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Your health care provider might be able to see external hemorrhoids.

Diagnosing internal hemorrhoids


might include an exam of your anal canal and rectum.

Digital examination. Your health care provider inserts a gloved, lubricated finger into your rectum.
This allows your provider to check for anything unusual, such as growths.

Visual inspection. Internal hemorrhoids are often too soft to be felt during a rectal exam. Your health
care provider might look at the lower part of your colon and rectum with a tool such as an anoscope, a
proctoscope or a sigmoidoscope.

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Your health care provider might want to look at your entire colon using colonoscopy if:

Your symptoms suggest you might have another digestive system disease.

You have risk factors for colorectal cancer.

You are middle aged and haven't had a recent colonoscopy.

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Hemorrhoids care at Mayo Clinic

Colonoscopy

Flexible sigmoidoscopy

Treatment

Home remedies

You can often relieve the mild pain, swelling and inflammation of hemorrhoids with home treatments.

Eat high-fiber foods. Eat more foods that are high in fiber. This helps softens the stool and increases
its bulk, which will help you avoid straining. Add fiber to your diet slowly to avoid problems with gas.

Use topical treatments. Apply a hemorrhoid cream or suppository containing hydrocortisone that you
can buy without a prescription. You also can use pads containing witch hazel or a numbing medicine.

Soak regularly in a warm bath or sitz bath. Soak your anal area in plain warm water for 10 to 15
minutes two or three times a day. A sitz bath fits over the toilet.

Take pain relievers by mouth. You can temporarily use acetaminophen (Tylenol, others), aspirin or
ibuprofen (Advil, Motrin IB, others) to help relieve your discomfort.

With these treatments, hemorrhoid symptoms often go away within a week. See your health care
provider within a week if you don't get relief. Contact your provider sooner if you have severe pain or
bleeding.

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