Chronic hemorrhoids are swollen veins in the rectum or anus that persist over time, causing discomfort, pain, itching, and bleeding. While occasional hemorrhoids may resolve on their own, chronic hemorrhoids persist or frequently recur, requiring long-term management.
There are two main types: Internal Hemorrhoids – Located inside the rectum and may cause painless bleeding. External Hemorrhoids – Located under the skin around the anus, often leading to pain and irritation.
Medical History & Symptom Evaluation – Questions about bowel habits and symptoms.
Visual Examination – External hemorrhoids are easily identified.
Digital Rectal Exam (DRE) – A gloved finger checks for internal hemorrhoids or abnormalities.
Anoscopy or Proctoscopy – A small scope evaluates internal hemorrhoids.
Colonoscopy or Sigmoidoscopy – Used if bleeding needs further investigation.
Living With Chronic Hemorrhoids
Long-term management focuses on preventing flare-ups and maintaining healthy bowel habits.
Daily Management Tips:
Follow a High-Fiber Diet – Reduces straining and promotes smooth bowel movements.
Stay Hydrated – Prevents constipation.
Exercise Regularly – Helps digestion and circulation.
Use a Squatting Position (Squatty Potty) – Improves bowel movement efficiency.
Avoid Prolonged Sitting – Take breaks to stand and walk.
Practice Regular Bowel Habits – Avoid delaying when you feel the urge.
Mental & Emotional Well-being:
Don’t Be Embarrassed to Seek Treatment – Hemorrhoids are common, and relief is available.
Join Online Support Groups – Talking to others can provide reassurance.
Treatment Options for Chronic Hemorrhoids
Treatment options range from dietary and lifestyle changes to medications, minimally invasive procedures, interventional radiology (IR) treatments, and surgery for severe cases.
Lifestyle changes: Increase Fiber Intake – Eat more fruits, vegetables, and whole grains. Drink Plenty of Water – Softens stools and prevents constipation. Avoid Straining During Bowel Movements – Go when you feel the urge. Use a Sitz Bath – Soak in warm water for relief. Apply Cold Compresses – Helps reduce swelling. Practice Good Hygiene – Clean the anal area gently after bowel movements.
Medications: Topical Creams & Ointments – Hydrocortisone or witch hazel for relief. Pain Relievers – Ibuprofen or acetaminophen for discomfort. Stool Softeners – Helps prevent constipation and reduce straining. Suppositories – Helps soothe internal hemorrhoids.
Minimally Invasive Procedures: Rubber Band Ligation (RBL) – A band is placed around the hemorrhoid to cut off blood supply, causing it to shrink. Sclerotherapy – A chemical solution shrinks hemorrhoids. Infrared Coagulation (IRC) – Uses heat to shrink hemorrhoidal tissue. Cryotherapy – Freezes hemorrhoids for removal.
Surgical Options for Severe Hemorrhoids: Hemorrhoidectomy – Surgical removal of large or prolapsed hemorrhoids. Hemorrhoidopexy (Stapling Procedure) – Internal hemorrhoids are repositioned and stapled.
If you are experiencing any symptoms of Chronic Hemorrhoids, it is important to see a doctor for diagnosis and treatment. Early diagnosis and treatment can help prevent serious complications, such as amputation. We are here to offer a minimally invasive approach to improve your circulation and quality of life.
