Gastroenterology

Haemorrhoids Treatment Treatment

Piles

Haemorrhoids (piles) are enlarged blood vessels around the anus (back passage). The ybleed easily when you have had a bowel movement. They do not usually cause pain but can cause itching. When large, they can pass through your anus (prolapsed pile), feeling like a lump when you clean yourself. Haemorrhoids develop gradually, often over a long period of time. They are associated with constipation, often run in families and can be made worse by pregnancy.

What is Haemorrhoids ?

If you have symptoms of haemorrhoids, it is essential to visit your doctor to make sure that the bleeding, pain or swelling is due to hemorrhoid and not due to anything more serious. Self-care treatments are usually the first and foremost option for treating hemorrhoids and are often all that is needed. However, people who have ongoing problems may need more advanced medical treatment like surgical techniques.

How to Diagnose?

Procedures and tests to diagnose internal hemorrhoids may include an examination of your anal canal and rectum:
Digital examination: In the digital rectal exam, your doctor inserts a gloved, lubricated finger into your rectum. He/she feels for anything unusual, such as growths. The exam can suggest to your doctor whether further testing is needed or not.
Visual inspection: Internal hemorrhoids are often too soft to be felt during a rectal exam,
so because of that, your doctor may also examine the lower portion of your colon and rectum with an anoscope, or sigmoidoscopy.
Your doctor may want to examine your entire colon by using colonoscopy if:

  • Your signs and symptoms suggest that you might have another digestive system disease

  • You have risk factors for colorectal cancer

  • You're middle-aged and haven't had a colonoscopy recently
    Treatment

What are the Home remedies?

You can often relieve the swelling, mild pain and inflammation of hemorrhoids with home treatments.

Eat high-fiber foods: Include more fruits, vegetables and whole grains in your diet. Doing so softens the stool and increases its bulk, which helps you in avoiding the straining that can worsen symptoms from existing hemorrhoids. Add fiber to your diet to avoid problems with gas.
Use topical treatments: Use an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing a numbing agent or witch hazel.
Soak regularly in a warm bath: Soak your anal area in plain warm water 10 to 15 minutes three to four times a day.
Keep the anal area clean: Bathe (preferably) or shower every day to cleanse the skin around your anus gently with warm water. Avoid perfumed or alcohol-based wipes. Gently pat the area dry or you can use a hairdryer.
Don't use dry toilet paper: To keep the anal area clean after a bowel movement, use moist towelettes or wet toilet paper that doesn't contain perfume or alcohol material.
Apply cold: To relieve swelling, Apply packs of ice or cold compresses on your anus.
Take oral pain relievers: You may use acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others) temporarily to help relieve your discomfort.
With these treatments, hemorrhoid symptoms often go away within a week or two. See your doctor if you don't get relief in a week, or sooner if you have serious pain or bleeding.

Medications
If your hemorrhoid is not producing any severe discomfort, your doctor may suggest over-the-counter creams, ointments, suppositories or pads. These products contain some special ingredients, such as witch hazel, or hydrocortisone and lidocaine, that can relieve pain and itching, at least temporarily.

Don't use an over-the-counter steroid cream for more than 7-8 days unless directed by your doctor because it may cause your skin to thin.

External Hemorrhoids Thrombectomy
If a painful blood clot (thrombosis) has formed within external hemorrhoid, the doctor can remove the clot with a simple incision and drainage, which can provide prompt relief. This procedure is most effective if done within 48 hours of developing a clot.Page Image

Minimally invasive procedures
For persistent or severe bleeding or painful hemorrhoids, your doctor may recommend one of the other minimally invasive procedures available. These treatments can be done in your doctor's office or other outpatient setting and usually, they do not require anesthesia.

Rubber band ligation: Your doctor places one or two small rubber bands around the base of internal hemorrhoid to stop its circulation. The hemorrhoid languishes and falls off within a week. This procedure is effective for many patients.
Hemorrhoid banding can be uncomfortable and may cause bleeding which might begin two to five days after the procedure but is rarely severe. Occasionally, more-severe complications can occur.

Injection (sclerotherapy): In this method, your doctor injects a chemical solution into the hemorrhoid tissue to shrink it. While the injection causes almost no pain, it may be less effective than rubber band ligation.
Coagulation (infrared, laser or bipolar): Coagulation techniques use laser technique or infrared light or heat. They cause tiny, bleeding, internal hemorrhoids to harden and shrivel.
While coagulation has fewer side effects and may cause little immediate discomfort, there’s a higher chance of hemorrhoids coming back (recurrence) than the rubber band ligation treatment.

What are the Surgical procedures?

If other techniques haven't been successful or you have immense hemorrhoids, your doctor may recommend a surgical procedure. Your surgery may be done as an outpatient or may require one or two overnight hospital stay.

Hemorrhoid removal: In this method, called haemorrhoidectomy, your doctor removes excessive tissue that causes bleeding. Various techniques may be used. The surgery may be done with a spinal anesthetic, a general anesthetic or a local anesthetic combined with sedation.
Haemorrhoidectomy is the most efficient, effective and complete way to treat severe or persistent hemorrhoids. Complications may include difficulty emptying your bladder and resulting urinary tract infections, but they are temporary.
Most patients experience some pain after the procedure. Medications can almost relieve your pain. Also Soaking in a warm bath may help.

Hemorrhoid stapling: This technique, called stapled hemorrhoidectomy or stapled hamorrhoidopexy, stops blood flow to hemorrhoidal tissue. It is typically used for only internal hemorrhoids.

Stapling generally involves less pain than hemorrhoidectomy and allows for a return to regular activities in lesser time. Compared with hemorrhoidectomy, however, stapling has been associated with a greater risk of hemorrhoids coming back and rectal prolapse, in which part of the rectum protrudes from the anus. Complications can also include severe bleeding, urinary retention, and pain, as well as, rarely, a life-threatening blood infection (sepsis). Consult with your doctor and decide the best option for you.


 

 

Top Doctors for Gastroenterology

Top Hospitals for Gastroenterology