Internal Hemorrhoids: Treatment Options and Recovery Insights - Surgery

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Internal hemorrhoids


Hello, doctor: It is commonly said that once hemorrhoids form, they cannot heal.
Recently, I noticed a protrusion in the upper right area of my anus, which was diagnosed by a physician as an internal hemorrhoid.
When bending over to touch the area near the anus, I can feel a round protruding mass.
The doctor asked if I wanted surgery or medication, and I chose medication.
The doctor prescribed a bullet-shaped suppository to be used once every night.
After using the suppository, I felt that the mass had retracted in the morning, and the pain disappeared.
However, due to daytime activities and the suppository drying out by morning, the mass tends to protrude again during the day, accompanied by some pain.
A few years ago, I had an external hemorrhoid (a small round lump) in the upper left area of the anus, which disappeared after applying a hemorrhoid ointment for about three weeks.
My question is: after medication treatment, will the internal hemorrhoid at the anus disappear like the external hemorrhoid or retract to its original position? I have also heard people say that hemorrhoids can reappear after driving or sitting for a long time, implying that hemorrhoids can coexist with the body, sometimes reappearing and then disappearing after a while.
Is this true?

Mr. Huang, 40~49 year old female. Ask Date: 2011/08/15

Dr. Ke Fangxu reply Surgery


Hello, in response to your question: The principle of hemorrhoid treatment is symptom management.
If there is no bleeding, pain, or swelling, topical medications are generally the first line of treatment.
If symptoms significantly disrupt daily life, surgical intervention may be considered.
Since hemorrhoids are classified as a benign condition and do not pose a threat to life or health, there is no urgent need to investigate their pathological mechanisms.
It is recommended to maintain good dietary and bowel habits in daily life, and there is no need to be overly concerned about the fluctuating nature of hemorrhoids.
Thank you!

Reply Date: 2011/08/15

More Info


Internal hemorrhoids, commonly referred to as piles, are swollen veins in the lower rectum and anus. They can cause discomfort, pain, and bleeding, particularly during bowel movements. Your situation, where you have been diagnosed with an internal hemorrhoid and are currently using a medicated suppository, is quite common. Let's delve into the treatment options, recovery insights, and the nature of hemorrhoids.


Treatment Options
1. Conservative Management: The first line of treatment for internal hemorrhoids typically involves conservative measures. This includes dietary changes to increase fiber intake, which can help soften stools and reduce straining during bowel movements. Over-the-counter medications, such as topical creams or suppositories, like the bullet-shaped suppository you are using, can provide symptomatic relief by reducing inflammation and discomfort.

2. Minimally Invasive Procedures: If conservative treatments do not provide sufficient relief, there are several minimally invasive procedures available. These include:
- Rubber Band Ligation: This involves placing a small rubber band around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and fall off.

- Sclerotherapy: A chemical solution is injected into the hemorrhoid tissue, causing it to shrink.

- Infrared Coagulation: This technique uses infrared light to coagulate the blood vessels, leading to the shrinkage of the hemorrhoid.

3. Surgical Options: In cases where hemorrhoids are severe or do not respond to other treatments, surgical options may be considered. Hemorrhoidectomy is a surgical procedure to remove the hemorrhoids, while stapled hemorrhoidopexy is a less invasive option that repositions the hemorrhoids and cuts off their blood supply.


Recovery Insights
Regarding your question about whether the internal hemorrhoid will disappear or return to its original position after treatment, it is important to understand that while many patients experience significant relief and improvement with conservative treatment, hemorrhoids can be a chronic condition.
- Temporary Relief: The medication you are using may help reduce the size of the hemorrhoid and alleviate pain, but it does not guarantee that the hemorrhoid will completely disappear. Many patients find that symptoms can recur, especially if they do not make lifestyle changes to prevent straining during bowel movements.

- Lifestyle Factors: Activities such as prolonged sitting, heavy lifting, or straining during bowel movements can exacerbate hemorrhoids. It is advisable to take breaks during long periods of sitting, maintain a high-fiber diet, stay hydrated, and engage in regular physical activity to help prevent recurrence.

- Monitoring Symptoms: If you notice that the hemorrhoid returns or if you experience increased pain, bleeding, or changes in bowel habits, it is essential to follow up with your healthcare provider. They may recommend further evaluation or a different treatment approach.


Conclusion
In summary, while internal hemorrhoids can often be managed effectively with conservative treatments, they may not completely resolve and can recur. It is crucial to adopt lifestyle modifications to minimize the risk of recurrence. If symptoms persist or worsen, consulting with a healthcare professional for further evaluation and treatment options is advisable. Remember, each individual's experience with hemorrhoids can vary, and ongoing communication with your healthcare provider is key to managing your condition effectively.

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