If a painful blood clot thrombosis has formed within an external hemorrhoid, your doctor can remove the clot with a simple incision and drainage, which may provide prompt relief. Compared with hemorrhoidectomy, however, stapling has been associated with a greater risk of recurrence and rectal prolapse, in which part of the rectum protrudes from the anus. Systematic review of the use of topical diltiazem compared with glyceryltrinitrate for the nonoperative management of chronic anal fissure. Table 8 Fiber supplementation instructions. Adequate fiber intake is important for many reasons:
Another benign anal problem that patients may attribute to hemorrhoids is anal incontinence Table 5.
Anal Health Care Basics
In this procedure, called hemorrhoidectomy, your surgeon removes excessive tissue that causes bleeding. A stoma is an artificially created hole stoma in the abdomen so that faeces can still leave the body Avoid petroleum-based topical ointments because patients can develop contact dermatitis with daily use. The most common approach for mild cases is simply reassurance and topical treatment with calcium-channel blocker diltiazem, nifedipine ointment, salbutamol inhalation and sublingual nitroglycerine. No additives are needed.