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External Piles
Discussion in 'All Categories' started by Arnab - Jun 10th, 2024 10:51 am.
I am suffering form external piles. What are the available treatment options, including medications, non-surgical treatments, and surgical options?
re: External Piles by Dr. B. S. Bhalla - Jun 10th, 2024 10:53 am
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Here are some treatment options, including medications, non-surgical treatments, and surgical options:

Over-the-Counter (OTC) Treatments:

Topical Creams and Ointments: Products containing hydrocortisone, witch hazel, or lidocaine can reduce inflammation and pain.

Pain Relievers: Acetaminophen, ibuprofen, or aspirin can help alleviate pain and discomfort.

Prescription Medications:

Stronger Topical Steroids: Prescribed for severe inflammation.

Pain Relievers: In cases of intense pain, stronger prescription pain relievers may be recommended.

Non-Surgical Treatments

Lifestyle Changes:

Diet: Increase fiber intake through fruits, vegetables, and whole grains to soften stools and reduce straining during bowel movements.

Hydration: Drink plenty of water to keep stools soft.

Exercise: Regular physical activity can help prevent constipation and reduce pressure on veins.

Home Remedies:

Warm Sitz Baths: Soak the affected area in warm water for 10-15 minutes several times a day to reduce swelling and discomfort.

Cold Compresses: Apply ice packs to the area to reduce swelling.

Minimally Invasive Procedures:

Rubber Band Ligation: A rubber band is placed around the base of the hemorrhoid to cut off its blood supply, causing it to wither and fall off.

Sclerotherapy: A chemical solution is injected into the hemorrhoid to shrink it.
Coagulation (Infrared, Laser, or Bipolar): These techniques use heat, light, or electrical current to harden and shrivel the hemorrhoid tissue.

Surgical Options


Conventional Hemorrhoidectomy: Surgical removal of the hemorrhoid. This is often used for severe or recurring hemorrhoids.

Stapled Hemorrhoidopexy: Involves stapling the hemorrhoid back into place and cutting off its blood supply, which causes it to shrink.

Hemorrhoidal Artery Ligation: The blood supply to the hemorrhoid is tied off using a Doppler-guided technique.

When to See a Doctor

If you experience significant pain or bleeding.

If OTC treatments and home remedies do not provide relief.

If the hemorrhoids become prolapsed or thrombosed.

Preventive Measures

Maintain a Healthy Weight: Excess weight can increase the pressure on pelvic veins.

Avoid Prolonged Sitting: Take breaks and move around regularly.

Practice Good Hygiene: Keep the anal area clean and dry.
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