Doctor insights on:
Internal Hemorrhoids Treatment
Treatment: conservative measures may be indicated initially with stool softeners and a high fiber diet. if you have bleeding then colonoscopy should be done for completion. do not assume bleeding is just from hemorrhoids. There are several treatment options which include banding, infrared light and circular stapled hemorrhoidectomy with proctopexy as well as standard surgical hemorrhoidectomy ...Read more
The veins in the rectum can swell and become puffy when a person has frequent pressure on them from pushing out a bm. This is constipation. The swollen veins can burn, itch, or sometimes become severely painful (from a clot building up inside). Veins in the rectum are called hemorrhoidal veins and the sick, stretched out vein ...Read more
I have a large internal hemroid. What are my treatment options? Please be as specific as you can in your answer.
Fiber/stool softners: These are typically caused by straining with bowel movements.Increasing dietary fiber will help with softening the stools.If you can't achieve this with fiber alone, you can add a stool softener/laxative like miralax (polyethylene glycol).You want soft stools that occur w/o straining.If you have rectal bleeding you need to visit your doctor to make sure this is the correct diagnosis.An office procedure can help too. ...Read more
I have a class IV internal hemorrhoid. What are my treatment options? Please provide as much info as possible.
I have internal hemorrhoids but it appears one is becoming "external". What is treatment? I can actually push it back in but it doesn't want to stay
Sure: To reduce the swelling of internal hemorrhoids, you can take fiber therapy or stool softeners to keep your stool soft. Both are over the counter (colace, benefiber, etc) hemorrhoids are aggravated by straining and hard stools. External disease or symptoms such as burning, itching can be treated with witch hazel locally and sitz baths with epsom salts. ...Read more
Variable: It depends on size and location of the hemorrhoids. Prevention at home by avoiding constipation & avoid straining at toilet. Banding in the office for smaller internal hemorrhoids. Surgical options are hemorrhoid removal or hemorrhoid stapling procedures for larger hemorrhoids that may be both internal and external hemorrhoids. ...Read more
Op or Non Op: "best" really depends on what your goals are. Hemorrhoids are much more of a nuisance than a danger to your life. Very rarely do people die from hemorrhoids. Conservative therapy is focused on softening your bowel movements to decrease the pressure down below. There are several options for treatment, some office based, some excisional and others not. Consider seeing a surgeon to discuss further. ...Read moreSee 1 more doctor answer
Lots of options, but: "healing" depends on whether the original cause for hemorrhoids persists. Have you been straining at stool, have rectal dysfunction, perform an activity that increases pelvic engorgement with blood or increases pelvic pressure (heavy lifting, prolonged sitting, etc.)? Have your hemorrhoids been surgically or medically managed (& with otc or prescription drugs)? Are you sure they're hemorrhoids? ...Read more
This treatment is usually performed on internal hemorrhoids, but it can be effective on external hemorrhoids as well?
No: Internal hemorrhoids do not have pain fibers like the skin does overlying the external ones. It will cause excruciating pain. It will like getting sharply pinched constantly around ur anus 24/7. Healing may also differ as it may cause spasm on internal sphincter that can add to prolong pain. ...Read moreSee 1 more doctor answer
What to do if I have ibs-c and have developed an internal hemorrhoid. What is my best treatment option?
Many options: You need an exam from your primary care doctor or a general surgeon. Many internal hemorrhoids can be banded painlessly in the office setting. Sometimes simply sitz baths with epsom salts is effective. Rarely, surgical excision is required. Sometimes a colonoscopy may be recommended, if bleeding is present. ...Read more
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