A hemorrhoid is a swollen vein that can be located internally or externally on your rectum. If you have a hemorrhoid flareup, it can stop hurting within two weeks without seeking treatment.
Eating a high-fiber diet and drinking about 8-10 glasses of water can help with the symptoms. You might have to use stool softeners so you don’t strain as much during a bowel movement. You can purchase over-the-counter topical ointments to help with the pain, swelling, and itching.
If you have internal hemorrhoids, they usually aren't an issue. You may have bleeding after a bowel movement if you strain too hard. The problem that could arise is that they could prolapse or bleed heavily. A prolapse is when a hemorrhoid drops through your rectum and bulges from your anus. If you see blood after you have a bowel movement when you have a hemorrhoid, it’s typical.
But an external hemorrhoid can also bleed after a bowel movement. These hemorrhoids are exposed so they can become painful, itch, or become irritated. External hemorrhoid could develop a painful blood clot. These are called thrombosed hemorrhoids. These clots can cause sharp, severe pain, but they usually aren't life-threatening.
An external or prolapsed hemorrhoid could become infected or irritated and then require surgery.
There are various types of surgeries for hemorrhoids. Some surgeries can even be done in your doctor’s office without anesthesia. One of these procedures is called banding or rubber band ligation. This procedure is used to treat internal hemorrhoids. It involves placing a tight band around your hemorrhoid base to cut off the supply of blood.
This procedure usually takes two or more visits that take place about two months apart. You usually won’t feel pain, but you could feel mild discomfort or pressure. If you’re taking blood thinners, this procedure isn’t for you because of the high risk of bleeding complications.
Another procedure is called Sclerotherapy, and a chemical is injected into your hemorrhoid. The chemical will make the hemorrhoid shrink and stop bleeding. Most people experience extraordinarily little or no pain from the shot. This procedure is performed at the doctor’s office with few known risks.
It’s a better option if you’re on blood thinners because there isn’t any cutting of your skin. Sclerotherapy has the best success rate if you have a small internal hemorrhoid.
Coagulation therapy is also known as infrared photocoagulation. With this treatment, infrared light, extreme heat, or extreme cold is used. This makes your hemorrhoid shrink and retract.
Hemorrhoidal artery ligation is another procedure. This method finds the blood vessels causing your hemorrhoid and closes off those blood vessels using ligates or ultrasound.
A hemorrhoidectomy is when you have large internal hemorrhoids or internal hemorrhoids which have prolapsed, causing you problems or are not responding to treatment. The surgery is performed with anesthesia. There are several choices of anesthesia that can be discussed with your doctor.
The surgeon will remove the large hemorrhoids, you’ll be in recovery for a brief period for observation. After you're stable, you typically can go home.
A hemorrhoidopexy, otherwise known as a stapling, is handled as a same-day surgery and requires anesthesia. This kind of surgery is used to treat prolapsed hemorrhoids. Your hemorrhoid is stapled back into place inside your rectum. The staple cuts off the blood supply so your tissue will shrink and be absorbed.