For grade I and II hemorrhoids, dietary changes and medical treatment are indicated as the first-line treatments.ДЇor grade I, II and III hemorrhoids unmanageable by medical treatment, the office-based procedure will be indicated. Hemorrhoids can be managed either medically or with surgery, depending on the severity of the symptoms. Surgery (hemorrhoidectomy) is indicated when all other approaches fail and in specific conditions such as: Surgical removal of hemorrhoids (hemorrhoidectomy) is indicated. Grade IV (quaternary):These protrude below the anal opening and are not reducible.Grade III (tertiary): These protrude below the anal opening and need to be reduced manually Treatments include sclerotherapy, rubber band ligation or surgery.Treatments include sclerotherapy and rubber band ligation. Grade II (secondary): These protrude below the anal opening but reduce instantly.Treatment includes increasing fiber intake. Grade I (primary): These slide below the toothed line or jagged line present above the anal canal (dentate line) while straining but pull back while relaxing.Internal hemorrhoids are covered with a lining called mucosa that is resistant to touch, pain, stretch or temperature, whereas external hemorrhoids are covered by very sensitive skin.

Hemorrhoids are either internal or external, depending on the location. Hemorrhoids occur as a result of excessive straining, usually during defecation. Hemorrhoids, commonly known as piles, are engorged veins located around the anus or in the lower rectum.

Hemorrhoidectomy surgery may be painful, but different procedures to remove less serious hemorrhoids may be painless.

Stapled hemorrhoidopexy recovery time