Hemorrhoids has two major classifications, it may be an internal or external hemorrhoid. For some individuals who may suffer from both internal and external hemorrhoids the term mixed hemorrhoids is used. Treatment for the mild cases for these hemorrhoids may be similar but for chronic condition they have to be treated differently. Sometimes hemorrhoids may not even show symptoms and it is only discovered when required to undergo physical and laboratory exams. There are also some people who are ashamed to talk about their condition so the diagnosis of the disease is only made when it is already worst.

People should understand that hemorrhoids like the internal one have different stages or grade levels. This is used by doctors as the basis on what kind of treatment they should give to the patient. Just like in other diseases, the approaches or treatment varies at the different levels. Those who are having a mild case, it can be treated with over the counter medications or herbal preparations. Severe cases needs hospitalization and surgery.

Treatment for external hemorrhoids may range from simple and common treatment to surgical excision. The surgery should be carefully done to avoid recurrence and other complications. For thrombosed hemorrhoids, the surgical procedure can be done through incision and excision. New methods of surgery are now available which promises higher success rate and fewer side effects or complications. Your doctor should be able to discuss these options to you if you are advised to undergo surgical removal of your hemorrhoids.

Internal hemorrhoid is more difficult to diagnose. It is usually noticed if the symptoms are already prevalent like when there is blood in stool, pain and irritation in the rectal area. Various treatments for internal hemorrhoids include rubber band ligation, infrared coagulation, radiofrequency treatment, injection sclerotherapy and surgical excision or laser treatment. But again, the type of treatment depends on the grade level of the hemorrhoid.

The grade levels for internal hemorrhoids range from Grade Level I to Grade Level IV depending on the severity of the prolapsed hemorrhoids. Grade I internal hemorrhoids shows little symptoms and only bulge during defecation. When the prolapsed hemorrhoid is caused by defecation but the lesions recede naturally, it is classified as Grade II. If the hemorrhoids can be digitally replaced after prolapsing, the patient is now having a Grade Level III internal hemorrhoid. Other symptoms may also appear in this grade level.

The last stage is the most severe condition of prolapsed hemorrhoids where surgical treatment is already needed. The hemorrhoids can’t be replaced anymore once they become prolapsed. Pain and irritation of the hemorroidal tissues are common. Bleeding may also happen. Treatment of herbal medications or over the counter creams may not cure the hemorrhoids in this stage. The simplest treatment that can be done for prolapsed hemorrhoids is using infrared coagulation while rubber band ligation is the least expensive. There are other procedures which are expensive but also offers faster recovery rate and more effective.

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