Haemorrhoids Treatment Treatment

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.

What is the Haemorrhoid cure at home?

You can often relieve the swelling, mild pain and inflammation of haemorrhoids 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 haemorrhoids. Add fiber to your diet to avoid problems with gas.
• Use topical treatments: Use an over-the-counter haemorrhoid 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, haemorrhoid 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 haemorrhoid 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.

Symptoms of Haemorrhoid

Haemorrhoids’ signs and manifestations also depend on their type of haemorrhoids – internal, external, and thrombosed haemorrhoids. Here's a breakdown:

Internal Haemorrhoids

• Blood during bowel movements that is bright red and evident either on toilet paper or a clear sign of blood in the feces.
• Outward haemorrhoids which may drop out of the anus and become sore.
• A feeling of dissatisfaction – like you haven’t really had a bowel movement. 

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External Haemorrhoids

• Discomforts such as having to endure pain when sitting or passing stool.
• Pain or swelling close to the anus, or a lump of any size.
• Soreness or redness of the skin in the buttock region.

Thrombosed Haemorrhoids

• Severe pain and tenderness.
• If a big tumor of bluish or purplish color appears and causes swelling.
• Difficulty of sitting or walking without some discomfort.

Types of Piles Haemorrhoids Treatment

External Hemorrhoid Thrombectomy

If a painful blood clot (thrombosis) has formed within an external haemorrhoid, 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.

Minimally invasive procedures

For persistent or severe bleeding or painful haemorrhoids, 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 anaesthesia.
Rubber band ligation: Your doctor places one or two small rubber bands around the base of the internal haemorrhoid to stop its circulation. The haemorrhoid languishes and falls off within a week. This procedure is effective for many patients.
Haemorrhoid 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 hemorrhoidal 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 haemorrhoids to harden and shrivel.
While coagulation has fewer side effects and may cause little immediate discomfort, there’s a higher chance of haemorrhoids coming back (recurrence) than the rubber band ligation treatment.

How to Diagnose?

Procedures and tests to diagnose internal haemorrhoids 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 growth. The exam can suggest to your doctor whether further testing is needed or not.
• Visual inspection: Internal haemorrhoids 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.

What are the haemorrhoids surgery procedures?

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

Haemorrhoid 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 anaesthetic, a general anaesthetic or a local anaesthetic combined with sedation.
Haemorrhoidectomy is the most efficient, effective and complete way to treat severe or persistent haemorrhoids. 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.

Haemorrhoid stapling: This technique, called stapled haemorrhoidectomy or stapled haemorrhoidopexy, stops blood flow to haemorrhoidal tissue. It is typically used for only internal haemorrhoids.

Stapling generally involves less pain than haemorrhoidectomy and allows for a return to regular activities in lesser time. Compared with haemorrhoidectomy, however, stapling has been associated with a greater risk of haemorrhoids 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.

Best Hospitals for Haemorrhoids Treatment

• Artemis Hospital, Gurgaon
• Medanta The Medicity, Gurgaon
• Fortis Hospital
• BLK-Max Super Speciality Hospital, New Delhi

Best Doctors for Haemorrhoids Treatment

• Dr. M. A Mir
• Dr. Amanjeet Singh
• Dr. Avnish Seth
• Dr. Yogesh Batra

Why Choose GetWellGo for Haemorrhoids Operation?

Getting treatment for the disease at a specially selected healthcare center like GetWellGo is helpful and carries a number of benefits that result from consideration of patient comfort, performance, and individuality. Here's why GetWellGo can be a great choice:

• Skilled Specialists
• Advanced Diagnosis
• Non-Surgical Options
• Surgical Expertise
• Focus on Holistic Recovery
• Language Support
• Medical Visa Assistance
• Travel and Accommodation Services

FAQ

1. What are the benefits of this treatment?

Haemorrhoids treatment offers several key benefits:

• Pain Relief: Help to reduce pain and extent of swelling, itching and other pain which is caused by haemorrhoids.
• Prevention of Complications: For internal or external piles that have not progressed to Bleeding, prolapsed, and thrombosed hemorrhoid causing severe situations like anemia or infections treatment is recommended at this stage.
• Improved Quality of Life: Removes the discomfort experienced to enable the patients to commence regular routines.
• Long-Term Solutions: Reduces the chances of having haemorrhoids by medically proven ways like rubber band ligation, Sclerotherapy and surgery.

2. What is the success rate of Haemorrhoids treatments?

The success rate varies depending on the treatment approach:

• Conservative treatments (diet, fiber, topical creams): Effectiveness in the treatment of mild haemorrhoid symptoms is quite satisfactory in about 60-80% of cases, intended for internal haemorrhoids.
• Minimally invasive procedures (rubber band ligation, Sclerotherapy): Percutaneous lithotomy has a success rate of 70·90% in treating mild to moderate haemorrhoids and has low recurrence rates.
• Surgical treatments (haemorrhoidectomy, stapled haemorrhoidopexy): Acute thrombotic haemorrhoids are mostly treated with mode, reporting a 95% success rate of the acute symptoms and proposed recurrence.

3. What is the recovery time after haemorrhoid treatments?

Recovery time depends on the type of treatment used:

Non-Surgical Treatments (Rubber Band Ligation, Sclerotherapy, Infrared Coagulation):

• Recovery is usually uncomplicated and most patients may resume their normal activities in 1-3 days. There may be some slight pain or even some bleeding within the first few days of treatment but this stops once the haemorrhoids reduce or ‘pop’.

Haemorrhoidectomy (Surgical Removal):

• Recovery of the person is normally between two to four weeks. Lumbar intertrochanter fractures of the hip may cause substantial discomfort during the first week, but alleviation is possible. Healing after the surgery may take 6 weeks or more and the patient is advised to avoid lifting heavy objects and exercise rigorously.

Stapled Haemorrhoidopexy (Surgical Procedure):

• It is normally faster as compared to haemorrhoidectomy since most patients take 1-2 weeks to recover fully. However, it may cause slight irritation in some people that lasts for about two weeks.

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