Managing Hemorrhoids Conservatively: Will Symptoms Improve Over Time? - Surgery

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Hemorrhoids can be treated conservatively, but it is uncertain whether the condition will gradually improve?


I would like to ask you, I recently developed hemorrhoids.
When I have harder stools or diarrhea, the left side of my anus swells.
However, after a while, it subsides on its own.
I have seen a doctor, but they only prescribed a stool softener for treatment.
Since I will soon be relocating for work abroad, I cannot undergo surgery.
I can only treat it conservatively, and I am wondering if my condition will gradually improve.

STEVEN, 30~39 year old female. Ask Date: 2005/08/22

Dr. Hou Yongji reply Surgery


Hello: Based on your description, your hemorrhoids appear to be mild.
Therefore, improvements in lifestyle, dietary habits, and bowel habits can yield good results.
However, if proper care is not taken, the hemorrhoids may worsen.
It is recommended to maintain good habits to ensure long-term health.
Wishing you good health!

Reply Date: 2005/08/22

More Info


Managing hemorrhoids conservatively can indeed lead to improvement over time, especially if you adopt certain lifestyle changes and follow your doctor's recommendations. Hemorrhoids, which are swollen veins in the lower rectum and anus, can be caused by various factors, including straining during bowel movements, prolonged sitting, and dietary habits.
In your case, it seems that the symptoms are exacerbated by the consistency of your stool, whether it is too hard or too loose. This is a common issue, and managing your bowel habits is crucial in alleviating the discomfort associated with hemorrhoids. Here are some strategies that may help improve your condition over time:
1. Dietary Changes: Increasing your fiber intake can help soften your stool and make bowel movements easier. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Additionally, consider drinking plenty of water throughout the day to stay hydrated, which can also aid in digestion and prevent constipation.

2. Regular Exercise: Engaging in regular physical activity can help stimulate bowel function and reduce the risk of constipation. Even simple activities like walking can be beneficial.

3. Avoid Straining: When you feel the urge to have a bowel movement, try to go to the bathroom promptly. Avoid straining, as this can worsen hemorrhoids. If you find it difficult to pass stool, consider using a stool softener as prescribed by your doctor.

4. Sitz Baths: Taking warm sitz baths can provide relief from the discomfort associated with hemorrhoids. Soaking the affected area for about 15-20 minutes several times a day can help reduce swelling and relieve pain.

5. Over-the-Counter Treatments: There are various over-the-counter creams and ointments available that can help soothe the irritation and reduce inflammation. These can be used in conjunction with the softener your doctor prescribed.

6. Monitor Symptoms: Keep track of your symptoms and any changes you notice. If you experience significant pain, bleeding, or if the swelling does not subside, it is important to consult a healthcare professional for further evaluation.

7. Stress Management: Stress can impact your digestive health, so finding ways to manage stress through relaxation techniques, mindfulness, or other methods can be beneficial.

While conservative management can lead to improvement, it is essential to understand that hemorrhoids may not completely resolve without surgical intervention, especially if they are severe or recurrent. However, many individuals find that with proper care and lifestyle adjustments, their symptoms can significantly improve, allowing them to manage their condition effectively.

Since you mentioned that you will be relocating abroad, it may be helpful to research local healthcare options and ensure you have access to medical care if your symptoms worsen or if you need further treatment. In the meantime, following the conservative management strategies outlined above should help you find relief and improve your quality of life. If you have any concerns or questions about your treatment plan, don’t hesitate to reach out to your healthcare provider for personalized advice.

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