[SavageGlow]

We report the case of a 51-year-old female patient with a medical history of obesity (body mass index of 30.0 kg/m2) and internal hemorrhoids who was transported to the emergency room because of difficulty and pain during the manual reduction of hemorrhoids. She experienced prolapsed internal hemorrhoids every time she defecated and had been performing manual reduction herself for 20 years. The patient’s condition did not improve at the time of admission. This was the first time that the patient had strangulated internal hemorrhoids and was unable to achieve manual reduction by herself. The prolapsed hemorrhoids had never become infected. Anal inspection revealed prolapsed internal hemorrhoids and partial congestion (Figure 1) without bleeding or discharge.

There were no significant findings on the perianal skin. A proctoscopy was not performed due to severe pain. Computed tomography of the perianal region revealed no obvious masses in the rectum or anus, and rectal prolapse was suspected (Figure 2).

Even after 10 minutes of applying Lidocaine Hydrochloride Jelly 2% and Escherichia coli culture suspension/hydrocortisone ointment, the manual reduction was difficult. Based on previous reports of using sugar to reduce stomal prolapse, we attempted to reduce the prolapsed hemorrhoids by pouring fine-granulated ordinary table sugar directly on the hemorrhoids (Figure 3).

Ten minutes later, the volume of prolapsed hemorrhoids had decreased, and manual reduction was possible (Figures 4-5).

After one day of hospitalization for bed rest, the patient was discharged after confirming that there was no further prolapse of internal hemorrhoids and that the pain had improved. An Escherichia coli culture suspension/hydrocortisone ointment was applied during the hospital stay, and after discharge, it was prescribed for one week, and the patient was instructed to rest in the lateral decubitus position. After two weeks, a painless grade III internal hemorrhoid was observed, which had markedly reduced in size since admission. The patient had an intense fear of surgery and had not visited the hospital in the past. We recommended surgery again; however, she did not wish to undergo surgery.

[HIGHTECHDUDE]

sweet...

[Caf002]

[Bletch]

[Ozymandias]

they say our assholes have tastebuds...

[William May]

Mary Poppins sang: "A spoonfull of sugar, makes the hemorrhoids go down, the hemorrhoids go down, the hemorrhoids go down, oh!"


*Lyrics copyright by Robert and Richard Sherman. Movie copyrighted by Disney Corporation. Do not sing these songs in public or we will kill you, because we are a soul-less corporation!


NOT meant to diagnose or treat ANY medical condition of any kind, especially while singing.

*Diabetics should NOT apply sugar to their anuses, because it will attract ants.
And fulminating wildebeests.

[VileGirl]

Say goodbye to sugar tits, and welcome, candy ass

[SueBee]

Good to know! Hemorrhoids run in my family

[Mr.NoCredit]

Originally Posted by VileGirl ↗

Say goodbye to sugar tits, and welcome, candy ass

Well said!

[REVZZYBAN]

It’s almost worth a rimming to take a lick of that sweet prune.