Surgical Treatments for Hemorrhoid Management
How to get rid of haemorrhoids?
Proctologists perform haemorrhoid surgery to remove swollen blood vessels inside, near the anus and rectum. Proctologists refer to these swollen vessels as haemorrhoids. Experts are aware of different surgically viable options for treating haemorrhoids that cause a person discomfort. Surgeons perform hemorrhoidectomy to restrict the blood supply or remove haemorrhoids. Rubber band ligation is an example of haemorrhoid surgery. The rubber band ligation procedure involves using a band to control the blood supply to haemorrhoids. The average recovery time for haemorrhoid surgery is about one week. We know haemorrhoids are painful conditions, also known as piles, and are swollen veins in the anus and lower rectum. Haemorrhoids may result in itching, bleeding, and pain. Hemorrhoidectomy may be a perfect choice after you attempt everything else.
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| Hemorrhoid Banding |
Who might get haemorrhoids?
Even youngsters can get symptomatic haemorrhoids.
You may be at a higher incidence if you:
- If you are overweight or obese.
- If you are pregnant.
- If you are eating a low-fibre diet.
- If you have chronic constipation or diarrhoea.
- If you regularly lift heavy objects.
- If you spend a significant amount of time on the toilet.
- If you strain while having bowel movements.
What are the types of haemorrhoids?
Your doctor can find haemorrhoids inside or outside the rectum. If your doctor traces the inflamed vein and progresses after, he can determine the type.
Types include:
- External:
Inflamed veins form below the skin around the anus. The canal in your anus is where excrement exists. External haemorrhoids can be itchy and painful. Periodically, they bleed. When it becomes clogged with blood, experts can inspect it. External haemorrhoids can result in severe pain and swelling.
- Internal:
Inflamed veins come from inside the rectum. Internal haemorrhoids may bleed, but there is not much pain.
- Prolapsed:
Haemorrhoids can prolapse both internally and externally, meaning they expand and swell outside the anus. These haemorrhoids can bleed and hurt.
What causes haemorrhoids?
Severe irritation puts pressure on veins in the anus and rectum, causing haemorrhoids. A restlessness that increases pressure on your belly or lower extremities can cause anal and rectal veins to become swollen and inflamed.
Haemorrhoids may develop due to:
- If you are experiencing pelvic pressure resulting in weight increase, particularly during pregnancy.
- Pushing very hard to have a bowel movement because of severe constipation.
- Severe irritation when you lift heavy objects or weight lift.
What are the symptoms of haemorrhoids?
Internal haemorrhoids rarely cause pain unless they prolapse. Many patients with internal haemorrhoids do not know about the progress. If you have internal haemorrhoids, you may see blood on the toilet paper, in your stool, or your toilet bowl. Your doctor may diagnose you with rectal haemorrhage as indicated by these symptoms.
Signs of external haemorrhoids include:
- If you have an issue with the itchy anus
- If you have hard lumps near the anus
- If you have pain in the anus when you sit.
- If you have rectal bleeding
- If your prolapsed haemorrhoids can be painful
What causes haemorrhoids?
A variety of gastrointestinal illnesses may cause rectal bleeding and other symptoms.
IBDs that can cause bleeding include:
- Colon cancer is one of the bowel illnesses that can cause bleeding.
- Crohn's disease
- Ulcerative colitis
Happy patient after haemorrhoid surgery
How do the doctors diagnose haemorrhoids?
Your doctor diagnoses haemorrhoids based on symptoms and a physical exam.
You may also have:
- Digital rectal exam
Your surgeon inserts a gloved, lubricated finger into the rectum to trace inflamed veins.
- Anoscopy:
Your proctologist uses an anoscope to observe the lining of the anus and rectum.
- Sigmoidoscopy:
Your surgeon uses a sigmoidoscope to look inside the lower part of the sigmoid colon and rectum.
Procedure types include flexible sigmoidoscopy and rigid proctoscopy. The surgical procedures typically happen in the hospital or outpatient centre without anaesthesia. Your surgeon may perform a colonoscopy to confirm findings from other tests or check for signs of colon cancer.
How to treat haemorrhoids?
You should visit your doctor if symptoms interfere with your daily life or sleep.
Your surgeon may treat haemorrhoids with:
- Rubber band ligation:
Your surgeon may use a tiny rubber band around the base of haemorrhoid cuts off-site to restrict the blood supply to the vein.
- Electrocoagulation:
Your doctor may use an electric current to stop blood flow to haemorrhoids.
- Infrared coagulation:
Your proctologist may insert a tiny probe into the rectum to transmit heat and eradicate haemorrhoids.
- Sclerotherapy:
They may inject a chemical into the inflamed vein that eradicates haemorrhoid tissue.
Surgical treatments include:
- Hemorrhoidectomy:
Surgery removes large external haemorrhoids or
- Haemorrhoid stapling:
Experts can remove internal haemorrhoids with a stapling device. It compresses and holds a prolapsed internal haemorrhoid in place within the anus.
What is the procedure for a hemorrhoidectomy?
Hemorrhoidectomy takes place in a hospital setting. It is usually an outpatient procedure.
Your surgeon may advise you,
- When to stop eating
- Medications to avoid before surgery
Your anaesthetist may administer general or local anaesthesia to help you sleep through the procedure. Your surgeon will put you on an IV to prevent infection, swelling, and bleeding. Your proctologist will insert a scope into the anal canal for a closer examination of internal haemorrhoids. Your proctologist will cut the hemorrhoidal tissue with a scalpel or laser and close the wound with dissolvable sutures. This process is called a closed hemorrhoidectomy.
If your surgeon evaluates a high risk of infection, then they may not suture the incision. This process is called an open hemorrhoidectomy. Your surgeon may staple it to block blood flow. This process may remove excess tissue and lift haemorrhoids into a better position. After the complete procedure, you may shift to a recovery room. The staff and nurses can monitor your vital signs in this recovery room. You can drink plenty of water after surgery. Your doctor can discharge you once you are fully awake and stable.