Healthcare professionals use a grading system to describe internal hemorrhoids based on whether they remain in the rectum or protrude out of the anus. Hemorrhoids can be either internal or external. Most people can go home on the same day as the surgery. This procedure is known as a hemorrhoidectomy.Īlternatively, a doctor or surgeon may staple a prolapsed hemorrhoid back into place in the anus.ĭuring these procedures, a patient will receive general anesthesia. Surgery may involve the complete removal of external hemorrhoids or prolapsed internal hemorrhoids. This scar tissue cuts off the blood supply, leading the hemorrhoid to shrink.Ī doctor will usually carry out these procedures while the patient is under local anesthesia. Electrocoagulation: Doctors send a low electric current into a hemorrhoid to create scarring.This blocks the hemorrhoid’s blood supply and reduces its size. Infrared photocoagulation: Shining infrared light toward an internal hemorrhoid heats the area, causing scar tissue to form.This produces a scar that cuts off blood supply to the hemorrhoid, causing it to shrink. Sclerotherapy: During this procedure, doctors inject a liquid into an internal hemorrhoid.The hemorrhoid will either shrink or fall off. Rubber band ligation: This outpatient procedure for internal hemorrhoids involves placing an elastic band on the base of the hemorrhoid to block its blood supply.If home remedies do not improve hemorrhoids, a person may need further treatment. Research suggests that creams or suppositories that combine tribenoside (an anti-inflammatory) with lidocaine may help improve symptoms of pain and itching.Ī person should talk with a doctor if symptoms do not improve after using these medications for a week. Lidocaine: Lidocaine acts as a local anesthetic.They can help reduce inflammation, but they may damage the skin if used for too long. Steroid cream: Corticosteroids such as hydrocortisone are commonly used to treat hemorrhoids.Witch hazel: Experts say that astringents, such as witch hazel, may provide temporary relief.It may be effective for relieving anal itching, which can be related to hemorrhoids. One ointment, Calmoseptine, combines zinc oxide and menthol. Zinc oxide: Creams containing zinc oxide may help with irritation.A person can usually buy them over the counter. Hemorrhoid medications come in various forms, including suppositories, ointments, and pads. Analgesics: Painkillers such as aspirin, ibuprofen, and acetaminophen may help alleviate pain from hemorrhoids.Taking one a few times each day may help reduce hemorrhoid pain. A sitz bath: A sitz bath involves sitting in a tub of shallow, warm water.Ice packs and cold compresses: Applying these to the affected area may help ease pain.Fiber supplements: Taking supplements like methylcellulose (Citrucel) and psyllium (Metamucil) can reduce constipation and help with hemorrhoids.Topical creams and ointments: Over-the-counter (OTC) creams for external hemorrhoids can help reduce itching, discomfort, and swelling.The following home treatments may help relieve symptoms of hemorrhoids: However, medication or surgery may be necessary in certain cases. In most cases, simple measures will alleviate symptoms while hemorrhoids heal on their own. Genetics: Some people inherit a tendency to develop hemorrhoids. This may result from increased pressure within the abdomen.
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