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External hemorrhoids: 6 most used treatment options

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The treatment for external hemorrhoids can be done with homemade measures such as sitz baths with warm water, for example. However, anti-inflammatory drugs or ointments for hemorrhoids can also be useful in the treatment to relieve pain and discomfort, reducing hemorrhoids quickly.

When hemorrhoids are very large or appear frequently, the proctologist may recommend surgery, but these homemade measures are generally effective and have a long-lasting effect.

Thus, to control hemorrhoids quickly, it is indicated:

1. Sitz bath

The warm water helps to relieve swelling and pain, but they should last for about 15 to 20 minutes and can be done several times a day. Some medicinal plants that can be added to the basin with warm water are chamomile, lavender, arnica and witch hazel, which will help to calm the area and relieve pain in a few minutes. But in order to prevent the place from becoming infected, it is recommended to use a stainless steel bowl properly cleaned and disinfected with alcohol, and the water must be changed after each sitz bath.

2. Eat more fiber and drink more water

Eating fiber-rich foods, such as whole grains, leafy vegetables and unpeeled fruits at every meal, is also an excellent way to soften stools, bringing less discomfort in bowel movement. But for a better use of the fibers it is also important to drink 2 liters of water a day.

Some examples of recommended foods are: fig, papaya and oats, but it is also possible to add a water-soluble fiber, such as Metamucil or Muvinlax, which can be purchased at the pharmacy. Just mix 1 dessert spoon or 1 sachet of this powder in 1 glass of water, soup or juice and take it with every meal. In addition, you should drink plenty of fluids throughout the day, and if this care is not taken, the effect can be the opposite and the stools can become even harder and harder to get out, worsening hemorrhoids.

3. Use hemorrhoid ointment

Hemorrhoid ointments should only be used under medical advice, even if they can be purchased without a prescription. They help to reduce the size of the hemorrhoid and to relieve pain in a few minutes, and should be applied 2 to 4 times a day, while there is pain and discomfort. Good examples are Imescard, Proctosan and Ultraproct.

4. Home remedies

An excellent home remedy is sitz baths, but it is also possible to make a homemade hemorrhoid ointment. See the necessary ingredients and steps in the following video:

5. Hemorrhoid remedies

Pills like Paracetamol and Ibuprofen can be used to relieve pain, and under medical guidance, medications like Daflon or Perivasc, to relieve swelling, pain and bleeding caused by hemorrhoids. Diabetics should only use hemorrhoid drugs under medical advice. See How the diabetic can cure hemorrhoids without risk.

Usually the external hemorrhoid relieves soon after following these treatments, disappearing in 2 or 3 days, but in the most severe cases, when there are no signs of improvement, surgery may be necessary.

6. Hemorrhoid surgery

Surgery for external hemorrhoids is only indicated in the most severe cases, when the hemorrhoid suffers thrombosis or breaks, because generally with the use of ointments, sitz baths and food, the external hemorrhoid disappears. Learn more at Hemorrhoid Surgery.

However, after surgery, the individual should continue to eat a diet rich in fiber and avoid making an effort when evacuating to prevent the appearance of new hemorrhoids.

Care during treatment

During treatment, the individual must take some precautions such as:

  • Avoid using toilet paper, washing the anal area with soap and water after bowel movements; Do not lift weights; Do not eat very spicy and spicy foods; Do light or moderate exercise, which can be a walk; If necessary, use a pillow in ring shape with an opening in the center to sit.

Another important tip is not to force yourself to evacuate, as this increases the risk of creating more hemorrhoids. See the following video for the correct sitting position to facilitate the exit of feces.

Signs of improvement

Signs of improvement in external hemorrhoids include relief of pain, especially when sitting and evacuating, as well as a reduction in swelling of the hemorrhoid and a decrease or disappearance of blood in the bowel movements. In addition, the fact that the individual fails to palpate the hemorrhoid means that it has disappeared.

Signs of worsening

Signs of worsening external hemorrhoids include increased pain, especially when sitting or evacuating, as well as swelling of the hemorrhoid. In addition, the external hemorrhoid may be larger, when the individual palpates, and may lose more blood in the bowel movements.

External hemorrhoids: 6 most used treatment options