What is the treatment for stage 4 hemorrhoids?

Hemorrhoids are often caused by straining during bowel movements, a low-fiber diet, and constipation. Once you develop hemorrhoids, it can become a vicious cycle of constipation, resulting in hard stools, straining, pain, and bleeding.

Pain and bleeding could potentially indicate anal fissures or external hemorrhoids. However, a definitive diagnosis of external hemorrhoids can only be made by a doctor after examination. Without proper examination, nothing can be confirmed. Given your description of the pain being beyond tolerable, it could be indicative of either stage 4 hemorrhoids (where the pile mass cannot be reduced) or a blood clot (thrombosed pile mass). In either case, surgical intervention is typically the recommended treatment.

For hemorrhoids, medical treatment primarily focuses on pain relief rather than providing a cure. The definitive treatment is typically surgical intervention. To alleviate pain, the following measures can be taken: Apply Lidocaine gel (a small amount applied locally). Ensure that the perineum is clean before applying. Sitz baths: Use a shallow basin large enough for the perineum, fill it with warm water (warm enough for comfort but not hot to avoid burns), and consider adding a few drops of an antiseptic like povidone-iodine. Sitz baths should be taken for 15 to 20 minutes and can be done twice daily. These methods are aimed at providing soothing relief from pain but do not offer a definitive treatment. It is crucial to undergo a medical examination by a doctor because if hemorrhoids are in stage 4 or thrombosed (blood clot), it requires immediate surgical intervention.