my brother is suffering from internal hemorrhoids.he complains of pain and irritation.nearly two years of diet control and creams have not helped.is surgery an option?he is seemingly frustrated with this problem and its affecting his work and studies.Please help.
Welcome to Chat Doctor. I am Chat Doctor. No need to be frustrated because this is curable. Hemorrhoids are swollen blood vessels that may occur inside the rectum (internal) or outside the rectum (external). Internal hemorrhoids cause bleeding and leading to anemia(low hemoglobin) and if not controlled as you told about your brother that nearly two years of diet control and creams have not helped In such conditions surgery is only option. Till then start - Tablet- Dawson 500 mg thrice a day -very helpful