How to get rid of anal pain caused by hemorrhoids?

Q. My wife has hemorrhoid. How can she get relief from anal pain and swelling?

Answered by
Dr. Pooja Pardhi
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 17, 2018 and last reviewed on: Jul 26, 2023

Hello doctor,

My wife is 28 years old. Her weight is 128 kg and height is 5 feet 3 inches. She has got a constipation problem since last 5 years and she takes Smuth for this. Since last four days, she has been getting severe pain between vagina and anus and that area is swollen. Also, her anus opening is swollen. Yesterday, she was identified to have a small hemorrhoid. The pain is very severe. Please suggest an effective tablet for the pain relief and to cure hemorrhoid. She had Zerodol-SP, Ibuprofen and Chymoral plus, but of no use. Still, she has pain. Also, she takes Himalaya Eve for PCOS and Iron supplement. 10 years ago, she had the same problem. Please provide your valuable suggestion on medication.



Welcome to I have gone through your query and can understand your concern for her health. As you have given every possible analgesic and the pain is not relieved, I think the hemorrhoid has strangulated. It means it is entrapped within the anal sphincter. I suggest tablet Acenac-P (combination of Aceclofenac and Paracetamol) along with tablet Chymoral forte (Trypsin and Chymotrypsin) twice a day for three days. Also, I suggest her apply Diltiact gel (Diltiazem) over the anal area and inside the anus with finger twice daily. I suggest you to consult a surgeon as soon as possible to avoid any complication. She may need some intervention. Also, I suggest you try sitz bath. Take a tub and add warm water in it and a few drops of Dettol. Tell her to sit in that tub for about 20 minutes. It will give some relief.

Thank you doctor,

Could you tell me the dosage of Acenac-P and Chymoral forte?



Welcome back to Acenac- P 100 mg / 500 mg and continue Chymoral as she had before.

Thank you doctor,

She is using the medicines suggested by you. The pain and swelling near the anal area did not reduce and the swollen veins are visible near the anal area. Could you suggest any other way to get relief from the pain and to treat the swelling?



Welcome back to As mentioned earlier, it is possible that the hemorrhoid has strangulated, leading to severe pain and lack of relief from medications. Given the severity of the problem, it is crucial to seek immediate consultation with a surgeon. A digital per rectal examination will be performed, and the surgeon will recommend any necessary procedures to address the issue effectively. Timely consultation is essential to prevent any potential complications related to the condition.

Thank you doctor,

Can this problem treated with medicine? Or does she require any surgery?



Welcome back to Only after conducting a physical examination, per rectal examination, and sigmoidoscopy,it will become clear whether her hemorrhoid will be treated medically or surgically. Therefore, it is essential to consult a surgeon to determine the most appropriate course of action. Considering the lack of relief from medications, the severity of her condition may necessitate surgical management. Seeking prompt evaluation by a surgeon will enable effective decision-making and timely treatment for her condition.

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