Treating hemorrhoids focus on relieving its symptomatic discomforts. Depending on its severity, medical treatments will vary in cost and efficacy. In addition various cultures and individual preferences create different treatment approaches to hemorrhoids. In many occasions, hemorrhoids can be mild and last briefly with little or no medical intervention. To date, there are no known medical cures for hemorrhoids. Treatment is basically aimed at relieving discomforts in the form of bleeding and painful inflammation.
Home Medication
In its early stages of prolapse, the discomforts can be alleviated at home with local treatments involving:
– warm sitz bath
– Using a bidet
– Cold compress
– Topical application of analgesic creams like Zenmed Ziro.
In more advance stages where external hemorrhoids with a small visible lump you can see and feel in the anal area, a warm bath can relax the rectal vessels and provide temporary relief.
Over-the-counter anti-hemorrhoidal creams and ointments topically applied over the hemorrhoid tissue have been known to shrink hemorrhoids, provide relief and even prevent worsening hemorrhoidal tissue growth. Consistent application over a period of time has been known to be effective in providing lasting relief and staving off further hemorrhoid growth. Just be wary about topical medication formulated with steroids as they weaken the skin and may further aggravate hemorrhoid outbreaks.
Out-Patient And Hospital Treatment
1. Ligation with rubber band, also known as Baron ligation, involves the use of elastic rubber bands applied around an internal hemorrhoid to restrict its blood supply. In a few days, the hemorrhoid whither and is slouched off as excrement
2. Hemorrhoidolysis or Galvanic Electrotherapy involves desiccating the hemorrhoid outgrowth by electric current.
3. Sclerotherapy or injection therapy involved injecting sclerosant or a hardening agent into the hemorrhoid tissue causing it to shrivel up.
4. Cryosurgery uses a cryoprobe’s frozen tip to destroy hemorrhoid tissue masses. This procedure is rarely performed these days due to its unwanted side effects.
5. Hemorrhoidectomy is the last resort involving surgery to excise hemorrhoid tissues. Due to severe pain during recovery and its correlation with incontinence later on, this procedure is only recommended for the treatment of hemorrhoid in its most severe case (grade IV).
6. BICAP coagulation, Laser or Infrared uses an infrared beam or electric current that cauterizes the hemorrhoid tissues. The use of Lasers is less popular. Infrared coagulation has been found to be just as effective in relieving hemorrhoid discomforts up to severity grade III and is now the most widely used non-surgical medical treatment for severe hemorrhoids in the US.
7. Enema is a clinical procedure to clean the rectum where water is forced into the rectum and then flushed out, cleaning the rectal colon in the process.
8. Stapled Hemorrhoidectomy is meant for bleeding hemorrhoids that protrude out of the anus in its earlier stages. It involves using a specially designed circular stapler inserted into the rectum that excises a circular rectal tissue above the hemorrhoid growth. It pulls back the protruding tissue into the anal canal and cuts the blood flow into the hemorrhoid that eventually shrinks. It is considered less painful than surgical excision of hemorrhoids with faster healing.
9. Doppler Guided Hemorrhoid Artery Ligation technique is an out-patient clinical procedure that does not require removal of the hemorrhoid tissue. It uses a special proctoscope equipped with a Doppler transducer that enables suture ligation of the hemorrhoid blood vessels. This can be applied to all severity cases of hemorrhoids.
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