Hemorrhoid Treatment In A Doctors Office With Or Without Surgery
Medical procedures may be needed for hemorrhoids that dont go away with home treatments.
Painful external hemorrhoids can be excised during an office visit following a shot of local anesthetic to numb the area.
For internal hemorrhoids, a few office procedures may be considered. In rubber band ligation, the most common hemorrhoid procedure performed in the United States, the doctor places a small rubber band around the base of the hemorrhoid, cutting off the hemorrhoid’s blood supply. The hemorrhoid typically shrinks and falls off within about a week, though several quick follow-up visits may be required to completely get rid of the hemorrhoid.
Other procedures include sclerotherapy, in which a chemical injected into the hemorrhoid causes scar tissue to form, shrinking the hemorrhoid and infrared coagulation, in which an intense beam of infrared light causes the scar tissue to form, cutting off the blood supply and shrinking the hemorrhoid.
If you have a large external hemorrhoid, both internal and external hemorrhoids, or an internal hemorrhoid thats prolapsed , a surgical operation called a hemorrhoidectomy may be necessary, though few patients require this procedure.
Another option that aims to reduce postoperative pain is a stapled hemorrhoidopexy, in which a device pulls the hemorrhoidal tissue upward and to its normal position, stapling it in place.
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What Does The Duration Of Hemorrhoids Depend On
There are a few factors that will affect how long your hemorrhoids last, as well as how serious they are. If you want your symptoms to clear up quickly, then it may be time to change your lifestyle a little bit.
If youre eating a mostly unhealthy diet, lacking in things like fiber, and intaking too much caffeine your symptoms may last longer than necessary.
Pregnancy is another factor that can affect hemorrhoid duration. During pregnancy, women will be experiencing more pressure in their abdomen, which makes them more likely to experience hemorrhoids. As the pressure isnt going to be relieved until after the pregnancy, the symptoms may not clear up until the individual has given birth.
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How Do You Know You Have Hemorrhoids
- Bleeding after a bowel movement
The good news is that most cases of external and internal hemorrhoids are treatable and relief is possible. However, hemorrhoids can come back after being treated if the underlying cause isnt addressed.
If you think you have hemorrhoids, its always a good idea to speak with your doctor about treatment and rule out any severe causes or effects.
Understand What Hemorrhoids Are
The hemorrhoids can be of two types, internal hemorrhoids, and external hemorrhoids. Internal hemorrhoid is found on the internal side of the rectum. It is the result of swelling or inflation in the inside of the rectum.
A large majority of the population is affected by piles these days. More than seventy percent of the total population has piles or hemorrhoids. The basic reason for the increasing number of patients with piles is the inactive lifestyle, less consumption of water and unhealthy eating habits of the people.
Lack of fiber and insufficient water intake leads to the formation of a hard stool. This hard stool, at the time of bowel movements, gives a lot of pain and inconvenience to the patient. In severe cases, there may also be a painful discharge of blood along with the stool during bowel movements.
Piles is divided into two, external hemorrhoids, and internal hemorrhoids. External hemorrhoids are incorrectly self-diagnosed because a lot of people mistake internal hemorrhoids. Consult a good piles doctor or a proctology expert to determine whether you have the internal or external type.
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Can Hemorrhoids Be Prevented Or Avoided
Just about everyone has hemorrhoids at some time. But some things may make you more likely to get them. People whose parents had hemorrhoids may be more likely to get them. Pregnant women often get hemorrhoids because of the strain from carrying the baby and from giving birth. Being very overweight or standing or lifting too much can make hemorrhoids worse.
How A Doctor Can Help
Doctors can recommend medical treatments and procedures that can reduce or get rid of hemorrhoids. Some of these procedures can be done right in a doctors office and involve very little discomfort.
- Medicated creams/ointments. If an OTC hemorrhoid cream isnt enough, doctors can prescribe stronger creams and ointments.
- Minimally-invasive procedures. There are some minimally-invasive procedures that a doctor can do in their office or in an ambulatory surgery center that typically doesnt require anesthesia or long recovery times. Some of these procedures include rubber band ligation, sclerotherapy injections, and laser/infrared coagulation treatments.
- Thrombectomy. For severe cases that develop blood clots and cause a lot of pain, your doctor can perform an external hemorrhoid thrombectomy to remove the hemorrhoid. Thrombectomies are most effective when performed no more than 72 hours after severe symptoms emerge.
- Surgery. There are several surgical options available when other treatments and procedures havent worked or if you have very large hemorrhoids. If youve struggled to find relief, talk to your doctor to learn if surgery is right for you.
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Tips For Hemorrhoid Relief And Treatment
The pain and discomfort of hemorrhoid symptoms can be challenging to endure, even in milder cases. However, relief is possible as many at-home remedies are affordable and easy to use. Here are some popular methods of healing hemorrhoids:
- Sitz baths These are small plastic tubs that fit over your toilet seat. You can fill it with warm water and submerge the affected area to soothe and cleanse your hemorrhoids, kick-starting the healing process.
- Moist wipes Use wet wipes with calming herbal ingredients to soothe and replace rough toilet paper. These wont treat the hemorrhoids but may make cleanup from bowel movements more comfortable.
- Sprays pain-relieving witch hazel hemorrhoid spray can reduce swelling and discomfort.
- Aloe Known for its intense soothing properties, aloe does wonders by soothing hemorrhoids.
The fastest route to relief, though, are ointment or creams which contain pain relievers, anti-inflammatory, and anti-itch ingredients. These products for hemorrhoids are affordable, easy to use at home, and may have you on the mend in no time.
How Long Does It Take For A Hemorrhoid To Shrink
Hemorrhoids can take between 1 to 2 weeks to shrink fully, but ultimately it depends on the severity. More severe cases can take longer to shrink and may actually lead to hemorrhoid skin tags which can be permanent.
However, hemorrhoid cream and ointment can make the pain and discomfort more tolerable and reduce any itching and burning, and other symptoms. Sitz baths, soothing wipes, and other treatments can also bring relief while you wait for a hemorrhoid to shrink.
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Diet: Best And Worst Foods For Hemorrhoids
Constipation can cause or worsen hemorrhoids.
One way to prevent and treat constipation is to increase fiber intake with fiber supplements or eat a high-fiber diet. It may take a few weeks to notice a difference, but these changes can be effective.
High-fiber foods include:
Changes you can make that may help treat or prevent hemorrhoids include:
- Exercise regularly
- Try to strain less while on the toilet
- Spend less time on the toilet
- If possible, avoid medication that causes constipation or diarrhea
When To See A Doctor About Hemorrhoids
You should see a doctor if you notice bleeding during a bowel movement, or if you produce stool thats red or black. If you know you have a hemorrhoid, you should also see a doctor if the discomfort doesnt go away after a week with the help of at-home remedies.
Many patients find it to be difficult or embarrassing to talk to their doctor about gastrointestinal issuesbut you should know that your doctor is there to help you find solutions to your medical concerns, and you are certainly not the first patient theyve seen with this problem! Talking openly with your doctor is the best way for you to find long-lasting relief.
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How Do They Occur
- straining to have a bowel movement when you are constipated
- waiting too long to have a bowel movement
- coughing and sneezing often
- sitting for a long while
Hemorrhoids may also develop from:
- some liver diseases
Flare-ups of hemorrhoids may occur during periods of stress. Some people inherit a tendency to have hemorrhoids.
Pregnant women should try to avoid becoming constipated because they are more likely to have hemorrhoids during pregnancy. In the last trimester of pregnancy, the enlarged uterus may press on blood vessels and cause hemorrhoids. Also, the strain of childbirth sometimes causes hemorrhoids after the birth.
About Dr David Heiman
Dr. David R. Heiman is Endoscopy Medical Director and a gastroenterologist at Florida Medical Clinics North Tampa location. He specializes in treating patients with conditions like hemorrhoids, IBS, GERD, and hepatitis, as well as performing endoscopies and colon cancer screenings. Dr. Heiman is dedicated to helping patients find treatment plans that work best for them and that address all of their medical concerns.
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How Long Can Hemorrhoids Last
Small hemorrhoids usually go away on their own within a few days. However, larger hemorrhoids may require treatment from your doctor in the form of surgery or another procedure. Larger hemorrhoids may last several days or weeks, depending on when your doctor can schedule and perform the procedure.
If you are pregnant and develop hemorrhoids, your symptoms may go away on their own or after you give birth.
Prevention and treatment are the best ways to ensure your hemorrhoids go away as quickly as possible. Treating hemorrhoids early on can prevent them from becoming more prominent and requiring a longer recovery period.
Do I Need To See The Doctor For A Hemorrhoid
Hemorrhoids can be treated at home, but you should let your doctor know if your symptoms haven’t improved after a week. In some cases, a hemorrhoid could be infected. Serious conditions such as Crohn’s disease, ulcerative colitis, and colon cancer can also cause rectal bleeding, so it’s important to have the condition examined if it isn’t getting better.
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How Long Do Hemorrhoids Last
How long hemorrhoids last will vary from person to person.
In general, small hemorrhoids can go away on their own in a few days. Larger hemorrhoids, particularly ones that cause a lot of pain, swelling, and itchiness, cant go away on their own and may require treatment from a doctor to heal. Pregnant patients may find that hemorrhoids only go away after they give birth.
Its possible for hemorrhoids to return after theyve been treated. A gastroenterologist can help recommend solutions if you find youre struggling with hemorrhoids that dont go away or keep coming back.
Types Of Hemorrhoid Surgery
Recovery after hemorrhoid surgery depends on the type of procedure. Some of the most common are:
- Hemorrhoidectomy, a surgery to remove hemorrhoids
- Sclerotherapy, a less invasive treatment that involves injecting the area around the hemorrhoids with a chemical solution to close off the veins
- Hemorrhoid banding, which involves cutting off the blood supply to the hemorrhoid with a rubber band
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How Can Hemorrhoids Be Treated At Home
Your doctor may recommend treating your hemorrhoids at home if they are small and your symptoms are mild. Things you can do at home to treat hemorrhoids include changing your diet, soaking in a warm bath, and using OTC medicines.
At-home treatments for hemorrhoids include:
- Eating more foods that are high in fiber. Fruits, vegetables, beans, and whole grains are high in fiber. These foods can make your stool softer and your bowel movements more regular and comfortable. Eating a fiber-rich diet can help you avoid straining during bowel movements, which can aggravate hemorrhoid symptoms.
- Soaking in a warm bath for up to 15 minutes, three times a day. A warm bath can often relieve pain, swelling, and inflammation caused by hemorrhoids.
- Taking OTC pain relievers. Products like aspirin and ibuprofen can help you experience temporary relief from your hemorrhoid symptoms.
- Using topical OTC products. Hemorrhoid creams and ointments sold at your local pharmacy often contain witch hazel or other ingredients that can reduce your symptoms.
Treating Hemorrhoids With Healthcare Associates Of Texas
Visit our website today to request an appointment if you think you may have hemorrhoids. Our board-certified physicians can perform an examination and talk to you in greater detail about how long hemorrhoids last. We will also discuss ways to treat them at home and available treatments to reduce your symptoms and help you find relief.
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How To Treat Hemorrhoids And When You Should See Your Doctor
Pregnancy also can weaken these tissues, which is why pregnant women often experience hemorrhoids. Other potential causes include chronic constipation or diarrhea, straining during bowel movements and sitting on the toilet for extended periods. Also, frequently lifting heavy objects may increase the likelihood of hemorrhoids.
What are the symptoms of hemorrhoids?
Hemorrhoid symptoms vary depending on whether the inflamed veins are external or internal.
While hemorrhoids are not dangerous, they can develop complications. An external hemorrhoid may become infected or develop blood clots. Internal hemorrhoid bleeding may lead to anemia, or a low red blood cell count.
How are hemorrhoids treated at home?
In many cases, hemorrhoids will go away on their own within a few days, including prolapsed hemorrhoids. You can help reduce the irritation by eating more high-fiber foods, such as whole grains and green, leafy vegetables and drinking plenty of fluids .
Try to avoid straining during a bowel movement, as this can make hemorrhoids worse. A fiber supplement or gentle stool softener may help.
If you have pain, try taking a warm bath or a sitz bath, which is a shallow plastic tub that allows you to sit in just a few inches of water. Sitz baths are available over the counter adding Epsom salt may help to soothe the irritation. Be sure to dry the area thoroughly after a bath.
When to see the doctor
If at-home remedies do not provide relief, it may be time to see a doctor.