What are the ways to manage hemorrhoids?

Hello,

Welcome to icliniq.com.

I have read your query, and I can understand your concern.

I have reviewed your case history and attached pictures (attachments removed to protect the patient’s identity). So, yes, this seems to be hemorrhoids (piles), and this appears to be grade 2 (becoming prominent on straining at the anal verge and then disappearing when in a relaxed position). This can progress, but certain lifestyle modifications and precautions would help you avoid this issue.

Avoid constipation, if any; avoid straining while passing stools; avoid heavy weight lifting or job-related heavy-weight activities; avoid squatting (most important in your case). You can switch your exercise to something else; avoid strain at the anal verge; this is the key message. Take plenty of water, and maintain a high-fiber diet; stools should be soft. Sometimes, hemorrhoids bleed when there is hard stool or prolonged straining. It is not permanent if well taken care of, but if you do not take precautions and it progresses, it will gradually increase in size, bleed, and may require surgical treatment for hemorrhoids.

Wishing you excellent health.

Thank you.