Suffering with bleeding haemorrhoid.

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tinctures won't give you a permanent cure,  similarly the external applications

If a blood clot forms inside an external hemorrhoid, the pain can be sudden and severe. You might feel or see a lump around the anus. The clot usually dissolves, leaving excess skin (a skin tag), which may itch or become irritated. Internal hemorrhoids are typically painless, even when they produce bleeding. Use topical treatments. Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent. Soak regularly in a warm bath or sitz bath. Soak your anal area in plain warm water 10 to 15 minutes two to three times a day.

Home remedies You can often relieve the mild pain, swelling and inflammation of hemorrhoids with home treatments. Often these are the only treatments needed. Eat high-fiber foods. Eat more fruits, vegetables and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can worsen symptoms from existing hemorrhoids. Add fiber to your diet slowly to avoid problems with gas. Use topical treatments. Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent. Soak regularly in a warm bath or sitz bath.Soak your anal area in plain warm water 10 to 15 minutes two to three times a day. A sitz bath fits over the toilet.

Keep the anal area clean. Bathe (preferably) or shower daily to cleanse the skin around your anus gently with warm water. Avoid alcohol-based or perfumed wipes. Gently pat the area dry or use a hair dryer. Don't use dry toilet paper. To help keep the anal area clean after a bowel movement, use moist towelettes or wet toilet paper that doesn't contain perfume or alcohol. Apply cold. Apply ice packs or cold compresses on your anus to relieve swellings.

Hemorrhoids SX – bleeding, protruding mass, pruritus. PE – rectal.

DX – anoscopy, sigmoidoscopy/colonoscopy.

TX – Basic options: Fiber supplement: Metamucil, take as directed. Stool softener: Over the counter Docusate 100mg twice a day. Hemorrhoid meds:  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: sitz baths. Surgical options: Rubber band ligation. Surgical removal of hemorrhoids.