Can hemorrhoids recur?

Nov 14, 2025 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

Hemorrhoids have a relatively high recurrence rate. If lifestyle adjustments are not maintained after treatment, they can easily reoccur; however, long-term proper care can effectively reduce the risk of recurrence. Daily care should be approached from multiple aspects: increase dietary fiber intake, eat more fruits and vegetables, and drink plenty of water; avoid prolonged squatting during bowel movements, limiting time on the toilet to within 5 minutes; and clean the anal area with warm water daily.

Hemorrhoids have a relatively high recurrence rate. If lifestyle habits are not improved after treatment, they can easily reoccur; however, maintaining proper long-term care can effectively reduce the risk of recurrence. Detailed analysis is as follows:

Recurrence often occurs when treatment is incomplete or triggering factors persist. Some patients stop treatment once symptoms improve, failing to fully address the underlying lesions. Combined with persistent risk factors such as prolonged sitting, constipation, and consumption of spicy foods, the anal veins continue to be irritated, leading to congestion and dilation of the venous plexus, which may trigger a recurrence of hemorrhoids, accompanied by symptoms such as rectal bleeding and swelling pain.

Standardized treatment combined with lifestyle adjustments can reduce recurrence. After completely removing the lesions through surgery or medication, avoiding prolonged sitting or standing, maintaining regular bowel movements, and preventing constipation and diarrhea from irritating the anal area can significantly lower the likelihood of recurrence—some individuals may even remain recurrence-free for extended periods.

Daily care should be comprehensive: increase dietary fiber intake by eating more fruits and vegetables and drinking plenty of water; avoid prolonged straining during bowel movements, limiting time on the toilet to within 5 minutes; clean the anal area daily with warm water to maintain hygiene and dryness; and perform regular Kegel (anal lift) exercises to strengthen the pelvic floor muscles around the anus.

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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.