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Answer
: Hello Dixie. External hemorrhoids (piles) are caused when the veins of the anus swell from too much pressure. Treatment for mild cases of external hemorrhoids includes warm baths (sitz baths), ice packs, topical ointments (such as Vaseline or other hemorrhoid creams), suppositories, seat cushions (special donut shaped cushions), moist cloths and loose underwear. More serious external hemorrhoids require one of three surgical procedures: laser coagulation (the hemorrhoid is clotted with an electric probe which makes it shrink), infrared photocoagulation (the hemorrhoid is clotted with infrared light to make it shrinks) or hemorrhoidectomy (complete removal of the hemorrhoid). Sometimes hemorrhoids symptoms get better with time, especially if you change your diet to include a lot of fibre and water, exercise regularly, stop smoking and drinking and move your bowel regularly. Your doctor is the best person to advise you on what treatment will work for you.
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