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Suggest Remedies For Persistent Hemorrhoids
Posted on
Sun, 8 Oct 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 8 Oct 2017
Answered on
Tue, 31 Oct 2017
Last reviewed on
Question : Hi! Its been almost 4 days since i have hemorrhoids. The last 2 days has been bleeding. It won't stop. It doesn't hurt much now, I barely feel it. but im just concerned about the bleeding
Brief Answer:
Visit the nearest general surgeon.
Detailed Answer:
Hi,Firstly go to a general surgeon and grt yourself examined by a proctoscope after that we would Initially start you with conservative management for at least 3 months.In hemorrhoids the veins are swelled up when stool runs against it they start to bleed
Suggestion for conservative management are-
Start taking Syp. Lactulose 10-15ml once daily before going to bed. It is one of the most frequently used laxatives, tolerated very well by patients in long terms with minimal side effects. Using laxative would prevent straining while defecating.
-Secondly, start using Prepration H (a combination containing contains Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc.) locally over the prolapsed hemorrhoids.
Thirdly, request your gastroenterologist to prescribe you with oral Calcium Dobesilate-Doxium therapy for 3 months. Initially twice daily for 21 days followed by once daily for 10 weeks. Trials have shown that 3-month therapy can cause shrinkage of Hemorrhoids in almost 60% cases.It was demonstrated that calcium dobesilate decreased capillary permeability, inhibited platelet aggregation and improved blood viscosity; thus resulting in reduction of tissue edema.
Add Metamucil/Fybrogel to your regimen. It's a natural laxative containing husk. It absorbs water from the intestine and swells up making passage of stool easy and add bulk to stool.Take it 2 tsf twice daily with half cup of XXXXXXX warm milk.
If not relieved by it in 3 months then Noninvasive methods are tried like-
1)Sclerotherapy: This is currently recommended as a treatment option for first- and second-degree hemorrhoids. The rationale of injecting chemical agents is to create a fixation of mucosa to the underlying muscle by fibrosis.
2)Rubber band ligation: Rubber band ligation (RBL) is a simple, quick, and effective means of treating first- and second-degree hemorrhoids and selected patients with third-degree hemorrhoids. Ligation of the hemorrhoidal tissue with a rubber band causes ischemic necrosis and scarring, leading to fixation of the connective tissue to the rectal wall.
Get yourself examined first.
Thanks!
Visit the nearest general surgeon.
Detailed Answer:
Hi,Firstly go to a general surgeon and grt yourself examined by a proctoscope after that we would Initially start you with conservative management for at least 3 months.In hemorrhoids the veins are swelled up when stool runs against it they start to bleed
Suggestion for conservative management are-
Start taking Syp. Lactulose 10-15ml once daily before going to bed. It is one of the most frequently used laxatives, tolerated very well by patients in long terms with minimal side effects. Using laxative would prevent straining while defecating.
-Secondly, start using Prepration H (a combination containing contains Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc.) locally over the prolapsed hemorrhoids.
Thirdly, request your gastroenterologist to prescribe you with oral Calcium Dobesilate-Doxium therapy for 3 months. Initially twice daily for 21 days followed by once daily for 10 weeks. Trials have shown that 3-month therapy can cause shrinkage of Hemorrhoids in almost 60% cases.It was demonstrated that calcium dobesilate decreased capillary permeability, inhibited platelet aggregation and improved blood viscosity; thus resulting in reduction of tissue edema.
Add Metamucil/Fybrogel to your regimen. It's a natural laxative containing husk. It absorbs water from the intestine and swells up making passage of stool easy and add bulk to stool.Take it 2 tsf twice daily with half cup of XXXXXXX warm milk.
If not relieved by it in 3 months then Noninvasive methods are tried like-
1)Sclerotherapy: This is currently recommended as a treatment option for first- and second-degree hemorrhoids. The rationale of injecting chemical agents is to create a fixation of mucosa to the underlying muscle by fibrosis.
2)Rubber band ligation: Rubber band ligation (RBL) is a simple, quick, and effective means of treating first- and second-degree hemorrhoids and selected patients with third-degree hemorrhoids. Ligation of the hemorrhoidal tissue with a rubber band causes ischemic necrosis and scarring, leading to fixation of the connective tissue to the rectal wall.
Get yourself examined first.
Thanks!
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Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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