If you have occasional symptoms from hemorrhoids such as bleeding, itching, pain, etc.,you may try to manage them by increasing the fiber in your diet and use of fiber supplements, laxatives, warm Sitz baths and treatments such as creams and ointments.
If the hemorrhoids are large or cause frequent problems, then they need to be treated more aggressively. Dr. Kethu performs hemorrhoidal banding (band ligation) to get rid of hemorrhoids. Another option is using cautery such as infrared coagulation which may be useful in some cases though is less effective than band ligation. Surgery may also be utilized in severe cases or in hemorrhoids that have clotted.