How Long Do Hemorrhoids Last?

Hemorrhoids are a common ailment affecting millions of people worldwide. Characterized by swollen veins in the anus and rectum, hemorrhoids can cause a range of uncomfortable symptoms and spark even more uncomfortable conversations. Understanding hemorrhoids shouldn’t be a taboo topic for discussion, though. Learning about hemorrhoid treatment, the duration of hemorrhoid flare-ups, and other factors influencing their persistence can be key in seeking timely relief. 

Hemorrhoids, characterized by the development of bulging veins in the rectum, frequently arise from excessive straining during bowel movements or the adoption of poor lifestyle habits. These can manifest as enlarged internal veins or as painful and itchy lumps externally around the anus. Here, we will explore the typical lifespan of hemorrhoids, including factors that affect their duration and different treatment approaches to treating, managing, and recovering from them. 

Acute Flare-Ups vs. Chronic Recurrence

Hemorrhoid symptoms can vary significantly depending on several factors, such as type and severity. In many cases, internal hemorrhoids go undetected, causing minor discomfort, while external hemorrhoids bulge out of the anus, causing more noticeable pain or an itching sensation. 

Mild cases of external hemorrhoids can resolve on their own within a few days to a few weeks. These acute flare-ups are usually triggered by temporary factors such as straining during a bowel movement or constipation. Acute flare-ups can cause individuals to experience itching, mild to severe pain, and lumpiness around the anus. Gentle care and over-the-counter remedies can help reduce swelling and inflammation while offering temporary pain and itching relief. 

While hemorrhoids are commonly short-lived, many individuals experience chronic or recurring hemorrhoids. Chronic hemorrhoids can develop from persistent contributing factors or long-term habits. Chronic constipation, frequent straining, sitting for long periods or genetics can exacerbate hemorrhoids, causing an acute flare-up to develop into a chronic occurrence. 

Factors Affecting the Duration of Hemorrhoid Flare-Ups

The development of hemorrhoids is heavily dependent on several key lifestyle factors, including:

• The Severity of Already Developed Hemorrhoids – The grading system for internal hemorrhoids can directly influence the duration and intensity of hemorrhoid symptoms. Grade 1 internal hemorrhoids, at the start of the range, are small and don’t prolapse, whereas Grade 4 internal hemorrhoids are large and permanently prolapsed. In contrast, external hemorrhoids, specifically those that are large and thrombosed, can take much longer to resolve, requiring medical intervention to treat. Severe cases of hemorrhoids are likely to cause longer-lasting and more troublesome symptoms. 

• The Type of Hemorrhoids You Have – External hemorrhoids — in their earlier stages can often resolve quickly. Later-stage thrombosed external hemorrhoids might take several weeks to completely subside as the blood clot needs to be absorbed back into the body. 

• Lifestyle and Bowel Habits – Chronic constipation and straining during bowel movements can be major contributors to the development and persistence of hemorrhoids. Individuals who lack fiber in their diets or have irregular bowel habits are more likely to experience prolonged or recurring hemorrhoid issues, as repeated strain puts excess pressure on the veins near the anus and rectum. 

• Improper Hygiene Practices – Wiping aggressively can irritate existing external hemorrhoids and potentially prolong their duration. Hemorrhoids can cause a mucus discharge from the anus which can irritate the area if it is not addressed. Gentle cleansing practices can help prevent further inflammation and promote healing. When discharge is a problem, barrier creams like A&D ointment can help with symptoms in addition to gentle cleansing.

• Underlying Medical Conditions or Genetics – In rare cases, hemorrhoids can develop due to an underlying medical condition or genetics. 

Understanding these factors can help you assess your daily habits and know how long you may expect to have hemorrhoids. Discussing your specific case with your doctor or gastroenterologist can help you gather insights into your health and offer suggestions for minimizing the recurrence and development of hemorrhoids. 

Seeking Relief Through Common Hemorrhoid Treatment Options

While most cases of hemorrhoids resolve on their own, various treatment options exist to provide significant relief and shorten the duration of symptoms. These treatments can range from conservative at-home remedies to more advanced medical procedures:

Home Remedies

• Sitz Baths: Soaking the anal area in warm water can help to reduce inflammation and soothe irritation. 

• Over-the-Counter Topical Treatments: Ointments, creams, and suppositories with hydrocortisone or witch hazel can help relieve itching and pain. 

• Cold Packs: Applying ice packs can help reduce hemorrhoid swelling.

• Maintaining Good Hygiene: Keeping the anal area clean and cleaning regularly with mild soap and water after each bowel movement can help prevent irritation and minimize the presence of bacteria. 

• Increasing Fiber in Your Diet: Incorporating fiber into your diet can help soften stools and make bowel movements easier, reducing overall strain. 

• Avoiding Straining During a Bowel Movement: Avoiding straining during bowel movements is essential for healing and preventing recurrence. Taking stool softeners, eating a high-fiber diet, or using assistive devices can help minimize strain. 

Medical Interventions

• Rubber Band Ligation: Commonly used for internal hemorrhoids, rubber band ligation consists of a gastroenterologist lacing a rubber band around the base of the hemorrhoid, cutting off its blood supply. After a while, the hemorrhoid will shrivel up and detach itself. 

• Sclerotherapy: Gastroenterologists will inject a chemical solution into the hemorrhoid to cause it to shrink. 

• Infrared Coagulation (IRC): IRC involves using infrared light to create heat, causing the hemorrhoid to shrink. 

• Hemorrhoidectomy: Typically reserved for severe or prolapsed hemorrhoids, hemorrhoidectomies involve a more surgical approach to removal as surgeons cut out the hemorrhoid. 

The choice of hemorrhoid treatment largely depends on the type, size, and severity of the hemorrhoids, as well as the patient’s preferences and risk factors. Consulting a gastroenterologist can provide more insights into the most suitable treatments and offer suggestions for preventing recurrence. 

Dr. Ernest Castro, M.D. — Denver’s Choice for Fast and Effective Hemorrhoid Treatment

Hemorrhoids can be inconvenient, painful, and disruptive to one’s daily routine. The duration of hemorrhoids is variable, ranging from a few days to several weeks in mild cases or even longer for more severe or chronic cases. Assessing factors such as type and grade of hemorrhoids and lifestyle habits can significantly impact their persistence and responsiveness to treatment. 

While many individuals find short-term relief through conservative measures, persistent hemorrhoids require the help of an experienced physician. Dr. Ernest Castro, M.D., offers personalized, effective, and accurate gastroenterological care and treatment for patients experiencing moderate to severe hemorrhoids. Through thorough evaluation and emphasizing patient care and comfort, Dr. Castro ensures patients receive the most effective hemorrhoid treatment with the best results. 

For more information or to request an appointment with Dr. Castro, visit our website or call our office at (720) 868-3111 today.