These are used to avoid straining and constipation. Allows incorporation of water and fat into stool, causing stool to soften. Topical Anesthetics - These agents are indicated for pain. Contraindications Documented hypersensitivity Interactions None reported Pregnancy B - Usually safe but benefits must outweigh the risks. This is used to relieve itching.
Analgesics ensure patient comfort, which is beneficial for patients who have painful lesions.
Reduces fever by direct action on hypothalamic heat-regulating centers, which increases dissipation of body heat via vasodilation and sweating. After excision of a thrombosed external hemorrhoid, send the patient home with instructions that include bedrest for several hours, sitz baths tid, stool softeners, and topical or systemic analgesia. Patients who have hemorrhoids excised should return for wound check in 48-72 hours. If the patient has a reducible internal hemorrhoid or a symptomatic external hemorrhoid and presents more than 72 hours after onset of symptoms, refer to surgery or rectal clinic for more definitive treatment after prescribing medical regimen. Usually, hemorrhoids resolve spontaneously.