Do I Need Surgery for My External Hemorrhoids? - Surgery

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When it comes to external hemorrhoids, the decision to undergo surgery largely depends on the severity of symptoms and the impact on your quality of life. Based on your description, it seems that your external hemorrhoids have been manageable, with occasional pain during bowel movements and a feeling of swelling. Since you mentioned that the pain occurs about once a year and does not significantly affect your daily activities, it may not be necessary to pursue surgical intervention at this time.

External hemorrhoids are swollen veins located around the anus and can cause discomfort, especially during bowel movements. They can become painful if they are thrombosed (develop a blood clot) or if there is significant irritation. In your case, since the pain is infrequent and manageable, conservative treatment options may be sufficient. These can include dietary modifications, such as increasing fiber intake to soften stools and reduce straining during bowel movements, as well as maintaining proper hydration. Over-the-counter topical treatments can also help alleviate discomfort.

Regarding the size of your hemorrhoids, a 1 cm external hemorrhoid is relatively small, and while it may feel like it is getting larger, this does not necessarily indicate that surgery is required. Surgical options, such as hemorrhoidectomy, are typically reserved for cases where there is persistent pain, significant bleeding, or if the hemorrhoids are causing complications that affect quality of life.

As for the frequency of check-ups, it is generally advisable to have a follow-up with your healthcare provider if you notice any changes in symptoms, such as increased pain, bleeding, or changes in bowel habits. If your symptoms remain stable, annual check-ups may be sufficient. However, if you experience any new symptoms or if the pain becomes more frequent, it would be wise to consult with a healthcare professional sooner.

In terms of bowel habits, the type of stool can indeed affect hemorrhoids. Hard stools can lead to straining, which exacerbates hemorrhoid symptoms. Therefore, focusing on a high-fiber diet, regular exercise, and adequate fluid intake can help maintain softer stools and reduce the risk of aggravating your hemorrhoids.

In summary, based on your current situation, surgery for your external hemorrhoids does not seem necessary at this time. Instead, focus on conservative management strategies and monitor your symptoms. If you have any concerns or if your condition changes, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Regular monitoring and proactive management can help you maintain a good quality of life while managing your external hemorrhoids effectively.