From the Research
Yes, you can get hemorrhoids more than once, as the underlying weaknesses in the veins remain even after an episode resolves, making them prone to swelling again when exposed to pressure or strain. Hemorrhoids are swollen veins in the lower rectum and anus that can recur throughout your lifetime, especially if you have risk factors like chronic constipation, straining during bowel movements, prolonged sitting, obesity, pregnancy, or a low-fiber diet 1. To manage recurring hemorrhoids, use over-the-counter treatments like hydrocortisone creams, witch hazel pads, or oral pain relievers such as acetaminophen or ibuprofen. For prevention, maintain regular bowel habits, increase fiber intake to 25-30 grams daily, drink plenty of water, exercise regularly, and avoid straining or sitting on the toilet for extended periods.
Some key points to consider:
- Rubber band ligation is the treatment of choice for grades 1 and 2 hemorrhoids, but has a higher recurrence rate compared to excisional hemorrhoidectomy and stapled hemorrhoidopexy 2.
- Excisional hemorrhoidectomy or stapled hemorrhoidopexy is recommended for treatment of grade 4 hemorrhoids, but may cause more postoperative pain and complications 2.
- Non-operative approaches, such as sclerotherapy and rubber band ligation, are preferred for initial therapy, while surgical intervention is reserved for recurrent or higher-grade disease 3, 1.
- Hemorrhoidal artery ligation may be useful in grade II or III hemorrhoids, as it may cause less pain and allow for quicker recovery 1.
It's essential to note that the recurrence rate of hemorrhoids can be significant, with some studies reporting a recurrence rate of 13% at a three-month follow-up after non-surgical treatments like rubber band ligation, injection sclerotherapy, and infrared coagulation 4. Therefore, prevention and management of recurring hemorrhoids require a long-term commitment to lifestyle modifications and, if necessary, ongoing medical treatment.