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Depends: Depends on the degree of prolapse and whether they are internal or external. Internals tend to be painless and can be treated by in-office techniques like rubber banding, irc, injection sclerotherapy. With associated prolapse or external components, thd and stapled pph are the procedures of choice for most grade 2-3 hems. Kstandard surgicall hemorrhoidectomy is reserved for large grade 3-4 hems. ...Read moreSee 1 more doctor answer
Depends: Diet and fluids is the first choice, then numerous topical agents, rubber banding of internal hemorrhoids and surgical removal of hemorrhoids by numerous means including scalpel, laser, stapling, sclerosis. Please avoid the advertised hemorrhoid clinics in general as they are really rip-offs on both you and the insurance companies. See a colorectal surgeon! ...Read moreSee 1 more doctor answer
Warm Tub soaks: Eat a healthy hi fiber diet, drink plenty of non caffeinated , non alcoholic fluid daily, more if you exercise or travel by plane alot. 80-100 ounces per day is a good start and go up from there depending on your activity level. Also stop reading on the toilet. Have your bm within 5 minutes or get out and come back when the urge is truly there. ...Read more
Many: First is diet and fluids, stop reading on toilet, excercise regularly to avoid constipation, correct constipation and or diarrhea. Most hemorrhoids reolve with above. After that is toopical meds, rubber band ligation of internal hemorrhoids, and various forms of hemorrhoidal surgical removal. 95 % of hemorrhoid issues are best treated with diet and fluids. ...Read moreSee 1 more doctor answer
See your doctor: Assuming you have tried otc and home remedies without improvement, it's time to call your doctor. Many gps are very good in treating hemorrhoids so you should start by seeing your family doctor. However, you may need to visit a surgeon if you have advanced grade hemorrhoids. ...Read more
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