Diet, bowel habit, and lifestyle changes are often first-line therapy. When conservative therapy is not effective, in-office ligation, sclerotherapy, or infrared coagulation for hemorrhoids should be considered. Surgery is reserved for those with persistent symptoms or grade 4 disease.

Anorectal conditions affect the anus and rectum. Fissures, fistulas, condyloma and hemorrhoids are among the most common anorectal conditions. In some cases, symptoms like pain, itching, burning, bleeding and/or swelling can significantly affect a patient’s lifestyle.