Can external hemorrhoids be treated with anti-inflammatory drugs?

Written by Deng Heng

Colorectal Surgery

Updated on January 29, 2025

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Some types of external hemorrhoids can be treated with anti-inflammatory drugs. External hemorrhoids refer to hemorrhoids that are located below the dentate line. They can be divided into four categories: connective tissue external hemorrhoids, varicose vein type external hemorrhoids, thrombotic external hemorrhoids, and inflammatory external hemorrhoids. The first three types of external hemorrhoids do not require anti-inflammatory drugs. Only inflammatory external hemorrhoids, which are caused by inflammatory hyperplasia around the anus, can be treated with anti-inflammatory drugs during inflammation to reduce the size of the pathological tissues. (Please use medication under the guidance of a doctor.)

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Written by Deng Heng

Colorectal Surgery

32sec

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Do external hemorrhoids always require surgery?

Simple external hemorrhoids do not necessarily require surgery. External hemorrhoids are mainly those that grow below the dentate line, and their main clinical manifestation is a foreign body sensation in the anus, which does not pose a significant risk to the body. Only thrombosed external hemorrhoids with obvious anal pain may not require surgery if the lump is small, as the thrombus can be absorbed on its own. Only those with large lumps need to have the thrombus removed to alleviate pain.

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Written by Chen Tian Jing

Colorectal Surgery

55sec

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How to eliminate the flesh balls of external hemorrhoids

External hemorrhoids primarily manifest as local skin tags or connective tissue protrusions, which may also be due to transient congestion and edema caused by acute episodes. If the hemorrhoids are skin tag-type or connective tissue-type and do not present any clinical symptoms or affect the patient's normal life, excessive treatment is generally not required. It is only necessary to maintain good dietary and defecation habits to prevent the condition from worsening. If the external hemorrhoids involve congestion, edema, or pain caused by thrombosis, complete removal can only be achieved through surgical excision. Merely using topical medications, applying heat, or using hemorrhoid creams can only reduce the size of the masses or alleviate symptoms, but cannot completely remove the masses.

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Written by Deng Heng

Colorectal Surgery

46sec

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Can external hemorrhoids be treated with anti-inflammatory drugs?

Some types of external hemorrhoids can be treated with anti-inflammatory drugs. External hemorrhoids refer to hemorrhoids that are located below the dentate line. They can be divided into four categories: connective tissue external hemorrhoids, varicose vein type external hemorrhoids, thrombotic external hemorrhoids, and inflammatory external hemorrhoids. The first three types of external hemorrhoids do not require anti-inflammatory drugs. Only inflammatory external hemorrhoids, which are caused by inflammatory hyperplasia around the anus, can be treated with anti-inflammatory drugs during inflammation to reduce the size of the pathological tissues. (Please use medication under the guidance of a doctor.)

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Written by He Cai Dong

Colorectal Surgery Department

1min 15sec

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Can external hemorrhoids be pushed back in by hand?

External hemorrhoids cannot be pushed back in by hand, as they are swollen around the anus, not prolapsed internal hemorrhoids. If they were prolapsed internal hemorrhoids, the lump could be pushed back in. For external hemorrhoids, if it is a short-term flare-up, it is recommended to take a warm saltwater sitz bath. After ten minutes, apply hemorrhoid cream to the affected area once in the morning and evening. Oral medication can also be used in conjunction, and treatment for a week can reduce the swelling. If the external hemorrhoid lump is very large and accompanied by severe pain, thrombosed hemorrhoids should be considered, and it is necessary to visit the hospital's proctology department. Surgery may be required if necessary. Diet should be light; spicy and irritating foods should not be eaten, nor should triggering foods like beef, lamb, and seafood. Alcohol consumption, including beer, should be avoided.

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Written by Yu Xu Chao

Colorectal Surgery

1min 13sec

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Do external hemorrhoids without any symptoms need treatment?

External hemorrhoids can be categorized into skin tag-like external hemorrhoids, varicose vein-like external hemorrhoids, and thrombosed external hemorrhoids. Most patients with skin tag-like external hemorrhoids do not have any sensations, and in such cases, treatment is not necessary. Patients only need to pay attention to the hygiene around the anal area. After each bowel movement, they should wash the anal area with clean water. They should also frequently change their underwear, and their diet should be light and easily digestible to avoid diarrhea or constipation. During bowel movements, it's important to ensure the process is smooth to avoid lengthy bathroom visits or excessive straining, which can prevent the exacerbation of skin tag-like external hemorrhoids, hence no treatment would be needed. However, for varicose vein-like external hemorrhoids or thrombosed external hemorrhoids, patients may experience a foreign body sensation or pain around the anus. In such cases, conservative treatment with medications can be considered initially. If conservative treatment is ineffective, surgical intervention may be required.