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Suggest treatment for hemorrhoids

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Posted on Wed, 5 Jul 2017
Question: I am a 27 year old female, I have been having a lot of issues with what I thought was hemorrhoids for the last 8 months. Things have gotten progressively worse. I have this severe anal itching, burning and pain. As well as a lot of blood tinged discharge. There is this overwhelming pressure that always feels like I need to have a bowel movement, even though I do not need too. When I do have a bowel movement it is so painful that I cannot sit down. I have tried all of the over the counter meds for itching and hemorrhoids and those burn so bad it brings tears to my eyes. I do not know what else to do at this point.
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Answered by Dr. Michelle Gibson James (3 hours later)
Brief Answer:
different possible causes

Detailed Answer:
HI, thanks for using healthcare magic

Hemorrhoids do cause pain and itching , they are usually associated with blood that is commonly seen on wiping.

The creams would burn because the skin in the anal region is probably excoriated (scratched) from the itching.

Tenesmus is the medical term used to describe the desire to have a bowel movement with or no stool passed.
It can be associated with:(1) crohns, ulcerative colitis,
(2) infective colitis (infection of the bowel),
(3) irritable bowel syndrome,
(4)abscess in the anal region,
(5)thrombosed hemorrhoid (blood supply to the hemorrhoid cut off),
6) mass in the colon
(7)anal fissure- a cut in the anal region- can be very painful

One of the most common reasons for intense anal itching is the presence of worms in the intestinal tract , this is an infection of the bowel that could also cause the tenesmus
It is possible that this is the cause for you but this diagnosis can only be confirmed by a stool sample to the lab. If confirmed and anti parasitic agent can be used.

The anal region needs to be examined and properly assessed.

Till this is done, you can consider the use of an oral antihistamine and mild topical steroid to the area eg hydrocortisone (apply twice daily)
A stool softener such as ducolax along with a lot of fluids would help soften your bowel movements.
A warm (not hot) sitz bath with epsom salt or table salt or bicarbonate may also help, 2 to 3 times a day for 15 to 20 mins
An anti inflammatory pain killer would help with the discomfort and inflammation in the area eg ibuprofen, naproxen

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

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Suggest treatment for hemorrhoids

Brief Answer: different possible causes Detailed Answer: HI, thanks for using healthcare magic Hemorrhoids do cause pain and itching , they are usually associated with blood that is commonly seen on wiping. The creams would burn because the skin in the anal region is probably excoriated (scratched) from the itching. Tenesmus is the medical term used to describe the desire to have a bowel movement with or no stool passed. It can be associated with:(1) crohns, ulcerative colitis, (2) infective colitis (infection of the bowel), (3) irritable bowel syndrome, (4)abscess in the anal region, (5)thrombosed hemorrhoid (blood supply to the hemorrhoid cut off), 6) mass in the colon (7)anal fissure- a cut in the anal region- can be very painful One of the most common reasons for intense anal itching is the presence of worms in the intestinal tract , this is an infection of the bowel that could also cause the tenesmus It is possible that this is the cause for you but this diagnosis can only be confirmed by a stool sample to the lab. If confirmed and anti parasitic agent can be used. The anal region needs to be examined and properly assessed. Till this is done, you can consider the use of an oral antihistamine and mild topical steroid to the area eg hydrocortisone (apply twice daily) A stool softener such as ducolax along with a lot of fluids would help soften your bowel movements. A warm (not hot) sitz bath with epsom salt or table salt or bicarbonate may also help, 2 to 3 times a day for 15 to 20 mins An anti inflammatory pain killer would help with the discomfort and inflammation in the area eg ibuprofen, naproxen I hope this helps, feel free to ask any other questions