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Hemorrhoid Treatment FAQs

The Hemorrhoid Centers has made available our Frequently Asked Questions FAQs to help answer any questions about Hemorrhoid Treatments.

Infrared Coagulation or IRC Treatment FAQ


How long does IRC procedure take?
Generally, the procedure can be completed in five to ten minutes. However, treatment time depends on the severity of the hemorrhoid being treated and your comfort level.
Does IRC present any complications?
No serious complications or side effects have been documented with the IRC treatment.

What can be expected after IRC treatment? There may be slight spot bleeding a few days following the procedure which will resolve spontaneously. Although IRC does not generally disrupt a patient's lifestyle, you may be advised to avoid heavy straining or lifting. The physician may advise you not to take Aspirin for a few days after the procedure as well.

When can I continue with my daily schedule after IRC treatment?
In general, you can resume normal working activities immediately following the procedure.

Is anesthesia used during IRC procedure? Anesthetic is generally not required. Some patients report briefly feeling a mild sensation of heat during the procedure but there is no other significant pain involved during treatment.

How many treatments are required?
One of our affiliated physicians can better determine how many treatments you may need upon consultation - some patients may need one treatment while others may need multiple treatments. One to six treatments may be required depending upon the severity of hemorrhoids, symptoms, location of the hemorrhoids and the patient's individual response to the procedure.

If I need multiple procedures, how far apart are treatments scheduled? Physicians would normally recommend one to six visits at one to two week intervals. Note that a different part of the hemorrhoid tissue would be treated per visit.

How would I know if I am a candidate for IRC treatment?
A thorough evaluation by a physician is needed to determine the ideal and most optimal treatment for your hemorrhoids. IRC can be used effectively to treat small to medium sized hemorrhoids or grades 1 - 3 hemorrhoids.

Are results permanent?
Symptoms generally do not recur after IRC treatment. Several factors may also contribute to remaining symptom-free after IRC therapy including a fiber rich diet, exercise and proper bowel habits.

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or Request a Hemorrhoid Consultation.

Rubber Band Ligation

How are the constricting bands tied to the hemorrhoid base during rubber band ligation?
Typically, you would be asked to lie down on your left side with knees drawn up and buttocks over the edge of the procedure table. Your physician will then insert a warmed and lubricated scope into the anal canal. Once the hemorrhoid is located, your doctor will place the elastic band around its base.

How long does the rubber band ligation procedure take?
In general, rubber band ligation takes less than an hour and is performed in a certified, ambulatory surgical center (ASC).

Will I notice the hemorrhoid fall off after rubber band ligation?
You may or may not. The shriveled hemorrhoid and elastic constricting band will fall off during normal bowel movements. Do note that the band is quite small as it is a rubber O-ring about 1 mm in diameter and 2.5 mm in thickness.

Are there any preparations involved with rubber band ligation?
Prior to the treatment, your doctor would advise you not to take any medication that may cause bleeding (e.g. aspirin). Pre-operative antibiotics may also be prescribed by your physician upon diagnosis especially if you have immune deficiency, implanted prosthetic devices (e.g. heart valves & artificial joints) or other medical conditions. Pain killers may also be prescribed if you have an extreme level of anxiety prior to such procedures.

Is anesthesia used for rubber band ligation?
Since only a minor discomfort or mild pinching sensation is felt by the patient during rubber band ligation, it may be performed without an anesthetic. However, your physician may give you a local anesthetic to reduce post-banding pain. Some anxious patients may also be given a sedative for relaxation. Some physicians may use general anesthesia. However, these decisions are up to individual physicians performing the procedure.

What should I expect after treatment?
After the procedure, you may feel temporary pain/discomfort and have a sensation of fullness in the lower abdomen, or you may feel as if you need to have a bowel movement. Your physician would advise you to avoid strenuous physical activity for one to two weeks.

Are there any risks involved with rubber band ligation?
Side effects are rare but include post operative pain due to the bands being positioned in an area in the anal canal that contains pain sensors, bleeding, urinary retention and infection.

Am I a candidate for rubber band ligation treatment?
A thorough evaluation by a physician is needed to determine the most ideal treatment for your hemorrhoids. Rubber band ligation can be used effectively to treat second degree hemorrhoids.

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or Request a Hemorrhoid Consultation.

CRH O Regan System


How is CRH-O'Regan System different from conventional rubber banding?
CRH-O'Regan System is an alternative to conventional rubber band ligation. Its differences with the traditional banding method include:
  • The device utilized is a smaller ligator that is disposable.
  • It is a quick procedure with an average procedure time of 30 seconds to 1 minute.
  • Pain medication pre and post op is not required
  • It requires less or no downtime with patients being able to resume their normal activities in a day.
  • The chief complaint about conventional rubber banding has been pain in 4-29% of cases. In contrast, less than 0.2% of patients treated with the CRH-O'Regan system experience post-procedure pain or bleeding.


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or Request a Hemorrhoid Consultation.

Ultroid


How long is the procedure using Ultroid?
Hemorrhoid treatment using Ultroid is a 6-12 minute in-office procedure.

Does the procedure entail the use of anesthesia?
Ultroid typically does not require sedation or anesthetic.

Do I have to stay in a hospital or after care facility after the procedure?
No. Ultroid requires no hospitalization and has virtually no patient downtime with most patients being able to resume normal daily activities in a day.

Are there any risks involved in the electric current used for Ultroid treatment?
No. Ultroid utilizes only a low level of electric current - two 16-milliamps to be exact. The treatment is also handled by a certified physician trained to use the FDA-approved device.

How would I know if I am a candidate for Ultroid treatment?
A thorough evaluation by a physician is needed to determine the ideal and most optimal treatment for your hemorrhoids. Ultroid can be used effectively to treat small to medium sized hemorrhoids or grades 1 - 3 hemorrhoids.

Find an affiliate Physician near you
or Request a Hemorrhoid Consultation.

DG-HAL (Doppler Guided Hemorrhoidal Artery Ligation)


How long does DG-HAL take and will any anesthetic be administered during the procedure?
The in-office procedure can take as little as twenty minutes but the procedure time would be dependent on your condition. It can be done with or without sedation (usually general or Monitored Anesthesia Care sedation). Local rectal anesthesia is also an alternative anesthesia coupled with the application of a nitroglycerin cream on the rectum to enhance blood flow making for easier identification of blood vessels.

Do I need to be hospitalized after treatment and what can I expect post-op?
No, patients typically can go home the same day. In general, patients experience only minor pain and discomfort. In fact, normal routine can be resumed the next day with any remaining discomfort being easily managed by simple analgesics.

What are the risks connected to the procedure?
No major complications have been reported with regards to Doppler Guider Hemorrhoidal Artery Ligation.

How would I know if I am a candidate for DG-HAL?
A thorough evaluation by a physician is needed to determine the ideal and most optimal treatment for your hemorrhoids. DG-HAL can be used effectively to treat Grade II and III hemorrhoids.

Recto Anal Repair


Are there any risks that accompany Recto Anal Repair?
Complications that may arise post-surgery are both minor and quite rare. The risk of subsequent bleeding after the procedure is far lower than with surgical methods of treating higher grade hemorrhoids.

How would I know if I am a candidate for Recto Anal Repair?
A thorough evaluation by a physician is needed to determine the ideal and most optimal treatment for your hemorrhoids. Recto Anal Repair which is a blend of DG-HAL and mucopexy, is particularly effective for the treatment of Grade II to IV hemorrhoids.

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or Request a Hemorrhoid Consultation.

Sclerotherapy


How long does the procedure take and do I have to be hospitalized?
The length of the procedure varies patient to patient depending on how many hemorrhoids will receive injection therapy. Sclerotherapy is an outpatient procedure and does not elicit a stay at the hospital or after care facility.

How long does it take before the hemorrhoid falls off?
The shriveled hemorrhoid usually falls off within seven to ten days during a normal bowel movement.

What are the risks involved with Sclerotherapy as a hemorrhoidal therapy?
In very rare instances, sclerosed hemorrhoids can develop complications such as abscesses.

How would I know if I am a candidate for Sclerotherapy hemorrhoid treatment?
A thorough evaluation by a physician is needed to determine the ideal and most optimal treatment for your hemorrhoids. Sclerotherapy can be used effectively against smaller internal hemorrhoids. A multiple Grade I hemorrhoid condition of smaller grade internal hemorrhoids may benefit from Sclerotherapy since it may be applied to several at once. Older men and women whose veins are more fragile may be good candidates for Sclerotherapy hemorrhoid treatment.

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or Request a Hemorrhoid Consultation.

Cryosurgery


Why is Cryosurgery not commonly used to treat hemorrhoids anymore?
Cryosurgery was a preferred treatment of hemorrhoids two decades ago but due to the influx of newer minimally invasive treatments that offered positive clinical results and less complications cryosurgery has fallen out of favor. Cryosurgery's side effects include pain, foul odor from the drainage of treated hemorrhoid and infection of the open wound.

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or Request a Hemorrhoid Consultation.

Laser Hemorrhoid Therapy


Does Laser Hemorrhoid Treatment require hospitalization?
No. It is typically performed in the physician's office and does not require hospitalization.

What are the risks and the potential complications of Hemorrhoid Laser Treatment?
The complications associated with laser treatment of hemorrhoids are rare. They are usually connected to:
  • Mild numbness around the rectal area
  • Pulling sensation
  • Mild bruising

How would I know if I am a candidate for Hemorrhoid Laser Therapy?
A thorough evaluation by a physician is needed to determine the ideal and most optimal treatment for your hemorrhoids. Laser therapy can be used for Grade I-IV hemorrhoids - the kind of laser to be used would depend on the severity of the hemorrhoid.

Find an affiliate Physician near you
or Request a Hemorrhoid Consultation.

Hemorrhoid Surgery

Surgery When is it time for surgery?
Your doctor may recommend surgical hemorrhoid removal when non-surgical treatments do not make your symptoms go away and when the severity of symptoms escalate.

How do I prepare for surgery?
Prior to surgery, your Hemorrhoid Centers affiliate physician will talk to you regarding your pre-operative regimen and other surgery preparations. These may include:
  • A special, low-residue diet several days before surgery which keeps the colon clean for the procedure.
  • Directions about what and how late you can eat the day before
  • Things to avoid such as smoking ( to regulate the functioning of lungs in preparation for anesthesia) and some medication that make it hard for your blood to clot
  • Time that you need to arrive at outpatient center to be prepped for the surgery.

What kind of anesthesia will be used during surgery?
The kind of anesthesia for the surgical removal of hemorrhoids varies. Talk to your doctor prior to your surgery about what kind of anesthesia will be best suited for you. Options include:
  • General anesthesia - administered through injection or the inhalation of medicinal gas, general anesthesia causes a patient to lose consciousness and sensation
  • Spinal Anesthesia - administered through injection into spinal cord area, spinal anesthesia causes loss of sensation while patient is conscious
  • Local anesthesia with sedation - loss of sensation only on a specific region of the body while patient remains conscious

What are the potential complications of hemorrhoid surgery?
Hemorrhoid surgery is the most effective treatment for hemorrhoids. However, as with all surgeries it does pose certain risks. Unpleasant side effects of hemorrhoid surgery include:
  • Pain
  • Bleeding
  • Infection
  • Itching
  • Incontinence
  • Urinary retention
  • Allergic reactions to anesthesia
  • Bloating and gas
  • Urinary Tract Infection
  • Fecal Impactation
  • Anal Stenosis (abnormal narrowing of the anal canal)
There are several ways to lessen the impact of some of these side effects such as close monitoring of patient's vital signs, monitoring of rectal area, pain medication, prescription ointments, bulk laxatives, increased fluid intake and high fiber diet.

What can I expect during recovery? Hemorrhoid surgery usually requires at least an overnight hospital stay. After which, you would be advised to gradually return to your normal activities and avoid strenuous physical activity until your rectal area has healed. A full recovery can usually be expected two weeks after surgery.



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or Request a Hemorrhoid Consultation.





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