9 doctors weighed in:
How to treat a long term external hemirroids?
9 doctors weighed in

Dr. Joshua Katz
Surgery - Colorectal
3 doctors agree
In brief: External Hemorrhoids
External hemorrhoids can be treated medically or by surgical excision.
Surgery can be done under general or local anesthesia and is painful. I recommend it only when medical management fails. In most cases, topical barrier cream, fiber, and fluids and careful hygience suffice. If you consider surgery, try to identify what symptom is bothering you and if is your hemorrhoids or something els.

In brief: External Hemorrhoids
External hemorrhoids can be treated medically or by surgical excision.
Surgery can be done under general or local anesthesia and is painful. I recommend it only when medical management fails. In most cases, topical barrier cream, fiber, and fluids and careful hygience suffice. If you consider surgery, try to identify what symptom is bothering you and if is your hemorrhoids or something els.
Dr. Joshua Katz
Dr. Joshua Katz
Thank
3 doctors agree
In brief: Consistent Treatment
Most external hemorrhoids can be managed with home treatment.
The key is consistent treatment. This includes adding fiber to your meals, drinking more water, and using over-the-counter ointments for a limited time to stop itching. You also may use stool softeners to treat associated constipation. If there is a sudden increase in pain, this may indicate a clot inside the hemorrhoid and in this case incision and evacuation of the clot or excision of the hemorrhoid may be needed.

In brief: Consistent Treatment
Most external hemorrhoids can be managed with home treatment.
The key is consistent treatment. This includes adding fiber to your meals, drinking more water, and using over-the-counter ointments for a limited time to stop itching. You also may use stool softeners to treat associated constipation. If there is a sudden increase in pain, this may indicate a clot inside the hemorrhoid and in this case incision and evacuation of the clot or excision of the hemorrhoid may be needed.
Dr. Michael Zadeh
Dr. Michael Zadeh
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Dr. Lee Lawrence
Emergency Medicine
2 doctors agree
In brief: Seek surgery consult
Long term hemorrhoids can be caused by lifestyle activities such as prolonged sitting (truck driver), straining on defecation (chronic constipation), prolonged sitting on the toilet, or from having children.
There are internal and external hemorrhoids which can have different causes. It depends on how bothersome they are such as recurrent bleeding, chronic pain, that determines when to see a md.

In brief: Seek surgery consult
Long term hemorrhoids can be caused by lifestyle activities such as prolonged sitting (truck driver), straining on defecation (chronic constipation), prolonged sitting on the toilet, or from having children.
There are internal and external hemorrhoids which can have different causes. It depends on how bothersome they are such as recurrent bleeding, chronic pain, that determines when to see a md.
Dr. Lee Lawrence
Dr. Lee Lawrence
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Dr. Sahba Ferdowsi
General Practice
2 doctors agree
In brief: Exanmination
You will need professional examination and history to determine your best outcome.

In brief: Exanmination
You will need professional examination and history to determine your best outcome.
Dr. Sahba Ferdowsi
Dr. Sahba Ferdowsi
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