From the Guidelines
Hemorrhoid management involves a multi-faceted approach, including lifestyle modifications and pharmacological interventions.
Key Components of Management
- Lifestyle modifications: increased fiber and water intake, adequate bathroom habits 1
- Pharmacological interventions:
- Topical agents: lidocaine 2% ointment or hydrocortisone 1% cream, applied 2-3 times daily for up to 7 days
- Oral medications: stool softeners like docusate 100-200 mg daily, and pain relievers like acetaminophen 650-1000 mg every 4-6 hours
Procedures for Persistent or Severe Symptoms
- Rubber band ligation: typically consisting of 1-3 sessions spaced 4-6 weeks apart
- Sclerotherapy: also considered for persistent or severe symptoms
Additional Considerations
- Flavonoids may be used to relieve symptoms in patients with complicated hemorrhoids 1
- Topical muscle relaxant may be used for thrombosed or strangulated hemorrhoids 1
- Non-operative management is recommended as first-line therapy for complicated hemorrhoids, with dietary and lifestyle changes 1
From the Research
Management of Hemorrhoids
There are no research papers to assist in answering this question. The provided studies do not discuss the management of hemorrhoids.
- The studies provided discuss various topics such as multifaceted interventions to change health-care professionals' behaviors 2, pharmacological treatment options for burns 3, non-pharmacological approaches to pain management in residential aged care 4, multifaceted interventions to improve depression care 5, and a multifaceted intervention for the prevention and management of musculoskeletal pain in nursing staff 6.
- None of these studies provide information on the management of hemorrhoids.