| Details | Conservative: High-fiber diet, good hydration, stool softeners, sitz baths, avoid straining, topical relief (short course steroids, anesthetics).
Office-based: Rubber band ligation, infrared coagulation, sclerotherapy (for grades I–III internal).
Surgical: Hemorrhoidectomy, stapled hemorrhoidopexy, or Doppler-guided ligation (for large, recurrent, or complicated cases).
Thrombosed external: Early (<72 hrs) excision; late conservative care.
Prevention: Maintain fiber intake, hydration, healthy bowel habits. |
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