Are these hemorrhoids?

Troublesome hemorrhoids.

I am 45 years old, a sedentary lifestyle often suffers from hemorrhoids, I use over-the-counter medications, but they do not help, should I undergo surgery? ~ Henryk

Hemorrhoids can also be treated without surgery or with minimally invasive methods. This is only to be determined by examination by a surgeon or proctologist. Before any procedures, at least rectoscopy or colonoscopy should be performed. Hemorrhoids, like most anorectal diseases, may be a consequence of another more serious disease that spreads higher in the intestines. Surgical treatment of haemorrhoids should be preceded by conservative (non-surgical) treatment by a surgeon and proctologist. It is aimed at resolving inflammation and reducing the scope of surgery, using a minimally invasive method, and often allows you to avoid surgery altogether.

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