Fast Five Quiz: Anal Conditions

Richard H. Sinert, DO


March 26, 2021

According to guidelines from the American Academy of Family Physicians, increasing fiber intake is an effective first-line, nonsurgical treatment for hemorrhoids. Symptomatic relief may be achieved in those who undergo excision of thrombosed hemorrhoids within 2-3 days of symptom onset. For office-based treatment of grades I-III hemorrhoids, rubber band ligation is preferred, whereas excisional (conventional) hemorrhoidectomy is effective for grades IV or V, recurrent, or highly symptomatic hemorrhoids. Outcomes of stapled hemorrhoidopexy include more frequent symptomatic recurrence and prolapse than that from conventional hemorrhoidectomy.

Read more about the treatment of hemorrhoids.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.