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Stapled hemorrhoidopexy: This procedure is also done while you’re asleep under general anesthesia. Additional options include gels, sprays, pads, wipes, creams and numbing ointments containing lidocaine, and hydrocortisone creams to relieve itching and pain. Side effects of this surgery include pain, urinary tract infections, and trouble emptying your bladder. It’s usually only done for the most severe hemorrhoids because it causes much more pain. This procedure is more invasive and takes longer to perform than an external thrombectomy, but the hemorrhoid is less likely to come back. You may get a spinal block, which numbs the area of surgery, or you might be asleep under general anesthesia during this procedure. Hemorrhoidectomy: This procedure removes the hemorrhoid, along with the clot and blood vessels. In a few weeks, the hemorrhoid should shrink. Rubber band ligation: The doctor places a small elastic band at the base of the hemorrhoid.

Take over-the-counter pain relievers like acetaminophen.

You can also try a witch hazel wipe, such as Tucks. Types of surgery for hemorrhoids include: Apply an over-the-counter hemorrhoid cream or ointment, such as Preparation H. You may need surgery if your hemorrhoid is very large or if you have both external and internal hemorrhoids. Less than 10 percent of people with hemorrhoids will need surgery. Learn more: 8 home remedies for hemorrhoids » Surgery for hemorrhoids

After your bath, gently pat, don’t rub, the area dry. You can use a sitz bath, which is a small plastic tub that immerses just your buttocks in a few inches of warm water. Sit in a warm bath for 10 to 15 minutes at a time, two to three times a day.Take over-the-counter pain relievers like acetaminophen ( Tylenol) and ibuprofen ( Advil, Motrin IB).Apply an over-the-counter hemorrhoid cream or ointment, such as Preparation H.You might be able to relieve the discomfort from hemorrhoids with a few simple home measures: It works quickly, but the clots can come back. Surprisingly, there’s not much data to prove that hemorrhoid creams are effective. The cream helps with symptoms of hemorrhoids like swelling, pain, and itching. This procedure works best if you have it within three days after the hemorrhoid appears. Hemorrhoid cream is a product that you apply on the outside, or just on the inside, of the anus area. You will get local anesthesia to prevent you from feeling pain. Wash it with warm water and gentle soap then thoroughly rinse it with water.The main treatment for a thrombosed hemorrhoid is a procedure, called an external thrombectomy, that makes a small cut in the clot and drains it. Avoid having a bowel movement for one to three hours after inserting the ointment.Thoroughly cleanse applicator after each use and replace protective cover.Squeeze the tube so that ointment is applied inside rectum.Lubricate applicator well and then gently insert applicator into the rectum ½ inch.Squeeze to fill the applicator with ointment.Remove protective cover from applicator.Try to empty your bowel and bladder just before use. Can be applied to external area or internal area (with applicator). Apply to the affected area up to 4 times daily, especially at night, in the morning and after each bowel movement. Gently dry by patting or blotting with a tissue or a soft cloth before applying this ointment. Adults: when practical, cleanse the affected area by patting or blotting with an appropriate cleansing wipe.