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Hemorrhoids (cont.)

What is the medical treatment for hemorrhoids?

Over-the-Counter (OTC) Medications

  • Many creams, ointments, and suppositories are available for symptom relief and may be used for comfort. However, they do not "cure" hemorrhoids. Often they contain a numbing medication or a corticosteroid to decrease inflammation and swelling.

Prolapsed Internal Hemorrhoids Treatment

  • Most prolapsed internal hemorrhoids can be pushed back into the anus, but occasionally your health-care professional may need to reduce them by gently pushing them with constant pressure.
  • If the hemorrhoids remain swollen and trapped outside the anus and they are not treated, the hemorrhoid tissue may not receive enough blood and can become infected. In such situations, surgery may be required to resolve the problem.

Thrombosed Hemorrhoids Treatment

  • Thrombosed external hemorrhoids can be painful and are associated with a hard lump that is felt at the anus and cannot be pushed back inside. Most often the clot within the hemorrhoid will need to be removed with a small incision.
  • After local anesthetic is placed under the skin surrounding the hemorrhoid, a scalpel is used to cut into the area and the clot is removed. There is almost instant relief of the sharp pain but a dull ache may continue.
  • There may be some mild bleeding from the hemorrhoid for a couple of days. Sitz baths and over-the-counter pain medications may be recommended.
  • The use of a rubber or air rubber donut may help with the pain, and preventing constipation is a priority.

Internal Hemorrhoid Treatments

Unless there is bleeding an internal hemorrhoid may have no symptoms. Once there is bleeding and/or prolapse and the diagnosis is made, home remedies are most often used to control symptoms. If bleeding increases or there is difficulty in reducing prolapsed hemorrhoids, referral to a surgeon is often made to discuss more aggressive treatment options.

External Hemorrhoid Treatment

Treatment of external hemorrhoids usually addresses the hygiene issue, where excess skin tags makes it difficult to properly clean the anus area after a bowel movement. If this becomes a significant issue, surgery can be considered to remove the hemorrhoid.

Thrombosed external hemorrhoids may require the clot removed acutely in an office or emergency/urgent care department procedure.

Medically Reviewed by a Doctor on 6/6/2016
Medical Editor:

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Hemorrhoids - Effective Treatments

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