Hemorrhoidal surgery is done when hemorrhoids are not manageable. In many cases hemorrhoidal disease can be treated by non-operative methods. These include dietary modifications, topical medications and soaking in warm water. In some cases these steps will be enough to eliminate the need for further treatment.
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:: What are the symptoms of external hemorrhoids?
:: How do internal hemorrhoids differ from external hemorrhoids?
:: How about pregnancy hemorrhoids?
:: What other conditions may feel like hemorrhoids?
:: Hemorrhoids picture
Handful of information gathered by Google
- Avoid low-fibre foods, such as ice cream, cheese, white bread and meat.
- Treating hemorrhoids at the first sign of discomfort provides relief of hemorrhoidal symptoms before they become more severe, so you can go about your normal activities without any interruption.
- Pain-thrombosed external hemorrhoids (blood clots within hemorrhoidal veins) may appear as painful lumps outside the anus.
- External and internal hemorrhoids can protrude; they may regress spontaneously or be reduced manually.
- Ulcerated edematous strangulated hemorrhoids (acute attack of piles) can be managed conservatively because pain and swelling are likely to resolve rapidly; the thromboses are reabsorbed over 4 to 8 wk.
- External hemorrhoids are located below the dentate line and are covered by squamous epithelium.
- Keep the rectal area clean to help relieve the itching.
- Sometimes a small split or crack occurs in the skin near the anus (anal fissure), often caused by large, hard bowel movements.
- See your doctor if you notice bleeding to make sure the cause is hemorrhoids and not colitis, cancer or some other disease. Your doctor may be able to diagnose hemorrhoids just by examining you.
- Lying down on your stomach or side instead of sitting may lessen the discomfort.
- Patients suspected of having hemorrhoids should undergo a visual and digital examination.
- In patient surveys over 90% report minimal or no discomfort during the out patient treatment of hemorrhoids.
- Anoscopy is essential in evaluating painless hemorrhoids.
- Hemorrhoids are external, internal or mixed. In external piles there is not much bleeding but a lot of pain, where as the internal piles consist in discharge of several ounces of dark blood.
- The thrombosed external hemorrhoid belongs in an external position and should not be forced into the anal canal.
- Large hemorrhoids or those that fail to respond to injection sclerotherapy are treated by means of rubber-band ligation. A 0.6 cm diameter elastic band is dilated up to about 1.1 cm; the internal hemorrhoid is grasped in an area that is insensible to pain and withdrawn through the band, which is then released to ligate the hemorrhoid, resulting in its necrosis and sloughing. One hemorrhoid is ligated every 2 weeks and a total of 3 to 6 treatments may be required.
- Avoid straining, putting off the urge to go, and using laxatives or enemas.
- Treatment may include injection with a special chemical to shrink hemorrhoids, or they may be destroyed by a freezing technique called cryosurgery.
- In certain circumstances, multiple hemorrhoids can be ligated at a single sitting.
- Soak for 10 to 15 minutes in a warm bath 3 or 4 times a day. This may relieve the pain and swelling for some people.
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