Doctors decide on the best course of treatment for your hemroids after considering your medical history, symptoms and the results from tests like those described in the previous chapter.
They could advise some dietary and/or lifestyle changes.
The available treatment options for hemroids include medications and surgery. But, doctors advise surgery only if the size and effects of the hemroids is major.
hemroids Treatment Options:
External hemroids may first be subjected to home treatments and some simple selfcare techniques. These may include:
- Adopting a high-fiber diet by gradually including more vegetables and fruits in your daily diet,
- Drinking more water,
- Adopting a reasonable exercise regime that probably would include simple exercises like walking and swimming,
- Using simple stool softeners like mild laxatives, and Application of topical medications.
Some of these treatment options for external hemroids may help with treating internal hemroids. But, if your hemroids are very severe, you require more intense treatments.
A few corticosteroid creams available over-the-counter are claimed to reduce swelling and also the pain from hemroids.
If you are already on antidepressant medications or suffer from hypertension, cardiovascular disease, urinary infection or diabetes, you should not use topical applications containing ephedrine, epinephrine, or phenylephrine HCI.
Some hemorrhoidal creams contain astringents and analgesics that could cause allergies.
Herbal hemroids treatment like butcher’s broom, horse chestnut, and Japanese pagoda tree are also claimed by some people to sometimes help with hemorrhoidal pain and discomfort.
Severe hemroids Treatment :
Severe hemroids usually require special treatment. These treatment options could be surgical or non-surgical (fixative), or both in combination.
The main objective of fixative treatment options is to reduce the blood supply to the hemroid so that it shrinks and goes away. Any scar tissue that is left behind may help to support the normal anal tissue and prevents more hemroids from developing.
Fixative procedures are sometimes very effective in treating small hemroids that may stick out during bowel movements and go back within the anal canal after bowel movements.
Fixative treatment options are more popular with patients and often advised by doctors.
Doctors prescribe such treatments for sick and elderly people with hemorrhoidal problems because they may put less stress on the patient.
Surgical procedures for treating hemroids are used for patients with severe pain or bleeding or those who have not responded to other treatment options.
The treatment options Include:
This is a fixative hemorrhoidal treatment option. Doctors attach a rubber band around the base of your hemroid inside the rectum. The band cuts off blood circulation and this should cause the hemorrhoid to wither away within a few days. In some cases, there could
be a recurrence sometime in the next five or more years. Then, a second course of banding may cure the problem.
This is also a fixative hemorrhoidal treatment option where your doctor injects a chemical solution near the blood vessels surrounding the hemroid. This causes the hemroid to shrink and fall off.
This is another fixative technique of treating hemroids. Doctors use extreme cold to freeze hemroids, which soon fall off.
This treatment makes use of a special device that burns away hemorrhoidal tissue by the application of heat.
This is a fairly rare surgical treatment only used for very severe hemroids or if you have many small internal hemroids.
This treatment may offer long-term results, but it is usually very expensive and requires a very long recovery time during which the patient can suffer severe pain and feel extremely uncomfortable. There may also be the chance of further complications after this treatment.
Some believe that lifestyle changes may help to improve your hemorrhoidal problems.
Some of these changes include:
- Wearing fairly loose cotton undergarments.
- Applying a cotton swab dipped in witch hazel to get relief from hemorrhoidal pain. Always check with your doctor before considering applying anything to your hemroids.
- Using more comfortable seats, so that you do not apply more pressure on and around the affected region.
- Sitting in a warm Sitz bath for fifteen minutes once or twice a day
- Using ointments that prevent or reduce itching
- Regular cleaning of the anal region with a mild, unscented soap and water, especially after bowel movements.
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