Thursday, December 1, 2022

What Is The Treatment For External Hemorrhoids

How Do You Shrink External Hemorrhoids

What Are Treatment Options For External Hemorrhoids?

There are many methods you can employ to shrink external hemorrhoids. To start, you can use topical based treatments, like Preparation H, hemorrhoid wipes with calming, anti-inflammatory ingredients, or natural extracts like coconut oil or aloe vera.

Applying these creams, ointments, or extracts directly to your external hemorrhoids can encourage them to shrink faster.

Sclerotherapy is another option for sufferers with constant flare-ups of external hemorrhoids.

Chronic external hemorrhoids are injected with a chemical compound that is designed to shrink them and help subside future flare-ups.

Your doctor can recommend additional non-operative or surgical treatment options to find which method is best for your hemorrhoid condition.

What Are The Signs And Symptoms Of An External Or Thrombosed Hemorrhoid

Thrombosed external hemorrhoids are a painful condition. These occurs when a blood clot develops in a hemorrhoidal blood vessel causing swelling and inflammation.

  • When a blood clot occurs in a hemorrhoid, the hemorrhoid will become even more swollen. This swelling leads to increased pain.
  • The pain is usually worse with bowel movements and may increase with sitting.

A thrombosed external hemorrhoid may resolve on its own however, this condition often needs medical care. Bleeding with a bowel movement is never normal and should prompt a visit to a health-care professional. While hemorrhoids are the most common cause of bleeding with a bowel movement, there may be other reasons for bleeding including inflammatory bowel disease, infection, and tumors.

Hemorrhoids are not arteries or veins, but instead are normal blood vessels called sinusoids that are located in the walls that surround the rectum and anus. When the venous pressure within these blood vessels increases, the hemorrhoids swell and dilate, because it is more difficult for blood to empty from them. This leads to the most common symptoms of bleeding and swelling.

Common situations that increase pressure within the hemorrhoidal blood vessels and lead to abnormalities include the following.

  • Straining to have a bowel movement. This may be due to constipation or diarrhea.
  • Prolonged sitting, including on the toilet
  • Lack of exercise

What Is The Treatment To Shrink Or Remove External Hemorrhoids

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Who Removes External Hemorrhoids

In many cases of mild external hemorrhoids, a general practitioner or your family doctor can treat you.

For hemorrhoid removal, however, your regular doctor may refer you to a specialized physician such as a gastroenterologist or a proctologist.

A gastroenterologist has received training in diagnosing and treating intestinal and rectal conditions while a proctologist specializes in surgical procedures for intestinal and rectal disorders.

If you are suffering from severe or chronic external hemorrhoids, ask your doctor about treatment methods best for your condition.

Surgery is often the last tried method in serious cases of hemorrhoids, and there are plenty of treatments that are non-operative.

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Rachael Schultz is a freelance writer with a focus in health and nutrition. Her articles have appeared on a handful of other Health sites, and she has a degree from the Savannah College of Art and Design. She specializes in breaking down science and medical jargon into digestible information.

Additional reporting to this story by Marlene Lenthang

As a health writer, knows just how important it is to find the right product for your body and mind. Over the years she has written about health crises, vaccines and product guides. She takes careful note of doctor recommendations, medical research and customer reviews in every product review to assure readers can choose quality products and understand the science behind them.

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  • Wont shrink bumps

  • Wont offer immediate pain relief

Over-the-counter hemorrhoid suppositories wont shrink your bump, but they can help stimulate a bowel movement or lubricate the anal canal so that its easier and less painful to go, Dr. Childs says.

There are a lot of products to help soften your stool, but we love this one because it has both witch hazel powder and psyllium husk, a natural fiber. Other ingredients like ginger root and horse chestnut seed are intended to help lower inflammation and promote healing in the damaged tissue of a hemorrhoid. Plus, psyllium husk is a gentle stool softener, so youll see results without any of the emergency feelings.

This formula is made from entirely natural ingredients with no chemicals and no fillers. That means its not only better in the moment, but also you can use the stool softener regularly if you need to help avoid future straining .

Active Ingredients: Psyllium husks, witch hazel, horse chestnut seed, and ginger root | Dose: 3 capsules once daily with a full glass of water | Uses: Reduces straining due to constipation, regulates bowel movements, support normal stool formation

How Do I Know If I Have External Hemorrhoids

Depending on the severity of your external hemorrhoids, symptoms are more obvious than that of internal hemorrhoids.

If you have hemorrhoid itching and burning, or pain around the anus, lumps near the anus, or blood in your stool, these are indications that you may have external hemorrhoids.

Another sign of external hemorrhoids is a feeling of pressure on the bowel. If you suspect you have external hemorrhoids, a hemorrhoid doctor can perform a rectal exam to verify your diagnosis.

If you have internal hemorrhoids, check out our internal hemorrhoids guide for more information.

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Types Of External Hemorrhoids

Hemorrhoids are classified as either internal or external. While most hemorrhoids fall under one of these two categories, prolapsed or thrombosed hemorrhoids can have qualities of both.

A prolapsed hemorrhoid is an internal hemorrhoid that can protrude out of the anus, appearing to be an external hemorrhoid.

A thrombosed hemorrhoid is an external hemorrhoid that has prolapsed and formed a blood clot. This is the most painful type of hemorrhoid.

Hemorrhoids also fall into four different stages based on size, severity of symptoms, and required treatments.

To discover the most common cause of hemorrhoids be sure to take a look at this post.

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Hemorrhoids Signs & Symptoms | Internal vs. External Hemorrhoid Symptoms | Hemorrhoidal Disease

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Verywell / Sabrina Jiang

Hemorrhoids, a painful condition involving swollen veins in the rectum and anus, occur when the veins in your rectum become swollen from too much pressure, like if you sit for a long time, strain during bowel movements, or are pregnant. Hemorrhoids will go away once the pressure is lifted. But they can be painful and itchy, so really what youre treating with over-the-counter remedies are the symptoms, says colon and rectal surgeon Tracey Childs, M.D., chief of surgery at Providence Saint Johns Health Center in Santa Monica, CA. But there isnt one treatment or miracle compound thats going to take care of the issue,” she says.

Important note: There are a lot of other conditions that have symptoms similar to hemorrhoids. If the pain, swelling, bleeding, or constant need to strain doesn’t get better after a few days, go to the doctor, Dr. Childs adds.

Here are the best over-the-counter hemorrhoid treatments on the market.

  • Includes herbs and amino acids

  • Expensive for size

  • Some say isnt as effective for fissures

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Symptoms Of Prolapsed Internal Hemorrhoids

Hemorrhoids prolapse when their blood vessels swell and extend from their location in the rectum through the anus. In the anal canal, the hemorrhoid is exposed to the trauma of passing stool, particularly hard stools associated with constipation. The trauma can cause bleeding and sometimes pain when stool passes.

The presence of

  • inflammation, and
  • constant moisture

can lead to anal itchiness , and occasionally the constant feeling of needing to have a bowel movement. The prolapsing hemorrhoid usually returns into the anal canal or rectum on its own or can be pushed back inside with a finger, but falls out again with the next bowel movement.

How To Heal Hemorrhoids: Over

Products used to treat hemorrhoids are available as

  • ointments,
  • foams, and
  • pads.

When used around the anus, ointments, creams, and gels should be applied as a thin covering. When applied to the anal canal, these products should be inserted with a finger or a “pile pipe.” Pile pipes are most efficient when they have holes on the sides as well as at the end. Pile pipes should be lubricated with ointment prior to insertion. Suppositories or foams do not have advantages over ointments, creams, and gels.

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Causes Of External Hemorrhoids

The most common cause of external hemorrhoids is repeated straining during a bowel movement, leading to the veins of the anus or rectum becoming dilated or enlarged. Because external hemorrhoids result from excessive pressure in the rectums veins, certain factors can increase the chances of external hemorrhoids forming.

Some of the most common external hemorrhoid causes include:

  • Pregnancy.
  • Heavy weight lifting.
  • Obesity.

Each of the above places added pressure on the rectal veins, which may eventually cause increased swelling in the external hemorrhoids. For example, in pregnant women, the uterus puts extra pressure on these veins and can cause them to enlarge. To reduce the likelihood of developing external hemorrhoids or prevent symptoms from worsening, limit the amount of time you spend on the toilet to two minutes and make sure you always practice proper form when heavy lifting.

Blood Clots In The Hemorrhoid

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External hemorrhoids can be very painful if they become thrombosed. Thrombosed hemorrhoids are usually purple-blue.

A thrombosed hemorrhoid occurs when the veins that cause the bulge in the hemorrhoid develop a blood clot. As a result, blood is unable to flow to the hemorrhoid, and the effect can be extremely painful.

The body will often absorb the blood clot, therefore reducing the symptoms and easing the pain.

When the blood clot passes or the body reabsorbs it, an external hemorrhoid may sometimes leave behind a perianal skin tag. A doctor may recommend surgical removal if this skin tag regularly catches stool and is difficult to keep clean.

Treatments include home remedies and surgery.

Examples of home remedies people can use to treat hemorrhoids include:

  • taking warm baths
  • gently cleaning the anus after a bowel movement, often by using moistened wipes or cotton pads
  • applying cloth-covered ice packs to reduce swelling
  • taking over-the-counter pain relievers, such as ibuprofen or acetaminophen, to relieve pain and discomfort
  • applying ointments, such as creams with witch hazel or hydrocortisone- that relieve itching

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How Do You Stop External Hemorrhoid Bleeding

External hemorrhoids can bleed if they become thrombosed and the blood clot bursts.

Thrombosed hemorrhoids are not as common as external hemorrhoids, but if a blood clot does happen to form, you should tell your doctor right away in the case of it needing to be lanced and drained.

In the case of a bleeding external hemorrhoid, apply pressure with a clean towel, rag, or toilet paper.

Make sure that the opened wound is thoroughly cleaned so you can prevent infection . If the bleeding does not subside and continues, contact your doctor or emergency services right away.

Who Is At Risk Of External Hemorrhoids

If your parents have had hemorrhoids, you may be more likely to have them as well. Hemorrhoids may also be more likely to happen during pregnancy.

As we age, hemorrhoids can occur due to increased pressure caused by sitting a lot. And anything that causes you to strain during bowel movements can lead to external hemorrhoids.

A healthcare professional may be able to help you determine the cause of your hemorrhoids.

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Future Perspectives In The Treatment Of Hemorrhoids

To date, it is obvious that, apart from oral flavonoids-based phlebotonic drugs, currently available medication for hemorrhoids has no or limited beneficial effects on bleeding and prolapsing. Since emerging evidence has suggested that perivascular inflammation, dysregulation of the vascular tone and vascular hyperplasia could play an important role in the development of hemorrhoids, the microcirculatory system of hemorrhoid tissue could be a potential and robust target for medical treatment. The combinations of vasoconstrictive and venoconstrictive agents, with or without anti-inflammatory drugs, might be a new pharmacological approach for hemorrhoids.

If an intervention, either office-based procedure or surgery – is indicated, evidence-based approaches must be exercised. Day-case operation or ambulatory surgery should be fully developed together with an effective program for peri-operative care. Despite advances in office-based procedures and better surgical approaches, post-procedural pain and disease recurrence remain the most challenging problems in the treatment of hemorrhoids. Consequently, future researches and novel management of hemorrhoids may focus on how to minimize pain following a procedure and how to prevent recurrent hemorrhoids. Meanwhile, long-term results of newly or recently developed interventions are definitely required.

What Are Internal Hemorrhoids

What Are Thrombosed External Hemorrhoids? The Facts

While external hemorrhoids may be more obvious, internalare more common. In fact, everyone has internal hemorrhoids, but theyre not a problem until the blood vessels within your rectum become swollen and the tissue begins to loosen.

Minor bleeding is a common indicator that you have an internal hemorrhoid, and as the swelling develops, you may start to experience some of the typical hemorrhoid symptoms. Constipation is a common cause of internal hemorrhoids, but you might not notice any pain as there are very few nerves found in that region of your rectum.

As things progress, the internal hemorrhoid tissue may manifest outside of the anus as a prolapsed hemorrhoid. Your doctor can determine whether you have an external hemorrhoid or a prolapsed internal hemorrhoid. If you notice a small amount of blood on the toilet paper or feel excess tissue around your anus, you should consult with your doctor to find the underlying issue and seek the appropriate treatment.

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What Are The Symptoms Of Hemorrhoids

Internal hemorrhoids rarely cause pain unless they prolapse. Many people with internal hemorrhoids dont know they have them because they dont have symptoms.

If you have symptoms of internal hemorrhoids, you might see blood on toilet paper, in stool or the toilet bowl. These are signs of rectal bleeding.

Signs of external hemorrhoids include:

  • Itchy anus.
  • Hard lumps near the anus that feel sore or tender.
  • Pain or ache in the anus, especially when you sit.
  • Rectal bleeding.

Prolapsed hemorrhoids can be painful and uncomfortable. You may be able to feel them bulging outside the anus and gently push them back inside.

About Three Out Of Four Adults Will Develop At Least One External Hemorrhoid In Their Life

Hemorrhoids are best described as swollen veins in the lower rectum and anus. External hemorrhoids are visible without having to insert a scope into the anus. These are generally located around the anus.

  • There are multiple causes, but in many cases, the exact cause is not identified.
  • Pregnancy causing increased pressure on the veins in this area and straining when trying to have a bowel movement are common reasons for hemorrhoids.

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Hemorrhoids In Immunocompromised Patients

In general any intervention or operation should be avoided, or performed with a careful consideration in immunocompromised patients because of an increases risk of anorectal sepsis and poor tissue healing in such cases. A conservative measure is the mainstay for the treatment of hemorrhoids in this group of patients. If required, injection sclerotherapy appeared to be a better and safer alternative to banding and hemorrhoidectomy for treating bleeding hemorrhoids. Antibiotic prophylaxis is always given before performing any intervention, even a minor office-based procedure, due to the possibility of bacteremia.

Can Hemorrhoids Be Prevented

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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

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Understanding The Difference Between External And Internal Hemorrhoids

Its true that the symptoms youre having help identify which type of hemorrhoid youre experiencing. The good news is that treatment exists for all types, and it may be easier than you believe to get rid of the pain and bleeding that often accompany this fairly common problem.

Betsy Clemens, MD, is a specialist who leads our team here at Midwest Hemorrhoid Treatment Center in Creve Coeur, Missouri. She shares insight about hemorrhoid types, their symptoms, and the therapy available to help resolve your discomfort.

I Have Had An External Hemorrhoid For Months Is This Normal

Hemorrhoids can last for a several days or several months. The existence of hemorrhoids varies depending on their severity and the treatment. Some hemorrhoids may require medical treatment or surgery.

Many people suffer from hemorrhoids without ever seeking treatment. Depending on how you treat your hemorrhoids will determine how long they last.

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How To Get Rid Of External Hemorrhoids Without Surgery

After identifying the hemorrhoids, you can rid them through at-home remedies, which eliminate them naturally.

You can either have a warm bath or relax in a bathtub with a few spoons of Epsom salt. Besides, you can apply a warm compress for around 10 to 15minutes. To shrink the size, you can use a cotton pad soaked in an astringent.

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