If bleeding and symptoms continue, know when to get the medical attention you need. Soak in warm water or a sitz bath. To reduce irritation, ease pain, and help shrink the veins, soak the hemorrhoids for 15 to 20 minutes three times a day in warm, not hot, water. If you don’t want to run a bath, try a sitz bath, which is a plastic tub that goes over your toilet seat. You may also add witch hazel, known for being a soothing and cooling remedy for hemorrhoids. This should be done a minimum of once a day and the Sitz bath should last for anywhere between 15 and 20 minutes. Apply an ice pack to the hemorrhoids. Place the ice pack in freezer until it’s completely frozen.
Take care not to apply the ice directly to the hemorrhoids. Instead, wrap the compress in a clean towel or cloth before pressing it gently on the hemorrhoids. Do not leave the pack on for long periods of time or it may damage the surrounding skin. Try a topical cream with phenylephrine to constrict the vessels, which may reduce bleeding. However, these will not stop the bleeding. Use soft toilet paper and resist the urge to scratch. To soothe the pain and reduce irritation, use moist or medicated towelettes.
You can also use witch hazel, hydrocortisone, aloe, or vitamin E medicated pads. Do not wipe aggressively, which can irritate or cause further bleeding. Pat or blot the area instead. Many of these supplements may be hard to find in drug stores, so check for them online and in herbal stores. Always talk with your doctor before taking supplements, especially if you’re taking other medications. If you’re pregnant or nursing, talk with your doctor before supplementing, since most of these have not been tested for use by pregnant or nursing women.
Oral Flavonoids: These have been shown to reduce bleeding, pain, itching, and recurrence. Calcium dobesilate or doxium tablets: Take these for two weeks and follow the packaged instructions. All of these things can reduce the swelling of tissues that cause hemorrhoids. This can help prevent or put less strain on the hemorrhoids. Eat a high-fiber diet to soften your stools and reduce constipation. Get a hemorrhoidectomy for external or internal hemorrhoids. This is the usual method for treating external hemorrhoids, especially if they are large or haven’t responded to less invasive procedures. Compared with hemorrhoidectomy, stapling has been associated with a greater risk of recurrence and rectal prolapse, where part of the rectum protrudes from the anus.
Have a rubber band ligation for internal hemorrhoids. He will then attach a rubber band-like device at the base of the hemorrhoid. The device will cut off blood circulation and lead to the hemorrhoid scarring, which shrinks and eliminates the hemorrhoid after a time. These chemical solutions will cause the veins to shrink. Your doctor may use infrared lasers or radio frequencies to coagulate the veins near the hemorrhoids. If the infrared method is used, a probe is applied to the base of the hemorrhoid.
If a radio frequency is used, a ball electrode is connected to a radio-frequency generator. Your doctor will use a probe capable of applying cold temperatures to the base of the hemorrhoid. This should cause destruction of the tissue. But, this method isn’t used very often, since the hemorrhoids usually return. Your surgeon will use a device to staple slipped or prolapsed internal hemorrhoids back within the anal canal. This will cut off the blood supply to the hemorrhoids so the tissue eventually dies and stops bleeding. Chronic constipation, straining, and long periods of sitting on the toilet are causes associated with hemorrhoids. These can all put more pressure on and block your veins, impairing circulation. Pregnancy is another condition that puts a lot of pressure on these veins, especially during delivery when straining happens and can lead to hemorrhoids.
Internal hemorrhoids are painless while external ones are painful. But, both types can lead to bleeding if they rupture. If you have internal hemorrhoids, it may be hard to see symptoms until they are bleeding and they’ll probably be painless. Itching or irritation in your anal region. A sensitive or painful lump of tissue near your anus. Check to see if you have hemorrhoids. Look in the mirror with your back turned to it and note any lumps or mass-like protrusions around your anus. The color may vary from your normal skin tone to darker red.
It may be painful if you press on the lumps. If so, you probably have external hemorrhoids. Pay attention to any blood on the toilet paper after you use the bathroom and wipe. Know when to see a doctor. If you still have symptoms or pain after a week of home remedies, you should see your doctor for an exam. Bleeding can be a cause for concern, especially if you’re at risk for or have another condition, like inflammatory bowel disease or colon cancer. Know what to expect from a medical examination. Your doctor will determine if you have hemorrhoids by looking at the outside of your anus and performing a digital rectal exam.
Your doctor will insert a lubricated index finger to feel the walls of your rectum for lumps, masses, and look for any blood. If you do have a guaiac test, it is important not to eat red meat, turnips, radish, horseradish, cantaloupe or uncooked broccoli three days before, since they can cause false positive results. If the bleeding is great enough to soak through undershorts, pants and on to bed sheets, is this an additional cause for concern? I’m male and had polyps removed just over a year ago. Contact your primary physician or go to your local hospital. Can blood in my stool from hemorrhoids be life-threatening? However, this is a discussion that should be had with your doctor, so if you’re experiencing any new bleeding symptoms, make an appointment as soon as possible.
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