Can hemorrhoids be controlled long-term without surgery?

Jul 30, 2025 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

In general, whether hemorrhoids can be controlled long-term without surgery depends on the specific circumstances. For mild hemorrhoids, long-term control is usually achievable through proper care. However, for severe hemorrhoids, long-term control without surgery is difficult. To help manage hemorrhoids long-term, it is important to develop good daily habits, such as avoiding excessive straining during bowel movements and controlling the duration of defecation.

Generally speaking, whether hemorrhoids can be controlled long-term without surgery depends on the specific circumstances. For mild hemorrhoids, standardized care can usually achieve long-term control; for severe hemorrhoids, however, long-term control without surgery is difficult. Detailed analysis is as follows:

If the hemorrhoids are mild and only occasional symptoms such as bleeding and slight swelling occur, maintaining a bland diet, drinking more water, keeping regular bowel habits, and avoiding prolonged sitting or standing can reduce irritation to the anus, improve local blood circulation, and thus achieve long-term control while reducing symptom flare-ups.

When hemorrhoids progress to the severe stage with frequent prolapse, severe pain, recurrent blood in stool, and other symptoms, long-term control without surgery becomes very difficult. This is because the hemorrhoidal masses are large, the perianal venous plexus is severely varicose, and the diseased tissue cannot be thoroughly improved through routine care. Neglecting proper management can easily lead to worsening symptoms or frequent recurrence.

To help control hemorrhoids long-term, it is important to develop good daily habits. Avoid excessive straining during bowel movements and keep bowel movement duration under control; wash the anal area with warm water daily to maintain cleanliness; perform appropriate anal sphincter-strengthening exercises to enhance anal sphincter function. At the same time, regularly monitor symptom changes and promptly adjust care methods to maintain anal health.

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How long can hemorrhoids be managed without surgery?

In general, the duration for which hemorrhoids can be managed without surgery varies from person to person. With proper care, mild hemorrhoids can remain stable for 5–10 years without significant worsening. However, for moderate to severe hemorrhoids or cases with inadequate care, symptoms may recur or even worsen within 1–3 months. It is recommended to perform appropriate daily care according to the severity of the hemorrhoids and regularly monitor any changes in symptoms. If symptoms frequently worsen,

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Can hemorrhoids be prevented from recurring without surgery?

In general, whether hemorrhoids can avoid recurrence without surgery depends on the specific circumstances. For mild hemorrhoids, recurrence can usually be prevented through proper care. However, for severe hemorrhoids, recurrence is difficult to avoid without surgical intervention. To reduce the risk of recurrence, it is important to develop good daily habits, such as avoiding prolonged squatting during bowel movements and limiting the time spent to within 5 minutes.

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Can hemorrhoids be improved through acupuncture without surgery?

In general, whether hemorrhoids can be improved through acupuncture without surgery depends on the specific circumstances. For mild hemorrhoids, improvement is usually possible with acupuncture; however, for severe hemorrhoids, acupuncture alone may not be effective. To help improve the condition of hemorrhoids, it is important to maintain regular bowel movements and avoid excessive straining during bowel movements caused by constipation.

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Does hemorrhoids without surgery affect normal life?

Whether hemorrhoids affect normal life without surgery depends on the specific circumstances. Hemorrhoids with mild symptoms typically do not interfere with normal daily activities; however, if the symptoms are severe, not undergoing surgery may impact normal life. To reduce the effects of hemorrhoids on daily life, it is important to maintain a light diet, consume more foods rich in dietary fiber, avoid spicy and irritating foods, and maintain regular bowel habits.