4 doctors weighed in:
What hemorrhoid treatment options are available for reducing pain?
4 doctors weighed in

Dr. Barry Rosen
Surgery
2 doctors agree
In brief: R U certain of Dx?
Hemorrhoids are classified as internal (which bleed and protrude) or external (which can cause pain when thrombosed).
Pain from thrombosed hemorrhoids respond well to sitz baths; if ineffective, minor surgery is necessary. Internal hemorrhoids don't cause pain; these are often confused with fissures, which can be quite painful, yet responsive to medication +/- surgery.

In brief: R U certain of Dx?
Hemorrhoids are classified as internal (which bleed and protrude) or external (which can cause pain when thrombosed).
Pain from thrombosed hemorrhoids respond well to sitz baths; if ineffective, minor surgery is necessary. Internal hemorrhoids don't cause pain; these are often confused with fissures, which can be quite painful, yet responsive to medication +/- surgery.
Dr. Barry Rosen
Dr. Barry Rosen
Thank
Dr. Carolyn Messere
Surgery - Colorectal
In brief: Soak
Sitz baths (soaking in warm water) and ice can both help shrink hemorrhoids temporarily.
Avoid pushing or straining when you have a bowel movement. Increase fiber and fluid intake. Don't use a donut pillow - this can actually aggravate hemorrhoids. Wipe gently and avoid irritating the hemorrhoids. Wipes can be irritating. An oily cleanser like balneol can be helpful. See doctor if no improvement.

In brief: Soak
Sitz baths (soaking in warm water) and ice can both help shrink hemorrhoids temporarily.
Avoid pushing or straining when you have a bowel movement. Increase fiber and fluid intake. Don't use a donut pillow - this can actually aggravate hemorrhoids. Wipe gently and avoid irritating the hemorrhoids. Wipes can be irritating. An oily cleanser like balneol can be helpful. See doctor if no improvement.
Dr. Carolyn Messere
Dr. Carolyn Messere
Thank
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