Hemorrhoids
SX â bleeding, protruding mass, pruritus.
PE â rectal.
Next Steps
DX â anoscopy, sigmoidoscopy/colonoscopy.
Health Tips
TX â Basic options: Fiber supplement: Metamucil, take as directed. Stool softener: Over the counter Docusate 100mg twice a day. Hemorrhoid meds:Â For bleeding and itching: Hydrocortisone rectal (Proctosol-HC) 2.5% cream BID or Hydrocortisone 25 mg PR bid, apply after bowel movement. For pain: benzocaine (orajel) apply as needed, max 4x/day. Also can try:Â sitz baths. Surgical options: Rubber band ligation. Surgical removal of hemorrhoids.