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Best Treatment for Internal Hemorrhoids?

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Ulcerative Colitis
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Posted 2/25/2021 9:19 AM (GMT 0)
Hi. Currently going through a 4cm flare. GI switched me from Pentasa 4g oral daily to Mezavant 4.6. Apparently this releases lower in the colon and may help more.

Also she switched me from the foam nightly mesalazine enema and steroid morning enema (budesonide) to 1g Salofalk suppositories night and morning which are easier to tolerate. I'm still on 200mg of Azathioprine too

However I am still bleeding, to the point of actually dripping and the whole bowl and paper is red. I notice the more blood, the more I have to push, but even a mild gentle push starts the bleeding and its freaking me out big time...

My GI also says I do have visible hemorrhoid internally and she thinks this massive amount of blood I see is hemorrhoids but I'm not actually taking any treatment for it...

Does anybody have any suggestions on what to use to clear un the hemmie?

Thanks.
Posted 2/25/2021 1:39 PM (GMT 0)
Hemorrhoids are weak and distended blood vessels. So the first time I had hemorrhoids I took extra rutin, quercetin, and butcher's broom, herbs that are supposed to strengthen blood vessels and capillaries. I could have also added horse chestnut but there are rumors of side effects with that herb. The bleeding stopped in a couple of days. Didn't know if it were a coincidence, or if the supplements inhibited hemmy inflammation, or if my blood vessels throughout my body were actually strengthened.

about a year later I once again had copious bleeding but my stools were formed, with no urgency about once a day. So I assumed it might be hemorrhoids and took some left over butcher's broom and rutin.

After a couple of days the bleeding stopped. But just to be safe I scheduled a colonoscopy since it had been a while and I was overdue. No surprises, everything was fine.
Posted 2/25/2021 3:01 PM (GMT 0)
1Wish you need to go to a pharmacy & talk to the pharmacist for the best OTC medication to try. You will need something that can be used internally, perhaps Prep H as an example. If this doesn't give you any relief, then consider asking for a referral to a colo-rectal surgeon, they treat hemmies. Hemmis can be treated without surgery depending on the grade of them. If you are constipated add fiber to your diet, straining is making things worse.

Take care.
Posted 2/27/2021 2:16 AM (GMT 0)
Your gastroenterologist should be able to advise you how to deal with internal hemmies, geez! There are combo foams such as Proctofoam HC, which is 1% hydrocortisone + 1% pramoxine, that used to be an RX med. I think, though, that pramoxine & lidocaine up to 5% strength can now be sold in some OTC formulas. You likely need some lower strength hydrocortisone application in combo with an analgesic, plus attention to your daily diet to soften bms. / Old Hat (40 yrs with left-sided UC; in remission taking Colazal)
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