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hemorrhoid treatment

overview

Hemorrhoids happen when veins in the anal area become swollen and inflamed. These veins can be inside or outside the body, or stick outside from the inside.  Caused by constipation, diarrhea, straining, aging, pregnancy and standing for long periods, they’re a common problem. 

You can prevent or treat minor hemorrhoids by avoiding straining or sitting too long on the toilet, going as soon as you feel the urge (rather than waiting), taking fiber supplements, or using an over-the-counter hemorrhoid-treatment product. 

symptoms

Symptoms of hemorrhoids may include:

  • Pain
  • Itching
  • Burning
  • Bleeding during a bowel movement
If symptoms last longer than a week, if you see blood in your stool or if you have a family history of colon cancer, be sure to see your doctor.

services & treatment

Bleeding and persistent hemorrhoids can be treated with minimally invasive procedures such as:

  • Rubber band ligation: Your doctor puts 1 or 2 small rubber bands around the base of a hemorrhoid to cut off its blood flow. You may need more than one banding treatment to get rid of a hemorrhoid. The treated hemorrhoid shrinks and falls off. 
  • Sclerotherapy: This is an injection of a chemical solution that causes hemorrhoids to shrink. Any pain is minimal.
  • Cryotherapy: Your doctor applies a cooled gas or liquid to freeze the external hemorrhoid, which then shrinks and falls off.
Surgery is usually recommended for large hemorrhoids, bleeding or prolapsed internal hemorrhoids or those that haven’t responded to other treatment. These are usually outpatient procedures but sometimes require an overnight hospital stay. Procedures include:

  • Excisional hemorrhoidectomy: This is surgical removal of hemorrhoids. Your doctor makes incisions around the hemorrhoid and removes it while you’re under general anesthesia. You may have pain after the procedure and may need to take it easy for as long as 2 weeks, but the surgery has a high rate of lasting success.
  • Stapled hemorrhoidopexy: This doesn’t involve an incision. Instead, using a device inserted through a tube into your anus, your doctor removes tissue around the hemorrhoid. The hemorrhoid is lifted and the tissue is stapled back into place. Blood flow to the hemorrhoid is cut off, and it shrinks within 4 to 6 weeks. Stapled hemorrhoidopexy takes about 30 minutes under general anesthesia. It’s usually less painful than hemorrhoidectomy and lets you get back to your regular activities faster.

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