What is the treatment method for grade II hemorrhoids?

Grade II hemorrhoids are characterized by their ability to protrude during bowel movements but reduce spontaneously. The main treatment goal is to manage symptoms and address the condition effectively while minimizing surgical interventions.

Rubber band ligation is the preferred treatment method for grade II hemorrhoids. This technique involves placing a small rubber band around the base of the hemorrhoid, which cuts off its blood supply. This procedure is minimally invasive, can be performed in an outpatient setting, and is effective in alleviating symptoms associated with hemorrhoids, such as bleeding and pain. The hemorrhoid will eventually shrink and fall off after a few days due to lack of blood flow.

While surgical options like closed or open hemorrhoidectomy can be considered for more severe cases, they are generally reserved for grade III or grade IV hemorrhoids. Non-surgical observation is also an option for less symptomatic hemorrhoids, but grade II hemorrhoids often warrant more proactive intervention to relieve symptoms and prevent complications. Thus, rubber band ligation stands out as the most appropriate treatment for grade II hemorrhoids.