Treatment for external hemorrhoids can be done with some home remedies such as warm water sitz baths, for example. However, hemorrhoid medications or ointments can also be helpful in relieving pain and discomfort by reducing hemorrhoids quickly.
When hemorrhoids are very large or come up frequently, the proctologist may suggest surgery to remove them, however, these home options are usually effective and have a lasting effect.
Performing sitz baths
Warm water helps to relieve inflammation and pain and should be used for 15 to 20 minutes, as many times as necessary. Some medicinal plants with analgesic and anti-inflammatory properties that help to relieve pain in a few minutes and can be added in the bucket with warm water are chamomile, lavender, chestnut and Indian, cypress, arnica and witch hazel. See how to prepare these sitz baths.
Eat more fiber and drink more water
A diet high in fiber and with a high water intake helps to regulate the intestinal transit and to soften the stools, making them easier to pass. For this reason, during these two days, it is necessary to increase the fiber content of all meals.
A good strategy is to eat foods rich in fiber such as figs, papaya, and oats, but it is also possible to add a water-soluble fiber called Metamucil, which can be bought in the pharmacy. It is enough to mix 1 spoonful of this powder in a glass with water, in the soups or in the juices, being able to be consumed maximum 3 times a day.
It is important that together with the increase in fiber you drink at least 2 L of water a day because the fibers make the volume of the stool increase and the water hydrates it to soften it and make it easier to pass. If you increase the consumption of fiber and do not drink water, the stool will be harder and may aggravate hemorrhoids. Learn more about fiber-rich foods.
Using hemorrhoid ointment
Hemorrhoid ointments should only be used under medical supervision, although they can be purchased without a prescription. They help reduce the size of hemorrhoids and relieve the pain in a few minutes. They should be applied 2 to 4 times a day, as long as there are pain and discomfort. Some examples are Neobatin, Proctoacid and Ultraproct.
Apply warm compresses
Warm compresses or chamomile compresses may help reduce swelling and relieve discomfort. The compress should be applied with a clean cloth or gauze to the region for about 15 minutes.
Some tablets such as Paracetamol and Ibuprofen can be used to relieve the pain caused by hemorrhoids. In addition to this, other medications that contain diosmin and hesperidin as active compounds, such as Daflon, Vasculflow, Mediflow, Vedipal, Venalex, among others, can also be used under medical guidance, because they increase venous tone, improve blood circulation and reduce swelling and inflammation.
Usually, external hemorrhoids are relieved after following these treatments, disappearing after 2 or 3 days. However, in the most severe cases when there are no signs of improvement, surgery may be necessary.
- Surgery for hemorrhoids
Surgery for external hemorrhoids is only indicated in cases where, after treatment with medication and diet, the discomfort continues, since generally, with the use of ointments, sitz baths and a diet rich in fiber, external hemorrhoid disappears. Learn more about how hemorrhoid surgery is performed.
However, after surgery, the individual should continue to eat a high-fiber diet and avoid straining when evacuating to prevent new hemorrhoids from appearing.
Care during treatment
During treatment, the individual must take some care as:
- Avoiding the use of toilet paper, washing the anal region with soap and water after bowel movements;
- Not lifting;
- Do not eat very spicy or hot food;
- Doing regular physical activity such as walking or buzzing;
If necessary, use a ring-shaped cushion with an opening in the center for sitting.
Another important suggestion is not to use force when evacuating, as this increases the risk of more hemorrhoids forming. See the following video for the correct sitting position to facilitate the passage of the stool.