For a sudden pain on the anal areas, take some rest at first. First aid available at home

For a sudden pain on the anal areas, take some rest at first. First aid available at home

*The hemorrhoidal symptoms on this page are merely examples, and the emergency treatment is meant as a temporary measure until you can get to a hospital. If you have any of the following symptoms, make sure to go to a hospital. If multiple symptoms occur at once, such as pain and bleeding, try a treatment method for stronger symptoms.

If a sudden pain occurs

If you experience a sudden pain, you should immediately lie down and relax. We tend to stiffen when experiencing pain, which can cause tension in the anus, making the pain much worse.

How to relieve pain

1. First, lie down.

First, lie down on your side in bed with your knees slightly bent. Relax your entire body to make sure that your anus is not tense. Once you have relaxed, stay lying down in the same position for a while.

Simply doing this can relieve even intense pain in most cases.
Once you have relaxed, try the pain relief method in step 2 below.

2. Relieve the pain.

First you need to identify what kind of hemorrhoid is causing the pain. Is it hemorrhoids (piles), an anal fissure, an anal abscess, or an anal fistula? Identifying the type of hemorrhoid helps you choose the right treatment method.

Refer to the following table and try a method that fits your symptoms to relieve the pain.

Furthermore, incarcerated hemorrhoids and external thrombosed hemorrhoids can cause severe pain.

Symptoms

Pain, piles coming out of anus, or swelling outside the anus

Possible types of hemorrhoid

Hemorrhoids (piles)

How to care

Warming your anus and promoting circulation can often relieve symptoms. Instead of just a shower, soak the bottom half of your body in a bath to warm the affected area in warm water. Remember to soak in lukewarm water.
If it hurts too much even to get into the bath, hold a warm, wet towel against the affected area or place a disposable heating pad on top of your underpants.

Symptoms

Tearing pain during bowel movements

Possible types of hemorrhoid

Anal fissure

How to care

Warming your anus and promoting circulation can often relieve symptoms. Instead of just a shower, soak the bottom half of your body in a bath to warm the affected area in warm water. Remember to soak in lukewarm water.
If it hurts too much even to get into the bath, hold a warm, wet towel against the affected area or place a disposable heating pad on top of your underpants.

Symptoms

Area around the anus is hot, red, and swollen, and throbbing with pain

Possible types of hemorrhoid

Anal abscess, Anal fistula

How to care

Lie on your side and cool the affected area. If the area is leaking pus, warming it can have the opposite effect, making symptoms worse.
Because anal fistula cannot be treated at home, you must go to a hospital.

This article is supervised by:
Dr. Junichi Iwadare
Dr. Akio Kurokawa
Dr. Rikisaburo Sahara
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