Is it possible to have two hemorrhoids

This helps to shrink the swollen veins and promote healing. Adding Epsom salts to the bath water might also help. If your hemorrhoid protrudes from the anal canal, try gently pushing it back inside. A hemorrhoid left hanging out of the anus is at a greater risk of developing clots or strangulating. To help prevent or manage hemorrhoids if you are pregnant, try lying on your left side for about 20 minutes every hours, as this decreases pressure on the main vein draining the lower half of the body.

Hemorrhoidal symptoms often subside within a few days, even with no specific treatment. Topical hemorrhoid treatments usually contain one or more active ingredients including a local anesthetic, mild anti-inflammatory compounds, or astringents. Local anaesthetics temporarily relieve pain, burning, and itching by numbing the nerve endings.

Analgesic products relieve pain, itching, and burning by depressing receptors on pain nerves. Witch hazel is a widely used plant-based astringent; when applied to the rectum with a cotton ball, this product can offer relief.

Several other products have stronger ingredients that focus on reducing inflammation and these may require a prescription. If significant hemorrhoidal symptoms persist despite conservative measures, a number of minor surgical options are available and a physician may perform many of these in the office.

Treatment for internal hemorrhoids includes application of rubber bands ligation , injection of a material sclerosant that blocks the vein, stapling, cryosurgery, laser, or electro-coagulation techniques. Surgical excision that is more extensive might be required for large, permanently prolapsed hemorrhoids or strangulated hemorrhoids. Thrombosed external hemorrhoids generally respond promptly to surgical incision and clot removal. Some individuals can have a single hemorrhoid while others have ongoing hemorrhoids throughout life.

Most hemorrhoids completely resolve within a week or so. Maintaining adequate intake of dietary fibre, drinking plenty of water, avoiding abdominal strain, and getting regular moderate exercise might help to avoid the recurrence of hemorrhoids.

If the clot is more recent, the hemorrhoid can be surgically removed or the clot withdrawn from the vein in a minor office procedure performed by a surgeon. To perform a rubber band ligation, the clinician places a ligator over the hemorrhoid to position a rubber band around its base.

Some hemorrhoids can't be managed with conservative treatments alone, either because symptoms persist or because an internal hemorrhoid has prolapsed. Fortunately, a number of minimally invasive hemorrhoid treatments are available that are less painful than traditional hemorrhoid removal hemorrhoidectomy and allow a quicker recovery. These procedures are generally performed in a surgeon's office or as outpatient surgery in a hospital. Band it. The most commonly used hemorrhoid treatment in the United States is rubber band ligation, in which a small elastic band is placed around the base of a hemorrhoid see box above.

The band causes the hemorrhoid to shrink and the surrounding tissue to scar as it heals, holding the hemorrhoid in place.

It takes two to four procedures, done six to eight weeks apart, to completely eliminate the hemorrhoid. Complications, which are rare, include mild pain or tightness usually relieved with a sitz bath , bleeding, and infection. Other office procedures include laser or infrared coagulation, sclerotherapy, and cryosurgery.

They all work on the same principle as rubber band ligation but are not quite as effective in preventing recurrence. Side effects and recurrence vary with the procedure, so consult your physician about what's best for your situation. You may need surgery if you have large protruding hemorrhoids, persistently symptomatic external hemorrhoids, or internal hemorrhoids that return despite rubber band ligation.

In a traditional hemorrhoidectomy, a narrow incision is made around both external and internal hemorrhoid tissue and the offending blood vessels are removed. The procedure requires general anesthesia, but patients can go home the same day. Patients can usually return to work after 7—10 days. Despite the drawbacks, many people are pleased to have a definitive solution to their hemorrhoids. An alternative to traditional hemorrhoidectomy is called stapled hemorrhoidopexy.

This procedure treats bleeding or prolapsed internal hemorrhoids. The surgeon uses a stapling device to anchor the hemorrhoids in their normal position. Like traditional hemorrhoid removal, stapled hemorrhoidopexy is performed under general anesthesia as day surgery. As a service to our readers, Harvard Health Publishing provides access to our library of archived content.

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Prolapsed hemorrhoids are internal hemorrhoids that sometimes bulge outside of the anus. It is possible to push these hemorrhoids back inside, but they may go back in without intervention. External hemorrhoids protrude out of the anus. They tend to cause more pain than internal hemorrhoids because the outside of the anus is more sensitive than the inside. People can often feel them if they touch the area around the anus. External hemorrhoids are typically slightly less pink than the surrounding skin.

People with external hemorrhoids may also notice some blood when they pass stool. Blood from hemorrhoids should be minimal. Anyone with external hemorrhoids who notices a significant amount of blood should contact their doctor. External hemorrhoids can be very painful if they become thrombosed. Thrombosed hemorrhoids are usually purple-blue. A thrombosed hemorrhoid occurs when the veins that cause the bulge in the hemorrhoid develop a blood clot.

As a result, blood is unable to flow to the hemorrhoid, and the effect can be extremely painful. When the blood clot passes or the body reabsorbs it, an external hemorrhoid may sometimes leave behind a perianal skin tag.

A doctor may recommend surgical removal if this skin tag regularly catches stool and is difficult to keep clean. They can be painful. In many cases, you may be able to treat them with…. Learn about thrombosed hemorrhoids and how they are different from regular hemorrhoids.

Hemorrhoids affect nearly 3 out of 4 adults. Hemorrhoids, also known as piles, are swollen veins located around the anus or in the lower rectum. Hemorrhoids are swollen veins that appear near the rectum. If you have a severe case that doesn't resolve with home treatment, there are a number of….

Think you have a bleeding hemorrhoid? Learn why this happens and what you can do to stop the bleeding at home. Hemorrhoids may sometimes lead to a bad odor, which can be a symptom of another condition. Cleaning inside your anus requires a gentle process with lubrication.

Health Conditions Discover Plan Connect. What Are the Different Types of Hemorrhoids? Pictures of the different types of hemorrhoids. Internal hemorrhoids. External hemorrhoids. Thrombosed hemorrhoid. What causes hemorrhoids?