Are there other ways to help reduce the size of the hemorrhoid?
Patient's Query
Hello,
I am wondering how long it usually takes for an external hemorrhoid to shrink. It is pea-sized and located just beside my anus. It has been there for a week. I went to the pharmacy, and they prescribed me 20 gm of Xyloproct ointment (Lidocaine and Hydrocortisone acetate). Will it go away soon, or is there something else I could do about it? I experience no pain or discomfort. Kindly help.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern.
Suggestions for conservative management are as follows:
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Firstly, consider starting syrup. Lactulose at a dosage of 10 to 15 ml once daily before bedtime. This laxative is widely used and well-tolerated by patients over the long term, with minimal side effects. Avoid using any random stool softener.
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Secondly, instead of preparation, opt for a combination containing Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc, such as Ruticool, for better relief.
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Thirdly, consult your gastroenterologist to prescribe oral Calcium Dodecilate-doxium therapy for three months. Initially, take it twice daily for 21 days, followed by once daily for the next 10 weeks. Studies have demonstrated that a three-month course can lead to shrinkage of hemorrhoids in approximately 60 percent of cases.
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Incorporate Metamucil or Fybrogel (fiber supplements) into your regimen. This natural laxative, containing husk, absorbs water from the intestine and swells up, facilitating the passage of stool, and adding bulk.
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Regularly consume probiotics alongside these medications to improve overall digestion and alleviate constipation.
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If symptoms persist even after three months of aggressive therapy, consider rubber band ligation. This cost-effective procedure is straightforward and typically performed under local anesthesia on an outpatient basis, with a success rate ranging from about 70 to 80 percent.
Adopt strict lifestyle modifications in conjunction with medication:
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Consume simple, organic, and vegetarian home-cooked low-fat meals for a few days.
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Avoid alcohol, smoking, aerated beverages, and junk foods like pizza and burgers.
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Incorporate probiotic-rich foods like yogurt into your diet.
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Increase fiber intake by consuming oats, wheat, barley, vegetables, and fruits such as pears, apples, and oranges.
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Avoid aerated beverages and red meat.
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Drink a glass of lukewarm water before using the restroom in the morning.
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Continue taking sitz baths.
I hope this information will help you.
Thank you.
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Medical Gastroenterology
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