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They are further graded on a 4-point scale3: In choosing the treatment for hemorrhoids, one should consider the disease grade and severity, its impact on the quality of life, the degree of pain it causes, the patient’s likelihood of adhering to treatment and the patient’s personal preference

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Important safety considerations include risk of pancreatitis (seek urgent medical care if you experience severe, persistent abdominal pain), gallbladder problems, and potential hypoglycaemia in people with diabetes taking insulin or sulfonylureas