Brief Answer: Depends as noted Detailed Answer: HI. Got the understanding that you have got external hemorrhoids secondary to pregnancy. Well - you know the diet is not helping and you must have tried so no discussion on this issue - except that you still have to continue high fiber diet to avoid further progress and complications of external hemorrhoids. In a simple language there are 2 types of hemorrhoids and treatment depends upon the stage/ type. * an internal hemorrhoid - is the one which is small and never comes out , It may be symptomatic or not at all. * Interno-external - wherein the hemorrhoid mass come out on straing at moton and goes inside on its own. * the third- External hemorrhoid- mean the hemorrhoid mass has be prolapsed and comes out and remains so is spite of manual replacement. This needs Surgery as a rule as there are no medicines which can reduce these. So the treatment is always surgical. Now-a-days there are 2 types of surgery in vogue-> The classical old style of excision of the hemorrhoid from the root. Although takes time to heal but is very sure-shot treatment. another is stapler- hemorrhoidectomy. A circular stapler is used from within, it is a day care procedure and healing is fast. You may please discuss all the possibilities and outcomes with your operating Surgeon.

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Brief Answer: Surgical excision Detailed Answer: Bands are not a good option in interno-external. It has a risk of incomplete coverage in the band, more chances of secondary bleeding after about 12-14 days when the bands fall off. Surgery is a better option. If you have no medical issues better to go for surgical excision., the results can be long-lasting. Good that you know the best foods to take and that you are not constipated .

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