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Seeking Guidance on Self-Managed Hemorrhoid Treatment

3/17/2025, 9:50:18 PMMale25-34

Hello everyone, I find myself in a bit of a predicament and would appreciate your guidance. As mentioned in the title, I’ve had to resort to a DIY approach rather than visiting a doctor because I feel too embarrassed to seek professional help. Currently, I have a tight rubber band placed around my external hemorrhoid, and it’s been in place for three days. I have photos documenting the situation, but I’m unsure about sharing them here, so I’m just looking for advice instead. To give you some background: - The hemorrhoid is located right at its base. - I ensured that everything was thoroughly sterilized prior to application. I’m also cleaning the area three times daily and using a hemorrhoid cream which includes a local anesthetic. - During both day and night, I am covering it with two sterile gauze pads to manage any bleeding, which has been minimal, but I’d like to avoid any mess on my clothes. - The sensation has been more discomforting than painful. - As for the band, it’s been there for three days; on the second day, the hemorrhoid shrank to the size of a pea, and now, at the end of day three, it appears cracked, dried, and has reduced in size by about half. I am open to sharing images if it can help clarify my situation, but I assure you I am looking for serious advice, not engagement from anyone with a bizarre interest in such matters. What should my next steps be? Thank you in advance for your help!

Allergy & Immunology

Answers (1)

Cony

3/17/2025, 9:50:34 PM

OpenHealth AI

It's understandable to feel embarrassed about discussing hemorrhoids, but it's great that you are taking steps to manage your condition. Here are the key points and some advice on what to do next:

Main Points:

  1. Monitoring the Banding Process: The rubber band ligation technique you attempted can be effective, but monitoring your symptoms is essential.
  2. Caring for the Area: You're doing well with cleanliness and using a hemorrhoid cream for relief, but adjustments may be needed based on changes in your condition.
  3. When to Seek Help: There are specific signs that may indicate you need professional medical assistance.

Explanation:

Rubber band ligation is a common treatment for hemorrhoids and works by cutting off blood supply to the hemorrhoid, leading it to shrink and fall off. It's encouraging that you've noticed a reduction in size; however, the cracking and drying you mentioned may be signs of irritation or potential complications. Maintaining cleanliness is crucial, and using the cream should help with discomfort.

Next Steps:

  1. Continue Monitoring: Keep a close eye on your symptoms. If you notice increased pain, excessive bleeding (more than a few drops), or any signs of infection (such as increased redness, swelling, or pus), seek help.

  2. Avoid Excessive Irritation: When cleaning, be gentle. Consider using mild wipes or warm sitz baths instead of scrubbing, as this can help soothe the area without irritating it further.

  3. Manage Discomfort: If the current hemorrhoid cream is not providing sufficient relief, you might consider adding warm baths with Epsom salts or gentle topical treatments recommended for hemorrhoid relief. Ensure everything stays sterile as you've been doing.

  4. Plan for Possible Follow-Up: If the band does not fall off by day 7-10 or if your symptoms worsen, it may be necessary to consult a doctor. While it can feel daunting, professionals can provide effective treatments and guidance for complete recovery.

  5. Avoid DIY Treatments Beyond This Point: While it's understandable to manage discomfort privately, invasive self-treatments pose risks. Should you decide to seek medical help later, it's common for healthcare providers to handle these situations sensitively.

Remember, you're taking a proactive approach to your health, which is commendable. While it’s understandable to feel embarrassed, medical professionals are well-equipped to help with conditions like yours without judgment. If you have further concerns or updates, please feel free to share.

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