What works for severe hemorrhoids?

Also try buying the inexpensive bidet attachment from Amazon. I know people that swear by them. We have two in our house and I actually have bought them for others. I feel so strongly about the comfort of cool water on the inflamed tissue as well as cleanliness. Give it a try!

I am curious, how does one use the bidet as a "sort of enema"? Thanks!

You set it to its highest strength and sit in a way that it directly hits the anus and very close around it.

Hello all, I've posted on both epilepsy and this subject as my autistic , 49 yr old nonverbal daughter, had sigmoidectomy years ago, long recovery, but having soft stools with Colace and Miralax, but I found "bump" when cleaning and PCP saw a internal large, red, hemorrhoid, couple external but is not recommending surgery but steroid cream for week, then good cleaning, her carehome( good 2:1 staff) has bidet to help rinse, she wears pull ups with pad as she was incontinent for awhile.. any suggestions to help with her discomfort as I want to avoid surgery, unless bleeding etc
Also found a cardiac issue recently so between gi, neurology, cardiology she's complex and nonverbal.. and 50 in January so menopause on top of it
But a sweet soul who just smiles thru it all.. I spent 49 days in hospital with her last year so trying to avoid procedures..
Thank you all

Hi @minajo - I moved your post here to this discussion where you could talk with others who've been discussing hemorrhoids. Hoping members here such as @asilyag @jennsdreamer @busylady @verol65 and others can advise on helping with your daughter's discomfort with the internal and external hemorrhoids. @jlharsh also may have some thoughts for you and your daughter.

As you mentioned daughter's cardiac issue is rhythm-related, you might follow the Mayo Clinic Connect Heart Rhythm Conditions Support Group https://connect.mayoclinic.org/group/heart-rhythm-conditions/ and check out the discussions there.

How are you feeling about how the care home will take care of her with the hemorrhoids she has now?

@asilyag
Yes! My daughter was just in office and internal hemorrhoid seen and Dr said bidet!
It attaches easy enough and cool water nice after stools, also keep stools soft!

@lisalucier
The carehome has 2:1 staffing and they all know about the hemorrhoid, also the owner who has known my daughter 15 years has had the bidet attachment in place and dr suggested it, plus keeping stools soft which they do and I've observed
Only odd issue is since 49 days in hospital last year she first slept on couch, then progressed to bed but insisted on her shoes on , then decided the floor better so a thick padded mattress put down with foam topper , this is either a aversion to bed as everything unpleasant happened in hospital bed or her autism? I've laid on bed, comfortable so we have to let her sleep where she will as sleep and autism are longtime issues..

Thank you for tagging me, @lisalucier - Hi, @minajo. You are a rock star! Your concern and attention show just where your daughter gets her sweet soul.

I also take MiraLAX, along with senna tablets and a prescription to help. GI did confirm lots of people take MiraLAX, though they are typically much older than your daughter or I. The fact that MiraLAX helps may indicate something more is going on. Also, I would never sleep without support to keep my ankles in a 90 degree position. I am hesitant to speak up too much here because I, too seem to be complex and complicated maybe not in the same way. However, you can completely ignore me if I seem off the mark here. I hope something I write will maybe prompt a creative solution.

No one has told me I have hemorrhoids and unlike your daughter I am not autistic, but I do relate to everything you describe in your struggle. Nor am I a medical professional, but I can tell you part of my struggles and what has helped. I have providers that are knowledgeable and able to decifer what is happening, at times regardless of what I have not been able to verbalize (for a variety of reasons). After evaluation from hitting a circulation crisis 4 years ago doctors determined I was stable, GI was first up and confirmed pelvic floor dysfunction. They recommended pelvic floor therapy to address muscle strength and coordination, having options of biofeedback, manual therapy and exercises. This made absolutely no sense to me. I had been constipated for some time, had some stomach area pain and at its worst felt like there was a rock sitting on my tailbone. However, how would this address everything else going on head to toe?

Turns out not solving the root of a problem only masks it, does not make it go away. I learned there is so much going on, lots of muscles in the abdomen that need to be strong and work together. Then, the rest of the body is affected by it all. My therapist used biofeedback as a go-between for us. She would tell me to do something, like ‘try to hold a poop in’. I would do it and a little transistor type handheld machine I was hooked up to lit up. She understood what the lights meant and could build a picture of what was going on with me. I was absolutely fascinated by how the two of us could “communicate” enough to figure out what was happening and what would help.

From my initial pelvic floor therapy I was told my doctors thought they could help. They knew what was happening and did not know what to do about it. Their approach would be to protect my heart, then address one symptom at a time. It would be a marathon. Fast forward to today and I am doing better. I do not understand what is happening yet but we are getting there. My heart has been ok and I had a refresher round of pelvic floor therapy a few months ago. I am more stable and we are on to other things.

Taking a symptom at a time seemed to be the exact reverse order of how I got to the mess I was in. The more we would address the more I realized this, after the fact of course. It became easier and easier to buy into the process. After initial PT and doing exercises at home I began noticing improvement. The GI improvements were sorta in pockets, or areas…meaning what it felt like was all going on between my upper thighs and bottom of my ribs seems to move more but not together. This is when I started having incontinence some of the time. Lately, I am noticing that “rock on my tailbone” pain shows up when all things maybe urinary/genitourinary/bladder are fully engaged and working in the front. My sigmoid area still sorta bulges sometimes but isn’t uncomfortable anymore.

I agree with surgery options being more difficult because of how much it takes out of both you and your daughter, also because how it may impact her internally. I see quite a few comments here on Connect dealing with complications from scar tissue following surgeries. This, of course cannot be fixed because having another surgery just creates more scar tissue perpetuating the problem. Perhaps this isn’t a concern with some of the less invasive type of hemorrhoid procedures.

In addition to pelvic floor therapy and exercises I remain active and eat well. I’m not sure how reasonable it is to improve your daughter’s lifestyle but every little bit will help over the long haul. Dietary fiber (or Metamucil), dehydration / regular water, exercise, not sitting a lot (particularly on the toilet) may be ideas if possible.

I found excellent medical information about hemorrhoids that may help if you have not seen them already.
- Mayo Clinic GI interview transcript (read or listen): https://mcpress.mayoclinic.org/healthygut/whos-the-queen-of-hemorrhoids/
- Hemorrhoid Summary: https://www.mayoclinic.org/diseases-conditions/hemorrhoids/symptoms-causes/syc-20360268

Has your daughter experienced any bleeding? How are YOU?

Un miel de tradition appliquer directement arrete les saignements.Des compresses froides reduit le volume.L achillee mille feuille en teinture mere arrete les saignements.L ail pour les demangeaison.