Can you massage the prostate if you have hemorrhoids?

Patient's question:

Hello doctor, I found out that I have chronic prostatitis. It is said that this condition can be relieved by massaging the prostate, but I don't have much time to go to the doctor, so I was wondering if it would be better to do it myself. Can I massage my own prostate? How should I do it?

Doctor's answer:

Hemorrhoids are formed by the expansion of venous plexuses above the dentate line and the downward displacement of the anal cushion. External hemorrhoids are caused by the expansion and varicosity of subcutaneous venous plexuses below the dentate line. Manual massage can enhance local blood circulation and help alleviate edema and inflammation. It may promote the transmission of hemorrhoids and related conditions. Therefore, it is generally better to avoid massage. However, topical medication can be applied to gently press the affected hemorrhoids to enhance drug absorption and achieve therapeutic goals.

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