Hemorrhoid surgery has a bad reputation; everyone says it hurts too much. Let's see what we can do to avoid surgery? We have many clinical hemorrhoid treatment options. The first step is to differentiate hemorrhoidal thrombosis from the hemorrhoid that bothers you every day.

Next, we must always take care of good bowel function; for this, we need to eat fiber and drink plenty of fluids.

We must also maintain proper posture when evacuating, supporting our feet on a stool or other support so that we are in a squatting position. DO NOT SQUAT OVER THE TOILET; THIS IS VERY DANGEROUS!

Sitz baths can also help a lot; use them. Stop using toilet paper!

If none of these help, we also have in-office treatment options, including rubber band ligation, sclerotherapy, and infrared therapy.

There are cases where, even with all possible efforts, surgery is necessary, but less invasive surgeries are now available. If you need a consultation, I'm available. Best regards!

THIS VIDEO IS FOR INFORMATIONAL PURPOSES ONLY AND DOES NOT REPLACE A MEDICAL CONSULTATION.

Feel free to comment; I will respond to as many comments as I can!

Chapters – How to treat inflamed hemorrhoids

0:00 Introduction – What are inflamed hemorrhoids?
0:14 Symptoms: pain, swelling, and bleeding
0:33 Anal fissure and hemorrhoidal thrombosis
0:58 Importance of correct diagnosis
1:10 Difference between hemorrhoids and perianal abscesses
1:24 Perianal abscess – risk and severity
1:44 First aid and bowel control
2:01 Constipation and loose stools – what worsens the condition
2:04 Sitz baths – benefits and how to do them
2:31 Warm or cold water? Understand what helps most
2:47 Ointments and medications – what to use and what to avoid
3:05 Corticosteroid ointments – safe duration of use
3:33 Side effects of long-term ointments
3:54 Anticoagulant ointments – when to use them
4:04 Treatment for anal fissures and bleeding hemorrhoids
4:13 Use of painkillers and anti-inflammatories
4:37 Flavonoids and ointments for swelling
4:49 Correct diagnosis and recovery time
5:00 When to see a doctor
5:13 Closing – Care and prevention

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Dr. Marcelo Giusti Werneck Côrtes
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0:00 How to treat hemorrhoids without surgery?
0:50 What are hemorrhoids?
2:30 What should I eat to improve hemorrhoids?
4:00 What hemorrhoid ointment should I use?
5:00 How can I treat a hemorrhoid attack?
5:49 What is a thrombectomy?
6:19 Can I pierce my hemorrhoid?
7:17 My hemorrhoid bothers me every day, do I need surgery?
7:51 What's the difference between an internal hemorrhoid and an external hemorrhoid?
9:00 Is an external hemorrhoid an internal hemorrhoid that has come out?
11:00 Don't squat over the toilet!
11:40 What's the right way to clean my anus?
12:40 Can I use a wet wipe?
13:09 I can't have a bowel movement outside the house¹
14:20 Rubber band ligation for hemorrhoids
15:10 Is rubber band ligation surgery? Hemorrhoid treatment
16:03 Is it always possible to avoid hemorrhoid surgery?