If you experience constipation, you may also experience hemorrhoids or anal fissures. This may also be the case if you are pregnant or have recently given birth. Here are some self-care tips on managing these painful conditions.
| Hemorrhoids | Fissures | |
| Definition | – swollen, bulging veins due to weak and thin venous walls – internal: often can’t see or feel them – external: present as bulges of tissue around the anus | – small tears in the anal canal |
| Signs and Symptoms | – bulging tissue around anus that may or may not be able to be pushed back inside the anus – bleeding with bowel movements or wiping after defecating – pain with bowel movements – itchy anus | – bleeding with bowel movements or wiping after defecation – pain with bowel movements – itchy anus |
| Causes | – straining to pass stool – repeated diarrhea – straining with physical exertion (ex) repeated heavy lifting) – excess body weight – pregnancy and/or childbirth | – straining to pass stool – passing a hard or large stool – repeated diarrhea – pregnancy and/or childbirth |
Home remedy for hemorrhoids and fissures
External hemorrhoids or fissures
- Test witch hazel on unaffected area and look for any signs of negative reaction, such as redness, burning or itching.
- Clean rectal area gently with warm water. Pat dry.
- Saturate clean cloth with witch hazel extract.
- Apply to external anal tissue for few minutes.
- Then let the area air dry for a few minutes before getting dressed.
- Repeat a few times a day or after each bowel movement.
- Can also try a homeopathic OTC cream called Proctosan for external hemorrhoids.
Internal hemorrhoids
- In a bowl, mix 1 tsp witch hazel tincture and 1 tsp coconut butter (if no sensitivities to either).
- Form into shape of a suppository (small, oval shape).
- Wrap in plastic wrap and place in freezer for 1-2 hours.
- Remove from freezer, remove plastic wrap and cut in half if it appears too large. (Put the other half back in plastic wrap and store in freezer until next application.)
- Lay on your side, top knee bent toward your chest. Lift your top buttocks with one hand.
- Apply lubricant to the anal area and insert suppository 1 inch into anus with your index finger (can use a glove if you prefer).
- Wash hands thoroughly.
Tips
- Use a spray bottle to clean the anus after a bowel movement instead of toilet paper
- Use only warm water to wash the area or a very mild, unscented soap if absolutely necessary
- Gently pat the area dry after a bath/shower; do not rub
- Do not strain when defecating
- Use optimal “potty posture” when defecating
If your hemorrhoids or anal fissures persist, be sure to see your doctor.
The information in this blog is provided as an information resource only and should not be used as a substitute for seeking personalized direction from your overseeing physician. Please consult your healthcare team before making any decisions about your pessary treatment plan, which is unique to you and your overall health. Toronto Pessary Clinic expressly disclaims responsibility, and shall have no liability, for any damages, loss, injury, or liability whatsoever suffered as a result of your reliance on the information contained in this blog.