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  • Topical medications

    Your gastrointestinal (GI) doctor may prescribe a prescription topical medication or recommend an over-the-counter topical medication that can help relieve itching and pain.

  • Diet modification

    You may need to make changes to your diet, such as eating more fiber-containing foods like fruits, vegetables, and whole grains. You may need to regularly take stool softeners or fiber supplements.

  • Hygiene

    Make sure you are keeping your anal area clean and dry at all times.

  • Rubber band ligation

    In this surgical procedure, a rubber band is placed around the base of the hemorrhoid inside your rectum to cut off circulation to the hemorrhoid. Then, the hemorrhoid shrinks and goes away in a few days.

  • Sclerotherapy

    Your GI doctor will inject a chemical solution around the blood vessel to shrink the hemorrhoid

  • Hemorrhoidectomy

    This is a surgical procedure in which your doctor permanently removes your hemorrhoids.

  • Biopsy

    Your doctor may remove a small tissue sample (biopsy) to be sent to the laboratory for further analysis and diagnosis.




  • Physical exam

    Your GI doctor will check your anus and rectum, and look for swollen blood vessels.

  • Digital rectum examination (DRE)

    In this exam, your doctor inserts a gloved, greased (lubricated) finger into your rectum to check for any problems.

  • Anoscopy

    In this test, your doctor inserts a small, tubular instrument a few inches into the anus to check for problems of the anal canal, including internal hemorrhoids.

  • Proctoscopy

    In this test, your doctor inserts a thin, lighted tube into your anus to view your entire rectum.

  • Sigmoidoscopy

    This test allows your doctor to check the inside of part of your large intestine.

  • Colonoscopy

    In a colonoscopy, your doctor examines the full length of your large intestine to check for any abnormal growths, tissue that is red or swollen, sores (ulcers), or bleeding.