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Should I Do Something To Minimize The Risk Of Recurrence Of Internal Hemorrhoid?

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Posted on Fri, 2 Dec 2022
Question: I have had an internal hemorrhoid for almost a week and while it has not been bleeding nor is it all that painful I want it to go away. I've been treating it with Hem clear pills and ointment along with sitz baths but it hasn't gone away yet. But what I'm more concerned about is recurrence. I had one around this time last year and I don't want to have to go through this every year. I've changed my diet and eliminated red mead, dairy, fast and processed foods and candy and focused on fiber, water, fruits, veggies and clean, organic meat. I exercise regularly, but no heavy lifting. Is there anything else I can do to minimize the risk of recurrence.

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Answered by Dr. Ramesh Kumar (27 minutes later)
Brief Answer:
Some suggestions are given below.

Detailed Answer:

Hello,

Start taking Syrup. 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.
- Secondly, start using Preparation of ointment having a combination containing contains Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc.

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.

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.

- A probiotic should also be taken regularly with these medicines. Probiotic improves overall digestion and relieves constipation.

However, if not relieved even after 3 months of aggressive therapy proceed for Non invasive methods.

Thanks!

Regards
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Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Should I Do Something To Minimize The Risk Of Recurrence Of Internal Hemorrhoid?

Brief Answer: Some suggestions are given below. Detailed Answer: Hello, Start taking Syrup. 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. - Secondly, start using Preparation of ointment having a combination containing contains Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc. 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. 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. - A probiotic should also be taken regularly with these medicines. Probiotic improves overall digestion and relieves constipation. However, if not relieved even after 3 months of aggressive therapy proceed for Non invasive methods. Thanks! Regards