![]() ![]() If used too often or for too long, they may cause side effects, such as a skin rash, inflammation or skin thinning. These products are often effective, but don't use them for more than a week at a time. Over-the-counter creams, ointments, suppositories or pads designed to treat hemorrhoids contain ingredients such as witch hazel or hydrocortisone that can lessen pain and itching. When painful external hemorrhoids develop, self-care steps usually can relieve the discomfort. They include exercising regularly, eating a healthy diet that is high in fiber, drinking plenty of fluids, and avoiding sitting for long periods of time. There are a number of lifestyle changes you can try to help make that happen. ![]() One of the key factors in preventing hemorrhoids is being able to pass stool regularly without straining. External hemorrhoids tend to occur in the pattern you mention, developing over a three- to four-day period and then slowly going away. It also may be a result of chronic constipation or diarrhea, obesity or pregnancy. That pressure often comes from straining during bowel movements and sitting for long periods of time on the toilet. Hemorrhoids develop due to increased pressure on the pelvic floor. External hemorrhoids are the ones that typically lead to the pain and discomfort people often associate with hemorrhoids. Internal hemorrhoids don’t cause any pain and usually don’t require treatment unless they start to bleed. Or, they can happen under the skin around the anus. The problem with hemorrhoids develops when veins in those cushions become swollen and bulge. They help keep stool in and control continence. Hemorrhoidal cushions are part of the body’s natural anatomy in the anal canal. But, if those changes aren’t enough to keep them from coming back, and the hemorrhoids cause you considerable discomfort, then consider making an appointment with your doctor for an evaluation to see if treatment may be necessary. Making some lifestyle changes may lower your chances of developing hemorrhoids. Is there a way to avoid getting them altogether? Do I need to see my doctor the next time the hemorrhoids return?ĪNSWER: Hemorrhoids are quite common, and they often follow the pattern you describe. DEAR MAYO CLINIC: Every few months, I develop hemorrhoids that are quite painful, but, after a few days, they seem to go away on their own. ![]()
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