Treatment of Haemorrhoids
The treatment of haemorrhoids depends on their severity, type, and the patient’s overall health. Effective treatment of haemorrhoids usually starts with conservative, non-invasive measures and may progress to procedural or surgical intervention if symptoms persist or worsen. The primary goals of treatment are to relieve symptoms, reduce inflammation, and prevent recurrence.
Conservative treatment typically begins with dietary modifications. Increasing fibre intake through whole grains, fruits, vegetables, and fibre supplements softens stools and reduces straining during bowel movements. Hydration is also essential—drinking plenty of water throughout the day helps regulate bowel function and prevent constipation, one of the leading causes of haemorrhoids.
Lifestyle changes complement dietary improvements. Encouraging regular exercise, avoiding prolonged sitting or standing, using a footstool during defecation to mimic a squatting position, and avoiding straining are all effective strategies. Maintaining good anal hygiene, using moist wipes instead of dry toilet paper, and taking warm sitz baths for 10–15 minutes several times a day can alleviate discomfort and reduce swelling.
Treatment of Haemorrhoids
Topical treatments offer symptomatic relief. Over-the-counter creams, ointments, and suppositories containing hydrocortisone or witch hazel help relieve itching, inflammation, and discomfort. Pain relievers like paracetamol or ibuprofen can be taken to manage pain, especially with thrombosed or irritated external haemorrhoids.
When conservative treatments fail, medical procedures may be necessary. Rubber band ligation is a common outpatient treatment for internal haemorrhoids. Involving the placement of a tight band around the haemorrhoid to cut off blood supply, causing it to wither and fall off. Sclerotherapy involves injecting a chemical solution into the haemorrhoid, leading to shrinkage. Infrared coagulation uses infrared light to coagulate the blood vessels, reducing the haemorrhoid’s size.
Treatment of Haemorrhoids
When piles keep coming back or become more serious, some people may need surgery. One common surgery is called a haemorrhoidectomy. In this procedure, the doctor removes the piles. This treatment works very well, especially for large or severe cases. However, it does take more time to heal. Even though recovery is longer, many people feel much better afterward. Haemorrhoidopexy (stapled haemorrhoidectomy) is a less painful alternative that repositions the haemorrhoid and cuts off its blood supply.
Overall, the choice of treatment of haemorrhoids should be tailored to the individual. Based on the severity of symptoms and patient preference. Early intervention and adherence to preventive strategies significantly reduce the risk of recurrence and improve long-term outcomes.
