There are a few nonsurgical treatment options for internal hemorrhoids. Rubber band ligation is the most common treatment, Husain said. It involves placing a small rubber band around the base of the hemorrhoid and stopping the flow of blood to the area until it shrinks and falls off. It is more effective than other methods, though it is also associated with more post-treatment pain and complications. Sclerotherapy , where the hemorrhoid is injected with chemicals in order shrink it, is the oldest therapy. Infrared or electrocoagulation targets the hemorrhoid by burning it and letting it slough off.
It's found to be less effective than banding and usually requires more treatments. However, it also has significantly less postoperative pain and fewer complications. Surgical removal or stapling of the hemorrhoids may be needed if internal hemorrhoids have prolapsed or are very large, according to a review published in the Journal of American College of Surgeons.
But stapling has become less popular recently, as long-term data shows that it has an increased rate of problematic recurrence, Husain said. Doctors may also use Doppler-guided hemorrhoidal artery ligation, an ultrasound technique that identifies blood vessels feeding the hemorrhoid and cuts them off, Husain said. One can maintain regular bowel movement and lessen the risk of hemorrhoids by including more fiber in his or her diet, about 30 grams per day, Husain said. Laxatives, aside from bulk-forming laxatives like Fiberall and Metamucil, can lead to diarrhea, and should be avoided because they can worsen hemorrhoids.
This works only for internal hemorrhoids. Have surgery to remove the hemorrhoid. This works for both internal and external hemorrhoids. Key points to remember Home treatments for hemorrhoids work for most people: Eat more fibre, drink more fluids, use a stool softener, and use ointments to help your symptoms.
When home treatments don't work on internal hemorrhoids, fixative procedures may help. These are treatments that involve cutting off the blood flow to the hemorrhoids using rubber bands, lasers, heat, or electrical currents. These procedures are usually less painful than surgery.
You might consider surgery to remove hemorrhoids hemorrhoidectomy for internal hemorrhoids that bulge from the anus or external hemorrhoids that are causing symptoms and have not improved with home treatment. What types of hemorrhoids are there? External hemorrhoids are near the opening of the anus. They may be painful, but home treatments usually work to control them.
Internal hemorrhoids are inside the anal canal. They usually don't cause pain. But they can itch, cause a feeling of pressure, and make it hard to clean around the anus. They may also bleed or leak mucus. Sometimes they stick out of the anus. What are home treatments for hemorrhoids? You can try the following home treatments: Blot the anus gently after bowel movements with white toilet paper moistened with water or a cleansing agent. You can also use moistened baby wipes or medicated pads, such as Tucks. Avoid rubbing the anal area. And avoid soaps with perfumes or dyes.
Use hemorrhoid ointments, such as Preparation H.
Don't strain while you are having a bowel movement. Apply ice several times a day. Also try applying moist heat such as warm, damp towels several times a day, or sit in warm water sitz bath. Eat more fibre, and drink more water. Take stool softeners. What are non-surgical treatments for hemorrhoids?
There are different ways to do this: Rubber band ligation. This is the most successful non-surgical procedure. It is the one most often used for small and medium hemorrhoids. It involves tying off hemorrhoids with rubber bands. This procedure involves using heat, a laser, or an electrical current to create scar tissue around the hemorrhoids. Infrared photocoagulation uses infrared light to do this. When is surgery used? Surgery is used for small internal hemorrhoids when: Several hemorrhoids are present. Bleeding cannot be controlled with other treatments.
Both internal and external hemorrhoids are present. How well do treatments for hemorrhoids work? Home treatment works for most people.
Non-surgical procedures are less risky and less painful than surgery. They require less time off from work and other activities. Of the non-surgical procedures, rubber band ligation seems to work best. But it also appears to have a higher risk of complications, especially pain.
Rubber band ligation helps about 8 out of 10 people who have it done. That means it doesn't help about 2 out of But improvements may not last as long. But the long-term success of hemorrhoid surgery depends a lot on how well you are able to change your daily bowel habits to avoid constipation and straining. Compared with non-surgical procedures, surgery is more risky and has a longer recovery period.
What are the risks of treatments for hemorrhoids? Most non-surgical treatments have few risks. Possible problems may include: Pain or discomfort. For some people, the pain may be so bad that they will not be able to do their normal activities for a day or so.
Bleeding, which may require another doctor visit to treat. Temporary trouble urinating because of pain. If you are completely unable to urinate, you'll need treatment. Infection or abscess.
These side effects may include: Pain, which may last for weeks. Passing bowel movements, even if they are soft, can be quite painful. Bleeding, which may last for a few days.
If the bleeding is severe, you may need treatment. Being unable to urinate or pass stools. This may cause stools to become stuck in the anal canal fecal impaction. In rare cases, a more serious problem may develop. Who should not have procedures or surgery? These conditions include: Bleeding disorders or taking blood thinners.
Rectal prolapse. Anal tumours or narrowing at the opening of the anal canal. Anal fissure or infection around the anus. Crohn's disease or ulcerative colitis. Cirrhosis of the liver. Irritable bowel syndrome or other conditions that cause a person to have frequent diarrhea, severe constipation, or both. Heart failure. Laser treatment may be used to treat internal hemorrhoids.
They work by hardening the blood inside the hemorrhoid. This causes it to shrivel. Heat and light therapy may also be used to treat hemorrhoids in the same way. External hemorrhoid thromboectomy is a procedure to remove a blood clot in an external hemorrhoid.
Your doctor will numb the area, make a small cut and drain it. You may need stitches in the area depending on how large the cut is. Internal hemorrhoid rubber band ligation is a procedure where one or more tiny rubber bands are placed around the base of an internal hemorrhoid. This cuts off the blood circulation. The hemorrhoid shrinks away within a week.
If other treatments do not work or if the hemorrhoid is very large, your doctor may recommend minor surgery to remove it. You may need local or general full anesthesia for this. There are two main types of surgeries for hemorrhoids. Read about stool softeners compared to laxatives. Tell your doctor immediately if your hemorrhoid symptoms do not go away after a week, or sooner if you experience severe pain or bleeding.
You may also need additional treatment. If you have hemorrhoids while pregnant or nursing, your doctor may wait to treat you with medications or procedures. You can help ease your discomfort with natural treatment such as fiber-rich foods and supplements.
Drink plenty of water, sit in a warm bath, and apply natural remedies such as witch hazel compresses to soothe the area. Talk to your doctor before using any over-the-counter cream for hemorrhoids. Varicose veins can cause pain, itching, and discomfort. Try these at-home remedies for varicose veins. Laxatives can help relieve constipation and promote regular bowel movements. This article reviews 20 natural laxatives and how they work.
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