$Unique_ID{BRK02166} $Pretitle{} $Title{Hemorrhoids} $Subject{Hemorrhoids ointments creams surgery cancer dilated veins internal rectum external skin tags swollen sitz baths Ice packs heat surgical excision Over-the-counter preparations injection therapy excision elastic band ligation out-patient surgery removal laser surgery bulking diet stool softeners} $Volume{} $Log{ Anatomy of the Rectum*0004201.scf External and Internal Hemorrhoids*0004202.scf Causes of Hemorrhoids I*0004203.scf Causes of Hemorrhoids II*0004204.scf} Copyright (c) 1993 Tribune Media Services, Inc. Hemorrhoids ------------------------------------------------------------------------------ QUESTION: I have never had hemorrhoids but now I do. I was wondering if any of the ointments or creams that you can buy at the pharmacy are sufficient to treat the condition, or if I might I need surgery? Can this condition ever change into a cancer? I would be most grateful to you for your answer to this question. ------------------------------------------------------------------------------ ANSWER: Hemorrhoids are really just dilated veins. They can be internal (located up inside the rectum), or external (the kind that extend below the anal orifice), or both. If you have small external skin tags that are painless, ignore them. If they are swollen, getting off your feet and warm sitz baths may help. Ice packs at the very onset of swelling may provide relief, but heat is better when swelling is severe. If external hemorrhoids are recurrent and interfere with daily life, surgical excision is recommended. Internal hemorrhoids occur in 4 degrees of severity, ranging from painless, inobstructive ones to ones that protrude from the anus. No treatment is necessary for the first 2 degrees unless there is pain or swelling, for simple measures can control them quite well. Over-the-counter preparations can often provide relief you seek in these circumstances. Occasionally, injection therapy may also be prescribed, which causes a scar to form that closes the dilated vein. For then next 2 degrees, excision or elastic band ligation is suggested usually as out-patient surgery, often performed in the doctor's office. A combination of internal and external hemorrhoids may require removal, depending upon symptoms. Modern techniques in laser surgery can often be used to remedy the situation. For all kinds of hemorrhoids, a bulking diet and/or stool softeners will reduce straining. The good news is that hemorrhoids never become malignant, that is never change to a form of cancer. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.