External Hemorrhoids: Treatment Options and Lifestyle Changes - Surgery

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Hemorrhoid Solutions


I would like to ask a few questions regarding my diagnosis of external hemorrhoids after a visit to the hospital.
I have looked up information online, but I am still uncertain about a few points.
Could you please help me with the following questions? Thank you:
1.
Is surgical excision the only treatment option for external hemorrhoids?
2.
When I asked about possible improvement methods, the doctor mentioned that if it does not affect my daily life, I do not need to worry about it, and surgery is only necessary if it becomes problematic.
Is this correct?
3.
Can lifestyle changes and improvements in daily routines help alleviate external hemorrhoids? Thank you very much!

Wawa, 20~29 year old female. Ask Date: 2017/02/02

Dr. Ke Fangxu reply Surgery


1.
Yes.
2.
Yes.
3.
External hemorrhoids, if there is no pain or swelling, generally do not require surgical treatment.
The definition of "healing" may vary from person to person; from a physician's perspective, as long as there are no uncomfortable symptoms, it can be considered healed.
However, if one wishes for the external hemorrhoid to completely disappear, surgical excision is the only option, as external hemorrhoids cannot shrink or resolve on their own.

Reply Date: 2017/02/02

More Info


External hemorrhoids, also known as external piles, are swollen veins located around the anus and lower rectum. They can cause discomfort, pain, and itching, especially during bowel movements. Understanding the treatment options and lifestyle changes that can help manage this condition is essential for improving quality of life. Here are answers to your questions regarding external hemorrhoids:
1. Is surgery the only option for external hemorrhoids?
While surgical intervention, such as hemorrhoidectomy, is one treatment option for external hemorrhoids, it is not the only one. Many cases of external hemorrhoids can be managed effectively with conservative treatments. These include lifestyle modifications, over-the-counter medications, and home remedies. For instance, increasing dietary fiber intake can help soften stools and reduce straining during bowel movements, which is a common cause of hemorrhoids. Additionally, topical treatments such as creams or ointments containing hydrocortisone or witch hazel can alleviate symptoms like itching and inflammation. If the hemorrhoids are causing significant pain or complications, then surgical options may be considered, but this is typically reserved for more severe cases.

2. Is it correct to say that if external hemorrhoids do not affect my daily life, I do not need to worry about them?
This statement can be partially correct. If external hemorrhoids are asymptomatic and do not interfere with your daily activities, you may not need immediate treatment. However, it is essential to monitor the condition, as hemorrhoids can sometimes worsen over time. If you experience increased pain, bleeding, or other symptoms, it is advisable to seek medical attention. Regular check-ups with your healthcare provider can help ensure that any changes in your condition are addressed promptly.

3. Can lifestyle changes improve external hemorrhoids?
Yes, lifestyle changes can significantly improve the symptoms and overall management of external hemorrhoids. Here are some effective strategies:
- Dietary Changes: Increasing fiber intake through fruits, vegetables, whole grains, and legumes can help prevent constipation and reduce straining during bowel movements. Staying well-hydrated is also crucial.

- Regular Exercise: Engaging in regular physical activity can promote healthy bowel function and reduce the risk of constipation.

- Avoiding Prolonged Sitting: If your job requires long periods of sitting, take breaks to stand up and move around. This can help alleviate pressure on the anal area.

- Proper Bathroom Habits: Avoid straining during bowel movements, and do not spend excessive time on the toilet. If you feel the urge to go, try to respond promptly.

- Warm Baths: Soaking in a warm bath can help relieve discomfort and promote blood flow to the area, which may aid in healing.

In summary, while surgical options exist for treating external hemorrhoids, many cases can be managed with conservative measures and lifestyle changes. If your symptoms are mild and do not interfere with your daily life, monitoring the condition may be appropriate. However, if you notice any changes or worsening symptoms, it is essential to consult with a healthcare professional for further evaluation and treatment options. Always prioritize a healthy lifestyle, as it plays a crucial role in managing and preventing hemorrhoids.

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