What is the Best Treatment for Hemorrhoids

April 21, 2026

When it comes to treating hemorrhoids, there is no one size fits all solution. The "best" treatment is entirely dependent on your specific situation, the size of the hemorrhoids, and whether they are internal or external. At Your Friendly Proctologist, our philosophy is simple: start with a professional evaluation so we can choose the right tool for the job.

Comparing Your Office Options

If home remedies like sitz baths and fiber aren't moving the needle, it is time to look at clinical procedures. Each of these has a different recovery profile and success rate.

  • Banding: This is a gold standard for smaller internal hemorrhoids. A small rubber band is placed around the base of the hemorrhoid to cut off blood supply. It eventually withers and falls off. It is highly effective and widely considered a superior option to many alternatives.
  • Sclerotherapy: This involves injecting a chemical solution into the hemorrhoid tissue to shrink it. While it is relatively non-invasive, it is often marketed by doctors who cannot perform surgery. It frequently requires multiple sessions, and the long term results are often less than great.
  • Infrared Coagulation (IRC) and Laser: These treatments use heat or light to create scar tissue, which cuts off blood flow to the hemorrhoid. These are excellent middle ground options for specific cases.
  • Surgical Removal: For the largest or most persistent hemorrhoids, a full surgical removal (hemorrhoidectomy) is sometimes the only way to ensure the problem is gone for good.

Matching the Treatment to the Size

The scale of the problem dictates the strategy. Dr. Chung recommends focusing on the most efficient method for your specific grade of hemorrhoid:

  • Smaller Sizes: Banding is often the perfect choice here. It is quick, effective, and has a manageable recovery.
  • Larger Sizes: If the hemorrhoids are significantly enlarged or prolapsed, we shift the focus toward laser treatments or full surgical removal.

The Reality of Recovery

Every procedure, no matter how minor, comes with an associated recovery period and specific risks. This is why the post operative phase is just as important as the surgery itself. Most surgeons in a hospital setting won't see you for four to six weeks after your procedure.

Our protocol is built differently. Dr. Chung has been practicing for 11 years and focuses heavily on the recovery experience because he knows it can be a painful and daunting process. We provide a concierge level of service where patients are seen within one week of surgery.

Why Personalized Care Leads to Better Outcomes

The best treatment isn't just about the technical success of the procedure; it is about the dedicated management of your pain and your specific progress. You shouldn't have to navigate recovery alone or spend your time explaining your history to an advice nurse who has never met you. With direct 24/7 access to Dr. Chung’s cell phone, the "best" treatment becomes a partnership. Because Dr. Chung is the one who performed your procedure, he understands the nuances of your case and provides a level of continuity that ensures you return to your life with the least amount of stress possible.