Non-surgical haemorrhoid treatment options: Are they painful?
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Published: 16/01/2025
Edited by: Karolyn Judge
Haemorrhoids, or piles, are a common condition that can cause discomfort, itching and bleeding in the anal region. While surgical procedures are available for severe cases, non-surgical treatment options are often sufficient to manage and alleviate symptoms. These less invasive methods are usually well-tolerated and often provide effective relief.
Are non-surgical treatments painful?
Most non-surgical haemorrhoid treatments are designed to minimise discomfort while effectively addressing symptoms. Techniques like rubber band ligation or sclerotherapy may cause mild discomfort, but this is usually short-lived. Over-the-counter creams, ointments and suppositories can also ease symptoms without causing pain. Non-invasive options like dietary changes and proper hydration can help prevent strain during bowel movements, reducing irritation without any associated discomfort.
What's involved in non-surgical treatment options for haemorrhoids?
Non-surgical treatments for haemorrhoids vary depending on the severity of the condition. Common approaches include:
Rubber band ligation: A small band is placed around the base of the haemorrhoid, cutting off its blood supply so it shrinks and falls off within days. Sclerotherapy: A chemical solution is injected into the haemorrhoid, causing it to shrink. Infrared coagulation: Heat from an infrared light is used to cut off the blood supply to the haemorrhoid. Medications: Over-the-counter or prescription ointments and creams can reduce swelling and pain. Dietary changes: Increasing fibre intake and staying hydrated can alleviate symptoms by preventing constipation and straining.
Your doctor will recommend a treatment based on your symptoms and the stage of the haemorrhoids. Most of these options are quick and can often be performed during a short outpatient visit.
What happens if non-surgical treatments don't work?
If non-surgical methods fail to resolve the problem or the haemorrhoids are particularly large or recurrent, surgical options such as haemorrhoidectomy or stapled haemorrhoidopexy may be considered. These procedures are typically reserved for severe cases but offer a more permanent solution for chronic haemorrhoid sufferers.
How to reduce the risk of haemorrhoids returning
Adopting healthy bowel habits is key to preventing the recurrence of haemorrhoids. Eating a fibre-rich diet, drinking plenty of water and avoiding prolonged sitting can help maintain regular bowel movements and reduce pressure on the anal region. Regular exercise and maintaining a healthy weight can also minimise the risk of haemorrhoids returning.
By seeking timely advice and following the recommended treatment plan, most people can find effective relief from haemorrhoids without the need for invasive surgery.