Hemorrhoids: What to Do and When to See a Doctor?
When experiencing a hemorrhoid flare-up, you can find relief by following hygienic and dietary recommendations, taking painkillers if necessary, and using local treatments. Learn to identify situations that require medical attention.
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What to Do in Case of Hemorrhoids
Hemorrhoids generally do not cause severe complications. If there are no bothersome symptoms, treatment may not be necessary. For mild discomfort, simple measures can help.
Prevent Hemorrhoids by Addressing Constipation
Managing bowel habits is essential for preventing and relieving hemorrhoids.
Change Your Bathroom Habits
- Go to the toilet at a regular time, ideally 30 minutes to an hour after a meal, without straining. This helps your body establish a routine.
- Take your time, but don’t sit on the toilet for extended periods.
Adopt a Healthy Diet
- Eat fiber-rich foods:Include cereals, legumes, and whole grains (whole-grain bread, rice, or pasta) to improve stool consistency and frequency. Gradually increase your intake.
- Add green vegetables and fiber-rich fruits to your meals to promote better digestion.
- Avoid fatty, sugary, and highly spicy foods, especially if they seem to trigger hemorrhoid flare-ups.
- Drink plenty of water (at least 1.5 liters daily) and limit alcohol consumption.
Stay Active
- Engage in regular physical activity, avoiding heavy lifting sports.
- Lose weight if necessary, as it can help reduce pressure on the rectal veins.
Relieve Hemorrhoid Pain and Anal Irritation
Gentle Intimate Hygiene
- Clean the anal area gently after each bowel movement.
- Use a damp, unscented tissue or moist toilet paper instead of soap. Dry the area thoroughly after cleaning and after showers.
- Wear breathable cotton clothing to reduce irritation.
Medication for Hemorrhoids: Ask your pharmacist for advice on:
Topical treatments (creams or suppositories): These provide anesthetic, decongestant, lubricating, and anti-inflammatory effects. They form a protective layer over the mucosa to reduce irritation from stools. Most are available over the counter, though corticosteroid-based treatments require a prescription.
Oral treatments: Painkillers like paracetamol can help with temporary relief. If symptoms persist beyond a few days, see your doctor for an evaluation.
When Do You Need to See a Doctor?
In general, consult a doctor if you experience rectal bleeding for the first time or if it recurs. A proctological exam (clinical examination of the anal and rectal area) is necessary to confirm the diagnosis of hemorrhoids and rule out other conditions such as:
- Ulcerative colitis
- Anal fissures
- Colon polyps
- Colorectal cancer
Consult a Doctor If Symptoms Worsen
See a doctor if previously diagnosed hemorrhoids become increasingly bothersome with symptoms such as:- Protrusion or prolapse of hemorrhoids outside the anus
- Severe anal pain or itching
- Burning sensations or anal discharge
Seek Immediate Medical Attention If:
- You experience significant, repeated rectal bleeding of bright red blood.
- Your stools are unusually dark or tarry.
- You have intense anal pain with a fever above 38°C (100.4°F).
- Sudden, severe anal pain raises concerns about thrombosed hemorrhoids.
- Pain is accompanied by an inability to have a bowel movement for over 48 hours.
