In many cases treatment of hemroids involves steps that you can take on your own. But sometimes medications or surgical procedures are necessary.
If your hemroids are producing only mild discomfort, your doctor may suggest over-the-counter creams, ointments or pads containing witch hazel or a topical anti-inflammatory agent containing hydrocortisone. This local treatment, in combination with daily warm baths, may relieve your symptoms.
Surgical or other procedures
If a blood clot has formed within an external hemroids, your doctor can easily remove the clot with a simple incision, which may provide prompt relief.
For persistent bleeding or painful hemroids, your doctor may recommend:
Banding hemroids. Your doctor places one or two tiny rubber bands around the base of an internal hemroids to cut off its circulation and the hemroids falls off. This simple procedure
- called rubber band ligation - is done in the doctor's office and is effective for many people.
Sclerotherapy. A chemical solution is injected around the blood vessel to shrink the hemroids.
Infrared light. A 1- or 2-second burst of infrared light can cut off circulation to small, bleeding, internal hemroids.
Surgery. If other procedures haven't been successful or if you have large hemroids, your doctor can remove tissue in a procedure called hemroidsectomy. The surgery is done with either local anesthetic combined with sedation, a spinal anesthetic, or general anesthetic. It's usually done as an outpatient or overnight hospital stay. While you may experience discomfort after the procedure, medications can be used to relieve your pain. Soaking in a warm bath can also ease your discomfort. Some newer surgical techniques may decrease the amount of pain that some people experience.
To remove a hemroids using rubber band ligation, your surgeon inserts the ligator through a scope in the Excretory Orifice canal, grasping the hemroids with forceps. Sliding the ligator's cylinder upward releases rubber bands around the base of the hemroids. Rubber bands cut off the hemroids's blood supply, causing it to wither and drop off.
To help prevent hemroids or hemroidsal flare-ups:
Eat high-fiber foods. Eat more fruits, vegetables and grains. Doing so softens the stool and increases its bulk, which will help lessen the straining that can cause hemroids.
Drink plenty of liquids. The exact amount of water and other fluids you should drink each day varies and depends on your age, sex, health, activity level and other factors.
Consider fiber supplements. Over-the-counter products such as Metamucil and Citrucel can help keep stools soft and regular. Check with your doctor about using stool softeners. If you use fiber supplements, be sure to drink at least eight to 10 glasses of water or other fluids every day. Otherwise, fiber supplements can cause constipation or make constipation worse. Add fiber to your diet slowly to avoid problems with gas.
Exercise. Stay active to reduce pressure on veins, which can occur with long periods of standing or sitting, and to help prevent constipation. Exercise can also help you lose excess weight.
Avoid long periods of standing or sitting. If you must sit for long periods, don't use an inflatable doughnut cushion to pad your chair. It can increase the pressure on the veins in the Excretory Orifice.
Don't strain. Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum.
Go as soon as you feel the urge. If you wait to pass a bowel movement and the urge goes away, your stool could become dry and be harder to pass.