Hemorrhoids

Services

Get in touch

"*" indicates required fields

SERVICES

What is a Hemorrhoid?

Definition:

Hemorrhoids, also known as piles, are natural formations within the body, consisting of vein-filled cushions located just under the mucosal lining at the lowest part of the rectum and around the anus.

Hemorrhoids are swollen blood vessels that can develop externally (around the anus) or internally (within the lower rectum).

This condition is partly attributed to the vertical posture of humans, which challenges the blood vessels in counteracting gravity to transport blood back to the heart.

Types of Hemorrhoids

Internal Hemorrhoids:

These occur within the lower rectum. Unlike their external counterparts, internal hemorrhoids are less likely to be painful since the rectum has fewer nerve endings.

However even so, they may result in bleeding. For instance, one may observe vivid red blood on toilet paper or falling into the toilet bowl.

These hemorrhoids can also prolapse, meaning they stretch out beyond the anus, which might lead to various issues. Once a hemorrhoid protrudes, it is capable of accumulating minor quantities of mucus and small fecal particles, potentially leading to an irritation known as pruritus ani.

What Causes Hemorrhoids?

The development of hemorrhoids is primarily linked to factors that impede blood flow, leading to the pooling and enlargement of blood vessels. Key contributing factors include:

– Chronic Constipation: Makes it difficult for blood to flow smoothly.
– Straining During Bowel Movements: Puts additional pressure on the blood vessels.
– Prolonged Sitting on the Toilet: Disrupts normal blood circulation in the area.
– Pregnancy: The growing uterus exerts pressure on the veins, increasing the risk of hemorrhoids.

These conditions collectively contribute to the formation and exacerbation of hemorrhoids by interfering with the natural blood flow to and from the affected region.

Non-Surgical Hemorrhoid Treatments

Rubber Band Ligation

Rubber band ligation is a widely used method for treating bleeding or prolapsing internal hemorrhoids. In this procedure:

– A special rubber band is placed around the base of the hemorrhoid by a doctor.
– This band restricts the hemorrhoid’s blood supply, causing the affected portion to wither and detach, typically within a week.
– The process leads to scar tissue formation in the residual hemorrhoid, usually resulting in its reduction.
– It is crucial that this procedure is performed by a healthcare professional; self-treatment is not advised.

Sclerotherapy

– The injection of a sclerosing solution into an internal hemorrhoid by a doctor.
– The solution induces the formation of scar tissue, which subsequently interrupts the hemorrhoid’s blood supply, often causing it to diminish in size.

Infrared Photocoagulation

– A device that emits infrared light, directed at an internal hemorrhoid by a physician.
– The heat generated from the infrared light leads to scar tissue formation, which severs the blood supply to the hemorrhoid, often resulting in its reduction.

Electrocoagulation

– An electric current is applied to an internal hemorrhoid using a specific tool by a doctor.
– The electric current encourages the development of scar tissue, which cuts off the hemorrhoid’s blood supply, frequently causing the hemorrhoid to shrink.

These non-surgical interventions offer various options for individuals seeking relief from hemorrhoid symptoms, with each method having its own set of advantages and suitability based on the specific condition and patient preference.

Surgical Treatment for Hemorrhoids

In some instances, complications arising from hemorrhoids necessitate medical intervention. These complications could range from excessive bleeding to infection, and each requires a tailored approach to treatment.

When faced with large protruding hemorrhoids, persistent symptoms from external hemorrhoids, or internal hemorrhoids that reoccur after rubber band ligation, surgery might be necessary. Hemorrhoidectomy is the surgical procedure designed to address these issues.

Traditional Hemorrhoidectomy:

How Does it Work?

Procedure:

Hemorrhoidectomy is a surgical procedure conducted by a surgeon to excise large external hemorrhoids and prolapsing internal hemorrhoids that have not responded to other forms of treatment.

– A precise incision is made to remove both external and internal hemorrhoid tissue along with the problematic blood vessels.
– The procedure boasts a 95% success rate and is known for its efficacy, albeit it’s also infamous for its painful recovery.
– Despite its discomfort, it has a low complication rate.

Anesthesia and Recovery:

Patients are administered anesthesia to ensure they remain pain-free during the procedure. The type of anesthesia (local, regional, or general) will depend on the specific circumstances of the treatment.

– Patients are typically able to return home on the same day of the surgery.
– The recovery period allows for a return to work within 7-10 days, considering the post-operative guidelines are followed diligently.

Ideal For:

This treatment is best suited for severe cases where other less invasive treatments have failed to provide relief.

Patient Satisfaction:

Despite its known drawbacks, such as the pain associated with recovery, many individuals find significant relief and are satisfied with the definitive resolution of their hemorrhoid issues following a hemorrhoidectomy.

Important Note: The above information is not a substitute for a thorough discussion with your surgeon regarding the necessity of surgery.

If you have inquiries about the appropriateness of surgery for your situation, alternative options, billing, insurance coverage, or your surgeon's qualifications and expertise, please feel free to contact us.

Should you have any questions pertaining to the surgical procedure or post-operative care, it is advisable to engage in discussions with your surgeon either prior to or following the operation.