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Suggest Ways To Overcome Swollen And Uncomfortable Hemorrhoid

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Posted on Tue, 11 Jan 2022
Question: Hi
I have been dealing with a hemorrhoid that is not painful but swollen and uncomfortable. It isn't always there but it keeps coming back and causing discomfort when i sit. I have been researching prolapse like pelvic or hemorrhoid propose. I have been doing cream and epsom salt baths. Since its not painful I have just been dealing with it. Any suggestions or ideas?
doctor
Answered by Dr. V. N. S. Parinam (1 hour later)
Brief Answer:
Topical calcium channel blocker

Detailed Answer:
Hi,
If you think you have prolapsed hemorrhoid, surgery or ligation is the only way that can help from recurrence. The prolapsed vessels of the hemorrhoid have impaired venous return(let not the blood go back), which results in engorgement. This exacerbated by straining, inadequate fibre intake, prolonged time on the lavatory, and conditions such as pregnancy that raise intra-abdominal pressure. So fibre supplements are recommended in your case. Ligation or sclerotherapy is done for first to second degree hemorrhoids which surgery is reserved for fourth degree ones.
Till then you may need a topical preparation which has calcium channel blocker like Verapamil which can reduce the size of the lump. This is prescription based drug. If you have itching as well you should use preparationH with hydrocortisone, this is found over the counter. Sitz baths with warm water for 15 minutes will give better pain relief.

Hope this helps.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. V. N. S. Parinam

General & Family Physician

Practicing since :2008

Answered : 1727 Questions

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Suggest Ways To Overcome Swollen And Uncomfortable Hemorrhoid

Brief Answer: Topical calcium channel blocker Detailed Answer: Hi, If you think you have prolapsed hemorrhoid, surgery or ligation is the only way that can help from recurrence. The prolapsed vessels of the hemorrhoid have impaired venous return(let not the blood go back), which results in engorgement. This exacerbated by straining, inadequate fibre intake, prolonged time on the lavatory, and conditions such as pregnancy that raise intra-abdominal pressure. So fibre supplements are recommended in your case. Ligation or sclerotherapy is done for first to second degree hemorrhoids which surgery is reserved for fourth degree ones. Till then you may need a topical preparation which has calcium channel blocker like Verapamil which can reduce the size of the lump. This is prescription based drug. If you have itching as well you should use preparationH with hydrocortisone, this is found over the counter. Sitz baths with warm water for 15 minutes will give better pain relief. Hope this helps.