Can Hemorrhoids Be Cured? Symptoms and Treatment Options - Surgery

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Prolapsed hemorrhoids with incomplete bowel evacuation?


Hello, can hemorrhoids (internal hemorrhoids) be completely cured? I am unsure if my hemorrhoids are causing me to feel incomplete bowel movements, which often leads to unpleasant odors that have troubled me for a long time.
Additionally, I have been experiencing hemorrhoids for several years.
I have seen many doctors, but there has been no improvement.
I would appreciate any advice you can provide! Thank you.

Mr. Gan, 30~39 year old female. Ask Date: 2016/01/08

Dr. Ke Fangxu reply Surgery


To completely cure hemorrhoids, surgery is the only option.
However, if good lifestyle and dietary habits are not maintained after the surgery, recurrence may still occur.
It is advisable to have a thorough discussion with your physician about the pros and cons before deciding on a treatment plan.

Reply Date: 2016/01/08

More Info


Hemorrhoids, commonly referred to as piles, are swollen veins in the lower rectum and anus that can cause discomfort, pain, and bleeding. They can be classified into two main types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. The symptoms of hemorrhoids can include itching, discomfort, swelling, and bleeding during bowel movements.
To address your question about whether hemorrhoids can be cured, it is essential to understand that while many cases of hemorrhoids can be effectively managed and treated, the term "cure" can be somewhat misleading. Hemorrhoids can often be treated successfully with lifestyle changes, over-the-counter medications, and medical procedures, but they can recur if the underlying causes are not addressed.


Treatment Options
1. Lifestyle Modifications:
- Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements, which is a significant contributor to hemorrhoids. Staying hydrated is also crucial.

- Regular Exercise: Physical activity can help stimulate bowel function and reduce the risk of constipation.

- Avoiding Straining: It is essential to avoid prolonged sitting on the toilet and straining during bowel movements, as this can exacerbate hemorrhoids.

2. Over-the-Counter Treatments:
- Creams and ointments containing hydrocortisone or witch hazel can relieve itching and discomfort. Oral pain relievers like acetaminophen or ibuprofen can also help manage pain.

3. Medical Procedures:
- If conservative treatments fail, several medical procedures can be considered:
- 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 to shrink it.

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

- Hemorrhoidectomy: In severe cases, surgical removal of the hemorrhoids may be necessary.

4. Consultation with a Specialist: Given that you have been experiencing symptoms for several years and have not found relief, it may be beneficial to consult a gastroenterologist or a colorectal surgeon. They can provide a thorough examination and discuss the most appropriate treatment options based on your specific situation.


Addressing Your Concerns
Regarding your concern about incomplete bowel movements and odor, these symptoms can indeed be associated with hemorrhoids, particularly if they are causing pain or discomfort during bowel movements. It is crucial to address these issues with a healthcare provider, as they can help determine whether your symptoms are solely due to hemorrhoids or if there may be other underlying conditions contributing to your discomfort.

In summary, while hemorrhoids can often be effectively managed and treated, they may not always be "cured" in the traditional sense. However, with appropriate lifestyle changes, medical treatments, and possibly surgical interventions, many individuals find significant relief from their symptoms. It is essential to work closely with a healthcare provider to develop a personalized treatment plan that addresses your specific needs and concerns.

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