Non-Surgical Haemorrhoid Treatments: A Complete Comparison

When haemorrhoids strike, many people assume surgery is their only solution. However, there are several non-surgical treatments that can effectively alleviate pain, itching, and bleeding. These minimally invasive approaches often require less downtime and can be performed in an outpatient setting, making them appealing for individuals seeking quick relief. Below is a comprehensive look at the most common non-surgical treatments - and how they compare.

1. Lifestyle & Home Remedies

What It Involves

• Increasing dietary fiber (fruits, vegetables, whole grains) and hydration

• Using over-the-counter creams or suppositories

• Taking warm sits baths to soothe irritation

• Avoiding excessive straining during bowel movements

Pros

• Completely non-invasive and low cost

• Helps address underlying causes, like constipation

Cons

• Provides only mild relief if haemorrhoids are already advanced

• May take time to see significant improvement

Best For

• Early-stage or very mild haemorrhoids

• Preventing flare-ups if you’re prone to haemorrhoids

2. Rubber Band Ligation

What It Involves

A small rubber band is placed around the base of the internal haemorrhoid, cutting off blood supply. The haemorrhoid eventually shrinks and falls off within a week or two.

Pros

• Generally quick and performed in a clinic

• Minimal downtime for most patients

Cons

• Can be uncomfortable; some experience moderate pain or a sensation of pressure

• Not suitable for external haemorrhoids

• May require multiple sessions for optimal results

Best For

• Internal haemorrhoids (usually Grade I–II)

3. Injection Sclerotherapy

What It Involves

A sclerosant solution is injected into the haemorrhoid, causing it to shrink and eventually resolve.

Pros

• Relatively painless and quick

• Useful for smaller, internal haemorrhoids

Cons

• Less effective for larger haemorrhoids

• Potential for mild bleeding or temporary discomfort post-injection

Best For

• Early-stage internal haemorrhoids, particularly if rubber band ligation isn’t an option

4. Infrared Coagulation (IRC)

What It Involves

Infrared light is applied to the haemorrhoid, creating heat that scars and seals off its blood supply.

Pros

• Minimal pain and often completed in minutes

• No incisions or cuts

Cons

• Effectiveness may vary; multiple sessions could be needed

• Not suitable for large or prolapsed haemorrhoids

Best For

• Small to medium internal haemorrhoids

5. Electrotherapy (Galvanic/Electrical Coagulation)

What It Involves

A mild electrical current is applied to the haemorrhoid tissue, causing it to gradually shrink over a few days. This procedure is typically minimally painful, with no incision or sedation required.

Pros

• Quick relief with minimal downtime

• Low risk of complications compared to more invasive procedures

• Can treat both small and certain moderate haemorrhoids

Cons

• Mild discomfort or tenderness may occur

• May require a short follow-up appointment if the haemorrhoid re-establishes blood supply

Best For

• Patients seeking fast, non-surgical relief for a range of haemorrhoid sizes—especially when rubber banding or injection isn’t suitable

6. Laser Therapy

What It Involves

A targeted laser beam coagulates the haemorrhoid tissue, causing it to shrivel and eventually detach.

Pros

• Highly precise and can be applied to delicate areas

• Minimal bleeding and quick recovery

Cons

• Tends to be more expensive than other non-surgical methods

• Effectiveness can depend heavily on the operator’s experience

Best For

• Individuals who want a high-tech approach and are willing to invest more for convenience and precision

When to Seek Professional Advice

If you’ve tried over-the-counter remedies and lifestyle changes without success, or if your haemorrhoids are causing significant pain or bleeding, it’s time to consult a medical professional. Early intervention often allows you to take advantage of non-surgical options before more invasive treatments become necessary.

Conclusion

Non-surgical treatments for haemorrhoids offer effective relief without the lengthy downtime or risks associated with full surgery. From rubber band ligation and injection sclerotherapy to more advanced methods like electrotherapy and laser treatment, each approach has its pros, cons, and ideal use cases.

At ReliefSure Medical, we specialise in minimally invasive electrotherapy, a straightforward and efficient procedure that delivers results with minimal discomfort. Whether you’re dealing with persistent itching, bleeding, or pain, our clinic provides customised treatment plans to help you regain comfort and peace of mind - no scalpels required.