid tissue and forming a protective layer over the irritated tissue.
The active ingredients used in this cream are glycerine, petroleum, phenylephrine HCl and pramoxine.
- Glycerin is helpful in easing bowel movements and treating constipation.
- It is known to reduce irritation and itching caused by external hemorrhoids.
- White petroleum soothes the burning sensation associated with anal fissures and other anarectal issues.
It also contains aloe vera which ensures to protect the skin from bacterial and fungal infections. This therapeutic cream will shrink the swollen hemorrhoids and supports healing.
This particular cream can be used for both internal and external hemorrhoids. You can apply this cream 5 times in a day for complete relief.
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How Can You Prevent Constipation
To avoid constipation and straining during bowel movements, people are often advised to change their diet, drink plenty of fluids, and get enough exercise. High-fiber foods like fruits, cereals, vegetables and legumes are generally recommended to try to make stools softer.
Studies suggest that plant fibers such as psyllium husk can reduce the frequency of bleeding. Whether or not they relieve other symptoms too hasnt been well studied. People who use psyllium husk must make sure that they drink enough fluids. But fiber can also cause diarrhea, which in turn leads to hemorrhoids being irritated even more by frequent bowel movements.
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Best Ice Treatment: Hilph Perineal Ice Packs For Postpartum
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Doubles as a heat pack
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Can be hard to keep in place
When you need guaranteed pain relief stat, icing is always the way to go. It numbs the area it touches and can help lower inflammation and swelling. There’s one major problem with this method: its a real acrobatic act to get ice to sitand stayagainst a hemorrhoid.
Hilphs long, flat cold packs, made from soft gel beads, are ideal for molding into the tricky area of your anus. The outer fabric feels nice on your skin and doesnt have any uncomfortable sharp corners. And the small gel beads inside freeze very fast and stay cold for a long timewithout creating a mess from dripping, melting water.
We love that the packs come not just with washable sleeves, but with four of them in case you need back-to-back ice therapy faster than you can do laundry.
Theyre super affordable compared to competitors, and you can pop the pack in the microwave to turn it into a hot pack if needed. Plus, after your hemorrhoid goes away, these are great to use hot or cold to soothe soreness after a workout or an injury.
Active Ingredients: Gel beads | Dose: Place on sensitive area for up to 10 minutes at a time. | Uses: Provides cooling relief for hemorrhoids
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Made with soothing natural oils
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Safe to use during pregnancy
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Offers pain relief
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Some customers say its led to rashes
It’s safe for use during pregnancy and postpartum careas well as anyone suffering a painful hemorrhoid, of course.
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Offers itch and pain relief
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Can stain clothing
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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Most Effective Anti Itch Cream
Itching is one of the biggest nuisances of suffering from hemorrhoids. Which creams are great for reducing itching? Heres a couple that will work really well to reduce itching:
Recticare Anorectal Cream is mostly intended as an anesthetic, but the anti-itching properties in it are terrific for reducing the effects of itching.
Another cream that has good anti-itching properties is Preparation H. Users report that Preparation H goes a long way in reducing the degree to which they itch while they suffer from hemorrhoids.
But lets look at a cream we can highly recommend for its ability to relieve itching.
“One cream that provides particularly strong relief for itching is Equate Maximum Strength Pain Relief Hemorrhoidal Cream.”
One cream that provides particularly strong relief for itching is Equate Maximum Strength Pain Relief Hemorrhoidal Cream.
Equate works so well in part due to the inclusion of aloe. The anti-inflammatory properties of aloe are very potent when it comes to relieving itching.
The fact that Equate is so smooth and easy to apply is one of its most liked benefits. If you are already itching a lot you dont want to worsen your suffering by applying a rough cream. Equate is very easy to apply.
What are the pros and cons of Equate? Its simple really:
- Lacks some of the most potent treatment ingredients
- Cannot be used if your hemorrhoids are bleeding
Our Choice Of Cream For Hemorrhoids
Youre probably thinking which of these brands the best way to get rid of hemorrhoids is. This is not surprising because you need to get the best value for your money and find the one that is effective compared to the rest of the market. From what we have gathered, we believe that the best place for you to start is Doctor Butlers Hemorrhoid & Fissure Cream. What we like about this product is that it is specially formulated to treat the symptoms of hemorrhoids from the bleeding, swelling, itching, and pain. The cream itself is colorless and doesnt have any odor too so you wont have a hard time applying it to the affected area. When applied regularly and correctly, you will find that there is less pain to deal with plus the swelling is reduced too. You should follow the directions on the label so that you will be able to treat your hemorrhoids quickly.
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Common Questions About Hydrocortisone
The hydrocortisone in treatments for piles and itchy bottom is a steroid .
Like other steroids, it works by calming your immune system. This reduces inflammation and helps to relieve the pain and itching of piles.
The pain and itching should get better within a few days of starting treatment.
Piles and itchy bottom should get better within 7 days. Talk to your doctor if your piles have not got better or the itching gets worse.
There are other treatments available to buy that do not contain hydrocortisone. These include creams and suppositories containing zinc oxide or other soothing ingredients.
Your doctor may be able to prescribe stronger medicines for piles or itchy bottom.
No, using hydrocortisone treatments for piles does not affect what you can eat and drink.
It’s a good idea, though to eat lots of foods which contain fibre so you do not get constipation. Examples of foods with lots of fibre are porridge oats and wholegrain breakfast cereals, wholemeal breads, wholewheat pasta, pulses, potatoes with their skins on and vegetables.
To avoid constipation, try to drink several glasses of water or other non-alcoholic drinks each day. If you can, it may also help to increase your levels of exercise.
Yes, you can drink alcohol while using all hydrocortisone treatments for piles and itchy bottom.
There is no clear evidence that hydrocortisone treatments for piles or itchy bottom affect male or female fertility.
Look on the pill packet to find out what to do.