Hemorrhoids: Which Treatment Should I Use
What is a Decision Point?
Hemorrhoids: Which Treatment Should I Use?You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. Hemorrhoids: Which Treatment Should I Use? Get the facts Your options
Key points to remember
FAQs What types of hemorrhoids are there?
What are home treatments for hemorrhoids?You can try the following home treatments:
You can also take nonprescription pain relievers. Acetaminophen (Tylenol) can help with pain. Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin) and naproxen (Aleve) can help with pain and swelling. What are nonsurgical treatments for hemorrhoids?These treatments cure most small and some large internal hemorrhoids. They aren't used for external hemorrhoids. They work by cutting off the blood supply to the hemorrhoid, which makes the hemorrhoid shrink or go away. There are different ways to do this:
When is surgery used?Surgery for hemorrhoids is called hemorrhoidectomy. It is the most successful way to treat large internal hemorrhoids. Surgery is used for small internal hemorrhoids when:
Surgery may be a good choice for internal hemorrhoids that bulge from the anus. It is the only choice for external hemorrhoids that are causing symptoms and haven't improved with home treatment. How well do treatments for hemorrhoids work?
What are the risks of treatments for hemorrhoids?Most nonsurgical treatments have few risks. Possible problems may include:
Rubber band ligation appears to cause more pain than other types of nonsurgical procedures. Infrared photocoagulation usually causes fewer side effects.2 Risks of surgery Surgery is more likely to cause side effects than nonsurgical treatments. These side effects may include:
In rare cases, a more serious problem may develop. Who should not have procedures or surgery?People who have certain health conditions may not be able to have surgery or procedures for hemorrhoids. These conditions include:
Compare your options Compare
Use home
treatments Use home treatments
Have a nonsurgical procedure Have a nonsurgical procedure
Have surgeryHave surgery
Personal stories Are you interested in what others decided to do? Many people have faced this decision. These personal stories may help you decide. Personal stories about treating hemorrhoidsThese stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. I have had hemorrhoids for many years, but they have never bothered me much. Once in a while they hurt or bleed, and I know that it's time to pay more attention to my diet and drink some extra water. My new doctor and I talked about them during my last visit. She asked if I had ever considered having them treated, and we talked about the pros and cons of my options. I decided that since they don't bother me very much, and because I know what to do if they flare up, I will just keep managing them as I have been. I can always have treatment later if they get worse. John, age 40 Because I sit all day at work, my hemorrhoids can be a big inconvenience. I get plenty of fiber and water in my diet, but they are still bothering me. My doctor and I agreed that it would be reasonable for me to try the rubber band treatment. I will still have to watch what I eat and drink to keep my stools soft, but I hope that the treatment will take care of most of the pain so I can be more comfortable at work. Genevieve, age 50 I had a rubber band hemorrhoid treatment several years ago. I recall that the treatment was quite painful, but it worked very well for a long time. Unfortunately, now the problem has come back. My doctor and I are talking about what to do next. He says I can do the rubber band treatment again or have surgery. Since the rubber band treatment worked well for me before, I plan to have it done again. Ricardo, age 38 I have given all the hemorrhoid home treatments a try, and they have helped. But I still feel like I need something more. It concerns me to have rectal bleeding, although my doctor has tested me and we are confident that I don't have anything more serious than hemorrhoids. I'm going to try one of the nonsurgical treatments and see if that will help stop or reduce the bleeding so I can worry a little less. I have heard good things about the infrared photocoagulation treatment. Barbara, age 47 What matters most to you? Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. I've tried home treatments for a while, and I'm not happy with the results. Not important Somewhat important Very important I'd rather live with my symptoms than go through the temporary pain that nonsurgical procedures or surgery might cause. Not important Somewhat important Very important My hemorrhoids bother me so much that I am willing to try anything, even surgery, to make them go away. Not important Somewhat important Very important I want to avoid surgery at all costs, but I'm willing to try a nonsurgical procedure. Not important Somewhat important Very important I'm worried about the possible side effects of nonsurgical procedures and surgery. Not important Somewhat important Very important My other important reasons: Not important Somewhat important Very important Where are you leaning now? Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. Using only home treatments to treat hemorrhoids Trying something besides home treatments Leaning toward Undecided Leaning toward Having a nonsurgical procedure for hemorrhoids NOT having a nonsurgical procedure Leaning toward Undecided Leaning toward Having surgery for hemorrhoids NOT having surgery Leaning toward Undecided Leaning toward What else do you need to make your decision? Check the facts 1.
If I have hemorrhoids, I should try home treatment first
2.
Surgery may be a good choice if my hemorrhoids are causing symptoms that aren't helped by home treatment.
Decide what's next 1.
Do you understand the options available to you? 2.
Are you clear about which benefits and side effects matter most to you? 3.
Do you have enough support and advice from others to make a choice? Certainty 1.
How sure do you feel right now about your decision? Not sure at all Somewhat sure Very sure 2.
Check what you need to do before you make this decision. 3.
Use the following space to list questions, concerns, and next steps. Your Summary Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. Your decisionNext steps Which way you're leaning How sure you are Your comments Your knowledge of the factsKey concepts that you understood Key concepts that may need review Getting ready to actPatient choices Credits and ReferencesCredits
References Citations
You may want to have a say in this decision, or you may simply want to follow your doctor's recommendation. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. Hemorrhoids: Which Treatment Should I Use?Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision.
1. Get the factsYour options
Key points to remember
FAQs What types of hemorrhoids are there?
What are home treatments for hemorrhoids?You can try the following home treatments:
You can also take nonprescription pain relievers. Acetaminophen (Tylenol) can help with pain. Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin) and naproxen (Aleve) can help with pain and swelling. What are nonsurgical treatments for hemorrhoids?These treatments cure most small and some large internal hemorrhoids. They aren't used for external hemorrhoids. They work by cutting off the blood supply to the hemorrhoid, which makes the hemorrhoid shrink or go away. There are different ways to do this:
When is surgery used?Surgery for hemorrhoids is called hemorrhoidectomy. It is the most successful way to treat large internal hemorrhoids. Surgery is used for small internal hemorrhoids when:
Surgery may be a good choice for internal hemorrhoids that bulge from the anus. It is the only choice for external hemorrhoids that are causing symptoms and haven't improved with home treatment. How well do treatments for hemorrhoids work?
What are the risks of treatments for hemorrhoids?Most nonsurgical treatments have few risks. Possible problems may include:
Rubber band ligation appears to cause more pain than other types of nonsurgical procedures. Infrared photocoagulation usually causes fewer side effects.2 Risks of surgery Surgery is more likely to cause side effects than nonsurgical treatments. These side effects may include:
In rare cases, a more serious problem may develop. Who should not have procedures or surgery?People who have certain health conditions may not be able to have surgery or procedures for hemorrhoids. These conditions include:
2. Compare your options
Personal storiesAre you interested in what others decided to do? Many people have faced this decision. These personal stories may help you decide. Personal stories about treating hemorrhoidsThese stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions. "I have had hemorrhoids for many years, but they have never bothered me much. Once in a while they hurt or bleed, and I know that it's time to pay more attention to my diet and drink some extra water. My new doctor and I talked about them during my last visit. She asked if I had ever considered having them treated, and we talked about the pros and cons of my options. I decided that since they don't bother me very much, and because I know what to do if they flare up, I will just keep managing them as I have been. I can always have treatment later if they get worse." — John, age 40 "Because I sit all day at work, my hemorrhoids can be a big inconvenience. I get plenty of fiber and water in my diet, but they are still bothering me. My doctor and I agreed that it would be reasonable for me to try the rubber band treatment. I will still have to watch what I eat and drink to keep my stools soft, but I hope that the treatment will take care of most of the pain so I can be more comfortable at work." — Genevieve, age 50 "I had a rubber band hemorrhoid treatment several years ago. I recall that the treatment was quite painful, but it worked very well for a long time. Unfortunately, now the problem has come back. My doctor and I are talking about what to do next. He says I can do the rubber band treatment again or have surgery. Since the rubber band treatment worked well for me before, I plan to have it done again." — Ricardo, age 38 "I have given all the hemorrhoid home treatments a try, and they have helped. But I still feel like I need something more. It concerns me to have rectal bleeding, although my doctor has tested me and we are confident that I don't have anything more serious than hemorrhoids. I'm going to try one of the nonsurgical treatments and see if that will help stop or reduce the bleeding so I can worry a little less. I have heard good things about the infrared photocoagulation treatment." — Barbara, age 47 3. What matters most to you?Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. I've tried home treatments for a while, and I'm not happy with the results. Not important Somewhat important Very important I'd rather live with my symptoms than go through the temporary pain that nonsurgical procedures or surgery might cause. Not important Somewhat important Very important My hemorrhoids bother me so much that I am willing to try anything, even surgery, to make them go away. Not important Somewhat important Very important I want to avoid surgery at all costs, but I'm willing to try a nonsurgical procedure. Not important Somewhat important Very important I'm worried about the possible side effects of nonsurgical procedures and surgery. Not important Somewhat important Very important My other important reasons: Not important Somewhat important Very important 4. Where are you leaning now?Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision. Show which way you are leaning right now. Using only home treatments to treat hemorrhoids Trying something besides home treatments Leaning toward Undecided Leaning toward Having a nonsurgical procedure for hemorrhoids NOT having a nonsurgical procedure Leaning toward Undecided Leaning toward Having surgery for hemorrhoids NOT having surgery Leaning toward Undecided Leaning toward 5. What else do you need to make your decision?Check the facts1. If I have hemorrhoids, I should try home treatment first
You're right! Try eating more fiber, drinking more fluids, using a stool softener, and using ointments to help your symptoms. 2. Surgery may be a good choice if my hemorrhoids are causing symptoms that aren't helped by home treatment.
That's right. Surgery may help hemorrhoids that bulge from the anus or cause symptoms that don't get better with home treatment. Decide what's next1. Do you understand the options available to you? 2. Are you clear about which benefits and side effects matter most to you? 3. Do you have enough support and advice from others to make a choice? Certainty1. How sure do you feel right now about your decision? Not sure at all Somewhat sure Very sure 2. Check what you need to do before you make this decision.
3. Use the following space to list questions, concerns, and next steps. Credits
References Citations
Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. cross-references to other topics, definitions or medical illustrations) is only available in the online version. Last Revised: September 22, 2010 Author: Healthwise Staff Medical Review: Anne C. Poinier, MD - Internal Medicine & Brent Shoji, MD - General Surgery eMedicineHealth Medical Reference from Healthwise
This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions. To learn more visit Healthwise.org © 1995-2012 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. |
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