How long can hemorrhoids be managed without surgery?

Sep 11, 2025 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

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,

Generally, the duration for which hemorrhoids can be maintained without surgery varies from person to person. Mild hemorrhoids, with proper care, can remain stable for 5–10 years without significant worsening. However, for moderate to severe hemorrhoids or cases involving inadequate care, symptoms may recur or even worsen within 1–3 months. Detailed analysis is as follows:

If the hemorrhoids are mild and only occasionally cause slight bleeding or anal discomfort during bowel movements, most individuals can maintain long-term stability (possibly 5–10 years) through dietary adjustments, improved bowel habits, and warm water sitz baths after defecation, without affecting normal daily life.

If hemorrhoids have progressed to the moderate stage, with frequent bleeding and prolapsed anal masses that can spontaneously retract, conservative care alone may fail to provide long-term control. Symptoms may worsen within several months due to triggers such as constipation or prolonged sitting, leading to complications such as non-retractable prolapse and increased bleeding.

For severe hemorrhoids, even with temporary symptom relief via medication, the duration of effectiveness without surgery is usually short. Serious complications such as incarcerated prolapse and persistent bleeding may occur within 1–3 months, significantly affecting quality of life.

It is recommended to perform appropriate daily care according to the severity of the hemorrhoids and regularly monitor symptom changes. If symptoms frequently worsen, timely evaluation should be conducted to determine whether further treatment is necessary.

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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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Can hemorrhoids be controlled long-term without surgery?

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.

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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.