A diagnosis is made after a detailed medical history and physical examination is completed. Symptoms and risk factors will be discussed. The anal area will be visualized and a digital rectal examination may be performed to verify the presence of hemorrhoids. If more severe hemorrhoids are noted, other diagnostic testing may needed, including anoscopy, sigmoidoscopy, or colonoscopy.
Treatment for mild to moderate hemorrhoids generally includes medical management and home interventions. Over-the-counter and prescription creams may be used to help relieve symptoms and reduce inflammation. Warm baths or ice packs might be helpful during a flare-up.
Lifestyle changes should be implemented to help reduce straining with bowel movements and decrease pressure in the anal and rectal areas. Drinking more water, increasing fiber in the diet, exercising, and maintaining a healthy weight may all help alleviate uncomfortable symptoms.
If hemorrhoids are severe, surgical treatment may be necessary.