Treatment Of Hemorrhoids Research Articles

Comparisons of the Efficacy of Ligasure Hemorrhoidectomy in Grade 3 and 4 Hemorrhoid Diseases

Abstract Objective In recent years, Ligasure hemorrhoidectomy has been preferred in the treatment of grade 3 and 4 hemorrhoids rather than traditional surgery. This study aimed to compare the efficacy of Ligasure hemorrhoidectomy in grade 3 and 4 hemorrhoid treatment. Methods A retrospective examination was made of the files of patients who underwent Ligasure hemorrhoidectomy because of grade 3 or 4 hemorrhoids. The demographic and clinical data of the patients were recorded. To evaluate pain severity after the procedure, a Visual Analog Scale (VAS) was used, and patient satisfaction at 6 months after the procedure was evaluated with a Likert-type scale. Early and late complications were determined in these follow-up examinations. Results The patients included in the study had a mean age of 45 ± 11 years and 82 (75.9%) were male. The mean follow-up period was 18 months (range, 6–44 months). The mean age of patients with grade 4 hemorrhoid was significantly higher than that of those with grade 3 hemorrhoid (p = 0.006). Postoperative early and late (relapse) complications were seen at a higher rate in grade 4 patients compared with grade 3, but the difference was not statistically significant. More successful treatment outcomes were observed in grade 3 patients than in those with grade 4 hemorrhoid, but not to a statistically significant level. Conclusion Ligasure hemorrhoidectomy is safer in terms of postoperative complications and treatment success is greater in patients with grade 3 hemorrhoids compared with those with grade 4 hemorrhoids.

Foam Sclerotherapy VS Conventional Sclerotherapy in the Treatment of Multiple Haemorrhoids with 3% Polidocanol: A Comparative Study

Foam Sclerotherapy VS Conventional Sclerotherapy in the Treatment of Multiple Haemorrhoids with 3% Polidocanol: A Comparative Study

Endoscopic polidocanol foam sclerobanding for treatment of internal hemorrhoids: A novel outpatient procedure.

In the study, we comment on the article by Qu et al. Internal hemorrhoids are the most common anorectal disorders worldwide with bleeding, prolapse, and difficulty in defecation. Endoscopic rubber band ligation (ERBL) is a safe, convenient, quick, and economical outpatient procedure. The main goal of ERBL is to alleviate prolapse, but the high incidence of recurrence and post-procedural pain are of clinical concern. Polidocanol foam as a local hemostatic and anesthetic agent could reduce the rates of post-procedural pain and bleeding. Endoscopic polidocanol foam sclerobanding (EFSB) is a novel approach that could lift the mucosa for easy ligation and promote increased scarring in the submucosal tissue which translates into long-term relief from prolapse recurrence and reduced 24-h post-procedural pain. The study by Qu et al is a novel multi-center prospective randomized study to compare ERBL and EFSB in patients with grades II and III internal hemorrhoids with one-year follow-up. Results showed that EFSB is a novel therapy for internal hemorrhoids, but future studies with a larger sample, multiple treatment sessions, and long-term follow-up are required to confirm these findings.

Laser hemorrhoidoplasty versus hemorrhoidectomy in the treatment of surgically indicated hemorrhoids in inflammatory bowel patients: a randomized comparative clinical study.

This study aims to assess and compare the outcomes of traditional surgery and laser surgery for anal hemorrhoids in patients with inflammatory bowel disease. This is a single-center prospective randomized comparative clinical trial performed at Zagazig University Hospitals from September 2023 to September 2024. The study comprised 48 patients who were admitted during this period and had inflammatory bowel disease along with hemorrhoids. The patients were randomly allocated into two groups: Group I consisted of 24 patients who underwent laser hemorrhoidoplasty, selected based on odd numbers, while Group II consisted of 24 patients who underwent traditional surgery, selected based on even numbers. Group I, which underwent laser treatment for hemorrhoids in inflammatory bowel patients, demonstrated significantly better outcomes than traditional surgery (p < 0.001) regarding operation time, pain score and duration, postoperative anal discharge, return to work time, and patient satisfaction. Moreover, laser treatment was found to be more effective than traditional surgery for treating hemorrhoids in inflammatory bowel patients in terms of postoperative bleeding and anal stenosis. Additionally, there was a higher frequency of residual hemorrhoids in laser group. Laser treatment is mostly superior to traditional surgery for hemorrhoids in inflammatory bowel patients. Clinical Trial.gov (NCT06216223), registered on December 27, 2023, last updated in May 12, 2024. PROTOCOL REGISTRATION ID: #101080-5-9-2023.

A review article on the managements of Arshas (haemorrhoids)

A haemorrhoid is the most common affecting up to one quarter of all adults according to some estimates. Numerous interventions exist for their management, ranging from topical and medical therapies to outpatient treatments and surgical interventions that aim to fix or excise. The word Arsha is self-explanatory, indicating that the disease troubles a person like an enemy. Arshas can be corelated to haemorrhoids in modern science. Arshas is clinically an engorged condition of haemorrhoidal venous plexus characterized by prolapsed mass per anum, bleeding per anum mainly. In contemporary science there are treatments for haemorrhoids like sclerotherapy, banding, laser ablation, lifestyle modifications, surgical procedures like haemorrhoidectomy and other invasive technique. In Ayurvedic tests Chaturvidha Chikitsa is said, such as Bheshaja (medicinal), Kshara Karma (caustic treatment), Agni Karma (thermal hear burn) and Shastra Karma (surgery). In this review article, treatments from modern as well as Ayurvedic texts are documented so that proctologists around the world get a better understanding about the disease and its exact treatment modalities in both the sciences.

Endoscopic polidocanol foam sclerobanding for the treatment of Grade II-III internal hemorrhoids: The focus of clinical practice

We have read the article by Qu et al with great interest, as it presents an integration of endoscopic polidocanol foam sclerotherapy with rubber band ligation in patients with Grade II-III internal hemorrhoids. The authors conducted a prospective, multicenter, randomized study to evaluate the long-term symptomatic and endoscopic efficacy of this combined intervention. In this discussion, we focus on the procedural steps of this combined strategy and suggest potential avenues for future research.

Ethnomedical knowledge of plants used in alternative medicine to treat hemorrhoidal diseases in Lubumbashi, Haut-Katanga province, Southern Democratic Republic of Congo

BackgroundA variety of medicinal plants are used in traditional medicine in Lubumbashi for the management of hemorrhoidal diseases. However, no investigation has been conducted to gather the knowledge required for this type of management in the region. The present study was conducted to inventory the plants used in Lubumbashi to treat hemorrhoidal diseases and to relate their ethnomedical characteristics.MethodsThis study was conducted between March 2022 and February 2023 by interviews using semi-structured questionnaire with households (n = 1520), herbalists (n = 25), and traditional healers: THs (n = 59).ResultsThe 1,604 respondents (sex ratio M/F = 0.9; mean age: 56 ± 3 years; experience: 12 ± 3 years) provided information on 100 taxa, 84 of which are used against internal hemorrhoids, Phyllanthus amarus being the most cited (Citation Index, CI: 0.76). Most of them are trees (38%) or shrubs (32%), belonging to 90 genera and 45 families dominated by the Fabaceae (10%) and Asteraceae (9%). They are indicated in 76 other pathologies, dominated by gastrointestinal disorders (GID), wounds and sexually transmitted infections (CI > 0.57). From these 100 taxa, 117 anti-hemorrhoidal formulations were derived, 11 of which combined more than one plant. In all these recipes, the leaf is the most commonly used part (> 60%) and the liniment (> 45%) is the most popular form of application. For the first time, this study reports 14 taxa as plants used in the treatment of hemorrhoids. Among these taxa, Ficus stuhlmannii, Ficus laurifolia, and Ocimum centraliafricanum are listed as medicinal plants for the first time. Khaya nyasica, and Syzygium cordatum, each with 11 uses, have the highest traditional medicinal value.ConclusionThe findings of this study indicate that a significant number of medicinal plants are used in traditional medicine in Lubumbashi for the treatment of hemorrhoidal diseases. Some of these plants are endemic to the biodiversity area, while others are shared with other cultures and regions. A series of pharmacological studies is currently underway with the objective of validating the anti-hemorrhoidal properties of these plants and in order to identify phytochemical compounds responsible of this activity.Graphical

Laser hemorrhoidoplasty for the treatment of second-degree and third-degree hemorrhoids, is it effective?

Laser hemorrhoidoplasty for the treatment of second-degree and third-degree hemorrhoids, is it effective?

Surgical Treatment of Haemorrhoids: Stapled Haemorrhoidopexy versus Conventional Excisional Haemorrhoidectomy - A Clinical Outcome Analysis

Background: Hemorrhoids are a common anorectal condition that often requires surgical intervention for thirddegree cases when conservative treatments fail. Although stapled haemorrhoidopexy and conventional excisional hemorrhoidectomy are widely used, uncertainty remains about which technique is superior. This study compares the short- and long-term outcomes of these procedures, focusing on recovery time, pain, and complications to clarify the optimal surgical approach. Materials and Methods: An open-label randomized controlled trial was conducted at Bangabandhu Sheikh Mujib Medical University (BSMMU) over 12 months. Eighty-two patients with third-degree hemorrhoids were randomly assigned to undergo either stapled haemorrhoidopexy or conventional excisional hemorrhoidectomy. Primary outcomes were operating time, postoperative pain, and recovery period, while secondary outcomes included symptom improvement and complications. Data analysis was performed using SPSS, with statistical significance at p &lt; 0.05. Results: Group A had a significantly shorter operating time (16.5 vs. 25 minutes, p = 0.001) and less postoperative pain, with 42.9% reporting severe pain at 4 hours post-surgery compared to 95.2% in Group B (p = 0.001). By day 15, 95.2% of Group A experienced mild pain, while 64.3% of Group B reported moderate pain (p = 0.001). Group A also had a faster recovery, with a median pain-free defecation time of 7 days versus 18.5 days for Group B (p = 0.001). Urinary retention was more common in Group B (50% vs. 19%, p = 0.003), while recurrence of mucosal prolapse was lower in Group A (21.4% at 6 months, p &lt; 0.01). Conclusion: Stapled haemorrhoidopexy provides faster recovery and less pain but has a lower recurrence of mucosal prolapse compared to conventional hemorrhoidectomy. Surgical decisions should balance short-term benefits with long-term risks.

Comparison of open haemoridectomy (Milligan-Morgan) and HAL-RAR in the treatment of grade III and IV haemorrhoids

Background &amp; Objective: Hemorrhoidectomy (HD), either open (Milligan-Morgan) or closed (Ferguson), is the conventional treatment for stages 3 and 4 of the condition. HAL-RAR therapy, a minimally invasive treatment for high-grade hemorrhoids, involves the integration of HAL (hemorrhoidal artery ligation) with a procedure known as mucopexy, which lifts the hemorrhoidal prolapses. The study objective was to compare the efficacy of open hemorrhoidectomy against haemorrhoid artery ligation with recto-anal repair (HAL-RAR). Methods: A comparative randomized controlled trial was conducted at general surgery department of Pakistan Aeronautical Complex Hospital Kamra and Pakistan Air Force Hospital Islamabad between June 2021 and December 2022. Total 30 patients diagnosed with hemorrhoids of grades III–IV were assigned randomly to either HAL-RAR (n=15) or hemorrhoidectomy (n=15). Every procedure was a day surgery performed under spinal anesthesia. After 15 days, 30 days, and 6 months patients were re-evaluated. Patients rated their own pain on a visual analog scale. All the data was analyzed by SPSS v 26. Results: Mean age of the participants was 51.3±6.67 years. HAL-RAR group addressed a greater number of prolapsed hemorrhoidal cushions compared to the hemorrhoidectomy group (2.9 vs 2.02, p = 0.001), and the operation took longer in HAL-RAR group (40 min vs 24 min, p = 0.001). HAL-RAR group had less discomfort in the first 30 days after surgery (p = 0.001). In addition, higher number of patients in HAL-RAR group reported experiencing relief from pain (VAS = 0) after day 7. By day 15, HAL-RAR group had substantially better symptom resolution than the hemorrhoidectomy group. Resolution of bleeding, prolapse, itching, and soiling occurred sooner in HAL-RAR group than in hemorrhoidectomy group during the 30-day follow-up. Conclusion: The symptoms of haemorrhoids are resolved with less discomfort with HAL-RAR than after hemorrhoidectomy, and recovery time is shorter.

Determination of Trace Elements Content of a Popular Traditional Herbal Medicine Used for Internal Hemorrhoids Treatment in Katsina State, Nigeria

Study’s Excerpt/Novelty Assessment of toxic metal concentrations of a widely used traditional herb in Katsina state, was carried out. Flame atomic absorption spectrophotometry and descriptive statistical analysis was employed in the research. Pb, Cr, and As were found to be beyond WHO/FAO thresholds. Full Abstract There has been an increase in the utilization of traditional herbal drugs for different medications and health care in Katsina state. This is possibly due to the growing need for complementary disease treatment, relative cheapness, availability, and wider distribution. Raw samples of a popularly used traditional herb (locally named - Dan Lambar Rimi) were purchased from local markets, prepared, and analyzed using a flame atomic absorption spectrophotometer for Pb, Cr, As, Co, Ni, and Cd concentrations. The obtained concentrations were then summarized using descriptive statistics in SPSS Version 27. The results for the elements analyzed were Ni (0.83 ± 0.15), Cd (0.20 ± 0.01), Pb (21.5 ± 6.63), As (2.10 ± 0.70), Cr (2.36 ± 0.37), and Co (1.15 ± 0.22) ppm. Cr, Pb and As concentrations were greater than the WHO/FAO threshold limits for herbal medicines, while that of Cd was within the recommended threshold. Furthermore, the concentrations of these metals (As, Cr, and Pb) were greater than the WHO/FAO acceptable threshold in 50% of the herbal samples analyzed. Therefore, these metals can pose a threat to public health, especially considering the conventional way in which this herbal medicine is used. With deliberate improvement in hygiene during its preparation prior to consumption, the risk will be brought to a minimal. Future studies should perform a detailed chemical risk assessment, especially when we look at the increase in the number of diseases of unknown etiology in the region.

SUS 2 - Routine histological examination of haemorrhoidal tissue – an unnecessary environmental and economic expense?

Abstract Background Modern, less invasive methods of haemorrhoid treatment, such as haemorrhoid artery ligation and radiofrequency ablation, are increasingly employed. These do not yield specimens for histological analysis. However, when open haemorrhoidectomy is performed, even in the absence of suspicious operative features and in low-risk patients, the haemorrhoid specimen is routinely sent. This has both environmental and financial costs in an increasingly pressured NHS, and negatively impacts sustainability with no clinical advantage. Methods We retrospectively studied 112 open haemorrhoidectomies performed at our UK hospital from February 2018 to June 2023, reviewing clinic letters, operation notes and post-operative histology. Aims To assess the frequency of incidental pathology identified during routine histological assessment, and the associated financial costs and carbon footprint generated. Results 112 open haemorrhoidectomies were performed in the 5-year study period. In total, two patients with risk factors for AIN/Anal cancer were identified. There were no documented concerns of abnormal intra-operative findings. Histology mainly revealed haemorrhoid tissue alone (103) and benign polyps (8). AIN3 was detected in one of the high-risk patients. The cost per histology specimen was £93.32 (Total cost £10,451.84). Each specimen is estimated to generate 0.29kg of Carbon Dioxide equivalents (Total 32.48kg CO2e). Conclusion Routine histological assessment of haemorrhoidectomy specimens is time-consuming, expensive and has an avoidable carbon footprint for a low detection of incidental pathology. Our study suggests that histology should be reserved for patients with risk factors for AIN/Anal cancer, or concerning intra-operative findings. Larger scale studies, and development of national guidelines would aid clinician decision-making.

Clinical analysis of percutaneous superselective superior rectal artery embolization for grades Ⅱ-Ⅲ internal hemorrhoids

Objective: To investigate the safety and efficacy of percutaneous superselective superior rectal artery embolization in the treatment of grades Ⅱ-Ⅲ internal hemorrhoids. Methods: The clinical data of 22 patients with grades Ⅱ-Ⅲ internal hemorrhoids who underwent superselective superior rectal artery embolization in the Department of Interventional and Minimally Invasive Tumor Therapy of the Second Hospital of Shandong University from September 2019 to February 2022 were retrospectively analyzed. According to the blood supply artery of hemorrhoids, superselective embolization was performed with embolization materials. The surgical efficacy,postoperative complications,and 12-month follow-up results were analyzed. The clinical score data (French bleeding score,quality of life score,prolapse score) were expressed using the median (Q1, Q3). The clinical scores before and after treatment were compared by the nonparametric rank sum test (Wilcoxon test),and the Z-value was calculated. P-values <0.05 indicate statistically significant differences. Results: The operation was successful in all 22 patients (technical success rate: 100%). The main postoperative side effects and complications included tenesmus (81.8%,18/22),anal bulge (68.2%,15/22),and mild pain in the anus (22.7%,5/22). The above reactions were improved 3-5 days after operation; three patients had congestion and dull pain at the puncture site,which improved spontaneously without treatment. The patients were followed up for 12 months. Compared with those prior to operation, the French bleeding score,quality of life score,and prolapse score were significantly improved (all P<0.05). Conclusion: Superselective superior rectal artery embolization is a relatively safe and low-risk treatment for grades Ⅱ-Ⅲ internal hemorrhoids. It is an option for the treatment of internal hemorrhoids,particularly hemorrhagic internal hemorrhoids.

Comparison of Non-Surgical Methods for Treating Hemorrhoids

Introduction and purpose Hemorrhoidal disease is one of the most common proctological problems worldwide. The etiology of hemorrhoidal disease has not been fully explained. Authors note that lifestyle factors and dietary habits are primarily responsible for hemorrhoidal disease. These include: a low-fiber diet, constipation, a sedentary lifestyle, and suboptimal body position during defecation commonly observed in Western societies. Due to the high prevalence of the disease in the population and the associated decrease in quality of life, outpatient procedural treatments that are highly effective and allow for a quick return to normal activity are very popular among patients. The aim of this study is to discuss non-surgical methods of hemorrhoid treatment. Material and methods This paper was based on a review of materials available on PubMed, searched using the following keywords: “hemorrhoids”, “sclerotherapy”, “rubber band ligation”, „infrared coagulation”, „laser hemorrhoidoplasty”, „Doppler guides hemorrhoidal artery ligation”. Results In recent years, there has been a significant development in non-surgical techniques for treating hemorrhoids, which are widely used in patients with grade I-III hemorrhoids and can be performed in an outpatient setting or during short hospital stays with the use of regional anesthesia, such as: Sclerotherapy, rubber band ligation, Infrared coagulation, Laser hemorrhoidoplasty, Doppler Guides Hemorrhoidal Artery Ligation. Conclusion In conclusion, non-surgical methods for the treatment of hemorrhoids offer a range of effective alternatives to conventional surgery. The choice of treatment should be individualized, taking into account the severity of the hemorrhoidal disease, patient preferences, and the potential for complications.

Laser Hemorrhoidoplasty and Lateral sphincterotomy Procedures vs Conservative Treatment for Hemorrhoids and Fissure in Ano: A Trial Comparing Laser and Conservative treatments

Objective: According to the ‘‘vascular’’ theory, arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. Hemorrhoid laser procedure (LHP) is a new laser procedure for outpatient treatment of hemorrhoids in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation. Aim: Our aim was to compare the hemorrhoid laser procedure and laser aided lateral sphincterotomy vs conservative treatment of symptomatic hemorrhoids and fissure in ano. Material and Method: A comparison trial between hemorrhoid laser procedure, lateral sphincterotomy and conservative treatment for hemorrhoids and fissure in ano was made. This study was conducted at Vels Medical College and Hospital, Manjankaranai, Tamil Nadu. Patients with symptomatic grade III or grade IV hemorrhoids with minimal or complete mucosal prolapse were eligible for the study: 30 patients treated with the laser hemorrhoidoplasty, 30 patients–with laser aided lateral sphincterotomy and 40 patients treated with conservative methods. Operative time, postoperative pain, post-op healing time were evaluated. Results: A total number of 100 patients ( 65 men and 35 women, mean age, 46 years) entered the trial. Significant differences between laser hemorrhoidoplasty, laser sphincterotomy and conservative treatments were observed in operative time and early postoperative pain. The procedure time for LHP was 15.49 min laser aided lateral sphincterotomy was 10.19 min. Conclusion: The laser hemorrhoidoplasty and laser guided sphincterotomy procedures were more effective than conservative methods. Postoperative pain and healing time were drastically less in the early and late post op period.

Global treatment of haemorrhoids-A worldwide snapshot audit conducted by the International Society of University Colon and Rectal Surgeons.

There is no universally accepted treatment consensus for haemorrhoids, and thus, management has been individualized all over the world. This study was conducted to assess a global view of how surgeons manage haemorrhoids. The research panel of the International Society of University Colon and Rectal Surgeons (ISUCRS) developed a voluntary, anonymous questionnaire evaluating surgeons' experience, volume and treatment approaches to haemorrhoids. The 44 multiple-choice questionnaire was available for one month via the ISUCRS email database and the social media platforms Viber and WhatsApp. The survey was completed by 1005 surgeons from 103 countries; 931 (92.6%) were in active practice, 819 (81.5%) were between 30 and 60 years of age, and 822 (81.8%) were male. Detailed patient history (92.9%), perineal inspection (91.2%), and digital rectal examination (91.1%) were the most common assessment methods. For internal haemorrhoids, 924 (91.9%) of participants graded them I-IV, with the degree of haemorrhoids being the most important factor considered to determine the treatment approach (76.3%). The most common nonprocedural/conservative treatment consisted of increased daily fibre intake (86.9%), increased water intake (82.7%), and normalization of bowel habits/toilet training (74.4%). Conservative treatment was the first-line treatment for symptomatic first (92.5%), second (72.4%) and third (47.3%) degree haemorrhoids; however, surgery was the first-line treatment for symptomatic fourth degree haemorrhoids (77.6%). Rubber band ligation was the second-line treatment in first (50.7%) and second (47.2%) degree haemorrhoids, whereas surgery was the second-line treatment in third (82.9%) and fourth (16.7%) degree symptomatic haemorrhoids. Rubber band ligation was performed in the office by 645(64.2%) of the participants. The most common surgical procedure performed for haemorrhoids was an excisional haemorrhoidectomy for both internal (87.1%) and external (89.7%) haemorrhoids - with 716 (71.2%) of participants removing 1, 2 or 3 sectors as necessary. Although there is no global haemorrhoidal treatment consensus, there are many practice similarities among the different cultures, resources, volume and experience of surgeons around the world. With additional studies, a consensus statement could potentially be developed.

The emborrhoid technique for treatment of haemorrhoids

The emborrhoid technique for treatment of haemorrhoids

Computational Study and Evaluation of Lidocaine and Nitroglycerin Ointment for External Hemorrhoid Treatment

Computational Study and Evaluation of Lidocaine and Nitroglycerin Ointment for External Hemorrhoid Treatment

The Relationship Between Dietary Fiber Consumption Patterns and Physical Activity with the Incidence of Hemorrhoids

The purpose of this study was to explain the relationship between fiber food consumption patterns and physical activity with hemorrhoidal events. This study used a retrospective correlational analytic study design. The population in this study were patients with signs and symptoms of hemorrhoids in the General Surgery Specialist Poly of Petrokimia Gresik Hospital as many as 89 respondents, with sampling using purposive sampling and 72 respondents were obtained. Data analysis using the Chi-square test. Data collection using a fiber food consumption pattern questionnaire, a physical activity questionnaire, and the results of the diagnosis of the General Surgeon Specialist in the respondent's Medical Record. The results of statistical analysis with the Chi-square test with a significance level of alpha &lt;0.05 obtained a p-value of 0.001 and 0.000, which means that there is a relationship between fiber food consumption patterns and physical activity with hemorrhoidal incidence. Insufficient fiber food consumption patterns cause feces to settle longer in the rectum so that the consistency of feces will become harder. This condition stimulates a straining reflex to appear during defecation, causing hemorrhoids. Meanwhile, a pattern of physical activity that is lacking causes continuous and repeated pressure on the lower part of the digestive tract, causing vascularization to be less than optimal and causing hemorrhoids. This study is expected to be a reference for hospitals to be able to add educational media and health promotion as an effort to prevent hemorrhoidal incidence in the community and prevent recurrence in patients who have undergone hemorrhoid treatment.

The Use of Daflon Tablets in Treating Hemorrhoids and Alleviating Symptoms

Background: Varicose-like bulging veins that occur in the anus and lower rectum are known as hemorrhoids. Depending on their degree of prolapse, they can cause symptoms such as bleeding, discomfort, mucous discharge, perianal irritation, and burning. The aim of the study was to investigate the impact of Daflon pills on the treatment of hemorrhoids and their associated symptoms, as well as the duration of hospitalization and the likelihood of recurrence. Methods: A randomized clinical trial was used in this investigation. Patients who had been referred to the surgical clinic of the Madani Hospital in 2021 with hemorrhoid complaints were participants in a random selection process. Participants were separated into control groups (getting non-invasive regular treatments) and the intervention group after being informed and given ethical approval (Receiving Daflon 500 mg twice daily for 4 weeks). Patients' symptoms, potential sequelae, and illness recurrence were assessed in both chosen groups at each visit, and data was gathered until the desired sample size was reached. Results: This study was performed on 200 patients who received Daflon 500 mg (intervention, N = 100) or placebo (control, N = 100). The number of visits required to achieve therapeutic goals did not differ statistically significantly between the intervention and control groups (P &gt; 0.05). The mean recovery time was 56.5 ± 12.53 days for the intervention group and 61.04 ± 13.63 days for the control group, which is considered statistically significant (P &lt; 0.05). A total of 56 patients (28.0%) relapsed and 144 patients (72.0%) recovered. This rate in the intervention group included 78 (78.0%) recovery and 22 (22.0%) relapsed and in the control group 66 (66.0%) recovered and 34 (34.0%) relapsed, clinically it suggests that treatment Daflon can prevent relapse of the disease, although the statistical results of this study do not support this hypothesis (P = 0.059). Conclusion: The study's findings demonstrated that Daflon therapy is a superior and more effective treatment option for all grades of hemorrhoids. Moreover, the medication's side effects are manageable, making it a well-tolerated choice.