Hemorrhoids are a normal part of the anatomy. We are born with them. In fact, we have two sets; internal and external. The external hemorrhoids tend to hurt. The internal hemorrhoids tend to bleed, soil, itch, ache, and can 'block' a bowel movement from passing.

Initial treatment may involve the following:

1. Developing a regular, easy bowel movement:
• Fiber supplements (e.g.. Metamucil, Citrucel, etc.) are recommended.
• Use Tucks or Non-Alcoholic baby wipes to clean.
2. Shrink the Hemorrhoids:
• Cortisone cream or suppositories are used to shrink the hemorrhoids.

When these measures fail, either rubber band ligation or an operation on the hemorrhoids is considered.

Rubber Band Ligation has become the most common way we treat internal hemorrhoids. A small rubber band is placed upon the 'root' of the hemorrhoid. After several days the hemorrhoid falls off. This works only for the inside hemorrhoids, because they have few pain fibers in them.