Time for consult with doctor. You might first try citrucel once daily to ensure a good, easy to pass stool, and see if this stops the constipation and pain that comes with hardened stool. A stool softener such as Colace may help and can be purchased over the counter.
If your loved one has been checked and cleared for internal hemorrhoids, you can dress them in a Depends with an anti strip suit to prevent them from getting their hands into their rectum:
They very well could have internal hemorrhoid's causing them great pain. You can have their doctor do an internal exam to verify. Have you tried inserting some Preparation H into their rectum to see if they get any relief? If not you may want to try that. My late husband often suffered greatly with internal hemorrhoids and actually had to have surgery twice to remove them.
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Maybe look at products being used, they can cause irritation if the patient is having an allergic reaction.
Personally, I would get them to a doctor and see if there is something physical that is going on. Along with the above.
Perhaps a sitz bath would solve the issue, if it is something causing an allergic reaction.
Of course getting the alls well from a physician would be the best start for this problem.
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Good luck.
Have you tried inserting some Preparation H into their rectum to see if they get any relief? If not you may want to try that.
My late husband often suffered greatly with internal hemorrhoids and actually had to have surgery twice to remove them.