Content

• Steps
• Method 1 of 3: Use home remedies
• Method 2 of 3: Ease Pain from Internal Hemorrhoids
• Method 3 of 3: Get medical attention

Hemorrhoids are abnormal enlargement of veins in or around the anus. External hemorrhoids can be seen, while with internal hemorrhoids, the veins enlarge inside the anus - this usually remains invisible and is not accompanied by pain, although it can be detected by bleeding and on physical examination. Internal hemorrhoids are often caused by constipation and can be worsened by other factors, such as excessive straining during bowel movements. For severe or prolonged hemorrhoids, it is best to see a doctor who can prescribe an appropriate treatment; Certain changes in diet and lifestyle will also help. If internal hemorrhoids are painful, pain relievers can be taken during treatment.

Attention:the information in this article is for informational purposes only. Before using any methods, consult your doctor.

Steps

Method 1 of 3: Use home remedies

1. 1 Drink plenty of water. Water helps prevent constipation, which is the main cause of hemorrhoids. Drink about 8 glasses (2 liters) of water each day. Drink more if you are physically active or thirsty.
   • Other beverages, such as juices, herbal teas, and soda, can be consumed along with water to keep the body hydrated. However, try to avoid caffeinated drinks and alcoholic beverages, as they dehydrate the body, which can contribute to constipation.
2. 2 Eat More Dietary Fiber. Adequate dietary fiber facilitates bowel movement and helps prevent and treat hemorrhoids. Aim to eat about 25 grams of fiber daily. To do this, include plenty of fruits, vegetables, and whole grains in your diet.
   • If you are lacking in dietary fiber, try taking it with a dietary supplement. If you are unable to reach your daily value, try supplementing your dietary fiber deficiency.
3. 3 Exercise daily. Physical activity helps to stimulate the digestive system and thus prevent constipation. Try walking or cycling daily. Even little things like parking your car away from the supermarket entrance or taking the stairs rather than the elevator can help you increase your daily physical activity.
4. 4 Don't delay using the restroom. One way to prevent hemorrhoids from getting worse is to go to the bathroom whenever you feel the urge to have a bowel movement. Containment can lead to constipation, which is the main cause of hemorrhoids. Listen to your body's signals and go to the bathroom at the first urge to have a bowel movement.
5. 5 Try not to strain yourself. Excessive stress also makes hemorrhoids worse, so try not to strain when defecating. If it doesn't work out for you, don't strain, just leave the restroom and try again a little later.
   • Don't sit in the restroom. Sitting on the toilet for too long can also make hemorrhoids worse.
   • Instead of sitting on the toilet, try squatting. It is possible that this will make it easier to empty your bowels, and you do not have to strain. You can purchase a special stand stool that will allow you to sit on the toilet in the correct position - with your legs raised.

Method 2 of 3: Ease Pain from Internal Hemorrhoids

1. 1 If internal hemorrhoids are painful, see your doctor. Internal hemorrhoids rarely cause pain because there are very few pain receptors in the lower rectum. Usually, pain occurs only as a result of the prolapse of hemorrhoids when it protrudes from the anus. The prolapse of hemorrhoids can go away by itself, or it can be set back. The pain of a prolapsed hemorrhoid usually means that you can't pull it back in on your own, and you need a doctor's help.
   • Acute itching and irritation are also possible.
   • If a blood clot forms in the affected area, it will put more pressure on the hemorrhoids, which can lead to constant and sometimes severe pain.
2. 2 Take warm sitz baths. Warm sitz baths can help relieve hemorrhoids. Try taking these baths after using the restroom to calm and cleanse the affected area.
   • To prepare a sitz bath, fill the tub with warm water so that it covers the bottom by 5-10 centimeters and add a glass (about 300 grams) of Epsom salts. Then sit in the bath for 15–20 minutes.
3. 3 Take over-the-counter pain relievers. Over-the-counter pain relievers can also help relieve hemorrhoid pain. Try paracetamol, ibuprofen, or aspirin. Read the instructions for use in advance and follow them in everything.
   • If you are unsure which pain reliever is best for you, talk to your doctor.
4. 4 Use candles. For pain caused by hemorrhoids, suppositories can help. Treatment with suppositories helps to reduce the size of internal hemorrhoids, and the drug is delivered directly to the sore spot in the rectum. In turn, reducing the size of hemorrhoids can reduce pain and discomfort. There are over-the-counter hemorrhoid suppositories on the market that contain hazel and other ingredients.
   • Please note that the suppositories must be inserted into the anus.
5. 5 Sit on a pillow. Prolonged sitting on a hard surface can worsen the pain of hemorrhoids. Try using a small pillow (for example, with a hole in the middle). This will help you relieve the pain of your hemorrhoids.

Method 3 of 3: Get medical attention

1. 1 See your doctor. One of the main signs of hemorrhoids is anal bleeding, but it can also be a symptom of colon cancer. Therefore, if symptoms of internal hemorrhoids appear, you should immediately consult a doctor. The doctor will examine you and possibly order additional tests to rule out the risk of cancer. These may include the following studies:
   • Colonoscopy... In this case, a long flexible tube with a camera and a light source at the end is inserted into the anus, which allows you to see the inside of the intestine.
   • Sigmoidoscopy... This procedure uses a short tube with a camera and a light source at the end.A sigmoidoscopy allows the doctor to see the rectum and the lower part of the sigmoid colon (the lower region of the intestine).
   • X-ray examination of the intestine with barium... In this method, a barium enema is given and then X-rays of the rectum are taken.
2. 2 Find out about rubber band ligation. If internal hemorrhoids protrude from the anus, the doctor may ligate it with rubber bands. In doing so, he will pull the base of the hemorrhoids with one or two small rubber bands.
   • The rubber band will obstruct the flow of blood to the hemorrhoid, which may cause some discomfort. Minor bleeding is also possible. However, the hemorrhoids will go away in a couple of days.
3. 3 Talk to your doctor about sclerotherapy. During this procedure, a solution is injected into the hemorrhoid node, which leads to its reduction. It is quite effective, but not as effective as rubber band ligation. This procedure is virtually painless, although the injection itself may be painful.
4. 4 Consider the possibility of coagulation. Infrared light, heat or laser is used to coagulate hemorrhoids. After treatment, the hemorrhoids harden and shrink. Although this procedure allows you to get rid of hemorrhoids, after a while it may reappear, so it is less effective than ligation with rubber bands.
5. 5 Consider surgical removal of hemorrhoids. With large hemorrhoids or lack of results after other methods, surgery may be the best solution. For the treatment of hemorrhoids, two main types of operations are used:
   • Hemorrhoidectomy... This operation consists in removing hemorrhoids by excising them around the base. Note that this involves anesthesia so that the patient does not feel anything; however, postoperative recovery can be quite painful and you may be prescribed prescription pain relievers.
   • Hemorrhoidectomy with staples... In this procedure, the surgeon uses staples to block the flow of blood to the hemorrhoids. This operation is less painful, and the postoperative recovery takes less time than after a standard hemorrhoidectomy, but this increases the risk of re-development of hemorrhoids and rectal prolapse (that is, the prolapse of part of the rectum through the anus).