Internal hemorrhoids: The most obvious symptom of internal hemorrhoids is bright red rectal bleeding with your bowel movements. External hemorrhoids: External hemorrhoids can cause itching and burning in the anal area. They often cause pain, and sometimes bleed, especially when wiping after a bowel movement. Sometimes, external hemorrhoids make sitting very uncomfortable. In most cases, hemorrhoids can be treated at home, using methods that soothe or reduce pain, inflammation, swelling, itching and pressure. This section describes some of the steps you can take at home to feel better. Although it can be painful to wipe the anal area when there’s a hemorrhoid present, one of the most important steps you can take to begin healing is keeping it as clean as possible.
Gently wash it with a soft washcloth, warm water and mild soap. Rinse well, and pat dry using a clean washcloth or very soft toilet tissue. Several topical treatments can relieve hemorrhoid swelling and pain. Some can be purchased at the drugstore, and some are probably in your kitchen. Witch hazel: Tucks Medicated Pads contain witch hazel, which is an astringent. You can also purchase witch hazel water and apply it to the anal area using a cotton ball or soft pad. Aloe vera: Aloe vera is lubricating and soothing. You can purchase aloe vera gel at the drugstore, just make sure it’s not in a cream with other ingredients. If you have an aloe plant, break off a small piece, squeeze out the gel inside, and apply it to the area.
Apply an Epsom salt and glycerin paste. Apply the paste to a gauze pad and place it over the affected area. Leave the paste on for 15-20 minutes. You can reapply the paste every 4-6 hours until your pain subsides. Drinking water will soften your stools, making them easier to pass and reducing the urge to strain, which can potentially worsen your hemorrhoids. When you suspect a hemorrhoid, increase your water intake to 8 to 11. Fiber is another excellent stool softener, and it helps keep your stool moving normally though your intestines. You can add it to your diet by eating high-fiber foods, by using a fiber supplement, or both. Or, you can try over-the-counter psyllium fiber supplements like Citrucel or Metamucil.
A sitz bath is a warm water bath for the perineal area. Warm water is soothing for hemorrhoids, provides relief and promotes healing. Add soothing and healing ingredients, if desired. Warm water alone will be soothing, but you may also find additional relief by adding known hemorrhoid healers such as table salt, epsom salts, chamomile, yarrow, and calendula. Take a 20 minute sitz bath after every bowel movement. If you can, also include another two to three soaks a day until the hemorrhoids have healed. Gently dry the perineal area with a soft towel. Apply an ice pack or cold compress. Cold will reduce swelling, inflammation and pain.
Wrap the ice pack or compress in a cloth and place it on the anal area for 15 minutes. Repeat two to three times a day. Once the hemorrhoids are healed, you can take measures to stop them from returning. Some treatment suggestions also apply to prevention, like maintaining a high-fiber diet and drinking lots of water. If you have to go, go! Sometimes it just isn’t the best time to make a bowel movement. However, waiting until later can cause problems. When you wait, your stools dry out and back up in your rectum, which can cause additional pressure. Then, when you do use the toilet, you may find yourself straining.
So, when you feel the urge to move your bowels, don’t wait. Don’t spend too much time on the toilet. Spending long periods of time sitting on the toilet puts pressure on the anal area. Don’t spend more than 10 minutes on the toilet at a stretch. If you are constipated, clean up, take a break, drink some water, take a walk, and try going again later. If being overweight is the cause of your hemorrhoids, losing weight may help. Talk to your doctor for recommendations about how much weight you might need to lose, and healthy ways to do it. Exercise stimulates bowel function, which makes it easier to pass your stools.
If you have a sedentary job, make a point to get up and walk around some every hour. Getting more exercise can also help you with weight loss. Make dietary changes to help soften your stools. Softer stools mean less straining, less pressure on the anal area and less time spent sitting on the toilet. Dietary changes mean both adding and omitting or reducing your intake of certain foods. You may need to experiment with your diet before finding the balance that works for you.
Together with a circular muscle called the anal sphincter, using methods that soothe or reduce pain, but it what to use to get rid of hemorrhoids be considered for patients with acute complications of hemorrhoidal disease or for those who were unable to treat hemorrhoids with other measures.