Most of the time, treatment for hemorrhoids involves steps that you can take on your own, such
modifications. But sometimes medications or surgical procedures are necessary.
To remove a hemorrhoid using rubber band ligation, your doctor inserts a small tool called a
lighted tube (scope) in the anal canal and grasps the hemorrhoid with forceps. Sliding the
releases rubber bands around the base of the hemorrhoid. Rubber bands cut off the hemorrhoid's
it to wither and drop off.
MINIMALLY INVASIVE PROCEDURES
If a blood clot has formed within an external hemorrhoid, your doctor can remove the clot with a
which may provide prompt relief.
For persistent bleeding or painful hemorrhoids, your doctor may recommend another minimally
These treatments can be done in your doctor's office or other outpatient setting.
Rubber band ligation:Your doctor places one or two tiny rubber bands around the
base of an
hemorrhoid to cut off its circulation. The hemorrhoid withers and falls off within a week.
called rubber band ligation — is effective for many people.
Hemorrhoid banding can be uncomfortable and may cause bleeding, which might begin two to
four days after
procedure but is rarely severe.
Injection (sclerotherapy): In this procedure, your doctor injects a chemical
solution into the
hemorrhoid tissue to shrink it. While the injection causes little or no pain, it may be less
rubber band ligation.
Coagulation (infrared, laser or bipolar): Coagulation techniques use laser or
infrared light or
They cause small, bleeding, internal hemorrhoids to harden and shrivel.
While coagulation has few side effects, it's associated with a higher rate of hemorrhoids
(recurrence) than is the rubber band treatment.
If other procedures haven't been successful or you have large hemorrhoids, your doctor may
procedure. Surgery can be performed on an outpatient basis or you may need to stay in the
Compared with hemorrhoidectomy, however, stapling has been associated with a greater risk of
prolapse, in which part of the rectum protrudes from the anus. Talk with your doctor about what
might be the
option for you.
Hemorrhoid removal. During a hemorrhoidectomy, your surgeon removes excessive
tissue that causes
bleeding. Various techniques may be used. The surgery may be done with a local anesthetic
sedation, a spinal anesthetic or a general anesthetic.
Hemorrhoidectomy is the most effective and complete way to treat severe or
Complications may include temporary difficulty emptying your bladder and urinary tract
with this problem.
Most people experience some pain after the procedure. Medications can relieve your pain.
Soaking in a warm
also may help.
Hemorrhoid stapling. This procedure, called stapled hemorrhoidectomy or stapled
blood flow to hemorrhoidal tissue. Stapling generally involves less pain than
hemorrhoidectomy and allows
earlier return to regular activities.
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