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.
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You Can Help Shorten How Long Hemorrhoids Last Discuss Treatment Options With Your Doctor Today
Though rarely a serious condition, unresolved hemorrhoids and the pain associated with them can have a severe impact on your overall health and well-being.
If you are concerned you might have hemorrhoids, or if the pain associated with hemorrhoids is affecting your daily life, contact your doctor for information about treatment options.
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Why Do Hemorrhoids Occur
Sometimes hemorrhoids develop for no reason, but often they are associated with chronic constipation or diarrhea, straining during bowel movements, and prolonged sitting on the toilet. You can reduce your risk by following these three easy steps:
- Get enough fiber in your diet
- Stay well hydrated
- Exercise regularly .
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How Long Do Thrombosed Hemorrhoids Bleed
When a thrombosed hemorrhoid ruptures, it may bleed anywhere from a few seconds to a few minutes. Importantly, it shouldnt last more than 10 minutes. If it lasts more than 10 minutes, you should seek medical attention. It can mean an underlying clotting abnormality or some other problem.
Once the major bleeding episode is over, you may find intermittent traces of blood in your stool.
And while a ruptured hemorrhoid doesnt require any treatment, you may want to take a Sitz bath to keep the area clean and help it heal well.
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When Is It Time To Seek Medical Care For Hemorrhoids
Drinking more water, eating more fiber, and taking over-the-counter medications may help hemorrhoids to resolve on their own at home. However, often a doctor can help you get effective relief faster than you might on your own. And, in some cases, your symptoms could indicate a condition more serious than hemorrhoids. Thats why its always better to be safe than sorry and get your hemorrhoids evaluated sooner rather than later.
Less Strain More Gain
Prolonged sitting or straining, often associated with constipation or diarrhea, may lead to hemorrhoids. “By straining you are causing more hemorrhoids and creating more symptoms,” Dr. Wolf says.
Don’t delay bowel movements during hemorrhoid flare-ups. Go when you need to go, because putting off bowel movements can worsen constipation, which then aggravates the hemorrhoids.
Also, elevating your feet a bit with a step stool as you sit on the toilet changes the position of the rectum in a way that could allow for easier passage of stools.
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Final Thoughts On How To Get Rid Of Hemorrhoids
- Hemorrhoids are a very common anorectal condition that affects millions of people around the world.
- Enlarged hemorrhoids are often associated with symptoms such as itching, mucus discharge or bleeding. Bleeding happens when hard stool damages the thin walls of the blood vessels in hemorrhoids.
- Avoidance of constipation is key when trying to get rid of hemorrhoids. Its important that you dont strain while using the bathroom, dont sit for an excessive period of time and clean yourself thoroughly when finished.
- Foods and herbal supplements that help relieve constipation can alleviate the symptoms of hemorrhoids. A high-fiber diet and drinking plenty of fluids are the most helpful dietary changes that you can make when it comes to how to get rid of hemorrhoids.
- If non-medical treatments dont work, there are relatively painless procedures that can be done to treat hemorrhoids. For extreme cases, an outpatient surgery called a hemorrhoidectomy may be required.
Causes And Risk Factors Of Hemorrhoids
You may be more likely to get hemorrhoids if other family members, like your parents, had them.
Pressure building up in your lower rectum can affect blood flow and make the veins there swell. That may happen from:
- Pushing during bowel movements
People who stand or sit for long stretches of time are at greater risk, too.
You may get them when you have constipation or diarrhea that doesn’t clear up. Coughing, sneezing, and vomiting could make them worse.
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Severity Of Ruptured Hemorrhoids
Once the hemorrhoid bursts, an immediate care should be provided as to follow the steps:
- Gentle compression using clean soft cloths or sanitary napkins to stop the bleeding.
- Apply cold compression or cold sitz bath to reduce the inflammation and to stop the bleeding.
If per rectal bleeding persists and the following symptoms develop: palpitation, dizziness, faintness and cold hands and/or feet, an immediate medical attention must be obtained.
Gradually Increase Your Fiber Intake
Most of us dont get in enough fiber everyday, but adding more high-fiber foods like beans, broccoli, whole grains, and fresh fruit to your diet can help you avoid constipation and stay regular. This in turn reduces the chances that youll find yourself straining and further irritating your hemorrhoids, says Dr. Thomas. Aim for 20 to 30 grams of fiber a day, and consider taking a fiber supplement that contains psyllium or methylcellulose to help you hit your daily goal. If youre typically low on fiber-rich foods, though, take your timesuddenly upping your intake may make you gassy.
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Time For Hemorrhoid Removal
Your doctor can tell you about medical procedures to remove or reduce hemorrhoids. You might consider these options if, despite all the ordinary measures, your hemorrhoids continue to bleed, start to bleed or hurt more, or begin to interfere with bowel movements. In the meantime, self-care will get most men through hemorrhoid flare-ups.
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Maintaining A Healthy Weight
Being overweight is another factor that may contribute to the development of haemorrhoids. You can lose weight by exercising regularly, eating a low-fat diet and moderating your alcohol intake.
More information about food and nutrition is available in our healthy eating section and from the Nutrition Australia website.
Are There Natural Treatments For Hemorrhoids
First, some very good news: Neither type of hemorrhoid is dangerous, and severe complications that require medical care are rare. Symptoms often can be relieved by trying a few natural and self-care treatments.
- Draw a sitz bath. To relieve itching and irritation, fill a tub with three to four inches of warm water and sit in it with your knees bent for about 10 to 15 minutes. Gently pat yourself dry with a towel, but dont rub the area.
- Take fiber supplements. These draw water into your stool and make it easier to pass, helping to reduce hemorrhoid bleeding and inflammation. A psyllium husk fiber supplement, like Metamucil or a generic version, is a good choice. If psyllium causes gas or bloating, try a supplement with wheat dextrin or methylcellulose .
- Ease discomfort. Apply over-the-counter products that shrink the inflamed tissue and relieve itching. Try pads infused with witch hazel , or soothing creams that contain lidocaine, hydrocortisone, or phenylephrine .
You can also take steps to prevent flare-ups.
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Consider Having A Clot Removed
External hemorrhoids can result in extremely painful blood clots, and while theyre not dangerous, they can take a couple of weeks to resolve on their own. If yours scores high on your personal pain scale, a doctor can remove a thrombosed hemorrhoid with a relatively simple in-office procedure under local anesthetic in about 10 minutes. Keep in mind: The first 24 to 48 hours are typically the most painfuland the best time to have a clot removed, says Dr. Ky.
Who Is At Risk For External Hemorrhoids
If your parents have had hemorrhoids, you may be more likely to have them as well. Hemorrhoids may also be caused by pregnancy.
As we age, hemorrhoids can occur due to increased pressure caused by sitting a lot. And anything that causes you to strain during bowel movements can lead to external hemorrhoids.
If youre not sure what the cause of your hemorrhoids may be, your doctor might be able to determine why.
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Precautions On How To Get Rid Of Hemorrhoids
A common concern is that hemorrhoids increase the risk of colorectal cancer, but thats not true. However, the two conditions do cause similar symptoms. This is why its important to mention your hemorrhoids to your health care provider. Even when a hemorrhoid is healed completely, a colonoscopy may be done to rule out other causes of rectal bleeding. According to the American Society of Colon and Rectal Surgeons , every person age 50 and older should undergo a colonoscopy to screen for colorectal cancer.
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Will Preparation H Get Rid Of External Hemorrhoids
Preparation H is not a product that will get rid of hemorrhoids, but it will reduce the occurrence of symptoms and provide relief while hemorrhoids resolve.
The benefits of preparation H on external hemorrhoids can include:
- Numbing pain, itch, and discomfort
- Create a protective barrier to prevent irritation
- Provide temporary relief from the symptoms of external hemorrhoids
There are several types of Preparation H products:
- Avoiding sitting for long periods of time
- Eating a healthy, balanced diet
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When Hemorrhoid Surgery May Be Necessary
Very few people fewer than 10 percent of all adults who see a doctor because of symptomatic hemorrhoids will require a surgical operation.
Surgery to remove hemorrhoids is called a hemorrhoidectomy.
Your doctor may recommend a hemorrhoidectomy if:
- You have large external hemorrhoids
- You have both internal and external hemorrhoids
- An internal hemorrhoid has prolapsed
In a hemorrhoidectomy, the doctor makes a small incision to remove the hemorrhoid and surrounding tissue before closing the wound with stitches.
A hemorrhoidectomy is performed in an operating room and can be done under general anesthesia, in which you are unconscious and unable to feel pain.
Hemorrhoidectomy is associated with postoperative pain, but the procedure is successful for 95 percent of cases.
More recently, another option aimed at avoiding the postoperative pain of a hemorrhoidectomy has become available, called a stapled hemorrhoidopexy. A circular stapling device pulls the hemorrhoidal tissue upward and to its normal position, stapling it in place. The staples eventually fall out over time.
There are many options for the treatment of hemorrhoids. Its best to discuss the benefits and risks of each of these with your doctor in order to come up with the treatment plan that is best for your particular case.
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How Are Hemorrhoids Diagnosed
This check is known as a digital rectal exam. During this exam, your doctor inserts a gloved and lubricated finger into your rectum.
Depending on your risk factors for gastrointestinal disease, your doctor may order an additional test like an anoscopy, sigmoidoscopy, or colonoscopy.
In these tests, a small fiber-optic camera fits into a small tube thats inserted into your rectum. With this test, your doctor gets a clear view of the inside of your rectum so that they can examine the hemorrhoid up close.
You can find a primary care doctor, gastroenterologist, or other specialist near you through the Healthline FindCare tool.
You can have hemorrhoids treated at home or at a doctors office.
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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.
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How Big Can External Hemorrhoids Become
External hemorrhoids can become quite large and inhibit daily life and activities. The size of external hemorrhoids varies, ranging anywhere from grape-sized to the size of a golf ball.
Typically, the more enlarged the hemorrhoid becomes, the more challenging and severe the symptoms are.
Symptoms of enlarged hemorrhoids consist of itching, burning, severe pain, and the discharge of stool or mucus. If you notice that your hemorrhoids do not go away by themselves after a few days or so, you will want to talk to your doctor.
Getting on track for the right treatment for your external hemorrhoids can help curb the risk of the hemorrhoids becoming enlarged.
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