What is the best treatment for hemorrhoids?

Oct 31, 2023 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

Hemorrhoids can be managed through dietary adjustments, preventing constipation, sitz baths, medication, and surgical treatment. The choice of treatment for hemorrhoids depends on the type and severity of the condition, as well as the patient's individual circumstances. Lifestyle modifications, sitz baths, and medical treatments are typically used for mild hemorrhoids or cases with minor symptoms, while surgery is generally reserved for severe or complicated cases.

Under normal circumstances, there is generally no single best treatment for hemorrhoids. Hemorrhoids can be managed through dietary adjustments, preventing constipation, sitz baths, medication, and surgical treatment. Specific details are as follows:

1. Dietary Attention

Increasing dietary fiber intake—such as fresh fruits, vegetables, and whole grains—helps soften stools and reduce straining during bowel movements, thereby lowering the risk of developing hemorrhoids. Additionally, maintaining regular meal times, avoiding excessive straining, and establishing healthy bowel habits can help prevent hemorrhoids.

2. Preventing Constipation

Constipation is a common cause of hemorrhoids. Consuming sufficient dietary fiber and staying well-hydrated helps maintain normal bowel function and prevents constipation. Avoiding prolonged straining during bowel movements also reduces the likelihood of developing hemorrhoids.

3. Sitz Baths

A sitz bath involves soaking the buttocks in warm water, which can relieve pain and inflammation caused by hemorrhoids and promote healing. Warm water helps relax the muscles around the anus, reduce discomfort, and improve blood circulation.

4. Medication

Medical treatments include topical ointments and oral medications. Topical ointments often contain anti-inflammatory and analgesic ingredients; examples include Ma Yinglong Musk Hemorrhoid Ointment and Gangtai Ointment, which help reduce swelling, pain, and itching. Oral medications such as anti-inflammatory and pain-relief drugs—including Zhisuning Tablets and Hemorrhoid Capsules—can also help alleviate hemorrhoid symptoms.

5. Surgical Treatment

Surgery is typically reserved for severe or persistent cases that do not respond to conservative treatments. Various surgical options exist, including laser therapy, coagulation therapy, and rubber band ligation, all aimed at removing or reducing hemorrhoids to resolve the condition definitively.

It should be noted that the choice of hemorrhoid treatment depends on the type and severity of the hemorrhoids, as well as the patient’s individual circumstances. Lifestyle modifications, sitz baths, and medications are usually used for mild hemorrhoids or cases with minor symptoms, while surgery is generally reserved for severe or complicated cases. If discomfort occurs, it is recommended to seek timely medical attention at a hospital.

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How long does it take for the hemorrhoid ligation band to fall off after surgery?

If postoperative care is properly managed—keeping the anal area clean and dry, avoiding strenuous activity and straining during bowel movements—the blood supply to the ligated tissue will gradually be cut off, leading to normal necrosis and detachment. Most individuals complete the shedding process within 7–14 days. During this period, minor rectal bleeding or mild sensation of heaviness may occur, which are normal phenomena. No special intervention is required; simply allow the tissue to detach naturally.

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Can patients with hemorrhoids eat Ejiao cake?

In general, patients with hemorrhoids can consume Ejiao cake, as long as they do so in moderation. It is important to control the portion size when eating Ejiao cake to avoid indigestion or increased gastrointestinal burden caused by overconsumption. Choose Ejiao cake with simple ingredients and minimal spicy or irritating additives to reduce stimulation to the intestines and hemorrhoids. If symptoms such as abdominal bloating, worsened constipation, or increased hemorrhoidal pain occur after consumption, discontinue use and consult a healthcare provider.

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Is hospitalization required after mixed hemorrhoid surgery?

In general, whether hospitalization is required after mixed hemorrhoid surgery depends on a comprehensive assessment of factors such as the surgical method, the patient's physical condition, and expected postoperative recovery. If any discomfort occurs, it is recommended to promptly consult the attending physician. Before deciding on hospitalization, patients should have thorough discussions with their doctor to fully understand the surgical procedure and their own health status. For those recovering at home after surgery, it is important to keep the surgical wound clean and dry.

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Can a colonoscopy detect internal hemorrhoids?

A colonoscopy can detect internal hemorrhoids, clearly revealing their location, size, number, and mucosal condition, while simultaneously screening for other intestinal abnormalities. If symptoms such as rectal bleeding, anal heaviness, abdominal pain, or changes in bowel habits occur, prompt medical evaluation is recommended. Internal hemorrhoids are located at the distal end of the rectum near the anus, and a colonoscope can be inserted through the anus into the rectum and colon to directly visualize the morphological characteristics of the hemorrhoids.