Preventive measures for hemorrhoids

What are the non-surgical procedures for the treatment of hemorrhoids?

• Laser treatment of hemorrhoids: It is considered one of the modern techniques for treating hemorrhoids, in which laser beams are directed at the blood vessels that feed the hemorrhoid, which leads to destroy them and thus the hemorrhoids gradually reduce in size. The advantages of this technique are that it is less painful and causes less complications compared to traditional surgical methods.

• Rubber band ligation:It is the most-used remedy for grade II and grade III hemorrhoids. By Put one or two tiny rubber bands around the base of an internal hemorrhoid to cut off its blood flow. The hemorrhoid falls off within a week. No anesthesia is required; complications are uncommon and usually benign.

• Sclerotherapy: Sclerotherapy can provide adequate treatment of early internal hemorrhoids, it is done by inject a solution into an internal hemorrhoid, which causes scar tissue to form. The scar tissue cuts off the blood supply, often shrinking the hemorrhoid.

• Coagulation: Coagulation techniques use laser or infrared light or heat. Infrared coagulation serves best for grades I and II and some grade III hemorrhoids. an infrared light is used to cut the blood supply to piles to make them shrink by using a small probe inserted into the rectum transmits heat to get rid of the hemorrhoid. This method may be as effective as banding with fewer and less severe complications.

• Electrotherapy: a gentle electric current is applied to your piles to make them shrink and stop blood flow to hemorrhoids.

• Ligation of the hemorrhoid artery using the Doppler guided technique: A special probe equipped with a Doppler device is used to help identify the blood vessels that feed the internal hemorrhoids and then connect them with surgical sutures, which leads to shrinkage of the hemorrhoids.

• Stapled hemorrhoidectomy: A special stapling machine is used to remove part of the lining of the rectum, then pull out the prolapsed hemorrhoids and install them inside the anal canal. Only a small percentage of people with hemorrhoids need surgery to remove them. However, if other procedures haven’t worked or there are swollen prolapsed hemorrhoids or very large external skin tags, we treat hemorrhoids surgically:

• Surgical hemorrhoidectomy : Surgical hemorrhoidectomy is the most effective treatment for all hemorrhoids and in particular is indicated in the following situations:

1. Conservative or nonsurgical treatment fails (persistent bleeding or chronic symptoms).
2. Grade III and IV hemorrhoids with severe symptoms.
3. Presence of concomitant anorectal conditions (eg, anal fissure or fistula) requiring surgery.
4. Patient preference: surgeon removes extra tissue and large external hemorrhoids or prolapsed internal ones that causes bleeding. Hemorrhoid surgery can usually be performed using local anesthesia with intravenous (IV) sedation. Regional or general anesthetic techniques also are used.