When to repair a hemorrhoid

Q. I have suffered with bleeding hemorrhoids for many years. Changing my diet, adding fiber, and having sitz baths have not improved the problem. My doctor suggested surgery. Is this risky?

A. Hemorrhoids are swollen veins around the anal canal. Internal hemorrhoids are located inside the anus but can sometimes protrude to the anal opening; bleeding is the major problem with these. External hemorrhoids are located at the rim of the anus; these can also cause bleeding as well as itching and pain.

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