Hemorrhoids, commonly known as piles, are swollen veins in the lower rectum or anus that can cause pain, itching, bleeding, and discomfort. Many Australians wonder if hemorrhoids will resolve on their own or if they require treatment. The answer depends on the severity, type, and individual circumstances, but with proper care, many hemorrhoids do improve or disappear over time.
Can Hemorrhoids Go Away Naturally?
For most people, mild to moderate hemorrhoids can resolve within 1 to 2 weeks with simple home remedies and lifestyle changes. These measures include:
- Increasing dietary fibre to soften stools and reduce straining
- Staying well hydrated
- Avoiding prolonged sitting and straining during bowel movements
- Using warm sitz baths to soothe discomfort
- Applying over-the-counter creams or ointments to reduce inflammation and itching
Many Australians find that these steps help shrink hemorrhoids and relieve symptoms without the need for medical intervention.
When Do Hemorrhoids Require Medical Treatment?
If hemorrhoids persist beyond a couple of weeks, cause significant pain, bleeding, or prolapse (where the hemorrhoid protrudes outside the anus), medical treatment may be necessary. Non-surgical procedures such as rubber band ligation or sclerotherapy can effectively treat persistent hemorrhoids by cutting off their blood supply, causing them to shrink gradually.
What About Hemorrhoid Surgery?
In cases of severe or large hemorrhoids that do not respond to other treatments, surgery may be recommended. Procedures like haemorrhoidectomy (surgical removal) or stapled haemorrhoidopexy offer more definitive solutions.
- Surgery is usually a day procedure under general anaesthesia.
- Recovery can take several weeks, with pain and some bleeding common during healing.
- Patients typically resume normal activities within 1-2 weeks but should avoid heavy lifting and straining during recovery.
- Full healing may take 6-8 weeks, during which time wound care and pain management are important.
What to Expect After Treatment
Whether treated conservatively or surgically, hemorrhoids take time to heal. After surgery, patients may experience discomfort for up to 4-6 weeks, with the first two weeks often being the most uncomfortable. Small amounts of bleeding or mucus discharge during healing are normal. It’s important to follow medical advice on pain relief, bowel management, and hygiene.
Key Takeaways for Australians
- Mild hemorrhoids often go away with home care within days to weeks.
- Persistent or severe hemorrhoids may need medical or surgical treatment.
- Recovery from surgery requires patience and proper care but often leads to lasting relief.
When to See a Doctor
If you experience heavy bleeding, severe pain, or symptoms lasting longer than two weeks, consult your GP or a colorectal specialist. Early evaluation ensures appropriate treatment and rules out other serious conditions.
In summary, hemorrhoids can go away, especially with timely and appropriate care. If you’re struggling with symptoms, start with simple lifestyle changes and seek medical advice if needed to regain comfort and health.