Hi. I am a healthy 31 year old male. I first had a hemorrhoid pop up about 10 years ago in college, induced from straining. It subsided on its own after a few weeks. They have reoccurred a few times over the years, but always went away. About two years ago, I seemed to suffer from some winter constipation, my doctor said I had mild IBS. I increased fiber and water in my diet. I am regular and do not to strain anymore. That being said, the anal area has been a bit puffy/swollen with hemorrhoids since that time, so its been about two years. They do not bleed or hurt or appear to have gotten any worse. But they won't go away. I use moist wipe clothes now instead of paper, never strain, and have tried hydrocortisone and other OTC meds, with little help. I would like them gone and was wondering what is the easiest, most effective treatment options. To my knowledge I do not have internal hemorrhoids, just external. I made an appt with my primary care doc for Monday.
There are several treatment options for hemorrhoids, but if what you have is simply a skin tag from an old external hemorrhoid that has now healed, and it is not giving you any trouble, it may not be worth it to have a procedure to remove it. You should have your physician take a look on Monday, because you may have prolaspsed internal hemorrhoids which are not painful. Procedures like banding, laser, and sclerotherapy can be used to treat such hemorrhoids. I would discuss these options with your primary care doctor, and get a referral to a surgeon if appropriate.
In the meantime, and for the long haul, continue to get lots of fiber (about 30g/day), exercise, and drink lots of water, to prevent your stools from being hard and therefore preventing the need to strain.
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