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Hemorrhoids: Better to Have Surgery or Not?

Jul 02, 2025 Source: Cainiu Health
Dr. Li Jingxiang
Introduction
Whether hemorrhoids require surgical removal depends on the severity of the condition. If the hemorrhoids are in the early stage, with only occasional rectal bleeding and mild sensations of pressure or fullness, symptoms can often be effectively relieved and controlled through conservative treatments such as dietary adjustments, lifestyle modifications, and the use of hemorrhoid creams or suppositories. In such cases, surgical removal is not necessary, and maintaining normal daily life is achievable with proper routine care.

Generally, the decision to surgically remove hemorrhoids depends on the severity of the condition. If symptoms are mild and do not affect daily life, surgery may not be necessary. However, if symptoms are severe and conservative treatments are ineffective, surgical removal is recommended. If abnormalities occur, timely medical attention is advised. Detailed analysis is as follows:

If hemorrhoids are in the early stage, with only occasional rectal bleeding and slight discomfort, symptoms can be effectively relieved and controlled through dietary adjustments, lifestyle changes, and the use of hemorrhoid creams or suppositories. In such cases, surgical removal is unnecessary, and maintaining normal daily life is achievable with proper care.

When hemorrhoids progress to the middle or late stages, characterized by frequent heavy bleeding leading to anemia, prolapse of hemorrhoidal tissue that cannot be reduced, and severe pain significantly affecting daily life, and conservative treatments are ineffective, surgical removal is recommended. Surgery directly removes the diseased tissue, addressing the hemorrhoid issue at its source and preventing further complications such as strangulation, necrosis, or infection.

To determine whether surgical removal is necessary, it is important to first visit a hospital for examination and follow professional medical advice. Regardless of the chosen approach, daily care should be emphasized, including maintaining anal hygiene and developing good bowel habits to prevent recurrence or worsening of hemorrhoids.

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