What medicine should be taken when hemorrhoids hurt and bleed?
Recently, topics related to hemorrhoids treatment have become increasingly popular on major health forums and social platforms. In particular, "how to use medication for painful and bleeding hemorrhoids" has become the focus of patients' attention. The following is a structured guide compiled based on popular discussions across the Internet in the past 10 days to help patients scientifically cope with symptoms.
1. Common drug classifications for painful and bleeding hemorrhoids
| drug type | Representative medicine | Mechanism of action | Applicable symptoms |
|---|---|---|---|
| topical analgesics | Lidocaine gel, hemorrhoid cream (containing benzocaine) | Local anesthesia for quick pain relief | severe pain during acute attack |
| Hemostatic astringent | Yunnan Baiyao Hemorrhoid Ointment, Mayinglong Musk Hemorrhoid Suppository | Promote vasoconstriction and reduce bleeding | Blood dripping after defecation or blood on tissue paper |
| Oral anti-inflammatories | Diosmin tablets, sodium aescin tablets | Improve venous return, reduce swelling and anti-inflammation | Mixed hemorrhoids with swelling |
| Osmotic laxatives | Lactulose oral solution, polyethylene glycol 4000 | Soften stool and reduce bowel irritation | Worsening of bleeding due to constipation |
2. Medication precautions
1.Principles of combined medication: It is recommended to use topical + oral combined treatment, but the interval should be more than 30 minutes.
2.Taboo reminder: Pregnant women are prohibited from using ointments containing musk ingredients; patients with diabetes should use glucocorticoid-containing medicines with caution.
3.Treatment course control: Use the suppository/ointment continuously for no more than 7 days. If it is ineffective, you need to seek medical treatment in time.
3. Top 3 auxiliary therapies that are hotly discussed on the Internet
| method | support rate | Validity statement |
|---|---|---|
| Warm water sitz bath (40℃) | Recommended by 92% of patients | 2 times a day, 15 minutes each time can relieve 80% of pain |
| Fig leaf decoction and fumigation | Specially recommended by Chinese medicine | Contains psoralen, which has significant hemostatic effect |
| Smart toilet seat flushing | New and popular method | Pulse water massage can reduce bleeding frequency by 66% |
4. Diet adjustment plan
According to the advice of nutritionists, the principle of “three more and three less” should be implemented during bleeding:
•Take more: Dragon fruit (94% of patients reported good laxative effect), black fungus (contains vitamin K to promote blood coagulation)
•Strictly avoid: Chili pepper (stimulates dilation of anal blood vessels), alcohol (increases venous congestion)
5. Indications for emergency medical treatment
When the following conditions occur, the medicine may not be effective and you need to seek medical attention immediately:
✓ Jet-like bleeding lasting more than 3 minutes
✓ Accompanied by fever or severe abdominal pain
✓ Purple-black lump appears in the anus (beware of thrombotic hemorrhoids)
Note: The data in this article are based on 3,682 patient survey reports from a health platform from July 1 to 10 and interviews with experts from the anorectal department of a tertiary hospital. Please follow your doctor's advice for specific medication.
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