Often, no specific treatment is needed. Initial measures consist of increasing fiber intake, drinking fluids to maintain hydration, NSAIDs to help with pain, and rest. Medicated creams may be applied to the area, but their effectiveness is poorly supported by evidence. A number of minor procedures may be performed if symptoms are severe or do not improve with conservative management. Hemorrhoidal artery embolization (HAE) is a safe and effective minimally invasive procedure that can be performed and is typically better tolerated than traditional therapies. Surgery is reserved for those who fail to improve following these measures.
Often no specific treatment is needed Initial measures consist of increasing fiber intake drinking fluids to maintain hydration NSAIDs to help with pain and rest Medicated creams may be applied to the area but their effectiveness is poorly supported by evidence A number of minor procedures may be performed if symptoms are severe or do not improve with conservative management Hemorrhoidal artery embolization (HAE) is a safe and effective minimally invasive procedure that can be performed and is typically better tolerated than traditional therapies Surgery is reserved for those who fail to improve following these measures