Can external hemorrhoids be treated if they are painless, itchy, or have a lump?

When external hemorrhoids are painless and itch-free but have a lump, they usually do not require special treatment, but it is recommended to observe carefully and maintain good living habits to prevent worsening. If you find discomfort or symptoms worsen, seek medical attention in time. The main treatment methods include drug treatment, maintaining a good diet and lifestyle, and appropriate exercise.

1. Observation and self-care: For external hemorrhoids that do not hurt or itch, it is usually recommended to observe first and pay attention to daily hygiene and living habits. Keeping the anus clean and dry is the key. When taking a bath, you can gently clean the anus with warm water to avoid bacterial growth. Avoid straining to defecate and sitting for long periods of time to reduce pressure on hemorrhoids.

2. Medication: If there is mild discomfort, you can consider using topical medications to relieve symptoms. Common topical medications such as hemorrhoid creams and hemorrhoid suppositories contain astringents, analgesics or anti-inflammatory ingredients that can help relieve symptoms. Before using any medication, it is best to consult a doctor to ensure safety.

3. Adjustment of diet and lifestyle: Increasing fiber intake such as bran, vegetables and fruits can promote intestinal peristalsis and prevent constipation. At the same time, drink plenty of water to ensure adequate water in the body. Avoid eating spicy and irritating foods to avoid aggravating hemorrhoid symptoms. In life, adjusting work and rest, and exercising appropriately, such as walking, swimming and other low-intensity exercises, can also help improve blood circulation and reduce the burden of hemorrhoids.

Although painless and non-itching external hemorrhoids usually do not require surgical treatment, it is recommended to seek medical evaluation if symptoms change or affect daily life. Severe cases, such as hemorrhoid thrombosis or the development of hemorrhoids, may require surgery. Surgical methods include hemorrhoidectomy, sclerotherapy injections, and physical therapy such as cryotherapy. Maintaining an active lifestyle is the key to preventing and treating hemorrhoids and can help further avoid the occurrence and development of hemorrhoids.