Medical Treatment For Your Hemorrhoids
Dr. Rivas develops personalized hemorrhoid treatment plans after completing a thorough examination. The treatments we recommend may depend on the type of hemorrhoids, as well as your symptoms. Initially, we may suggest lifestyle changes to ease your pain, such as increasing your intake of fiber and water to improve bowel movements and sitz baths to alleviate pain and discomfort.
However, when at-home treatments fail, Dr. Rivas may suggest a procedure to destroy or remove your hemorrhoids, such as:
- Rubber band ligation
- Infrared, laser, or bipolar coagulation
Hemorrhoids Are Rated In Severity By Four Degrees And Classified As External Or Internal By Their Location The Extent Of The Disorder Determines The Treatment
Lesser hemorrhoids may require no treatment but more extensive ones may need surgery. There is, however, a large group of people who have moderately severe hemorrhoids. They can be treated in an office setting using gentle, effective, non-surgical methods such as rubber band ligation and a new method called Infrared Coagulation.
The treatment is virtually pain-free and requires no anesthesia. Some patients report feeling a brief sensation of heat during the treatment. Patients are saved the expense of hospitalization, and they typically only need two or three office treatments lasting about 15 minutes each.
The most likely candidates for IRC are those patients who have bleeding internal hemorrhoids, prolapsing internal hemorrhoids and small external hemorrhoids. Since its government approval in 1984, IRC has been used successfully by over 10,000 physicians in the United States.
Physicians praise it as a procedure that does not provoke bleeding or require sutures, but reduces infection risk and allows patients to return to normal activity immediately after treatment. In 90-95% of patients treated with IRC, their problem is cured with no recurrence of growth in the same site.
Who To See For Hemorrhoids
In most cases, your or primary care physician can help you manage hemorrhoids. However, if the hemorrhoids are severe, you may need to see a hemorrhoid doctor, such as a or a . These providers can provide more advanced hemorrhoid treatment, such as:
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Rubber band ligation: A surgeon places a special medical-grade rubber band round the base of the hemorrhoid to cut off blood circulation. Within a week, the end of the hemorrhoid shrivels and falls off, leaving behind scar tissue.
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: This is an out-patient surgical procedure to remove the hemorrhoids.
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Hemorrhoid stapling: Used primarily for internal hemorrhoids, this procedure uses a stapling tool that removes tissue.
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Sclerotherapy: This involves an injection of a chemical solution directly into the hemorrhoid to shrink it.
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Infrared photocoagulation: Used only for internal hemorrhoids, this procedure directs an infrared light towards the tissue to cause scars, which block blood flow to the hemorrhoids.
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Electrocoagulation: Similar to infrared photocoagulation, this procedure uses electric current to cause scar tissue.
Some people may be embarrassed to speak with their doctor about hemorrhoids, but the condition is so common that your doctor wont be surprised if you bring it up. Theres no need to live with the pain and discomfort of hemorrhoids. Prompt treatment will allow you to live your life more comfortably.
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Laser Treatment For Hemorrhoids
While there are other methods for treating hemorrhoids, laser hemorrhoid removal is the most effective, fast-acting, and best hemorrhoid treatment option. Our doctors, who are best-in-class Upper East Side NYC gastroenterologists, have undergone special training in using IRC and have successfully treated many patients.
Laser hemorrhoids treatment uses infrared light, a laser, or an electrical current with the same efficiency. We conduct infrared coagulation on an outpatient basis in the doctors office. We may administer mild sedation as necessary for the hemorrhoid laser surgery procedure, which usually only takes a few minutes.
The use of a laser for hemorrhoids has been shown to improve bleeding and pain in patients with internal and external hemorrhoids.
The laser hemorrhoid treatment procedure has been shown to be more effective than rubber band ligation in reducing postoperative pain, resolving symptoms, and improving quality of life in patients with grade II or III hemorrhoids with incomplete mucosal prolapse.
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Surgical Options For Hemorrhoid Treatment Do I Need Surgery
Only a small percentage of people require hemorrhoid surgery, and we will almost always prescribe it after other, less invasive procedures have failed. In certain cases, we recommend patients to a colorectal surgeon with whom we work closely. We can discuss the case with the surgeon in order to establish an effective treatment plan for your specific situation. You should discuss questions regarding further surgical options and recovery with your surgeon directly. We usually recommend surgery after less invasive procedures have been unsuccessful or are unlikely to be successful. Some of the surgical treatments that we may suggest are listed below.
Only a small percentage of people require hemorrhoid surgery, and we will most likely recommend it after other less invasive procedures have been unsuccessful.
Modify Your Daily Activities
- Avoid prolonged sitting or standing. Take frequent short walks.
- If possible, avoid lifting heavy objects frequently. If you must lift heavy objects, always exhale as you lift the object. Dont hold your breath when you lift.
- If you are pregnant, sleeping on your side will lower pressure on the blood vessels in your pelvis. This can help keep hemorrhoids from becoming bigger.
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Continue Learning About Hemorrhoids
Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.
Hemorrhoid Care At Allegheny Health Network: Why Choose Us
Our colorectal surgeons successfully treat minor to severe types of hemorrhoids in less-invasive ways. They can treat many hemorrhoid symptoms with an outpatient procedure in our offices, which allows you to be home resting just hours after treatment.
People also choose us for our:
- Extensive colorectal training: Our surgeons are board-certified by the American Board of Colon and Rectal Surgery. Not every physician who treats hemorrhoids has this certification. It denotes a high level of training and the ability to provide an expert level of care.
- Surgical expertise: Our surgeons use sophisticated robots and techniques to safely treat hemorrhoids in difficult-to-reach locations. These innovations help you experience significant symptom relief for longer.
- Symptom relief sooner: Our expertise coupled with same-day appointments help provide quick diagnoses so you can feel relief sooner â sometimes the same day we evaluate your symptoms.
- Convenience: We offer diagnosis and treatment services at several hospitals and outpatient clinics in the surrounding community. This means you can get comprehensive hemorrhoid care, close to home.
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Where Can I Go For Hemorrhoid Treatment
An essential initial step is to see your doctor for hemorrhoid treatment. You and your doctor can create a hemorrhoid treatment plan that is appropriate for you and your body.
Making an appointment with your doctor is especially critical if you are experiencing any rectal bleeding.
Bright red blood following a bowel movement is a common symptom of hemorrhoids, but it could be a sign of something more serious. Let your doctor determine if you need additional tests because after all, its better to be safe than sorry.
Many treatment options can be done in your own home. Your local drugstore carries all sorts of ointments, creams, wipes, cushions, supplements, and suppositories that are all designed for hemorrhoid relief.
These over the counter medications are effective in treating hemorrhoids, and for your convenience, can be found at nearly every type of store in your area.
If your family doctor feels it necessary, he or she will recommend or send you to a specialist. Hemorrhoids are easily treatable, but in some cases, our genetics can make this anorectal condition reluctant to respond with basic treatments, and can often produce reoccurring, life-hindering flare-ups.
Cases such as these are better to be dealt with the capable hands of a gastroenterologist or proctologist. At the first sign of hemorrhoids, however, you dont have to worry about going to see one of these specialists right away.
Who To Consult For Hemorrhoid Treatment
Usually, your family doctor or primary care provider can help to manage and control hemorrhoid symptoms. The doctor will suggest home remedies and conservative treatment methods if the symptoms are mild. If advanced treatment is required, the doctor will refer you to a colorectal surgeon or general surgeon. They are the specialists in treating hemorrhoids both surgically and non-surgically.
The doctor will diagnose the disease thoroughly and determine the most appropriate treatment method for you.
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Do You Have Hemorrhoids
You dont necessarily need to go to the doctor or spend a lot of money on hemorrhoid creams. You can get relief by treating your hemorrhoids the natural way. Here are some tips that can help you get rid of your hemorrhoids: Be consistent with your bowel movements Drink plenty of water Avoid straining during your bowel movements Use your finger to examine the inside of your anus Dont push too hard when youre going to the bathroom Avoid constipationYou should be able to get rid of your hemorrhoids without having to visit a doctor or use hemorrhoid creams.
Related Conditions And Causes Of Hemorrhoids
Gastrointestinal problems such as constipation and diarrhea can lead to or worsen hemorrhoids. The prolonged sitting or straining that may occur when you’re dealing with these issues puts pressure on the hemorrhoidal tissue.
Hemorrhoids also often develop during pregnancy. This is similarly due to greater pressure in the area but can also be due to an increase in blood volume and as a result of hormonal changes that increase the likelihood of swelling. Constipation during pregnancy is a common cause of hemorrhoids.
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Questions To Ask Your Doctor
- Why do I have hemorrhoids?
- Are there any lifestyle changes I can do that can relieve or prevent hemorrhoids?
- I saw blood on toilet paper. Is this serious?
- Are having hemorrhoids a sign of another health condition?
- Will I always have hemorrhoids?
- Is there medicine I can take for hemorrhoids? Are there side effects?
What Happens During The Irc Procedure
During the infrared coagulation procedure, our hemorrhoid doctors use a handheld device that generates an intense beam of infrared light. A small probe is applied against the skin above hemorrhoid, exposing the tissue to a quick pulse of infrared light. The infrared lights heat burns the tightly targeted area, coagulating the vein above hemorrhoid.
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Lifestyle Changes For Managing Hemorrhoids
You may help prevent hemorrhoids from forming or from worsening with some lifestyle changes. These changes include:
- Do not strain while moving your bowels.
- Limit the amount of time you spend on the toilet.
- Increase fiber in your diet. Fiber helps give stool bulk so it can be moved through your intestines, and it also helps water remain in the stool so it does not become dry and difficult to pass.
- Increase fluid intake. Drink six to eight glasses of water and other liquids to help keep your stool soft.
- Exercise regularly. This will help regulate and stimulate your bowels.
- Apply topical ointments. OTC creams and suppositories can help relieve pain and reduce swelling.
How Can You Prevent Hemorrhoids
Eat high-fiber foods fruits, vegetables and whole grains which softens the stool, increases its bulk and prevents the sort of straining that can cause hemorrhoids. Try to consume at least 25 to 35 g of high-fiber foods a day.
If you’re not able to keep up with the dietary intake, Dr. Dacha recommends over-the-counter fiber supplements like psyllium or methylcellulose . He also says patients can also take stool softeners like docusate sodium, which keep the stool soft and increase the number of bowel movements.
Exercise is also a good idea. In conjunction with a good diet, staying active can help prevent constipation by reducing pressure on veins, which sometimes occur from standing or sitting for long periods. Taking off excess weight that can contribute to hemorrhoids often helps.
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Are There Any Specific Diets Or Alternative Therapies For Hemorrhoids
The most common piece of advice for the hemorrhoidal disease is to eat more fiber and stay hydrated. However, putting this advice into practice is not always so simple. Consider aiming for 25 to 30 g of fiber a day. This amount is more than twice what the average American consumes. Ideally, you should aim to drink six to eight glasses of water and other liquids each day, excluding diuretics such as alcohol and coffee. Lifestyle changes are used in many alternative hemorrhoid treatments. Listed below are a few tips to help alleviate the symptoms of this health issue. Consult your gastroenterologist about your treatment to ensure that it is the best next step for you.
- Avoid straining when trying to pass a stool, as this puts greater pressure on the veins in your lower rectum.
- If you feel the urge to pass a bowel movement, try to go as soon as you can.
- Exercise helps to prevent constipation.
Although these lifestyle changes can be beneficial, it is still necessary to consult a gastroenterologist for an accurate diagnosis and treatment plan. We look forward to meeting you.
As the best-in-class gastroenterologists, our hemorrhoid doctors provide highly personalized and comprehensive care. Their philosophies regarding the doctor/patient relationship are based on trust and have earned them some of the most respected reputations in New York.
Essential Orgs For Hemorrhoid Information
This site provides a comprehensive review of what hemorrhoids are, what causes them, and how to treat them. In cases when pain is severe and hemorrhoids arent healing with at-home treatment, in-office treatment by a healthcare provider is necessary. This can involve surgical and nonsurgical options.
The Mayo Clinic offers trusted guidance on symptoms, causes, diagnosis, and treatment of hemorrhoids. You can also find answers to specific questions about home remedies and hemorrhoid treatment during pregnancy.
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Change In Bowel Habits
With a prolapsed internal hemorrhoid you may develop the sensation that you cant fully evacuate your bowels. You may also notice a mucous discharge or difficulty cleaning yourself following a bowel movement because of displaced toilet tissue.
These symptoms can be uncomfortable but easily treated with medical intervention.
Look For Board Certification In Colon And Rectal Surgery
The American Board of Colon and Rectal Surgery holds certified surgeons to the highest standards. There are very stringent educational, experiential, and testing requirements they must meet, in addition to passing the written Qualifying examination and the oral Certifying examination from the American Board of Surgery.
A board certified specialist will have at least four years of medical school in addition to at least five years of extensive general surgery training. In addition to all that, they will also undergo an additional year or more of supervised colon and rectal specialty training in an accredited fellowship program under the supervision of a certified specialist. This translates into a much higher level of operative and treatment experience than a general practitioner.
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Are There Any Home Remedies For Hemorrhoids
You can sometimes manage moderate pain, swelling, and inflammation of hemorrhoids with home treatments, such as:
- Aloe vera. Historically, people widely used aloe vera to treat hemorrhoidal disease and certain skin conditions. It is thought to have anti-inflammatory properties that assist in reducing irritation.
- Witch hazel. This product can help alleviate pain, itching, and swelling. It is available in liquid form and can be applied directly to hemorrhoids.
- A warm bath with Epsom salt. A warm bath can help relieve the irritation from hemorrhoids. We recommend taking a warm bath for 20 minutes after every bowel movement. You can achieve greater relief by adding Epsom salts to the bath.
Change Your Lifestyle To Decrease Strain On Your Bowels
When you feel the urge to defecate, dont hesitate! The longer stool remains within the body, the more your body draws water from it. However, when youre defecating, dont bear down or strain to push the stool out of your body. If youre straining to move your bowels, its time to get more fluids and fiber in your diet.d
You can also help move your bowels by getting regular exercise. A twenty-minute daily constitutional can provide all kinds of health benefits, including helping your bowels move.
If you can avoid sitting for prolonged periods, it will help keep weight and strain off your bottom!
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