How is hemorrhoid surgery performed. What are the risks associated with hemorrhoid surgery. When should you consider hemorrhoid surgery as a treatment option. What can you expect during recovery from hemorrhoid surgery.

Understanding Hemorrhoids: Causes and Symptoms

Hemorrhoids are swollen veins located in and around the anus and lower rectum. They can occur internally, inside the anus, or externally, outside the anal opening. While often not problematic, hemorrhoids can cause discomfort, pain, and bleeding in some cases.

What causes hemorrhoids to develop? Several factors contribute to their formation:

• Straining during bowel movements
• Chronic constipation or diarrhea
• Sitting for long periods on the toilet
• Lack of fiber in the diet
• Pregnancy and childbirth
• Obesity
• Aging

Common symptoms of hemorrhoids include:

• Itching or irritation in the anal area
• Pain or discomfort
• Swelling around the anus
• Bleeding during bowel movements
• A lump near the anus, which may be sensitive or painful

Conservative Treatment Options for Hemorrhoids

Can hemorrhoids be treated without surgery? In many cases, yes. Conservative treatments are often effective for managing mild to moderate hemorrhoids. These methods include:

1. Dietary changes: Increasing fiber intake and staying hydrated can soften stools and reduce straining.
2. Topical treatments: Over-the-counter creams, ointments, and suppositories can help relieve symptoms.
3. Sitz baths: Soaking the anal area in warm water for 10-15 minutes several times a day can provide relief.
4. Lifestyle modifications: Avoiding prolonged sitting and practicing good toilet habits can help prevent hemorrhoid flare-ups.

How long does it take for hemorrhoids to heal with conservative treatment? While individual cases vary, many people experience relief within a week or two of implementing these measures.

When Is Hemorrhoid Surgery Necessary?

While conservative treatments are often effective, some cases may require surgical intervention. Hemorrhoid surgery becomes necessary when:

• Conservative treatments fail to provide relief
• Hemorrhoids are large or severely symptomatic
• There is persistent bleeding
• Hemorrhoids become thrombosed (filled with blood clots)
• Quality of life is significantly impacted

Is hemorrhoid surgery always the last resort? Not necessarily. In some cases, particularly with large or recurring hemorrhoids, surgery may be recommended as a more definitive solution.

Types of Hemorrhoid Surgical Procedures

Several surgical options are available for treating hemorrhoids, each with its own advantages and considerations:

1. Rubber Band Ligation

How does rubber band ligation work? This minimally invasive procedure involves placing a small elastic band around the base of the hemorrhoid, cutting off its blood supply. The hemorrhoid then shrinks and falls off within a week or two.

2. Hemorrhoidectomy

What is a hemorrhoidectomy? This traditional surgical method involves removing the hemorrhoids using a scalpel, laser, or other surgical tools. It’s typically reserved for large, external hemorrhoids or those that haven’t responded to other treatments.

3. Stapled Hemorrhoidopexy

How does stapled hemorrhoidopexy differ from traditional hemorrhoidectomy? This procedure uses a special stapling device to reposition and secure hemorrhoidal tissue, reducing blood flow to the hemorrhoids. It’s often associated with less postoperative pain compared to traditional hemorrhoidectomy.

4. Sclerotherapy

What is sclerotherapy for hemorrhoids? This procedure involves injecting a chemical solution into the hemorrhoid, causing it to shrink. It’s typically used for smaller, internal hemorrhoids.

5. Infrared Coagulation

How does infrared coagulation treat hemorrhoids? This method uses infrared light to create scar tissue, cutting off blood supply to the hemorrhoid and causing it to shrink.

Preparing for Hemorrhoid Surgery

Proper preparation is crucial for a successful hemorrhoid surgery and recovery. Here are some important steps to take:

• Inform your healthcare provider about all medications, supplements, and allergies
• Follow instructions regarding fasting before the procedure
• Arrange for transportation home after the surgery
• Prepare your home for post-operative recovery
• Discuss any concerns or questions with your surgeon

Should you stop taking blood thinners before hemorrhoid surgery? In most cases, yes. Your doctor will provide specific instructions on when to stop certain medications, including blood thinners, before the procedure.

The Hemorrhoid Surgery Procedure

Understanding what happens during hemorrhoid surgery can help alleviate anxiety and prepare you for the experience. Here’s a general overview of what to expect:

1. Anesthesia administration: Depending on the procedure, you may receive local anesthesia with sedation or general anesthesia.
2. Positioning: You’ll be placed in a position that allows the surgeon best access to the anal area.
3. Surgical technique: The surgeon will perform the chosen procedure, which may involve removing, stapling, or treating the hemorrhoids.
4. Wound care: The surgical site may be left open or closed with dissolvable stitches, depending on the technique used.
5. Recovery room: After the procedure, you’ll be monitored in a recovery area before being discharged.

How long does hemorrhoid surgery typically take? Most procedures last between 30 minutes to an hour, but this can vary based on the specific technique and the number of hemorrhoids being treated.

Risks and Potential Complications of Hemorrhoid Surgery

While hemorrhoid surgery is generally safe, it’s important to be aware of potential risks and complications:

• Bleeding
• Infection
• Urinary retention
• Fecal incontinence (usually temporary)
• Anal stenosis (narrowing of the anal canal)
• Recurrence of hemorrhoids
• Pain during bowel movements

How common are complications after hemorrhoid surgery? While minor complications like temporary pain or bleeding are relatively common, serious complications are rare when the procedure is performed by an experienced surgeon.

Recovery and Aftercare Following Hemorrhoid Surgery

The recovery process after hemorrhoid surgery is crucial for optimal healing and preventing complications. Here’s what you can expect:

Immediate Post-operative Period

• Pain and discomfort, managed with prescribed medications
• Possible bleeding or discharge from the surgical site
• Difficulty urinating in some cases

First Few Days

• Gradual improvement in pain levels
• Resumption of normal diet, with emphasis on high-fiber foods
• Limited physical activity

First Few Weeks

• Continued healing of the surgical site
• Gradual return to normal activities
• Follow-up appointments with your surgeon

How long does it take to fully recover from hemorrhoid surgery? While individual experiences vary, most people can return to normal activities within 2-3 weeks, with complete healing occurring over 4-6 weeks.

Tips for a Smooth Recovery

1. Follow your doctor’s instructions carefully
2. Take prescribed medications as directed
3. Use sitz baths to soothe the area and promote healing
4. Avoid straining during bowel movements
5. Maintain a high-fiber diet and stay hydrated
6. Avoid heavy lifting or strenuous activities until cleared by your doctor

When can you expect to have a normal bowel movement after hemorrhoid surgery? Most people have their first bowel movement within 2-3 days after surgery. It’s normal to experience some discomfort or bleeding during initial bowel movements.

Long-term Outcomes and Preventing Recurrence

Hemorrhoid surgery can provide long-lasting relief for many patients. However, it’s essential to adopt lifestyle changes to prevent recurrence:

• Maintain a high-fiber diet
• Stay hydrated
• Exercise regularly
• Avoid prolonged sitting
• Practice good toilet habits

What is the success rate of hemorrhoid surgery? The success rate is generally high, with most patients experiencing significant improvement in symptoms. However, there is a small risk of recurrence, especially if lifestyle factors are not addressed.

Alternative and Emerging Treatments for Hemorrhoids

As medical technology advances, new treatments for hemorrhoids continue to emerge. Some alternative and newer approaches include:

1. Transanal Hemorrhoidal Dearterialization (THD)

How does THD work? This minimally invasive technique uses Doppler ultrasound to locate and tie off the arteries supplying blood to the hemorrhoids, causing them to shrink.

2. Radiofrequency Ablation

What is radiofrequency ablation for hemorrhoids? This procedure uses radiofrequency energy to shrink hemorrhoidal tissue and seal off blood vessels.

3. Cryotherapy

How does cryotherapy treat hemorrhoids? This method uses extreme cold to destroy hemorrhoidal tissue, offering a potentially less painful alternative to traditional surgery.

4. Laser Therapy

What are the benefits of laser hemorrhoid treatment? Laser therapy can precisely target hemorrhoidal tissue, potentially offering faster healing and less postoperative pain compared to traditional surgical methods.

Are these alternative treatments as effective as traditional surgery? While promising, many of these newer techniques are still being studied to determine their long-term effectiveness compared to established surgical methods.

Choosing the Right Treatment: Factors to Consider

Deciding on the best treatment approach for hemorrhoids involves considering several factors:

• Severity and type of hemorrhoids
• Previous treatments and their effectiveness
• Overall health and medical history
• Lifestyle and personal preferences
• Surgical risks and potential complications
• Recovery time and impact on daily activities

How do you determine which hemorrhoid treatment is right for you? The best approach is to consult with a colorectal specialist who can assess your individual case and recommend the most appropriate treatment option based on your specific circumstances.

Living with Hemorrhoids: Coping Strategies and Support

For those living with chronic hemorrhoids or recovering from hemorrhoid surgery, coping strategies can significantly improve quality of life:

Lifestyle Adjustments

• Using a donut cushion when sitting
• Wearing loose, comfortable clothing
• Practicing good hygiene
• Managing stress through relaxation techniques

Dietary Considerations

• Incorporating fiber-rich foods gradually
• Avoiding spicy or irritating foods
• Staying well-hydrated

Emotional Support

• Joining support groups or online forums
• Communicating openly with healthcare providers
• Seeking counseling if hemorrhoids significantly impact mental health

How can you maintain a positive outlook while dealing with hemorrhoids? Focus on the temporary nature of the condition, celebrate small improvements, and remember that effective treatments are available. Maintaining open communication with your healthcare team and loved ones can also provide valuable emotional support throughout your journey.

Hemorrhoid surgery Information | Mount Sinai

Hemorrhoidectomy

Hemorrhoids are swollen veins around the anus. They may be inside the anus (internal hemorrhoids) or outside the anus (external hemorrhoids).

Often hemorrhoids do not cause problems. But if hemorrhoids bleed a lot, cause pain, or become swollen, hard, and painful, surgery can remove them.

The rectum is the final portion of the large intestine. It empties stool from the body through the anus.

Description

Hemorrhoid surgery can be done in your health care provider’s office or in the hospital operating room. In most cases, you can go home the same day. The type of surgery you have depends on your symptoms and the location and size of the hemorrhoid.

Before the surgery, your doctor will numb the area so you can stay awake, but not feel anything. For some types of surgery, you may be given general anesthesia. This means you will be given medicine in your vein that puts you to sleep and keeps you pain-free during surgery.

Hemorrhoid surgery may involve:

• Putting a small rubber band around a hemorrhoid to shrink it by blocking blood flow.
• Stapling a hemorrhoid to block blood flow, causing it to shrink.
• Using a knife (scalpel) to remove hemorrhoids. You may or may not have stitches.
• Injecting a chemical into the blood vessel of the hemorrhoid to shrink it.
• Using a laser to burn the hemorrhoid.

Why the Procedure Is Performed

Often you can manage small hemorrhoids by:

• Eating a high fiber diet
• Drinking more water
• Avoiding constipation (taking a fiber supplement if needed)
• Not straining when you have a bowel movement

When these measures do not work and you are having bleeding and pain, your doctor may recommend hemorrhoid surgery.

Risks

Risks for anesthesia and surgery in general are:

• Reactions to medicines, breathing problems
• Bleeding, blood clots, infection

Risks for this type of surgery include:

• Leaking a small amount of stool (long-term problems are rare)
• Problems passing urine because of the pain

Before the Procedure

Be sure to tell your provider:

• If you are or could be pregnant
• What medicines you are taking, including drugs, supplements, or herbs you bought without a prescription
• If you have been drinking a lot of alcohol, more than 1 or 2 drinks a day

During the days before the surgery:

• You may be asked to temporarily stop taking blood thinners such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin).
• Ask your doctor which drugs you should still take on the day of your surgery.
• If you smoke, try to stop. Smoking can slow healing. Ask your provider for help quitting.
• Let your provider know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery. If you do get sick, your surgery may need to be postponed.

On the day of your surgery:

• Follow your provider’s instructions about when to stop eating and drinking.
• Take any medicines you are asked to take with a small sip of water.
• Follow instructions on when to arrive at your provider’s office or at the hospital. Be sure to arrive on time.

After the Procedure

You will usually go home the same day after your surgery. Be sure you arrange to have someone drive you home. You may have a lot of pain after surgery as the area tightens and relaxes. You may be given medicines to relieve pain.

Follow instructions on how to care for yourself at home.

Outlook (Prognosis)

Most people do very well after hemorrhoid surgery. You should recover fully in a few weeks, depending on how involved the surgery was.

You will need to continue with diet and lifestyle changes to help prevent the hemorrhoids from coming back.

Hyman N, Umanskiy K. Anus. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 53.

Obokhare I, Amajoyi R. Management of hemorrhoids. In: Cameron AM, Cameron JL, eds. Current Surgical Therapy. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 289-295.

Last reviewed on: 9/19/2021

Reviewed by: Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

How Do You Get Rid Of External Hemorrhoids?

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If you are concerned that you may have hemorrhoids, external or internal, you have options. You may find it surprisingly simple to diagnose and find the proper external hemorrhoids treatment for you with time and attention. In many cases, you can get rid of external hemorrhoids in 48 hours. Once you understand the types of hemorrhoids and options for external hemorrhoids treatment, you will then have some tools to help shrink hemorrhoids and, at last, bring this common problem to its remedy.

Types of Hemorrhoids

Hemorrhoids are one small part of our anatomy; we all have them. They are, otherwise, a standard feature of the body, unbothered by the course of a typical lifestyle. But when these areas get aggravated, this tender skin can react with painful swelling of veins, causing protrusions and even bleeding. Not to worry; there is relief. You can quickly achieve proper care of hemorrhoids external with several simple, clean, and direct solutions.

Hemorrhoids External and Internal

When it comes to the two types of hemorrhoids, professionals classify type by location relative to the border between the rectum and the anus. They are, simply, internal (proximal) and external (distal). Both are treatable. Either may be severe. If you suspect you have either, please consult your physician.

Internal and External Hemorrhoids Treatment

External hemorrhoids treatment utilizes three common treatment options: Self-Care, Medications (OTC and prescription), and Medical Procedures. If you think or know that you have external hemorrhoids, the ideas below can help to get a handle on the situation:

Self-care

When dealing with digestion, it’s essential to know what goes in and comes out of our bodies. Let’s look at the diet: Drinking more water and eating foods with higher fiber content (nuts, fruits, broccoli, and beans) will help your system maintain in the short- and the long term. Hydration aids with the digestive system and all of the body’s other systems: Cardiovascular, muscular, nervous, skeletal, lymphatic, respiratory, and reproductive, so on… Enough water mixed with a high fiber diet can keep your whole body working well overall.

Other possible healthy options include: Drinking less caffeine and/or alcohol. These two beverage choices can be especially tough on the digestive system. For a healthy alternative, consider green tea also. If you can cut back on things like fat and cholesterol, that should be helpful. Perhaps, add to your dishes more garlic, which is not only rich in antioxidants but very delicious cooked. By bettering your diet, you may see results in only a short time.

Get Physical

Those are some things we can do now to take care of our insides, but what about our outsides? Well, one thing doctors will tell you is, “Don’t hold your movements!” They are right. Holding your movements can cause pressure, pain, and blockage at the digestive tract ends. This can aggravate the walls and tissue of both the rectum and the anus. Getting to the restroom should not have to wait. So, be aware and also remember: Don’t push. Pushing — or straining) — aggravates the tissue from the inside and outside and is sure to do damage. Knowing what to do and acting can save your health.

In addition to awareness, you can try an exercise routine. Even something as simple as walking or jumping jacks can kick-start the body into a healthier mode. Low-impact yoga and stretching are known benefactors to overall wellness. Keep exercise regular and remember to breathe deeply and fully. Oxygen to your brain can keep stress levels low and help you get better rest.

Sleep

Sleep may be the most crucial factor in overall well-being. Having enough sleep will keep your body charged. Rest is restorative. Being alert and ready for your specific health needs starts with a good night’s sleep.

Daily Hygiene

When it comes to hygiene, let’s keep it short: Keep your areas clean. Wipe completely. Shower regularly. Hygiene helps you keep your defenses up against the development of hemorrhoids.

The final stop at Self-Care is knowing your genes. Genetics may play an important role, so learn your family’s medical history and visit your doctor regularly.

Get Rid of External Hemorrhoids in 48 Hours

Beyond lifestyle and diet, you can eradicate many hemorrhoids with natural medicines. Easy-to-find natural remedies include witch hazel extract, aloe vera, zinc oxide, and much more.

Can’t get to the store? Try a good old-fashioned ice pack. An ice pack or a cold compress can relieve immediate discomfort. These are first-line defenses and are safe to use. Remember to read all labels and follow instructions.

Beyond natural remedies, you can try many safe over-the-counter and prescription products. Ointments, creams, suppositories, local anesthetics, and steroid treatments are all readily available. Reducing swelling can be a relatively painless process. Visit your pharmacy or drug store and speak with a pharmacist. Be sure to follow the advice and to read the instructions and warning labels on all medications.

Medical Procedures to Shrink Hemorrhoids

If medications and remedies don’t alleviate your discomfort and need further help, plenty of safe and fast procedures are available. Many methods only require one quick office visit. The risk of hemorrhoids returning is very low. And almost all of the procedures are minimally invasive, relatively painless, and produce lasting results.

Procedures include:

• Traditional (Hemorrhoidectomy): The hemorrhoids are removed by an instrument, usually a scalpel. This is a standard procedure that easily keeps hemorrhoids from coming back.
• Rubber Banding Ligation: Common and proven highly effective, the external hemorrhoids are banded near the base to cut off blood flow, allowing the unwanted skin tag(s) to fall off naturally.
• Infrared Therapy: This method uses an infrared laser to create fibrous tissue, preventing blood flow. This procedure will shrink hemorrhoids, and the skin tags will then fall right off.
• Electrotherapy: Much like the traditional method, electrotherapy works by using a heated element, like a cautery pencil to remove the troublesome issue safely.
• Cryotherapy: After a local anesthetic, the doctor will freeze and remove the hemorrhoid. This method may leave you with a small amount of discomfort and requires about two weeks of recovery.
• Stapling: This method uses circular titanium staples and shares a similar goal with the same desired results as banding, infrared, and cryotherapy.

Other Factors

A healthy lifestyle demands attention in all areas. You don’t have to be constipated or pregnant to experience hemorrhoids external. There are other factors to consider that might be contributing to the issue. These include:

• Stress (mental and/or physical)
• Any other illnesses (chronic and/or congenital)
• Straining during movements
• Lifting of heavy items
• Diarrhea
• Dehydration
• Prolonged sitting
• Obesity
• Sneezing
• Coughing

You care about your health and know that relevant information is the first step. Get rid of external hemorrhoids in 48 hours. It is possible. Understanding the numerous types of treatments available, you can be ready to make a plan and take the best action for yourself. Hemorrhoids are natural and, often, are an uncomplicated issue. Caring and looking after your complete health is easier when you have the correct information on your side. Don’t suffer. Get help. Relief is around the corner.

Visit https://www.toplinemd.com/advanced-surgical-physicians/ today to schedule a check-up.

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External hemorrhoids – methods for rapid and effective treatment

Doctors distinguish two types of the disease – hemorrhoids can be internal and external (external). The main difference lies in the place of development of the altered nodes: in the case of the internal form of the disease, the nodes occur in the rectum, directly in its submucosal layer, and in the external form, in the perianal region or on the anus under the skin layer. The external form is dangerous with serious complications: if treatment is not started on time, blood clots, difficult-to-treat fistulas, etc. can form.

For any problems with defecation, itching and pain in the anus, it is worth visiting a proctologist. In the FMBA of Russia, the reception is conducted by experienced specialists who will delicately conduct an examination, accurately determine the diagnosis and prescribe effective treatment. Here you will find the answer to the question of how to get rid of external hemorrhoids forever.

What are external hemorrhoids

When they say that external hemorrhoids have become inflamed, they mean the pathology of venous plexuses. At the same time, the vessels increase in size, expand, bumps appear on them, normal functioning is disrupted, as the valves are weakened.

Locating the nodes under the skin (near the anal sphincter) rather than under the mucosa minimizes the occurrence of bleeding. At the same time, exacerbation of the disease is accompanied by more pronounced pain. These are two important differences from the internal form.

Causes of disease

The genetic predisposition of the disease means that the presence of it in relatives increases the likelihood of problems with venous vessels – the expansion and weakening of their walls. That is, the main factor is heredity.

However, lifestyle and other factors also have a strong influence on the development of the disease:

When treating external hemorrhoids, it is important to reconsider your lifestyle and make the necessary changes, only then you can come to a long remission. Otherwise, the disease will worsen again and again.

Symptoms of external hemorrhoids

The first manifestations of the disease are subtle, but do not ignore them. At the beginning of development, the problem may manifest itself in the following symptoms:

Gradually, the sensations become brighter: discomfort during defecation is replaced by pain. If the feces are hard, they may be accompanied by small bloody discharge.

If the disease passes into an acute stage, then swollen nodes are already detected. They can be seen on examination and felt. The patient may also experience pain while sitting or going to the toilet.

Attention! You should not self-diagnose and choose treatment based on a description of the symptoms. You can not only miss the initial moment of the disease, but also harm yourself. The first thing to do with external hemorrhoids is to consult a specialist. Doctors-proctologists of the SOMC FMBA of Russia have extensive experience in helping with delicate problems and will help you restore good health.

Why external hemorrhoids are dangerous – complications

Having learned that with the external form of the disease there is no rectal bleeding, many people think that treatment can be postponed until later.

However, without therapy, other, no less dangerous consequences may develop:

Thrombosis of the hemorrhoidal lump is another threatening complication. In this case, there is a strong pain of a bursting character in the anus in a calm position and acute attacks during emptying and physical exertion. The node itself turns blue, increases in size. Edema can spread to adjacent areas – the perineum and buttocks.

The sooner you start treating the bumps of external hemorrhoids in women and men, the less likely the occurrence of complications.

How to detect a disease

Diagnosis of external hemorrhoids includes examination and palpation: a proctologist in the clinic immediately determines the location and size of hemorrhoids. At the same time, pain is the main signal of their presence.

However, do not think that you can independently establish a diagnosis. The patient may incorrectly determine the form of the disease – external or external, and also confuse it with other similar problems.

Treatment of external nodes of hemorrhoids – effective methods

Important to remember! Hemorrhoids do not go away by themselves, like a runny nose or SARS.

Treatment of cones of external hemorrhoids should be started already at the first stage of the development of the disease. Therefore, a consultation with a doctor should not be postponed: the sooner you visit a specialist, the better.

Among the methods and regimens for the treatment of external hemorrhoids in adults, there are 3 varieties: conservative therapy with the use of drugs, surgery, minimally invasive surgery.

Additionally, it may be recommended to change your lifestyle and follow a therapeutic diet.

Medical or conservative treatment of external hemorrhoids

This method is aimed at improving the health of the patient, may be part of a combination therapy.

As a rule, various creams, suppositories, ointments and gels are prescribed – the doctor selects a convenient format for a specific situation and calculates the dosage of the active substance. The drugs relieve pain, provide an antiseptic, anti-inflammatory effect, tone up the outflow of venous blood, etc.

Attention! Drug therapy is a sufficient way to treat external hemorrhoids in girls, women, men, adolescents only in the early stages of the disease. In advanced cases, more effective methods are needed.

Minimally invasive treatments for external hemorrhoids

This type of procedure allows you to cure external hemorrhoids and at the same time minimize the consequences of treatment. The recovery period will also be short.

This method is effective when drug therapy no longer helps, but it is possible to cope with inflammation of external hemorrhoids without surgery. This is an average treatment option that is used for a not very advanced course of the disease.

There are 2 main methods that differ in methods and tools:

Ligation with latex rings – at 2-3 stages. The doctor puts special rings on the internal hemorrhoids. Only one node is processed per procedure. This method is contraindicated in anal fissures and other diseases.

Sclerotherapy, widely used for varicose veins, has no effect on external hemorrhoids, so it is not used to treat it.

How to treat external hemorrhoids: surgical method

The most radical way is surgery. Surgery is resorted to when other methods are already powerless. This is typical for the last stages of the disease.

The following types of operations are carried out: thrombectomy, hemorrhoidectomy, desarterization. In each case, the doctor determines what works best for external hemorrhoids.

Anesthesia can be general or local. As a result, the nodes themselves (bumps) are removed, as well as blood clots in the veins.

The rehabilitation period takes several weeks. At this time, it is important to minimize physical activity, adhere to a special diet, take prescribed medications.

Alternative methods of treatment: is it worth using them

In an effort to find the answer, is it possible to cure external hemorrhoids on their own in order to get rid of it forever, many patients are considering folk methods: lotions from herbs, vinegar, onion juice, etc.

However, it is important to understand that the effectiveness of these methods has not been proven. Some herbs can indeed reduce inflammation and give the effect of local anesthesia, but this only masks the problem. Swollen nodes and dilated vessels will not disappear anywhere.

Therefore, independently practicing folk methods, in the hope of a quick and effective treatment of external hemorrhoids, is dangerous and fraught with the development of complications. In addition, a severe allergic reaction may occur, which will aggravate the condition.

Attention! Only a qualified doctor can, through examination and additional examinations, determine the patient’s condition and determine which complex treatment of external hemorrhoids is better to remove the external node.

How to quickly cure external hemorrhoids during pregnancy?

When carrying a child, women may complain that symptoms of the development of the disease have appeared, as a rule, this is typical for the 3rd trimester, shortly before childbirth. The fetus becomes heavy, it compresses the intestines. Blood circulation is disturbed, combined with low mobility, this leads to the development of the disease.

In the state of pregnancy, the effective treatment of external hemorrhoids in women differs from the usual scheme. The fact is that many drugs that are prescribed to other patients can harm the child.

Therefore, the goals of treatment are the removal of pain and stabilization of the condition, and the main therapy is started after the end of lactation. Doctors are looking for ways to safely reduce external hemorrhoids in size and how to quickly anesthetize them.

Prevention

In order not to have to treat such an unpleasant disease as external hemorrhoids, it is important to monitor your lifestyle.

You can start with light but consistent physical activity. Do a warm-up during sedentary work, walk at lunchtime. Walk more often: get out of transport or park a car a couple of stops before your destination.

Then take care of your diet: choose vegetables, seeds, dairy products more often, drink clean water. Reduce consumption of fast food, chips, salted fish, alcohol, cookies and sweets. Replace fried foods with baked or steamed ones.

External hemorrhoids are a delicate problem that interferes with living a full life. The development of the disease is mainly associated with heredity and lifestyle characteristics. In order to get rid of external hemorrhoids, minimally invasive methods, surgical operations and drug therapy are used.

If you experience discomfort in the anus, be sure to consult a proctologist. Specialists of the Siberian District Medical Center of the Federal Medical and Biological Agency of Russia will listen carefully, carefully examine, determine the exact diagnosis and prescribe the best possible and most effective treatment for external (external) hemorrhoids so that you quickly return to good health.

Treatment of hemorrhoids without surgery at low prices in Moscow, Yuzhny clinic

The question of whether it is possible to get rid of hemorrhoids without surgery is decided by the attending physician during the patient’s consultation with him. The basis for making the final decision is the results of diagnostics, which includes:

• visual inspection;
• anoscopy (in some cases it has been replaced by colonoscopy or sigmoidoscopy).

The ability to eliminate hemorrhoids (HU) without surgery depends on several aspects:

• Stages of pathology progression.
• The general state of human health and its characteristics.
• The presence of complications and concomitant diseases.

The traditional removal of hemorrhoids by surgery is rarely used today. It is shown only in very advanced cases. Modern doctors, as a rule, resort to non-surgical treatment of hemorrhoids, including conservative combinations with less traumatic methods.

Causes of hemorrhoids

Hemorrhoids formed from veins, small arteries and a large number of fistulas are a completely normal anatomical formation that exists in the body of every person. Their pathological transformation occurs under the influence of two key reasons:

1. Vascular pathology, which is expressed in the degeneration of cavernous formations of the hemorrhoidal plexuses of the rectum.
2. Weakening and damage to the ligaments and other muscular and connective tissue structures that support the internal hemorrhoidal plexuses and keep them in the anus.

In the normal state, the GU, together with the muscles of the anal ring, performs the function of hermetic closure of the anus. In the case of venous blood stagnation, the location of the GUs is disturbed, as a result of which they crawl down along with the mucous membrane. Subsequently, there is a restructuring and a violation of the blood supply.

Among the factors that are conducive to the appearance of hemorrhoids, it is worth highlighting:

• Excessive exercise.
• Pregnancy.
• Overweight.
• Struggling with constipation.
• Prolonged heat exposure.
• Alcohol abuse.
• Sitting most of the time.
• Excessive consumption of spicy and spicy foods.

Symptoms and signs

The periodic appearance of a feeling of discomfort in the anus is a sign of the initial stage of the development of the disease. This is a reason to see a doctor.

As the pathology progresses, other symptoms begin to appear:

• Sensation of a foreign body in the anus , inflammation and feeling of heaviness due to swelling and displacement of the internal folds in the anal canal. These symptoms are periodic and are the first sign of the development of the disease.
• Burning and itching in the anus provoked by HU prolapse. At the same time, there are also bloody and mucous discharges, which lead to irritation of the mucous membrane and skin in the anus. The appearance of itching during bowel movements is a manifestation of the chronic nature of the disease.
• Bleeding is the most pronounced sign of the development of the disease. Appears periodically and differs in the duration and color of the released blood. Most often, bleeding occurs during bowel movements. However, they are also possible in the interim. These can be blood drops that appear after the release of feces, or streaks of blood in the stool itself.
• Prolapse of HU , which is the most obvious sign of hemorrhoids. If the nodes that have fallen out without problems are set inward on their own, this indicates an initial stage. If GU can only be adjusted by hand, or it is not possible to correct it at all, then we are talking about a later stage in the development of the disease.
• Pain , which is the result of the development of pathology and infringement of the HU and appears during defecation, walking, and also when a person is in a sitting position. Often the pain of hemorrhoids is permanent. Their strengthening signals an exacerbation of the disease.

Stages of development

There are several stages in the development of the disease:

• First which is characterized by bleeding and discomfort. A distinctive feature is the strengthening of the vascular pattern of the mucous membrane and the non-prolapse of GU from the anal canal.
• The second , occurring against the background of prolapse of GU, bleeding, mucus and itching. The key symptom is the protrusion of the nodes outward during bowel movements, after which they are independently reduced inside.
• Third , accompanied by prolapse of hemorrhoids during defecation and physical exertion, itching in the anus, bleeding and mucus secretions. Dropped GU are adjusted manually.
• Fourth , characterized by regular prolapse of nodes without the ability to set them inward, anal itching, pain and sphincter incontinence.

Can hemorrhoids be cured without surgery?

Today, the treatment of hemorrhoids without surgery is a reality, because the times when this disease was eliminated only through surgical intervention are in the distant past. The emergence of radical non-surgical techniques made it possible to cope with the problem without incisions and blood. They are widely used due to the following features:

• Low risk of complications.
• No extended recovery period.
• High efficiency, not inferior to traditional surgery.
• Fast and painless problem resolution and prompt return to normal activities with excellent results in the short and long term.
• Outpatient manipulation, which practically does not affect the usual rhythm of a person’s life. After the procedure, working capacity is maintained, and the need for a sick leave is eliminated.

When is treatment for hemorrhoids prescribed without surgery?

In some cases, surgery to eliminate the disease is not possible. It is in such cases that various alternative therapeutic techniques are indicated. Such cases include:

• Pregnancy . The development of pathology during pregnancy is associated with changes in the body that are physiological in nature. The uterus increases and puts pressure on the rectum, which provokes circulatory disorders and creates favorable conditions for blood stagnation in the hemorrhoidal vessels. The hormonal background during pregnancy leads to chronic constipation, which further aggravates the situation.
• Exacerbation of the disease , which occurs when the diet is not followed, the stool is disturbed and constant heavy physical exertion. You can cope with acute hemorrhoids without surgery.
• The presence of contraindications for surgery , including acute infections, exacerbation of chronic diseases, weakened general condition of the body, malignant tumors.

Methods for non-surgical treatment of hemorrhoids

How to cure hemorrhoids without surgery? Today, there are many non-surgical techniques that allow you to get rid of a rather delicate problem painlessly and in a short time.

An alternative technique for eliminating pathology is based on a seamless connection of tissues, performed on an outpatient basis. A person does not need to change their usual way of life, endure pain or worry about the risk of complications. Restrictions are minimal – avoiding alcohol, excluding spicy foods and pickled foods, avoiding physical exertion. Non-surgical therapy of the disease includes several methods described below.

Infrared photocoagulation

Infrared photocoagulation (IF) is a painless manipulation with a high degree of effectiveness in the treatment of the first and second stages of hemorrhoids. It is also shown as an element of complex treatment of later stages of pathology. In just one IF session, several GUs can be removed at once.

The essence of the manipulation, which can be used to remove hemorrhoids without surgery, is reduced to a thermal effect on the GU through focused infrared radiation. As a result, tissue rejection occurs in a natural way and the problem is eliminated.

Sclerotherapy

Sclerotherapy is prescribed for patients with first-degree hemorrhoids, and is also indicated to stop bleeding in the case of the fourth stage of the disease as part of a comprehensive plan for preparing for hemorrhoidectomy or ligation of HU with latex rings.

The choice of dosage of sclerosing drugs is made on the basis of the stage of development of the disease, the number of HUs and their sizes. The patient is placed on the gynecological chair on his back. The legs should be pressed to the stomach. The knee-elbow or lying position on the side is also allowed. The skin around the anus is treated with chlorhexidine. With the help of an anoscope and a gauze ball on a clamp moistened with the same solution, the intestinal lumen is treated.

Latex ligation

The efficiency of the latex ligation method is very high. Manipulation is carried out on an outpatient basis without the need to place the patient in a hospital. Upon its completion, a person can return to his usual life.

Latex ligation is especially effective in the treatment of second and third stage disease. It can also be carried out in the case of the fourth stage, but only if the boundaries of the drop-down nodes are clear.

The essence of the method is to apply a latex ring to the internal GU using a device called a ligator. After a day or three, the part of the node on which the ring was applied is rejected and subsequently leaves the body with feces.

Radio wave treatment

Radio wave treatment of hemorrhoids without surgery, reviews of which are an indicator of its high efficiency, is carried out using a radio wave surgical knife. A distinctive feature of the method, which makes it unique, is that the temperature of the active electrode does not rise, and the therapy is carried out without contact. This ensures that there is no irritation of the nerves, muscle spasm, and, as a result, pain. The technique allows preventing mechanical damage to cells and necrosis of adjacent tissues.

The device used during the manipulation has an effect by converting the current into radio waves of a certain range and high-frequency energy, which leads to the heating of tissues to a certain temperature. As a result, the heated tissue literally evaporates.

Laser Vaporization

Laser vaporization is a modern way to deal with hemorrhoids by removing both external and internal HU. This is an innovative minimally invasive procedure that is not inferior to traditional operations in terms of efficiency. Thanks to laser vaporization, the recovery period was reduced, and the risks of complications were also minimized.

The method is based on the action of a laser beam on the GU, which, through the released thermal energy, contributes to the evaporation of the node tissue and the closure of the lumen of the blood vessels. As a result, the destruction of HU tissues occurs, in the place of which connective tissue is later formed. Due to the almost instant soldering of blood vessels during the procedure, there is practically no blood.

Cost of hemorrhoids treatment without surgery in Moscow

You can solve such a delicate problem as hemorrhoids by contacting the Yuzhny Moscow Medical Center. We offer highly qualified assistance in the fight against the disease using widely used techniques and completely unique methods at very affordable prices.

The pricing policy of the clinic makes our services accessible to the general population. It should be noted that the quality of service remains at a very high level.