Hemorrhoid treatments abound, but how effective, risky, and expensive they are varies. Whether or not you as a patient embrace a treatment also depends upon your culture and belief system. When you receive office treatments for hemorrhoids, these will usually not be surgical in nature. Most often, hemorrhoids are treated in the office with infrared photocoagulation, sclerotherapy, rubber band ligation, bicap coagulation and, infrequently, cryotherapy.
If you have second-degree internal hemorrhoids, rubber band ligation is used and is usually done as an outpatient treatment. For this particular treatment, a small rubber band is applied to the base of the hemorrhoid and impedes blood supply to the hemorrhoidal mass, thus in effect killing it.
Within about two to seven days, the hemorrhoid itself will shrivel and then dry up and die. After that, the hemorrhoid, now desiccated, and the rubber band will usually fall off during normal bowel movements. This treatment has a short recovery period and is the most popular because it involves relatively little pain as opposed to surgical treatments.
With infrared photocoagulation, infrared radiation created by the coagulator clots tissue protein and evaporates the water from the cells. How extensive the treatment is is measured by how intensely and for how long the infrared radiation is applied. This also decreases blood flow to the hemorrhoidal tissue, but it is not effective for particularly large hemorrhoids or prolapsed tissue. Therefore, it's most effective to treat Grade I or just into Grade II hemorrhoids. It's more popular than rubber band ligation for hemorrhoidal treatment because it's not as painful as rubber band ligation is.
In the operating room or in office treatment, if precise coagulation is necessary as it penetrates less than the standard monopolar cautery, bipolar coagulation is usually utilized. It also utilizes the treatment theory like that of the rubber band ligation and the infrared photocoagulation. On the apex of the hemorrhoid, the bicap probe is placed and left for ten minutes. The procedure has a bit difficulty to patients with poor tolerance who don't finish the set time thus reducing its effect.
With the birth of rubber band ligation, sclerotherapy or also known as injection therapy is less used nowadays but it was a common treatment for hemorrhoids in the past. In the treatment, sclerosant (an irritating substance) is injected in the hemorrhoid to decrease vascularity and increasing fibrosis. Theoretically, like the other treatments, this will decrease blood circulating into the mass. Substances injected have customarily been sodium morrhuate or quinine urea.
All office hemorrhoidal treatment involves identifying the hemorrhoids first with an anoscope, and then injecting the substance at the hemorrhoidal mass' apex. Usually, this treatment doesn't cause any bleeding, but you may experience a dull ache or other slight pain for a couple of days.
Cryotherapy has been out of favor, as has sclerotherapy, with the advent of rubber band ligation. Previously, it was thought that freezing the apex of the anal canal would reduce anal cushion vascularity and induce fibrosis. However, the treatment causes a very unpleasant-smelling discharge, and it's also quite painful. In addition, because it's quite slow to heal, most medical practitioners have quit using it.
If you have second-degree internal hemorrhoids, rubber band ligation is used and is usually done as an outpatient treatment. For this particular treatment, a small rubber band is applied to the base of the hemorrhoid and impedes blood supply to the hemorrhoidal mass, thus in effect killing it.
Within about two to seven days, the hemorrhoid itself will shrivel and then dry up and die. After that, the hemorrhoid, now desiccated, and the rubber band will usually fall off during normal bowel movements. This treatment has a short recovery period and is the most popular because it involves relatively little pain as opposed to surgical treatments.
With infrared photocoagulation, infrared radiation created by the coagulator clots tissue protein and evaporates the water from the cells. How extensive the treatment is is measured by how intensely and for how long the infrared radiation is applied. This also decreases blood flow to the hemorrhoidal tissue, but it is not effective for particularly large hemorrhoids or prolapsed tissue. Therefore, it's most effective to treat Grade I or just into Grade II hemorrhoids. It's more popular than rubber band ligation for hemorrhoidal treatment because it's not as painful as rubber band ligation is.
In the operating room or in office treatment, if precise coagulation is necessary as it penetrates less than the standard monopolar cautery, bipolar coagulation is usually utilized. It also utilizes the treatment theory like that of the rubber band ligation and the infrared photocoagulation. On the apex of the hemorrhoid, the bicap probe is placed and left for ten minutes. The procedure has a bit difficulty to patients with poor tolerance who don't finish the set time thus reducing its effect.
With the birth of rubber band ligation, sclerotherapy or also known as injection therapy is less used nowadays but it was a common treatment for hemorrhoids in the past. In the treatment, sclerosant (an irritating substance) is injected in the hemorrhoid to decrease vascularity and increasing fibrosis. Theoretically, like the other treatments, this will decrease blood circulating into the mass. Substances injected have customarily been sodium morrhuate or quinine urea.
All office hemorrhoidal treatment involves identifying the hemorrhoids first with an anoscope, and then injecting the substance at the hemorrhoidal mass' apex. Usually, this treatment doesn't cause any bleeding, but you may experience a dull ache or other slight pain for a couple of days.
Cryotherapy has been out of favor, as has sclerotherapy, with the advent of rubber band ligation. Previously, it was thought that freezing the apex of the anal canal would reduce anal cushion vascularity and induce fibrosis. However, the treatment causes a very unpleasant-smelling discharge, and it's also quite painful. In addition, because it's quite slow to heal, most medical practitioners have quit using it.
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