Medical articles on Prevention, Diagnosis and Treatment

Treatment Options For All Hemorrhoids Types

A haemorrhoid is formed when a vein in the lower rectum or anus swells up to such a size that it can cause some major discomfort. It can be external or internal, both with varying degrees of severity.

Treatment may include

  1. natural methods
  2. creams or
  3. surgical processes.

Over-The-Counter (OTC) Hemorrhoid Treatments

Some OTC haemorrhoid drugs are much like the same in any anal drugs, in that they can only treat discomforts such as pain and itching, but not exactly the underlying problem. Various forms can be available—ointments, creams, gels, suppositories, foams, or pads. There are other several examples like

  1. protectants (e.g. aluminium hydroxide gel, glycerine, or plain mineral oil)
  2. astringents
  3. antiseptics and
  4. analgesics


  1. topical corticosteroids and
  2. vasoconstrictors (also used for lowering blood pressure)

Both drugs proven to be most effective in decreasing the swelling of this condition.

External Hemorrhoids

An external haemorrhoid develops outside the anal sphincter and is often the most painful. There are several remedies in store for this.

Treatment for External Piles

  1. One is the fail-proof hot sitz bath, where you can squat or stand over a bowl or a tub of steaming hot water.
  2. A local anesthetic, such as lidocaine, can help in easing up the pain.
  3. Also, a natural “remedy” would be adopting a high-fiber diet, as not only will it help with the ease of the bowel movement, but it can also help in decreasing the swelling of the vein.

Internal Hemorrhoids

Internal haemorrhoids originate above the internal sphincter of the anus, and are at increased risk for constriction. While less painful than the external type, it probably has the greater chance for it to be ruptured. While the other treatments above may work in an internal haemorrhoid, some procedures are just meant to be specific.

Treatment for Internal Piles

Drugs like nonsteroidal anti-inflammatory drugs (NSAIDs) can help in relieving the swelling, but minor surgical measures should be taken for the condition to resolve itself.

Procedures like

  1. rubber band ligation
  2. cautery, or
  3. sclerotherapy may needed

Thrombosed Hemorrhoids

A thrombosed haemorrhoid is one where circulation is really impeded in the affected vessel and a resulting clot was formed. Not only is it downright dangerous, but it’s excruciatingly painful, as well.

Treatment for Thrombosed Hemorrhoids

All of the above treatments may work in some way, but due to the fact that a thrombosed haemorrhoid can multiply into several others inside the anal tract, haemorrhoid is usually considered as a viable option. It is a full-on surgical excision, and can take from 14 days to a month for the resulting wound to heal.

Bleeding Hemorrhoids

Possibly the scariest incarnation of haemorrhoids, it is an internal haemorrhoid that has ruptured due to several factors, such as straining during a bowel movement.

In a case like this, immediate surgery is necessary to prevent any complications that may arise, such as anemia or shock. While the above surgeries may work, those may not be possible to stop the bleeding. That’s why several surgical procedures had been developed over the years.

One example is a stapled hemorrhoidectomy, an “upgrade” from the regular hemorrhoidectomy employed for thrombosed types.

Another recent development is the hemorrhoidal artery ligation, in which a proctoscope and a Doppler transducer is used as a part of the operation to accurately identify and “tie” the bleeding wound. It’s also allows physicians to rely less on “blind” ligations.

There are other more treatments available. All you only need is a lot of patience to find out what works for you best. Just don’t let the haemorrhoid swell to the point that an operation is necessary. For other questions, please consult your doctor.

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February 19, 2012 This post was written by Categories: Medical Tagged with:
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