How Are Hemorrhoids Treated
There are a few ways to treat minor cases of hemorrhoids at home, including:
- Over-the-counter medication, such as aspirin or ibuprofen
- Sitting in a tub of warm water, called a Sitz bath, several times a day to relieve pain
- Not straining during bowel movements
- Eating fiber-rich foods
- Taking a stool softener or fiber supplement
- Not sitting on the toilet for long periods of time
If home remedies dont help, there are minimally invasive procedures that can be performed in an outpatient setting:
- Rubber band ligation is a procedure where a doctor places a special rubber band around the base of the hemorrhoid. The band cuts off the blood supply, causing the banded part of the hemorrhoid to shrivel and fall off. This usually takes about a week, and scar tissue that forms in the remaining part of the hemorrhoid usually causes the hemorrhoid to shrink.
- Sclerotherapy is when a doctor injects a solution, usually a salt solution, into an internal hemorrhoid. This causes scar tissue to form and cut off the blood supply, which can shrink the hemorrhoid.
- Coagulation therapy, or infrared photocoagulation, is when a doctor uses a tool that directs infrared light at an internal hemorrhoid. The heat caused by the infrared light causes scar tissue to form, cut off blood supply, and shrink the hemorrhoid.
- Electrocoagulation is a similar technique that uses an electrical current instead of an infrared light.
Your Chicago Hemorrhoid Treatment Follow Up Visit
Hemorrhoid surgery recovery involves a couple of followup visits to your doctor. Youll be seen shortly after your procedure to assess the effectiveness and healing. An ultrasound will show if the problem vein has closed successfully.
You dont have to live in pain. There are many options to take care of your hemorrhoid issues. Set up your consultation today with Chicago Vein Institute by calling 231-9884, or schedule an appointment with us online today.
The Day Of The Procedure
This procedure may be performed more than once if there are multiple hemorrhoids. Once the hemorrhoid is cut, the swollen vein will be tied off with a suture to prevent bleeding, and hemorrhoid will be removed. The doctor may then close the incision with a suture or leave it open if the location makes it difficult to close the wound, or if there is a risk for infection.
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Types Of Hemorrhoid Surgery
Surgeries for hemorrhoids can be divided into simpler, outpatient, and less invasive procedures you can do without anesthesia and more complex, inpatient surgeries.
Depending on the severity of your symptoms, and whether you have complications, your doctor will determine whether you need surgery and the type of procedure best for you.
The severity of hemorrhoids is classified by grades as follows:
- Grade 1: no prolapse
- Grade 2: prolapse that goes away by itself
- Grade 3: prolapse that you have to push back in on your own
- Grade 4: prolapse that you cant push in on your own and causes you pain
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When The Hemorrhoid Prolapses
It is important to remember that not every hemorrhoid that prolapses requires surgery. For example, in Grade II and III hemorrhoids, the prolapsed hemorrhoid can go back in on its own or be pushed back in. However, when the hemorrhoid has reached Grade IV, it cannot be pushed back in and is often quite painful for the patient, requiring medical intervention.
Grade IV hemorrhoids will require surgery in order to reverse the problem.
Whats The Procedure Like
Hemorrhoidectomy takes place in a hospital setting. Its usually an outpatient procedure, but in some cases, it may require an overnight stay.
Pre-op instructions will advise you when to stop eating, which is usually 6 to 8 hours before surgery. You wont be able to drive immediately, so be sure to arrange transportation home.
An IV will be inserted into your arm for medications to prevent infection, swelling, and bleeding. Youll need either general anesthesia or local anesthesia with sedation to help you sleep through the procedure.
In some cases, such as when theres a high risk of infection or the area is very large, the incision isnt sutured. This is called an open hemorrhoidectomy.
Another procedure, called hemorrhoidopexy, is somewhat less involved than hemorrhoidectomy. The surgeon uses staples to block blood flow, remove excess tissue, and lift hemorrhoids into a better position. This procedure comes with a greater risk of recurrence and rectal prolapse.
Once the surgeon is done, youll be moved to a recovery area where your vital signs will be monitored for several hours.
Youll be able to drink and eat soon afterward. Within a few hours, youll be able to get out of bed. Youll be discharged when youre fully awake and stable.
Recovery is different for everyone, but you should be able to return to normal activities within 1 to 2 weeks. During this time, you may have some:
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Why Is Haemorrhoidectomy Performed
Most haemorrhoids can either be treated with medicines or non-surgical procedures or avoided with appropriate diet and exercise.
If non-surgical treatments dont work, or the haemorrhoids are particularly large, a doctor might suggest a haemorrhoidectomy.
Removing the haemorrhoids will relieve the uncomfortable symptoms, but haemorrhoids can also return.
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Are There Things I Can Do To Help My Hemorrhoids
One of the best things you can do if you have hemorrhoids is improve your bowel habits. Dont avoid going to the bathroom: use it when you need it. Hemorrhoids can result from sitting on the toilet for long periods, so its wise to avoid reading while in the bathroom. Sit only as long as you need to, and wipe gently with unscented toilet paper or cleansing wipes. While scent in toilet paper and wipes can cover unpleasant bathroom odors, fragrance can irritate your skin: the last thing you need if you have hemorrhoids.
Hemorrhoids are associated with constipation, which is the reason why clinicians tell people to get more fiber in their diet. High-fiber foods include fresh fruits and vegetables, whole-grain breads, and wheat bran. Drinking enough water is also important to help prevent constipation.
Getting enough exercise is also important to improve or prevent constipation. Getting at least half an hour a day of moderate exercise could help you to improve or prevent hemorrhoids.
For a hemorrhoid flare-up, you can also take a sitz bath, which means sitting in a few inches of warm, not hot, bath water. Soaking for ten minutes can relieve itching and burning that accompanies hemorrhoids. A well-insulated ice pack can also reduce swelling and pain. Always make sure you have a cloth barrier between the ice pack and your skin to prevent skin damage.
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What To Expect From The Hemorrhoid Surgery Recovery Process
Recovering from hemorrhoid surgerycan be an unpleasant experience. The recovery period typically lasts between one to six weeks post-surgery, depending on how extensive the procedure was. Different factors can determine the recovery time, including the number of hemorrhoids removed and their size.
Patients in the hemorrhoid surgery recovery stage often feel high discomfort and pain that continues for one to four weeks following the surgery. However, you can take certain steps to alleviate symptoms throughout this process.
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Key Points About Hemorrhoids And Varicose Veins In Pregnancy
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Both hemorrhoids and varicose veins are swollen, twisted veins. These veins are often in the legs, but when they form in the rectum, they are called hemorrhoids.
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Many normal changes in pregnancy can increase the risk for hemorrhoids and varicose veins.
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Hemorrhoids and varicose veins in pregnancy are a short-term problem, and they get better after your baby is born.
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You can do things to ease the discomfort they can cause. These include sitz baths, ice packs or cold compresses to reduce swelling, and creams or other medicines, such as stool softeners, your healthcare provider may recommend.
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The best way to help prevent hemorrhoids during pregnancy is to prevent constipation. If you are constipated, donât strain during bowel movements.
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Why Do Hemorrhoids Develop During Pregnancy
If a patient has never developed hemorrhoids in the past, they are more likely to develop them when theyre pregnant and even during labor. Why?
As a pregnancy progresses, the growing uterus, increased production of the hormone progesterone, and constipation will put pressure on the pelvic veins which can cause hemorrhoids to develop. Hemorrhoids will typically go away after delivery, though it may take some time and care.
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When To Seek Medical Advice
See your GP if you have persistent or severe symptoms of haemorrhoids. You should always get any rectal bleeding checked out, so your doctor can rule out more potentially serious causes.
The symptoms of haemorrhoids often clear up on their own or with simple treatments that can be bought from a pharmacy without a prescription . However, speak to your GP if your symptoms dont get better or if you experience pain or bleeding.
Your GP can often diagnose haemorrhoids using a simple internal examination of your back passage, although they may need to refer you to a colorectal specialist for diagnosis and treatment.
Some people with haemorrhoids are reluctant to see their GP. However, theres no need to be embarrassed, because GPs are very used to diagnosing and treating haemorrhoids.
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Enlarged Hemorrhoids: What Surgical Procedures Are Used To Treat Hemorrhoids
Sometimes the symptoms of enlarged hemorrhoids are so bad that treating the symptoms alone is no longer enough. Then there are various procedures that can be done to remove the tissue that is causing problems.
Sclerotherapy and rubber band ligation are generally carried out as day procedures, without an anesthetic. If someone has grade 3 or grade 4 hemorrhoids, doctors often recommend surgery. A general or local anesthetic is usually needed for this. You then have to stay in the hospital for a few days, and stay off work for some time too.
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What Type Of Doctor Treats External Hemorrhoids
Your primary care physician can treat smaller, less severe external hemorrhoids. In some cases, they can prescribe a stronger hemorrhoid cream or suppository. If you have a more serious case of hemorrhoids, or your external hemorrhoids are persistent, your doctor may refer you to a specialist called a gastroenterologist. If you require a surgical procedure for your hemorrhoids, you will want to find a colon and rectal surgeon.
External hemorrhoids are the most bothersome type of hemorrhoids. Although they can be painful and uncomfortable, they are treatable and can often be resolved without a surgical procedure.
External Hemorrhoids Guide 101-Continued
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Dietary Changes And Self Care
If constipation is thought to be the cause of your haemorrhoids, you need to keep your stools soft and regular, so that you dont strain when passing stools.
You can do this by increasing the amount of fibre in your diet. Good sources of fibre include wholegrain bread, cereal, fruit and vegetables.
You should also drink plenty of water and avoid caffeine .
When going to the toilet, you should:
- avoid straining to pass stools, because it may make your haemorrhoids worse
- use moist toilet paper, rather than dry toilet paper, or baby wipes to clean your bottom after passing a stool
- pat the area around your bottom, rather than rubbing it
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How Are Haemorrhoids Treated During Pregnancy
Because constipation worsens haemorrhoids, treatment options centre around preventing or managing constipation, or reducing pain associated with haemorrhoids.
Treatment options include the following:
- Lifestyle changes having a diet high in fibre and drinking lots of water will help ensure you dont need to strain on the toilet. External haemorrhoids can be treated by placing an icepack on the affected area to reduce swelling. Taking a warm bath may also help to reduce the pain.
- Laxatives these help ease any straining associated with constipation. They help you pass bowel movements more easily.
- Pain relief medicine paracetamol can help address pain associated with sore, swollen veins, and can be taken during pregnancy. Be sure to follow the directions for use.
- Haemorrhoid creams help address itchiness, pain or inflammation, and contain active ingredients such as corticosteroids or local anaesthetics.
Speak with a health professional such as pharmacist before using medicines or creams while pregnant.
Avoiding constipation is the best way you can reduce your chance of haemorrhoids. A healthy gut helps stop you from straining during a bowel movement. Eat a diet high in fruit, vegetables and wholegrains, and drink plenty of water.
Preventing And Treating Haemorrhoids
Haemorrhoid symptoms often settle down after a few days, without needing treatment. Haemorrhoids that occur during pregnancy often get better after giving birth.
- gradually increasing the amount of fibre in your diet good sources of fibre include fruit, vegetables, wholegrain rice, wholewheat pasta and bread, pulses and beans, seeds, nuts and oats
- drinking plenty of fluid particularly water, but avoiding or cutting down on caffeine and alcohol
- not delaying going to the toilet ignoring the urge to empty your bowels can make your stools harder and drier, which can lead to straining when you do go to the toilet
- avoiding medication that causes constipation such as painkillers that contain codeine
- exercising regularly can help prevent constipation, reduce your blood pressure and help you lose weight
These measures can also reduce the risk of haemorrhoids returning, or even developing in the first place.
Medication that you apply directly to your back passage or tablets bought from a pharmacy or prescribed by your GP may ease your symptoms and make it easier for you to pass stools.
There are various treatment options for more severe haemorrhoids. One of these options is banding, which is a non-surgical procedure where a very tight elastic band is put around the base of the haemorrhoid to cut off its blood supply. The haemorrhoid should fall off after about a week.
Read more about treating haemorrhoids and surgery for haemorrhoids.
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How To Choose A Cure
So, how to get rid of hemorrhoids? Some natural cures for hemorrhoids can help as well. Witch hazel, aloe vera, witch hazel gel, and other home remedies can treat and even prevent them from getting worse, even though they wont remove them. They can be used to relieve itching and burning, and you can also use them as a lubricant on the affected area.
How to treat hemorrhoids? There are times when you need to see a doctor if your hemorrhoid gets out of control and causes too much bleeding and pain. Hemorrhoidectomy is one of those times, so your doctor will do some procedures. This operation will either remove hemorrhoid or remove its blood supply.
Hemorrhoidectomy has many benefits, including less swelling and more mobility in the area that was removed. Some people choose to have hemorrhoidectomy to eliminate hemorrhoids without having to deal with the discomfort and pain that come with it. There is no single best hemorrhoidstreatment. Its up to you to find one that works best for you.
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What Exactly Is A Hemorroid
Piles, also known as hemorrhoids, are veins that have become swollen and engorged with blood â varicose veins but in your rectum, basically.
Hemorrhoids during pregnancy can either be inside the rectum or external and can cause pain, itching, and general discomfort, makinh sitting super uncomfortable.
External hemorrhoids are more likely to bleed and be itchy, while internal hemorrhoids can bleed and are typically more painful.
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