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What Are the Treatment Options for Itchy Hemorrhoids?

Mar 14, 2022 Source: Cainiu Health
Dr. Cheng Yicheng
Introduction
Treatment options for pruritus (itching) in patients with hemorrhoids include pharmacotherapy, warm saline sitz baths, traditional Chinese medicine (TCM) sitz baths or fumigation-washing therapy, and surgical intervention. For hemorrhoid-related pruritus, pharmacotherapy may be employed—such as topical application of hemorrhoid ointment or insertion of hemorrhoid suppositories into the anal canal. Commonly used ointments include Shengji Yuhong Ointment and Moschus Hemorrhoid Ointment.

Hemorrhoids primarily result from dilation and tortuosity of the venous vessels within the rectum. Depending on their location, they are classified as internal or external hemorrhoids. Below, we address common questions regarding treatment options for hemorrhoid-related pruritus (itching).

What Are the Treatment Options for Hemorrhoid-Related Itching?

Treatment options for pruritus associated with hemorrhoids include pharmacotherapy, warm saline sitz baths, traditional Chinese herbal sitz baths or fumigation-wash therapy, and surgical intervention.

For patients experiencing pruritus, topical application of hemorrhoid ointments or insertion of hemorrhoid suppositories into the anal canal may be employed. Commonly used ointments include Shengji Yuhong Ointment and Moschus Hemorrhoid Ointment.

Warm saline sitz baths or traditional Chinese herbal sitz baths/fumigation-wash therapies may also be utilized to relieve itching and reduce congestion, edema, and swelling of the hemorrhoidal tissue, thereby alleviating symptoms. Commonly used herbal formulas include Wubeizi Decoction, Kushen Decoction, and Zhitong Rushen Decoction. These herbs are boiled in water, and the resulting decoction is first used for fumigation and then for washing.

Surgical excision of the affected tissue remains the most effective treatment for recurrent hemorrhoids, followed by postoperative anti-infective therapy.

Patients are advised to pay attention to dietary management—consuming light, easily digestible foods while avoiding spicy or irritating foods such as chili peppers and mustard. Smoked foods—including smoked chicken and smoked fish—should also be avoided to prevent constipation, which may exacerbate symptoms.

The above outlines available treatment options for hemorrhoid-related pruritus. We hope this information proves helpful.

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