Treatments for Hemorrhoids

Treatment list for Hemorrhoids: The list of treatments mentioned in various sources for Hemorrhoids includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

• Watchful waiting - in many cases, hemorrhoids resolve within a few days.
• Warm baths
• Sitz baths
• Ice packs
• Reduce constipation - see treatment of constipation; hemorrhoids often ease if constipation is relieved.
• Medications
  • Topical creams
  • Suppositories
  • Local anesthetics
  • Topical decongestants
  • Topical corticosteroids
• Surgeries
  • Injections into the hemorrhoid vein
  • Rubber band ligation
  • Sclerotherapy
  • Laser coagulation
  • Infrared photo coagulation
  • Hemorrhoidectomy
• Lifestyle changes
  • Regular exercise
  • Healthy diet
  • High-fiber diet
  • Water - to avoid constipations
  • Avoid constipation - see prevention of constipation
  • Avoid lengthy sitting periods

Treatments of Hemorrhoids discussion: Medical treatment of hemorrhoids initially is aimed at relieving symptoms. Measures to reduce symptoms include:

• Warm tub or sitz baths several times a day in plain, warm water for about 10 minutes.
• Ice packs to help reduce swelling.
• Application of a hemorroidal cream or suppository to the affected area for a limited time.

Illustration reprinted with permission from the American Society of Colon and Rectal Surgeons. Artist: Russell K. Pearl, M.D.

Prevention of the recurrence of hemorrhoids is aimed at changing conditions associated with the pressure and straining of constipation. Doctors will often recommend increasing fiber and fluids in the diet. Eating the right amount of fiber and drinking six to eight glasses of fluid (not alcohol) result in softer, bulkier stools. A softer stool makes emptying the bowels easier and lessens the pressure on hemorrhoids caused by straining. Eliminating straining also helps prevent the hemorrhoids from protruding.

Good sources of fiber are fruits, vegetables, and whole grains. In addition, doctors may suggest a bulk stool softener or a fiber supplement such as psyllium (Metamucil) or methylcellulose (Citrucel).

In some cases, hemorrhoids must be treated surgically. These methods are used to shrink and destroy the hemorrhoidal tissue and are performed under anesthesia. The doctor will preform the surgery during an office or hospital visit.

A number of surgical methods may be used to remove or reduce the size of internal hemorrhoids. These techniques include:

• Rubber band ligation--A rubber band is placed around the base of the hemorrhoid inside the rectum. The band cuts off circulation, and the hemorrhoid withers away within a few days.
• Sclerotherapy--A chemical solution is injected around the blood vessel to shrink the hemorrhoid.

Techniques used to treat both internal and external hemorrhoids include:

• Electrical or laser heat (laser coagulation) or infrared light (infrared photo coagulation)--Both techniques use special devices to burn hemorrhoidal tissue.
• Hemorrhoidectomy--Occasionally, extensive or severe internal or external hemorrhoids may require removal by surgery known as hemorrhoidectomy. This is the best method for permanent removal of hemorrhoids.

¹

Footnotes:
1. excerpt from Hemorrhoids: NIDDK

Last revision: May 28, 2003

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