Some people may not have symptoms. Others may have problems that range from mild to severe. Common ones are:
Bleeding, which may be seen:
On toilet paper
In the toilet bowl
Anal itching and burning
Swelling and pain during bowel movements
Sensitive lumps around the anus
The doctor will ask about your symptoms and health history. A physical exam may be done. It will focus on the anal area. An anoscope may be used to see internal structures. This is often enough to make the diagnosis.
The goal of treatment is to ease symptoms and promote healing.
Initial treatments may be:
Supportive care, such as warm baths or cold packs
Lifestyle changes, such as a high-fiber diet and drinking plenty of fluids
Medicines to ease pain, such as:
Ointments, creams, and suppositories applied to the skin
Over the counter pain relievers taken by mouth
Procedures may be done when other methods are not helpful. Options are:
Rubber band ligation—places a rubber band around the base of the hemorrhoid to cut off blood flow to it until it withers away
Sclerotherapy—injects a chemical mix near the vein to scar and shrink the vein
Coagulation therapy—uses electricity, laser, or infrared light to shrink the tissue
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