The list of treatments mentioned in various sources for Hemorrhoids includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Hemorrhoids may include:
Hidden causes of Hemorrhoids may be incorrectly diagnosed:
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Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment or change in treatment plans.
Some of the different medications used in the treatment of Hemorrhoids include:
The following are some of the latest treatments for Hemorrhoids:
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Choosing the Best Treatment Hospital: More general information, not necessarily in relation to Hemorrhoids, on hospital and medical facility performance and surgical care quality:
| Illustration reprinted with permission from the American Society of Colon and Rectal Surgeons. Artist: Russell K. Pearl, M.D. |
Good sources of fiber are fruits, vegetables, and whole grains. In addition, doctors may suggest a bulk stool softener or a fiber supplement such as psyllium (Metamucil) or methylcellulose (Citrucel).
In some cases, hemorrhoids must be treated surgically. These methods are used to shrink and destroy the hemorrhoidal tissue and are performed under anesthesia. The doctor will preform the surgery during an office or hospital visit.
A number of surgical methods may be used to remove or reduce the size of internal hemorrhoids. These techniques include:
Techniques used to treat both internal and external hemorrhoids include:
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Source: In a Page: Signs and Symptoms, 2004
Treatment depends on the type and severity of the hemorrhoid and on the patient’s overall condition. Generally, treatment includes measures to ease pain, combat swelling and congestion, and regulate bowel habits. The patient can relieve constipation by increasing the amount of raw vegetables, fruit, and whole grain cereal in the diet or by using stool softeners. Venous congestion can be prevented by avoiding prolonged sitting; local swelling and pain can be decreased with local anesthetic agents (lotions, creams, or suppositories), astringents, or cold compresses, followed by warm sitz baths or thermal packs. Rarely, the patient with chronic, profuse bleeding may require a blood transfusion. Other nonsurgical treatments are injection of a sclerosing solution to produce scar tissue that decreases prolapse, manual reduction, and hemorrhoid ligation or laser ablation.
Hemorrhoidectomy, the most effective treatment, is necessary for patients with severe bleeding, intolerable pain and pruritus, and large prolapse. This procedure is contraindicated in patients with blood dyscrasias (acute leukemia, aplastic anemia, or hemophilia) or GI carcinoma and during the first trimester of pregnancy.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Treatment depends on the type and severity of the hemorrhoids.
Nonsurgical treatments include measures to control pain, combat swelling and congestion, and regulate bowel habits. Patients can relieve constipation by consuming a high-fiber diet and increasing fluid intake by drinking eight to ten 8-oz glasses of water per day or by using bulking agents such as psyllium.
Venous congestion can be prevented by avoiding prolonged sitting on the toilet; local swelling and pain can be decreased with local anesthetic agents (lotions, creams, or suppositories) or astringents. Hydrocortisone suppositories may be used for edematous, prolapsed hemorrhoids in combination with warm sitz baths.
Hemorrhoids may be treated with injection sclerotherapy and rubber band ligation. Infrared photocoagulation bipolar diathermy may be used to affix the mucosa to the underlying muscle.
Clinical tip There’s no evidence that topical cleaners or lotions (pads, foams, ointments) cause symptomatic hemorrhoids to shrink; they only provide relief by soothing the area.
Hemorrhoidectomy is performed for patients with severe bleeding and those with thrombosed hemorrhoids. This procedure is contraindicated in patients with blood dyscrasias (acute leukemia, aplastic anemia, or hemophilia) or gastric cancer and during the first trimester of pregnancy.
Source: Handbook of Diseases, 2003
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