Treatment options and technology advances for the hemorrhoid treatment
Based upon the symptoms and severity, the variety of treatment options are offered for hemorrhoid treatment; ranging from home remedies to the surgical approaches.
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Treatment options |
Grading of the internal hemorrhoids |
Treatment |
Outcomes |
Length of hospital stay |
|
Medications |
Grade 1 or 2 |
• Taking stool softeners or laxatives, anti-inflammatory medication. • Topical cream, ointment or suppository to relieve pain, itchiness as well as to reduce the inflammation.
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• For severe pain, the combination of pain pills and 15-minute-warm sitz bath 2-3 times daily may be helpful. • Suppository is recommended for 7-10 days. • If not better, medical attention is required. |
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Injection (Sclerotherapy) |
Grade 2 |
• The sclerosant is injected to shrink hemorrhoid. • Repeated injection may be required. |
• Out-patient procedure. • Minimal discomfort.
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Rubber Band Ligation |
Grade 1-3 |
• Tiny bands placed to cut off the circulation. The hemorrhoid will fall off within 5-7 days.
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• Out-patient procedure. • Minimal discomfort. • Effective |
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Laser Hemorrhoidoplasty |
Grade 2-4 |
• Laser applied to the hemorrhoid vessels, to shrink the hemorrhoid.
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• Widely accepted. • Minimal pain. • Rapid recovery. |
2 nights |
|
Radiofrequency Coagulation |
Grade 2-4 |
• Considered a non-surgical approach, hemorrhoid is directly coagulated by special form of energy called radiofrequency, facilitating the immediate disappearance of the hemorrhoid. |
• Widely accepted. • Minimal pain. • Rapid recovery. • Out-patient procedure.
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Day surgery |
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Hemorrhoidectomy |
Grade 3-4
|
• The hemorrhoid removed surgically.
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• Effective. • Less recurrence.
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Day surgery or 2 nights stay |
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Stapled Hemorrhoidopexy |
Circumferential grade 3-4
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• The stapler (a disposable instrument with a circular stapling device at the end) is used to block blood flow to hemorrhoid and repositioning of the hemorrhoid. |
• Minimal pain. • Rapid recovery.
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2 nights |
|
Transanal Hemorrhoidal Dearterialization (THD) |
Circumferential grade 3-4 |
• THD is a minimally invasive technique using a specially anoscope with Doppler transducer to identify the hemorrhoid arteries. Once the hemorrhoid arteries are detected, a suture ligation is conducted in order to limit the blood flow to the hemorrhoids. The rectopexy then performed and repositioning of the hemorrhoid. |
• No incision/cut. • Minimal pain. • Rapid recovery. |
1 nights |