Nonsurgical Treatment of Hemorrhoids, Infra Red Coagulation or Banding of Hemorrhoid


What is hemorrhoid? 
Hemorrhoids are large blood vessels or engorged veins embedded in the soft cushion of human rectal tissue. Hemorrhoids are almost universal in humans but only a small percentage of them need any treatment.

What conditions make it worse? 
Certain conditions like constipation, pregnancy, obesity, cirrhosis of liver may make the condition worse.

What types of problems can hemorrhoids cause?
Hemorrhoids can cause repeated bleeding, generally bright red blood as a streak on the outside of the stool. It can prolapse- you may notice a clump of tissue coming out of the rectum especially when straining. It may spontaneously go back inside or you may be able to push it back. But if ongoing, you may not be able to push it back any more.

Thrombosed Hemorrhoid
is a very painful condition, meaning that a clot has formed within the cavity of the hemorrhoid. It feels hard and looks purplish in color.

Some people report of constant seepage, discomfort, irritation in rectum etc.

How are hemorrhoids treated?

first step is to ascertain with the help of your doctor that in deed you are dealing with hemorrhoids and not other things that can masquerade like hemorrhoid (like colon cancer, colitis, Crohn’s disease to name a few).

Once you have confirmed the diagnosis, taking small steps of good diet, regularizing bowel habit and maintaining good rectal hygiene will go a long way.

If these usual measures fail, your doctor may try medicine.

If medicines fail to heal the condition, it is time to  consider other treatment methods.

In the past surgery was the only option failing medicine. Thanks to advanced technology, now in many instances, complicated internal hemorrhoids can be treated with much less invasive methods than surgery. Few of these methods that we perform are discussed below:

Infra Red Coagulation (IRC): 
This is an off-shoot of laser technology. A small hand held machine generates significant heat by Infra-Red light.  This is delivered at the tip of a cannula or tube,  which when properly applied at the base of the hemorrhoid tissues, will coagulate it. Because of the coagulation, the blood supply to the internal hemorrhoid will be cut off and it will recede or slough off eventually.

Banding: 
With the help of a scope, your doctor can apply a tight rubber band at the base of the hemorrhoid, which will also cut off the blood supply of the hemorrhoid tissue. Eventually, it will slough off.

Where are these procedures performed? 
Folks we perform these procedures right in our accreditated surgery center attached to our office. These are done just like other endoscopic procedures and you will be sedated by medications. Most of the people do not feel or remember anything of the procedure itself as a result. On the day of your procedure, you will spend one or two hours in our center and then come home. In normal circumstances, you will go back to work from next day.

Risks: 
Any procedure has some potential risks. Complications are extremely rare but when happens, these include, bleeding, pain, discomfort, infection, fistula formation etc. During the procedure itself, sedation or anesthesia related problems can also occur.

At the GI Center, we strive to offer the least invasive treatments of your complicated Gastrointestinal diseases using the latest technologies.  IRC of hemorrhoids or Banding of hemorrhoids are few of such options. Surgery for hemorrhoids still has a role but in many cases we should be able to save you from more invasive surgeries/ hospital stays by using our unique expertise and advanced technology. For more information, please call our office.

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