Diagnosis and treatment


Your repair might be able to see external hemorrhoids. Diagnosing internal hemorrhoids might include interrogation of your anal duct and rectum .

  • Digital examination. Your doctor inserts a gloved, lubricated finger into your rectum. He or she feels for anything unusual, such as growths.
  • Visual inspection. Because internal hemorrhoids are often too soft to be felt during a rectal exam, your doctor might examine the lower portion of your colon and rectum with an anoscope, proctoscope or sigmoidoscope.

Your doctor might want to examine your entire colon using colonoscopy if :

  • Your signs and symptoms suggest you might have another digestive system disease
  • You have risk factors for colorectal cancer
  • You are middle-aged and haven’t had a recent colonoscopy

Care at Mayo Clinic

Our caring team of Mayo Clinic experts can help you with your hemorrhoids-related health concerns Start here


Home remedies

You can much relieve the meek pain, swelling and excitement of hemorrhoids with home treatments .

  • Eat high-fiber foods. Eat more fruits, vegetables and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can worsen symptoms from existing hemorrhoids. Add fiber to your diet slowly to avoid problems with gas.
  • Use topical treatments. Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent.
  • Soak regularly in a warm bath or sitz bath. Soak your anal area in plain warm water for 10 to 15 minutes two to three times a day. A sitz bath fits over the toilet.
  • Take oral pain relievers. You can use acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others) temporarily to help relieve your discomfort.

With these treatments, hemorrhoid symptoms frequently go off within a workweek. See your repair in a workweek if you do n’t get easing, or sooner if you have dangerous pain or bleeding .


If your hemorrhoids produce lone mild discomfort, your doctor might suggest nonprescription creams, ointments, suppositories or pads. These products contain ingredients such as hex hazel, or hydrocortisone and lidocaine, which can temporarily relieve pain and rub .
Do n’t use an over-the-counter steroid hormone cream for more than a week unless directed by your doctor because it can thin your skin .

External hemorrhoid thrombectomy

If a painful blood clot ( thrombosis ) has formed within an external hemorrhoid, your doctor can remove the hemorrhoid, which can provide prompt easing. This procedure, done under local anesthesia, is most effective if done within 72 hours of developing a clot .

Minimally invasive procedures

Rubber band ligation of hemorrhoid

Rubber band ligation of hemorrhoid

Rubber band ligation of hemorrhoid

To remove a hemorrhoid using arctic ring ligation, your doctor inserts a minor tool called a ligator through a lighted tube ( telescope ) in the anal canal and grasps the hemorrhoid with forceps. Sliding the ligator ‘s cylinder up releases rubber bands around the base of the hemorrhoid. Rubber bands cut off the hemorrhoid ‘s blood provide, causing it to wither and drop off .
For haunting bleed or afflictive hemorrhoids, your sophisticate might recommend one of the other minimally invasive procedures available. These treatments can be done in your sophisticate ‘s office or other outpatient set and do n’t normally require anesthesia .

  • Rubber band ligation. Your doctor places one or two bantam rubberize bands around the al-qaeda of an internal hemorrhoid to cut off its circulation. The hemorrhoid withers and falls off within a week .
    Hemorrhoid band can be uncomfortable and cause bleeding, which might begin two to four days after the procedure but is rarely hard. occasionally, more-serious complications can occur .
  • Injection (sclerotherapy). Your doctor injects a chemical solution into the hemorrhoid tissue to shrink it. While the injection causes little or no pain, it might be less effective than rubber band ligation.
  • Coagulation (infrared, laser or bipolar). Coagulation techniques use laser or infrared light or heat. They cause small, bleeding internal hemorrhoids to harden and shrivel. Coagulation has few side effects and usually causes little discomfort.

Surgical procedures

only a little share of people with hemorrhoids require surgery. however, if other procedures have n’t been successful or you have big hemorrhoids, your repair might recommend one of the adopt :

  • Hemorrhoid removal (hemorrhoidectomy). Choosing one of assorted techniques, your surgeon removes excessive tissue that causes bleed. The operation can be done with local anesthesia combined with sedation, spinal anesthesia or general anesthesia .
    Hemorrhoidectomy is the most effective and complete manner to treat hard or recurring hemorrhoids. Complications can include irregular difficulty emptying your bladder, which can result in urinary nerve pathway infections. This complicatedness occurs chiefly after spinal anesthesia anesthesia .
    Most people have some trouble after the procedure, which medications can relieve. Soaking in a warm bathtub besides might help .
  • Hemorrhoid stapling. This routine, called stapled hemorrhoidopexy, blocks blood stream to hemorrhoidal tissue. It is typically used alone for internal hemorrhoids .
    Stapling generally involves less pain than hemorrhoidectomy and allows for earlier refund to regular activities. Compared with hemorrhoidectomy, however, stapling has been associated with a greater risk of recurrence and rectal prolapse, in which function of the rectum protrudes from the anus .
    Complications can besides include bleed, urinary retention and annoyance, equally well as, rarely, a dangerous blood infection ( sepsis ). talk with your doctor about the best choice for you .

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Preparing for your appointment

If you have signs and symptoms of hemorrhoids, make an date with your regular doctor. If needed, your doctor might refer you to one or more specialists — including a repair with expertness in the digestive system ( gastroenterologist ) or a colon and rectal surgeon — for evaluation and treatment .
here are some suggestions to help you get ready for your date .

What you can do

Be mindful of any pre-appointment restrictions. When you make the appointment, ask if there ‘s anything you need to do in advance .
Make a list of :

  • Your symptoms and how long you’ve noticed them
  • Key personal information, including typical bowel habits and diet, especially your fiber intake
  • All medications, vitamins or supplements you take, including doses
  • Questions to ask your doctor

For hemorrhoids, some questions to ask your repair include :

  • What’s the likely cause of my symptoms?
  • Is my condition likely to be temporary or permanent?
  • Am I at risk of complications related to this condition?
  • What treatment approach do you recommend?
  • If treatments we try first don’t work, what will you recommend next?
  • Am I a candidate for surgery? Why or why not?
  • Are there additional self-care steps that might help?
  • I have other medical problems. How can I manage these along with hemorrhoids?

Do n’t hesitate to ask other questions .

What to expect from your doctor

Your doctor is probable to ask you questions, including :

  • How uncomfortable are your symptoms?
  • What are your typical bowel habits?
  • How much fiber does your diet contain?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
  • Has anyone in your family had hemorrhoids or cancer of the colon, rectum or anus?
  • Have you had a change in your bowel habits?
  • During bowel movements, have you noticed blood on your toilet paper, dripping into the toilet or mixed into your stools?

What you can do in the meantime

Before your appointment, take steps to soften your stools. Eat more high-fiber foods, such as fruits, vegetables and unharmed grains, and consider an over-the-counter fiber supplement, such as Metamucil or Citrucel. Drinking six to eight glasses of water system a day besides might help relieve your symptoms .

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