Dr. Fernando Lemos, a proctologist and surgeon, discusses what to do in case of an emergency with an inflamed hemorrhoid. He emphasizes that if possible, one should go to an emergency room, especially if experiencing severe symptoms such as intense pain, fever, or difficulty controlling bowel movements. However, for those who cannot access medical care, he provides the following tips:
1. Take a sitz bath with hot water three to five times a day to relax the sphincter muscles, improve circulation, and reduce pain and swelling.
2. Apply an ointment with anti-inflammatory and anesthetic properties after the bath.
3. Consider taking medications such as phlebotonics or flavonoids to improve circulation, and anti-inflammatory drugs or analgesics for pain relief, but only under medical supervision.
Dr. Lemos also notes that certain factors can trigger hemorrhoid inflammation, including constipation, diarrhea, spicy foods, alcohol consumption, and prolonged sitting or physical activity. He advises viewers to take preventive measures, such as maintaining a healthy diet and bowel habits, and to seek medical attention if symptoms persist or worsen.
Here are the key facts extracted from the text:
1. The speaker is Doctor Fernando Lemos, a proctologist and surgeon specializing in diseases of the intestine, rectum, and anus.
2. The topic of discussion is inflamed hemorrhoids, specifically hemorrhoidal thrombosis.
3. Hemorrhoidal thrombosis is a swelling on the outside of the anus, often painful and reddish-purple in color.
4. An anal abscess is a different condition that can be mistaken for an inflamed hemorrhoid, characterized by intense pain, fever, and a swollen, painful lump near the anus.
5. Fournier gangrene is a serious infection that can occur in the perineum and affect the scrotum, vaginal lips, or buttocks.
6. Certain factors can trigger an inflammation of the hemorrhoid, including constipation, diarrhea, a diet high in spicy foods, excessive alcohol consumption, and physical activities that put pressure on the anal region.
7. To treat an inflamed hemorrhoid, Doctor Lemos recommends taking a sitz bath three times a day and applying an anti-inflammatory ointment to reduce swelling.
8. Phlebotonics or flavonoids can be used to improve circulation and reduce inflammation.
9. Anti-inflammatory medications may be prescribed for 5-7 days to reduce pain and swelling.
10. If pain persists or worsens after 5-7 days, it is recommended to see a proctologist to rule out the need for drainage or other treatments.
11. After the crisis has passed, it is recommended to see a coloproctologist for a consultation to determine if further treatment is needed to prevent future crises.