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What is the treatment for stage 4 hemorrhoids?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 25-year-old male, 5.7 feet tall, weighing 209 pounds, and I am suffering from an external hemorrhoid (pile). It is extremely painful, and I am currently using Hydrocortisone ointment. It has been three days since I started using it.

Please advise.

Thank you.
Answered by Dr. Hdhehhe

Education:

MBBS

Professional Bio:

Dr. Vishnu Priya. G is a Family Physician and General Practitioner. She did her MBBS from the Tamil Nadu Dr. M.G.R Medical University in 2014. She also specializes in Obstetrics and Gynecology and has excellent communication skills to relate well to patients and their families. She consults, coordinates, and treats deliveries. During the prenatal phase before birth, she spends time with the soon-to-be parents, especially the mother discussing the baby's development. She is currently practicing in Coimbatore with nine years of clinical experience.

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Hello,

Welcome to icliniq.com.

I understand your concern.

External hemorrhoids can cause pain and bleeding. There could be a mass that may protrude while passing stools. There are four stages depending on how the pile mass is positioned: whether it retracts on its own, requires manual reduction, or cannot be reduced. It is extremely painful, especially in stage 4 or if there is a blood clot.

I hope this information is helpful to you.

Thank you.

Answered by Dr. Hdhehhe
Medically reviewed by iCliniq medical review team
Published At March 31, 2024
Reviewed At May 27, 2026

Education:

MBBS

Professional Bio:

Dr. Vishnu Priya. G is a Family Physician and General Practitioner. She did her MBBS from the Tamil Nadu Dr. M.G.R Medical University in 2014. She also specializes in Obstetrics and Gynecology and has excellent communication skills to relate well to patients and their families. She consults, coordinates, and treats deliveries. During the prenatal phase before birth, she spends time with the soon-to-be parents, especially the mother discussing the baby's development. She is currently practicing in Coimbatore with nine years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hdhehhe
Dr. Hdhehhe

General Practitioner

Education:

MBBS

Professional Bio:

Dr. Vishnu Priya. G is a Family Physician and General Practitioner. She did her MBBS from the Tamil Nadu Dr. M.G.R Medical University in 2014. She also specializes in Obstetrics and Gynecology and has excellent communication skills to relate well to patients and their families. She consults, coordinates, and treats deliveries. During the prenatal phase before birth, she spends time with the soon-to-be parents, especially the mother discussing the baby's development. She is currently practicing in Coimbatore with nine years of clinical experience.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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