Laser Hemorrhoid
surgery

What is a Hemorrhoid?

Hemorrhoids also known as piles are swollen veins in an individual’s anus and lower rectum.

Hemorrhoids in the lower rectum are called internal hemorrhoids.

Hemorrhoids which develop under the skin of the anus are called external hemorrhoids.

What are the symptoms of

hemorrhoids?

Symptoms of the hemorrhoids vary according to the type of hemorrhoids.

The symptoms of external hemorrhoids are as follows:

These symptoms occur under the skin around the anal region

  • Irritation and itching in the anal area
  • Pain and uneasiness leading to discomfort
  • Swelling around the anus region
  • Bleeding

The symptoms of internal hemorrhoids are as follows:

  • Bleeding that is painless during the bowel movements; the patient might notice blood in the toilet.
  • Hemorrhoids that are prolapsed or protruding result in pain, bleeding and irritation.

Thrombosed hemorrhoids i.e. if the blood pools in an external hemorrhoid and forms clots then it can result in the following symptoms:

  • Severe pain and swelling
  • Inflammation
  • Hard lumps on the anus

What causes

hemorrhoids?

Following are the causes of hemorrhoids:

  • Pregnancy
  • Consuming low fiber diet for a long time
  • Lifting heavy weights regularly
  • Having anal intercourse
  • Chronic diarrhea and constipation
  • Obesity
  • Strenuous bowel movements
  • Spending a lot of time sitting in the toilet  

What are the remedies available for

hemorrhoids?

Surgery is required in very few cases and mild pain and swelling can be relieved with some home remedies like eating high fiber food which make the bowel movement easier by softening the stools and increasing the bulk of the stools passed.

Pain killers can also provide relief.

Application of creams with hydrocortisone helps and using pads with witch hazel or any other numbing agent helps.

Soaking the anal area in warm water for 10 to 15mins every day for 2 to 3 three times will provide relief.

Doctors might suggest creams, ointments and pads containing ingredients such as witch hazel, or hydrocortisone and lidocaine. Along with the above mentioned remedies.

What are the various surgical procedures available

if the following remedies fail?

Different types of surgical procedures are as follows:

External hemorrhoid thrombectomy: This procedure is carried out under the influence of anesthesia.

The need for this procedure arises when thrombosis has developed within the external hemorrhoid. During the procedure the clot is removed. The procedure is very prudent and has a high success rate if it is carried out within 72 hours of formation of the clot.

Minimally invasive procedures: the doctor might recommend minimally invasive procedures if the hemorrhoids are painful and these procedures don’t require any anesthetic.

Rubber band ligation: this is one of the types of minimally invasive procedures. In this procedure the surgeon places two tiny rubber bands around the base of the hemorrhoid; the rubber bands cut off the circulation to the hemorrhoid and as a result the hemorrhoid withers off within a week or so.

This procedure causes some amount of discomfort and may also cause some bleeding 2 to 4 days after the procedure.

Sclerotherapy: In this procedure the doctor injects chemical solution that shrinks the hemorrhoid tissue providing some relief to the patient.

Infrared, laser and bipolar treatment: Infrared, laser and bipolar treatments are coagulation techniques that make the hemorrhoids harden and shrivel. This procedure causes no discomfort.

During the surgery a laser fiber is passed through the opening in the anal region and its energy is focused on the hemorrhoid. This results in shrinking of the hemorrhoid and makes way for the new tissue to develop in that region.

What are the post-operative

cares to be taken?

Post operation the doctor might recommend mildly spicy or bland food.

Patient is advised to eat high fiber food

Avoid heavy lifting and jarring activities

Patients are prescribed pain killers because the first 72 hours after the surgery they will experience pain.

They are also prescribed vitamin supplements.

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