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External Piles
Discussion in 'All Categories' started by Arnab - Jun 10th, 2024 10:51 am.
Arnab
Arnab
I am suffering form external piles. What are the available treatment options, including medications, non-surgical treatments, and surgical options?
re: External Piles by Dr. B. S. Bhalla - Jun 10th, 2024 10:53 am
#1
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Here are some treatment options, including medications, non-surgical treatments, and surgical options:

Medications
Over-the-Counter (OTC) Treatments:

Topical Creams and Ointments: Products containing hydrocortisone, witch hazel, or lidocaine can reduce inflammation and pain.

Pain Relievers: Acetaminophen, ibuprofen, or aspirin can help alleviate pain and discomfort.

Prescription Medications:

Stronger Topical Steroids: Prescribed for severe inflammation.

Pain Relievers: In cases of intense pain, stronger prescription pain relievers may be recommended.

Non-Surgical Treatments

Lifestyle Changes:

Diet: Increase fiber intake through fruits, vegetables, and whole grains to soften stools and reduce straining during bowel movements.

Hydration: Drink plenty of water to keep stools soft.

Exercise: Regular physical activity can help prevent constipation and reduce pressure on veins.

Home Remedies:

Warm Sitz Baths: Soak the affected area in warm water for 10-15 minutes several times a day to reduce swelling and discomfort.

Cold Compresses: Apply ice packs to the area to reduce swelling.

Minimally Invasive Procedures:

Rubber Band Ligation: A rubber band is placed around the base of the hemorrhoid to cut off its blood supply, causing it to wither and fall off.

Sclerotherapy: A chemical solution is injected into the hemorrhoid to shrink it.
Coagulation (Infrared, Laser, or Bipolar): These techniques use heat, light, or electrical current to harden and shrivel the hemorrhoid tissue.

Surgical Options

Hemorrhoidectomy:

Conventional Hemorrhoidectomy: Surgical removal of the hemorrhoid. This is often used for severe or recurring hemorrhoids.

Stapled Hemorrhoidopexy: Involves stapling the hemorrhoid back into place and cutting off its blood supply, which causes it to shrink.

Hemorrhoidal Artery Ligation: The blood supply to the hemorrhoid is tied off using a Doppler-guided technique.

When to See a Doctor

If you experience significant pain or bleeding.

If OTC treatments and home remedies do not provide relief.

If the hemorrhoids become prolapsed or thrombosed.

Preventive Measures

Maintain a Healthy Weight: Excess weight can increase the pressure on pelvic veins.

Avoid Prolonged Sitting: Take breaks and move around regularly.

Practice Good Hygiene: Keep the anal area clean and dry.
re: External Piles by Murari - Nov 2nd, 2024 4:33 am
#2
Murari
Murari
Are there any medications or topical treatments for external piles that can help relieve pain and swelling?
re: External Piles by Dr. Vishal - Nov 2nd, 2024 4:37 am
#3
Dr. Vishal
Dr. Vishal
Yes, there are several medications and topical treatments for external piles (hemorrhoids) that can help relieve pain and swelling. Here are some common options:

1. Over-the-Counter (OTC) Creams and Ointments

Hydrocortisone Creams: These contain a mild steroid to reduce inflammation and swelling. Look for 1% hydrocortisone creams.

Lidocaine-based Creams: These provide a numbing effect to relieve pain and discomfort.

Witch Hazel Pads: Witch hazel has astringent properties that can help shrink swollen tissues and provide relief.

2. Prescription Medications

Stronger Corticosteroid Creams: If OTC options aren’t effective, doctors may prescribe a more potent corticosteroid cream to reduce inflammation and swelling.

Nitroglycerin Ointment: This may be prescribed to reduce pain by increasing blood flow to the area and relaxing the muscle around the hemorrhoid.

3. Suppositories

For some people, hemorrhoidal suppositories can be helpful, as they reduce inflammation from within. These can contain hydrocortisone, witch hazel, or other anti-inflammatory ingredients.

4. Pain Relievers

Oral NSAIDs: Medications like ibuprofen or acetaminophen can help manage pain and inflammation.
5. Home Remedies

Warm Sitz Baths: Soaking in a warm bath for 10-15 minutes can ease pain, swelling, and itching.
Cold Compresses: Applying a cold pack to the area may also help reduce swelling.
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