Can Hemorrhoids Be Treated Without Surgery? Common Concerns Explained

Q: Can Hemorrhoids Be Treated Without Surgery? Common Concerns Explained

Hello： 1. Endoscopic examinations are classified based on the length of insertion, including anoscopy, sigmoidoscopy, and colonoscopy. 2. Stool should not be too hard, and avoid straining during bowel movements to reduce the risk of anal fissures. 3. If hemorr

Is it possible to treat hemorrhoids without surgery?

Hello, about a year and a half ago, I visited a doctor for an anal fissure.
It seems he performed an endoscopic examination where I lay on my side and he inserted the endoscope (I think he also inflated it, which made my abdomen feel bloated).
Is this considered an endoscopic examination? Later, he mentioned that I had a slight hemorrhoid, which he said was not serious, so he only prescribed me with ointment for hemorrhoids and told me that if the anal fissure hurt later, I could apply it.
The doctor did not specifically instruct me to take any medication.
I only saw the doctor once.
When I go to the bathroom, if my stool is very hard, I take my time to let it come out slowly to avoid another fissure.
Is this the correct approach? Also, after having a bowel movement, there is a small lump that appears, roughly the size of the first segment of my pinky finger, but it retracts after a while.
I try to exercise, eat fruits and vegetables, and drink water.
I have a couple of questions: 1.
If there is no bleeding and no pain, do I need to see a doctor again? 2.
Sometimes when I ride my bike for too long, I feel pain in my anus.
The saddle is actually a bit hard.
Should people with hemorrhoids avoid cycling to prevent worsening the condition? Sorry for so many questions, thank you!

yahoo, 20~29 year old female. Ask Date: 2006/07/29

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello: 1.
Endoscopic examinations are classified based on the length of insertion, including anoscopy, sigmoidoscopy, and colonoscopy.
2.
Stool should not be too hard, and avoid straining during bowel movements to reduce the risk of anal fissures.
3.
If hemorrhoids are confirmed, consult a physician only when symptoms arise.
4.
Hemorrhoids are caused by the dilation and congestion of venous structures; prolonged pressure from certain positions or maintaining the same posture can lead to abnormal venous return and worsen hemorrhoids.
Therefore, it is not that one should avoid cycling, but rather that one should not maintain the same position for too long.
Sincerely, Dr.
Lin Ming-Hui, Internal Medicine.

Reply Date: 2006/07/29

More Info

Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. Many individuals wonder whether hemorrhoids can be treated without surgery, especially when symptoms are mild or manageable. The good news is that there are several non-surgical treatment options available for hemorrhoids, and many people find relief through these methods.

Non-Surgical Treatment Options
1. Lifestyle Changes: One of the most effective ways to manage hemorrhoids is through lifestyle modifications. This includes increasing dietary fiber intake, which can help soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Additionally, staying well-hydrated by drinking plenty of water can also aid in digestion and prevent constipation.

2. Topical Treatments: Over-the-counter creams and ointments, such as hydrocortisone or witch hazel, can provide temporary relief from itching and discomfort associated with hemorrhoids. These products can help reduce inflammation and soothe the affected area.

3. Sitz Baths: Taking warm sitz baths can help alleviate discomfort. Sitting in warm water for about 10 to 15 minutes several times a day can promote blood flow to the area and help reduce swelling.

4. Pain Relief Medications: Non-prescription pain relievers, such as acetaminophen or ibuprofen, can help manage pain and discomfort associated with hemorrhoids.

5. Minimally Invasive Procedures: If symptoms persist despite conservative treatment, there are minimally invasive procedures that can be performed in a doctor's office. These include rubber band ligation, sclerotherapy, and infrared coagulation. These methods can effectively reduce or eliminate hemorrhoids without the need for traditional surgery.

When to See a Doctor
1. Persistent Symptoms: If you experience persistent symptoms such as pain, bleeding, or discomfort, it is advisable to consult a healthcare professional. Even if you are not experiencing severe symptoms, a follow-up visit can help ensure that your condition is being managed appropriately.

2. Changes in Symptoms: If you notice any changes in your symptoms, such as increased pain, bleeding, or the appearance of new lumps, it is important to seek medical advice. These changes could indicate a worsening of your condition or the development of complications.

Concerns About Physical Activity
Regarding your concern about cycling and its impact on hemorrhoids, it is true that prolonged sitting on a hard saddle can exacerbate discomfort. If you experience pain while cycling, consider using a padded seat or taking breaks to relieve pressure. Additionally, if you find that certain activities consistently lead to discomfort, it may be wise to limit those activities until your symptoms improve.

Conclusion
In summary, hemorrhoids can often be managed effectively without surgery through lifestyle changes, topical treatments, and other non-invasive methods. However, it is essential to monitor your symptoms and consult a healthcare provider if you have concerns or if your symptoms persist. Regular check-ups can help ensure that your condition is managed effectively, and your overall health is maintained. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice.

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