In many cases treatment of hemorrhoids involves steps that you can take on your own. But sometimes medications or surgical procedures are necessary.
If your hemorrhoids 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.
But that is all that they'll do!
Surgical or other procedures
If a blood clot has formed within an external hemorrhoid, your doctor can easily remove the clot with a simple incision, which may provide prompt relief.
For persistent bleeding or painful hemorrhoids, your doctor may recommend:
- Banding hemorrhoids. Your doctor places one or two tiny rubber bands around the base of an internal hemorrhoid to cut off its circulation and the hemorrhoid 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 hemorrhoid.
- Infrared light. A 1- or 2-second burst of infrared light can cut off circulation to small, bleeding, internal hemorrhoids.
- Surgery. If other procedures haven't been successful or if you have large hemorrhoids, your doctor can remove tissue in a procedure called hemorrhoidectomy. 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.
All these medications and treatments won't get to the root cause and cure the condition.
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