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1 Haemorroids ...? on Wed May 26, 2010 3:00 pm

What is the best treatment for haemorroids?

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2 Re: Haemorroids ...? on Wed May 26, 2010 4:51 pm


Treatment of Hemorrhoids

Medical treatment of hemorrhoids is initially aimed at relieving symptoms. Measures to reduce symptoms include:

warm tub or sitz baths several times a day in plain, warm water for about 10 minutes

ice packs to help reduce swelling

application of petroleum jelly, cortisone creams, hemorrhoidal cream (such as Preparation-H) or suppositories to the affected area

wearing cotton underwear and loose clothing

cleaning the anus after each bowel movement by patting gently with moist toilet paper or moistened pads

taking acetaminophen or aspirin

For hemorrhoids that don't respond to self-care measures, there are some other techniques to alleviate the hemorrhoids:

For treatment of internal hemorrhoids, one of five methods is usually used:

1. Rubber Band Ligation - This procedure involves placing a small rubber band at the base of the internal hemorrhoid. The band cuts off blood supply to the hemorrhoid, causing it to shrivel up and fall off in about four to seven days.

2. Injection Sclerotherapy - This procedure involves injecting a chemical solution into the mucous membrane near the hemorrhoid. This chemical causes inflammation and closure of the veins, thereby shrinking the hemorrhoid.

3. Infrared Photocoagulation
- This procedure involves directing an infrared light to coagulate (clot) the dilated veins of the hemorrhoid. This causes the hemorrhoids to shrink, since the blood does not flow through the coagulated blood vessels.

4. Laser Coagulation - This new procedure involves the application of an electric current to the hemorrhoids. The electric current, emitted by an electrode probe, triggers a chemical reaction that shuts down the blood supply in the hemorrhoid and causes the inflamed tissue to shrink.

5. Hemorrhoidectomy - This procedure involves surgically removing the hemorrhoid groups in the anal canal, and is performed with a scalpel, cautery device or laser.

For the treatment of external hemorrhoids, one of three methods is used:

1. Infrared Photocoagulation

2. Laser Coagulation

3. Hemorrhoidectomy

For the treatment of a prolapsed hemorrhoid, a hemorrhoidectomy is recommended.

For the treatment of a thrombosed external hemorrhoid, drainage of the hemorrhoid or a hemorrhoidectomy is recommended.

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