What are the effects of external hemorrhoid fumigation and washing liquid?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 28, 2024
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Shrink hemorrhoids, eliminate swelling.

For the treatment of external hemorrhoids, one can choose Chinese herbal washes to fumigate the affected area, apply hot compresses, or take sitz baths. Their primary efficacy is to shrink the local external hemorrhoidal nodules and reduce swelling through the effects of the medication, or to enable the self-absorption of thrombosis and varicose veins within the local nodules.

Beyond local fumigation agents, the treatment of external hemorrhoids can also include applying ointments or using suppositories. It is also necessary to maintain good bowel habits to avoid further irritation and enlargement from stool. If repeated treatment for external hemorrhoids is ineffective, or if the local symptoms are severe, surgery may be considered to remove the external hemorrhoids completely.

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Written by Deng Heng
Colorectal Surgery
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What should I do if a thrombosed external hemorrhoid is bleeding?

After the skin of a thrombosed external hemorrhoid ruptures, small blood clots may be exposed, leading to bleeding. Generally, resting, diet adjustment, and maintaining soft and smooth bowel movements can be effective. Additionally, local use of hemorrhoid creams and suppositories can typically help achieve healing and stop the bleeding. Thrombosed external hemorrhoids often occur after intense physical activity or straining during bowel movements due to the sudden rupture of subcutaneous veins around the anal margin, forming an oval lump. (The use of medications should be carried out under the guidance of a professional doctor.)

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Written by Chen Tian Jing
Colorectal Surgery
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Can external hemorrhoids be eliminated?

External hemorrhoids are generally divided into skin tag-type external hemorrhoids, thrombotic external hemorrhoids, and inflammatory edematous external hemorrhoids; each type presents different clinical symptoms. If the condition is skin tag-type external hemorrhoids or connective tissue-type external hemorrhoids, the patient generally does not feel obvious symptoms, but these will not resolve on their own and require surgical removal. If skin tag-type or connective tissue-type external hemorrhoids do not affect the patient's normal life, it is possible to avoid excessive intervention and treatment. However, if it is thrombotic external hemorrhoids or inflammatory edematous external hemorrhoids, since there is significant pain during flare-ups that affects the patient’s normal life, surgical removal and treatment should be performed as soon as possible.

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Written by Chen Tian Jing
Colorectal Surgery
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How to treat thrombosed external hemorrhoids

The treatment of thrombosed external hemorrhoids generally includes conservative medication or surgical treatment. Thrombosed external hemorrhoids are a clinical type of external hemorrhoids. They usually present in the acute phase with significant local pain and thrombus encapsulation within the hemorrhoid. Due to congestion and edema in the hemorrhoid, excessive pressure builds up inside, causing severe pain for the patient. Conservative medication treatment primarily involves sitz baths with hemorrhoidal wash solutions and hot compresses to promote thrombus absorption, as well as applying hemorrhoidal creams, or orally taking anti-swelling, pain-relieving, and thrombus-absorbing medications. If these methods repeatedly fail, surgery can be opted to strip and remove the local thrombus.

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Written by Chen Tian Jing
Colorectal Surgery
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What medicine is used for thrombotic external hemorrhoids?

Thrombosed external hemorrhoids generally result from the formation of blood clots inside the local external hemorrhoids, causing acute symptoms. During an episode of thrombosed external hemorrhoids, patients experience localized pain or a feeling of constriction, and the formation of dark red or purplish external hemorrhoids can be visibly seen at the anus, which are very painful to the touch. Treatment for thrombosed external hemorrhoids primarily involves topical medications or surgery. If the symptoms are mild, one may choose to apply hemorrhoid cream or use diluted saline solution to compress and reduce swelling. Surgery can also be opted to excise and remove the affected external hemorrhoids. Thrombosed external hemorrhoids generally occur in individuals who strain excessively during defecation or after extreme fatigue. Therefore, if accompanied by dry stools, it is necessary to use stool softeners to help lubricate and ease bowel movements for treatment.

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Written by Deng Heng
Colorectal Surgery
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How to treat thrombotic external hemorrhoids?

The treatment of thrombosed external hemorrhoids generally falls into two categories: first, conservative treatment; second, surgical treatment. Small lumps can be treated conservatively, and after 2-3 days, the thrombus can be absorbed, the pain can be significantly reduced, and self-healing is possible. However, larger lumps may erode on the surface, causing bleeding and severe pain that can impede walking and cause discomfort while sitting or lying down. In such cases, thrombectomy may be necessary.