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Are there other ways to help reduce the size of the hemorrhoid?

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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.

Answered by Dr. Ramesh Kumar S

Education:

fellow of american college of gastroentrology

Professional Bio:

Dr.Ramesh Kumar S is a highly skilled and established physician in the field of Medical Gastroenterology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

Suggestions for conservative management are as follows:

  1. 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.

  2. Secondly, instead of preparation, opt for a combination containing Calcium Dobesilate, Hydrocortisone, Lignocaine, and Zinc, such as Ruticool, for better relief.

  3. 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.

  4. 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.

  5. Regularly consume probiotics alongside these medications to improve overall digestion and alleviate constipation.

  6. 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:

  1. Consume simple, organic, and vegetarian home-cooked low-fat meals for a few days.

  2. Avoid alcohol, smoking, aerated beverages, and junk foods like pizza and burgers.

  3. Incorporate probiotic-rich foods like yogurt into your diet.

  4. Increase fiber intake by consuming oats, wheat, barley, vegetables, and fruits such as pears, apples, and oranges.

  5. Avoid aerated beverages and red meat.

  6. Drink a glass of lukewarm water before using the restroom in the morning.

  7. Continue taking sitz baths.

I hope this information will help you.

Thank you.

Answered by
Medically reviewed by iCliniq medical review team
Published At June 15, 2024
Reviewed At June 15, 2024

Education:

fellow of american college of gastroentrology

Professional Bio:

Dr.Ramesh Kumar S is a highly skilled and established physician in the field of Medical Gastroenterology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

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Companion

Hemorrhoid Reduction Companion

How it works

Hemorrhoids are swollen veins in your anus and lower rectum. They can be internal or external. Understanding how to manage them can help reduce discomfort and promote healing.

1

Hemorrhoids
Detail

2

Conservative
Treatments

3

Oral
Therapy

4

Fiber
Supplements

5

Lifestyle
Changes

6

Consider
Rubber

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.

Dr. Ramesh Kumar S

Medical Gastroenterology

Education:

fellow of american college of gastroentrology

Professional Bio:

Dr.Ramesh Kumar S is a highly skilled and established physician in the field of Medical Gastroenterology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

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