ROSH Gastrointestinal Practice Exam

What is the initial treatment commonly recommended for external hemorrhoids?

1. Oral docusate

2. Topical hydrocortisone

3. Topical nifedipine

4. Dietary laxatives

The correct answer is: Topical hydrocortisone

The initial treatment commonly recommended for external hemorrhoids is the application of topical hydrocortisone. This corticosteroid helps to relieve inflammation, itching, and swelling associated with external hemorrhoids. By reducing inflammation, hydrocortisone can alleviate discomfort and improve symptoms that patients experience, such as pain and irritation during bowel movements. Topical hydrocortisone is typically used for its anti-inflammatory properties, making it a suitable choice for external hemorrhoids, where localized swelling and irritation are prominent. This treatment option can be easily applied as a cream or ointment directly to the affected area, providing rapid relief as it effectively minimizes the inflammatory response. Other options, while they may have benefits in managing symptoms or preventing complications in different contexts, do not address the immediate inflammation and itching as effectively as topical hydrocortisone can for external hemorrhoids.