Stapling generally involves less pain than hemorrhoidectomy and allows for earlier return to regular activities. It is typically used only for internal hemorrhoids. This procedure, called stapled hemorrhoidopexy, blocks blood flow to hemorrhoidal tissue. Most people have some pain after the procedure, which medications can relieve. This complication occurs mainly after spinal anesthesia. Complications can include temporary difficulty emptying your bladder, which can result in urinary tract infections. Hemorrhoidectomy is the most effective and complete way to treat severe or recurring hemorrhoids. The surgery can be done with local anesthesia combined with sedation, spinal anesthesia or general anesthesia. Choosing one of various techniques, your surgeon removes excessive tissue that causes bleeding. However, if other procedures haven't been successful or you have large hemorrhoids, your doctor might recommend one of the following: Only a small percentage of people with hemorrhoids require surgery. Coagulation has few side effects and usually causes little discomfort. They cause small, bleeding internal hemorrhoids to harden and shrivel. Coagulation techniques use laser or infrared light or heat. Coagulation (infrared, laser or bipolar).While the injection causes little or no pain, it might be less effective than rubber band ligation. Your doctor injects a chemical solution into the hemorrhoid tissue to shrink it.

Occasionally, more-serious complications can occur. Hemorrhoid banding can be uncomfortable and cause bleeding, which might begin two to four days after the procedure but is rarely severe. The hemorrhoid withers and falls off within a week. Your doctor places one or two tiny rubber bands around the base of an internal hemorrhoid to cut off its circulation. These treatments can be done in your doctor's office or other outpatient setting and don't usually require anesthesia. Rubber bands cut off the hemorrhoid's blood supply, causing it to wither and drop off.įor persistent bleeding or painful hemorrhoids, your doctor might recommend one of the other minimally invasive procedures available. Sliding the ligator's cylinder upward releases rubber bands around the base of the hemorrhoid. To remove a hemorrhoid using rubber band ligation, your doctor inserts a small tool called a ligator through a lighted tube (scope) in the anal canal and grasps the hemorrhoid with forceps. This procedure, done under local anesthesia, is most effective if done within 72 hours of developing a clot. If a painful blood clot (thrombosis) has formed within an external hemorrhoid, your doctor can remove the hemorrhoid, which can provide prompt relief. These products contain ingredients such as witch hazel, or hydrocortisone and lidocaine, which can temporarily relieve pain and itching.ĭon't use an over-the-counter steroid cream for more than a week unless directed by your doctor because it can thin your skin. If your hemorrhoids produce only mild discomfort, your doctor might suggest over-the-counter creams, ointments, suppositories or pads. See your doctor in a week if you don't get relief, or sooner if you have severe pain or bleeding. With these treatments, hemorrhoid symptoms often go away within a week. You can use acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others) temporarily to help relieve your discomfort. Soak your anal area in plain warm water for 10 to 15 minutes two to three times a day. Soak regularly in a warm bath or sitz bath.Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent.

Add fiber to your diet slowly to avoid problems with gas. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can worsen symptoms from existing hemorrhoids.

Eat more fruits, vegetables and whole grains. You can often relieve the mild pain, swelling and inflammation of hemorrhoids with home treatments.

Hemorrhoid cream use