Medications can ease pain and discomfort while hemorrhoids heal. In addition, certain lifestyle measures can help you feel better and even prevent the recurrence of hemorrhoids.
Try the following approaches to reduce the pain and itching from hemorrhoids:
- Avoid pressure on the area (for example, sit on an inflatable ring)
- Wear cotton undergarments
- Avoid toilet tissue with perfumes or colors
- Try not to scratch the area
- Sit in a warm bath (or use a sitz bath -- ask your doctor) for 10 to 15 minutes, 1 to 2 times per day
- Avoid straining during bowel movements
- Limit the amount of time you sit on the toilet
There are also dietary and other lifestyle steps you can take to prevent or treat constipation, which will help you avoid hemorrhoids.
- Over-the-counter corticosteroid creams, ointments, or pads can help reduce pain and swelling. Hemorrhoid creams with lidocaine (also available over the counter) can reduce pain.
- Stool softeners help reduce straining during bowel movements and prevent hard stools.
- Bulk laxatives help prevent hard stools and constipation.
Surgery and Other Procedures
For cases that do not respond to home treatments, your doctor may recommend other procedures:
- Rubber band ligation. A tiny rubber band is placed around an internal hemorrhoid, which cuts off the blood supply and causes the hemorrhoid to fall off.
- Sclerotherapy. Used to treat varicose veins, in this procedure a chemical solution is injected into the vein, which causes the hemorrhoid to collapse.
- Doppler guided hemorrhoidal artery ligation. A relatively new procedure to help safely treat hemorrhoids.
- Surgery. If other options fail, your doctor may recommend a hemorrhoidectomy.
- Diode laser. This laser surgery requires less operation time, less pain and bleeding, and speeds healing time.
Nutrition and Dietary Supplements
- Psyllium and other forms of fiber may help soften stool and reduce the pain associated with hemorrhoids. Increase fiber intake to 25 to 30 grams per day, and drink 6 to 8 glasses of water per day. People with inflammatory bowel disease should check with their doctor to see if psyllium is appropriate for their condition.
- Probiotics, or "friendly" bacteria, such as lactobacillus and bifidus, can help prevent and treat hemorrhoids. People who are extremely immunocompromised should speak to their physician before taking probiotics.
- Drinking more water can greatly decrease constipation and straining during bowel movements, which can help prevent hemorrhoids.
The use of herbs is a time-honored approach to strengthening the body and treating disease. Herbs, however, can trigger side effects and can interact with other herbs, supplements, or medications. For these reasons, you should take herbs only under the supervision of a health care provider.
Witch hazel (Hamamelis virginiana), applied topically or used as a sitz bath, may temporarily shrink hemorrhoids and relive symptoms. Many "pads" used to treat hemorrhoids contain witch hazel.
Other herbs that are often suggested for hemorrhoids include:
- Goldenrod (Solidago virgaurea), used topically in traditional herbal medicine to reduce inflammation of hemorrhoids.
- Gotu kola (Centella asiatica), used for venous insufficiency or varicose veins. Gotu kola can interact with sedative medications. People with a history of liver disease should use Gotu kola with caution.
- Yarrow (Achillea millefolium), popular in European folk medicine, this herb has traditionally been used to treat wounds and bleeding hemorrhoids. Yarrow can interact with lithium and blood-thinning medications. People with allergies to ragweed should use yarrow with caution.
Scientific evidence to support the use of these herbs is lacking, but professional herbalists may prescribe them in appropriate circumstances.
Although few studies have examined the effectiveness of specific homeopathic therapies, professional homeopaths may consider the following remedies for the treatment of hemorrhoids based on their knowledge and experience. Before prescribing a remedy, homeopaths take into account a person's constitutional type, includes their physical, emotional, and psychological makeup. An experienced homeopath assesses all of these factors when determining the most appropriate treatment for each individual. A homeopath might select the following remedies to treat someone with hemorrhoids.
- Aesculus. For burning hemorrhoids with a sensation of a lump in the anus that feels worse when walking.
- Aloe. For a sensation of pulsation in the rectum with large, external hemorrhoids.
- Collinsonia. For chronic, itchy hemorrhoids with constipation
- Hamamelis. For large bleeding hemorrhoids with a raw feeling
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