Hemorrhoids

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Hemorrhoids?

Increased pressure in the veins of the anal area can cause this.
Pharmacist

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The pressure can be due to:

  • Constipation
  • Straining during bowel movements
  • Pregnancy
  • Childbirth
  • Sitting for long periods of time
  • Other causes.

This pressure cause the veins to swell leading to hemorrhoids.



Lady holding her buttocks

Let's see how we can help with this. You will answer a few questions first.

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hemorrhoid

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How bad is it?

Is there bright red blood in the stool?

Toilet bowl or tissue?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • The American Gastroenterological Association position on this is that all patients who report rectal bleeding should undergo sigmoidoscopy.

  • Rectal bleeding is not specific to hemorrhoid, so the doctor will have to rule out other things that might cause bleeding such as anal fissure, fistula, abscess, or even colorectal cancer.

Call 911 if you are ...

  1. Bleeding and
  2. feel dizzy
  3. Lightheaded or
  4. faint.

If you've had hemorrhoid before and would like to continue, then let's move forward.

 

Is this hemorrhoid Internal?
(just inside the anus)

OR  External?
(at the opening of the anus and may be hanging outside)
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Internal External

 

 

 

 

hemorrhoid

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External

This is usually symptomless unless the swollen vein gets blocked by a blood clot.
Pharmacist

When this happen, you will feel severe pain. Let's see if this is the situation you are looking at.

 

Is the hemorrhoid tender?
Pharmacist

 

Yes?

 

 

Is it very painful?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Need professional evaluation to rule out blood clot.

Urgent Care

 

Is the hemorrhoid purplishly swollen?
Pharmacist

 

Seek urgent care or call your doctor.
Pharmacist

Here is why:

  • Possible infection
  • Possible blood clot

Urgent Care

 


Hemorrhoids that is external and very painful require urgent care.
Pharmacist

Most likely, the swollen vein is blocked by a blood clot.

The doctor may have to do an excision of the hemorrhoid to relieve pain after numbing the area with something like lidocaine.

If the hemorrhoid is not painful but just an inconvenience, let's see what a pharmacist recommend you use over-the-counter to help shrink it.

Urgent Care Continue

 

 

 

 

hemorrhoid

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Internal

Let's make sure you are looking at hemorrhoid.

Do you feel pain during bowel movements?
Pharmacist

 

Yes?

 

What about while sitting down?

Do you feel anal pain?
Pharmacist

 

Yes?

 

Are you experiencing itching in the anal area
Pharmacist

 

Yes?

 

Do you feel one or more hard lumps in the rectal area?
Pharmacist

 

Yes?
Most likely looking at hemorrhoids.
Pharmacist

Internal hemorrhoids sometimes cause mucus discharge and a sensation of incomplete evacuation.

Let' see what a pharmacist recommend you use over-the-counter to help with this situation.

Urgent Care Continue

 

 

No?
Well, if you think it is hemorrhoids, let's see what a pharmacist recommend.
Pharmacist

If not sure, it is always a good idea to visit the nearest urgent care clinic or talk with your doctor.

What would you like to do now?

Urgent Care Continue