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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For External Hemorrhoids Causing Pain And Bleeding

I ve had problems with hemorrhoids for several years. This week I got a large external hemorrhoid that has been very painful. I have been using over the counter creams to treat it. Today It started bleeding, the bleeding its bad, but enough to leave spotting in my under wear. Is this normal or something that needs to be checked?
Tue, 17 Jan 2017
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General & Family Physician,  's  Response
Hi,

Usually all external hemorrhoids are painful because pain receptors are presented only outer part of anal canal while internal canal hemorrhoids are painless. In external hemorrhoids you can manage pain with local anaesthetic cream and stool softner but you have to maintain your stool soft.

When your stool became hard because of straiing during defecation it lead to bleeding. If you are bleeding heavily only surgery is the option..use home remedies like banana,spinache and fibre rich foods can make your stool soft. Proteins make your stool hard. Get Well Soon.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Hazan
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Infectious Diseases Specialist,  Dr. K.r.w.m.manori Karunathilaka's  Response
hello. what did you mean by external haemorroids? does it stay permanently without going in or does it come out when strain only and goes in on its own? haemorroids has lot of complications . it can ulcerate bleed a lot , can get infected, and strangulated also. so haemorroids need to be treated surgically. specially since you have already bled a once. chances are high for the 2nd time bleeding and infection. better to meet your surgeon. hope this helps .thank you
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Suggest Treatment For External Hemorrhoids Causing Pain And Bleeding

Hi, Usually all external hemorrhoids are painful because pain receptors are presented only outer part of anal canal while internal canal hemorrhoids are painless. In external hemorrhoids you can manage pain with local anaesthetic cream and stool softner but you have to maintain your stool soft. When your stool became hard because of straiing during defecation it lead to bleeding. If you are bleeding heavily only surgery is the option..use home remedies like banana,spinache and fibre rich foods can make your stool soft. Proteins make your stool hard. Get Well Soon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Hazan