Sitting in sitz or warm bath, applying hemorrhoid creams and eating a high fiber diet can help relieve mild symptoms. For many however, symptoms often recur.
More severe hemorrhoid flare-ups can cause bleeding, swelling or excessive pain.
Non-surgical management of hemorrhoids such as Rubber Band Ligation is the most effective ways to treat the hemorrhoids without requiring painful or invasive surgery and usually can be performed on your very first visit right in the office.
Our hemorroid treatments are non-surgical with little discomfort and quick recovery.
Some Medical Advice
Colon, rectal and anal cancer can mimic the symptoms of hemorrhoids. We offer an evaluation during your first office visit to make sure there is nothing concerning and to give you piece of mind.
- Virginia Alagugurusamy
Colorectal Nurse Practitioner, Houston Methodist Hospital
Rubber Band Ligation (RBL)
Rubber Band Ligation (RBL) works effectively on internal hemorrhoids that irritate, protrude or bleed following bowel movements.
Straining over long periods of time, constipation, prolonged sitting, frequent loose stools and many other causes can result in hemorrhoids.
A special applicator is used to deliver a small rubber band over the hemorrhoid, cutting off its blood supply. The hemorrhoid and the band fall off during a regular bowel movement a few days later generally without any discomfort or pain at all.
Infrared Coagulation (IRC)
Infrared Coagulation (IRC) is a modern technique for the management of hemorrhoids that are not protruding but actively bleeding. IRC delivers photocoagulation to the hemorrhoid veins in a fast and painless manner and the hemorrhoid shrivels up right away.
Some Medical Advice
RBL and IRC are generally painless procedures that are performed right in the office in less than 5 minutes. Since they are generally painless procedures, you are able to drive home or go back to work following the procedure.
— Dr. Joshua Coursey
Colon and Rectal Surgeon, Houston Methodist Hospital
What to Discuss with your Doctor
Constipation and straining are often the main causes of hemorrhoids. Others get hemorrhoids after frequent episodes of diarrhea. Hemorrhoids tend to run in families and you may be more likely to get them if your parents had them. Other factors include obesity, sitting too long on the toilet, or standing or lifting too much. Pregnant women often get hemorrhoids because of the strain from carrying the baby and from giving birth.
No. There is no relationship between hemorrhoids and cancer. However, the symptoms of hemorrhoids can be similar to those of colorectal cancer and other diseases of the digestive system. Therefore, do not rely on over-the-counter medications or other self-treatments. See a colorectal surgeon first so your symptoms can be properly evaluated and effectively treated.
The following are tips for hemorrhoid prevention: Include more fiber in your diet. Fresh fruits, leafy vegetables, and whole-grain breads and cereals are good sources of fiber. Drink plenty of fluids. Eight glasses of water each day is ideal. Do not read on the toilet as this tends to promote sitting and straining which leads to swelling. Exercise regularly but avoid excessive lifting to the point of straining. Avoid laxatives that lead to loose and frequent stools and diarrhea. This can be just as harmful to hemorrhoids as constipation. Bulk-forming laxatives, such as Citrucel®, Metamucil®, Benefiber® as well as a daily stool softener such as Colace® or. When you feel the need to have a bowel movement, don’t wait for long periods before using the bathroom.
If you develop a hemorrhoidal flare-up or excessive pain, call to schedule an appointment right away to help prevent complications. We do our best to work you in right away with one of our specialists. The following measures may help minimize your discomfort. • Take warm soaks three or four times a day and after every bowel movement. • Clean the anal area after each bowel movement by gently patting with moist toilet paper or moistened pads, such as baby wipes. Do not scrub the area or use soaps. • Use ice packs to relieve swelling. • Apply an over the counter hemorrhoid cream that contains witch hazel or similar brand to help lubricate before a bowel movement. • Avoid constipation by drinking up to 8 glasses of water a day, eating a diet high in fiber, adding a bulk fiber agent as well as a stool softener.