Can external hemorrhoids be treated with anti-inflammatory drugs?

Written by Deng Heng

Colorectal Surgery

Updated on January 29, 2025

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Some types of external hemorrhoids can be treated with anti-inflammatory drugs. External hemorrhoids refer to hemorrhoids that are located below the dentate line. They can be divided into four categories: connective tissue external hemorrhoids, varicose vein type external hemorrhoids, thrombotic external hemorrhoids, and inflammatory external hemorrhoids. The first three types of external hemorrhoids do not require anti-inflammatory drugs. Only inflammatory external hemorrhoids, which are caused by inflammatory hyperplasia around the anus, can be treated with anti-inflammatory drugs during inflammation to reduce the size of the pathological tissues. (Please use medication under the guidance of a doctor.)

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Written by Chen Tian Jing

Colorectal Surgery

56sec

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Can thrombotic external hemorrhoids be lanced?

Thrombosed external hemorrhoids, as the most common clinical symptom of external hemorrhoids, exhibit significant local pain during acute attacks and are accompanied by a feeling of constriction. If during an acute attack, dark red hemorrhoidal prolapse occurs around the anal area and cannot be absorbed or retracted, a professional doctor can use specialized techniques to crush the local hemorrhoid node or surgically excise it. However, it is not advisable for patients to burst it themselves because if done without proper sterilization and hygiene, it can easily lead to local infection, thereby exacerbating the condition or complicating future surgical treatments. Therefore, if thrombosed external hemorrhoids are detected, it is crucial to seek prompt and active treatment at a hospital.

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Written by Chen Tian Jing

Colorectal Surgery

1min 5sec

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Can thrombotic external hemorrhoids go away?

Thrombotic external hemorrhoids mainly refer to the formation of blood clots within the external hemorrhoids located around the anus. During the acute phase of thrombotic external hemorrhoids, there is generally severe pain and a feeling of distension in the anal region. If not treated with medication, thrombotic external hemorrhoids are difficult to resolve on their own. Options include applying hemorrhoid cream or using traditional Chinese medicine solutions for fumigation and hot compresses to promote the absorption and dissipation of the blood clots in the external hemorrhoids. If conservative medication does not yield good results, surgery can be considered to strip and remove the blood clots from the external hemorrhoids. Failure to use medications can potentially lead to a worsening of the thrombotic external hemorrhoids, or an increase in blood clots leading to necrosis and delaying treatment of the disease.

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Written by Chen Tian Jing

Colorectal Surgery

1min 17sec

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What is inside a thrombotic external hemorrhoid?

Thrombotic external hemorrhoids are a common clinical presentation of external hemorrhoids. During an episode, blood clots generally form within the hemorrhoidal nucleus, which means that thrombotic external hemorrhoids mainly consist of blood clot particles. Because the blood clots are wrapped inside the hemorrhoidal nucleus, the pressure inside the nucleus increases, leading to congestion and edema. Patients experience significant pain and a feeling of fullness. Severe symptoms may also affect the patient's ability to sit or walk normally. Therefore, it is crucial to treat thrombotic external hemorrhoids early in their development. For early-stage mild thrombotic external hemorrhoids, local treatments such as hot compresses with hemorrhoidal medication or manual pressure can be employed to promote the absorption of the blood clots. Oral medications that reduce swelling, relieve pain, and stop bleeding can also be used for symptomatic relief. If thrombotic external hemorrhoids recur frequently or if conservative medication fails, surgical excision and stripping of the thrombotic external hemorrhoids can also be considered.

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Written by Yu Xu Chao

Colorectal Surgery

1min 12sec

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Can external hemorrhoids use hemorrhoid suppositories?

In clinical practice, hemorrhoidal suppositories can also be used for external hemorrhoids. Since hemorrhoidal suppositories are mainly administered through the rectum to act locally, they have a certain therapeutic effect on external hemorrhoids, especially for varicose external hemorrhoids and inflammatory external hemorrhoids, helping to alleviate local swelling and pain. Additionally, for external hemorrhoids, it is often recommended to use anal cleansers, or to sit in baths with potassium permanganate or other medicated solutions, combined with the external application of hemorrhoidal cream or golden ointment. If symptoms do not show significant improvement after four to five days of medication treatment, it is advisable to visit a hospital's proctology department for external hemorrhoid surgery as soon as possible, to prevent potential thrombosis or necrosis of the external hemorrhoids. Moreover, patients should develop good bowel habits, avoiding prolonged sitting or excessive straining during bowel movements to prevent worsening of external hemorrhoids. (Medication should be used under the guidance of a doctor)

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Written by Deng Heng

Colorectal Surgery

37sec

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Can anal dilation treat external hemorrhoids?

Anal dilation cannot treat external hemorrhoids. Anal dilation, also known as anal canal dilation surgery, is a common surgical treatment method in proctology. It primarily involves using external force to increase the diameter of the anal canal in order to achieve the purpose of dilation. It is mainly used for patients with early-stage anal fissures and anal stenosis. External hemorrhoids, which grow below the dentate line of the anal canal skin, are not affected by anal dilation treatments.