hemorrhoids can be treated with simple changes to diet
and bowel habits. Most do not require surgery or other treatment unless the
hemorrhoids are very large and painful.
goal of nonsurgical procedures used to treat hemorrhoids, called fixative
procedures, is to reduce the blood supply to the hemorrhoid so it shrinks or
goes away. The scar tissue left in its place helps support the anal tissue and
helps prevent new hemorrhoids.
procedures include tying off the hemorrhoids with a rubber band (rubber band
ligation) or using heat, lasers, or electric current to create scar tissue
(coagulation therapy). Fixative procedures can only be done on internal hemorrhoids.
Surgical removal of hemorrhoids
(hemorrhoidectomy) can be used for large internal hemorrhoids, when several
small hemorrhoids are present, or when other treatments have not controlled
bleeding. Sometimes a combination of treatments (for example, a fixative
procedure and a hemorrhoidectomy) is the most effective way to treat
hemorrhoids. External hemorrhoids can only be removed surgically, if needed. If a blood clot develops in the external hemorrhoid, the clot may need to be removed to relieve pain.
Hemorrhoidectomy versus fixative procedures for internal hemorrhoids
- Fixative procedures are usually tried before
surgery if hemorrhoids are small and stick out of the anus during a bowel
movement but return to their normal position afterward (second-degree hemorrhoid ).
- Hemorrhoidectomy may provide
better long-term results than fixative procedures. But surgery is more
expensive, requires a longer recovery time, is usually more painful, and has a
greater risk of complications.
- Fixative procedures are the
preferred treatment for people older than age 70 and for people in poor
- Hemorrhoids: Which Treatment Should I Use?