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Which External Hemorrhoids Treatment is Right for Me?

So you’ve figured out there’s something wrong back there, and it’s finally gotten bad enough for you to decide that you need to do something about it. From a little research of your favorite medical websites, you’ve determined the culprit is likely external hemorrhoids, but now you have to ask yourself the all-important question:

Which external hemorrhoids treatment is right for me?

When it comes to choosing a hemorrhoids treatment, there are many options available, with a wide range of costs, time investments, invasiveness, and other mitigating factors. If you’re having trouble wading through all the information available to decide which external hemorrhoids treatment is the right one for you, you’re in luck. Below, we’ve compiled a short comparison chart of all the treatments available for external hemorrhoids so you’re able to quickly and easily make an informed decision on which is right for you.

NOTE: When seeking treatment for hemorrhoids, you should always consult a medical professional for an accurate diagnosis. The following is for informational purposes only and should not be used instead of a diagnosis and treatment plan provided by a licensed medical professional.

Treatment Pros Cons
Creams & Home Remedies
  • Inexpensive
  • Able to treat at home without assistance from anyone else
  • Offers temporary relief from itching, pain, and swelling
  • Messy
  • Easy for patient to misdiagnose the problem
  • Solution does not treat the root cause of the external hemorrhoid
Hemorrhoid Banding
  • Applied by a medical professional, offering an accurate diagnosis and complete treatment
  • Quick (literally minutes to complete)
  • Only mildly invasive
  • Virtually free of pain and discomfort
  • Often no follow-up appointment is required
  • Covered by most insurance plans
  • Must be applied by a medical professional
  • May not be right for every type of hemorrhoid
  • A small percentage (< 5%) see a recurrence of the hemorrhoid post-banding
  • A small percentage (10%) of patients with external symptoms will require a surgical excision of the tag (typically an office procedure using local anesthetic)
  • Conducted by a licensed surgeon, offering an accurate diagnosis and complete treatment
  • Often successfully treats the problem in a single session
  • Involves actual surgery that may require anesthesia
  • The clamping and cutting involved with some kinds of hemorrhoidectomy can be quite painful
  • May cause scarring
  • Significant recovery time
  • Follow-up appointment required
Infrared Coagulation Therapy (IRC)
  • Minimally invasive
  • Uses light to create scar tissue, cutting off blood supply to external hemorrhoid
  • Administered by a medical professional
  • Unable to effectively treat larger external hemorrhoids
  • Requires multiple treatments, with 90-day intervals between treatments
  • Higher chance of recurrence
  • Minimally invasive
  • No anesthesia required
  • Non-surgical procedure
  • Procedure takes up to 18-19 minutes to perform.
  • A significant number of patients will still have external symptoms requiring surgical excision of the tags in order to eliminate these symptoms.
  • Minimally invasive
  • No Anesthesia Required
  • Non-surgical procedure
  • Not very effective with prolapsing hemorrhoids or external hemorrhoidal problems
  • Complications may tend to be more common than with other non-surgical approaches.
  • Urinary and erectile problems have been reported in rare cases.

If you have any questions about external hemorrhoids treatment options, use our physician search feature to find a hemorrhoids doctor in your area. The friendly physicians in our network will be able to provide you with information on every type of external hemorrhoids treatment, including the CRH O’Regan System.


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