Hemorrhoids Treatment in the United States: An Overview of Care and Management
Hemorrhoids are a common medical condition in the United States, affecting millions of adults each year. They occur when veins in the lower rectum or anus become swollen and inflamed, often due to increased pressure from straining during bowel movements, chronic constipation, prolonged sitting, pregnancy, or obesity. While hemorrhoids can be uncomfortable and sometimes painful, a wide range of effective treatments is available across the U.S. healthcare system.
Treatment typically begins with conservative, non-invasive approaches, especially for mild to moderate cases. Lifestyle and dietary modifications are often the first line of management. Increasing dietary fiber through fruits, vegetables, whole grains, or fiber supplements helps soften stools and reduce straining. Adequate hydration and regular physical activity also support healthy bowel function. In many cases, these changes alone can significantly reduce symptoms.
Over-the-counter treatments are widely used in the United States and include topical creams, ointments, suppositories, and medicated wipes. These products may contain ingredients such as hydrocortisone to reduce inflammation, lidocaine for pain relief, or witch hazel to soothe irritation. Warm sitz baths are another commonly recommended home remedy, helping to relieve discomfort and promote healing.
When conservative measures are insufficient, minimally invasive office-based procedures may be recommended. Rubber band ligation is one of the most frequently performed treatments for internal hemorrhoids. It involves placing a small rubber band at the base of the hemorrhoid to cut off blood supply, causing it to shrink and fall off. Other options include sclerotherapy, which involves injecting a solution to shrink the hemorrhoid, and infrared or laser coagulation, which uses heat to reduce blood flow to the affected tissue.