Non-Surgical Treatments for Hemorrhoids: First-Line Approaches
Non-surgical treatments are typically the first line of management for hemorrhoids, especially in early-stage disease. These approaches aim to reduce symptoms, prevent recurrence, and improve daily comfort without invasive procedures.
Lifestyle modification forms the foundation of non-surgical care. A high-fiber diet softens stool and reduces straining, while adequate hydration supports regular bowel movements. Patients are also advised to avoid prolonged sitting and respond promptly to bowel urges.
Over-the-counter topical treatments such as creams, ointments, suppositories, and wipes help alleviate itching, pain, and inflammation. Many formulations include anesthetics, corticosteroids, or vasoconstrictors for short-term relief. Oral medications may be prescribed to improve venous tone and reduce swelling.
Office-based procedures such as rubber band ligation, sclerotherapy, and infrared coagulation are commonly used when conservative measures fail. These minimally invasive techniques target internal hemorrhoids and are performed without general anesthesia. They offer effective symptom control with minimal recovery time.
Non-surgical treatments remain central to hemorrhoid management, offering patients safe and accessible options before considering surgical intervention.