Hemorrhoid Treatment

What’s Involved in a Hemorrhoid Diagnosis?

A hemorrhoid diagnosis typically involves a physical examination of the anus and rectum by a healthcare provider. This may include a visual inspection and digital rectal exam to assess for swelling, tenderness, or lumps. In some cases, additional tests like a sigmoidoscopy or anoscopy may be recommended for further evaluation.

Internal Hemorrhoids

Internal hemorrhoids occur inside the rectum, at the terminal end of the large intestine, just before the anal canal. Internal hemorrhoids are typically not visible or felt unless they become prolapsed or bulge to such an extent that they protrude from the anus. Prolapsed internal hemorrhoids can cause bleeding, itching, a feeling of fullness, and sometimes severe pain.

While symptomatic hemorrhoids do not necessarily require surgical intervention, a medical professional should address internal hemorrhoids that bleed profusely or cause life-altering discomfort. Patients taking blood thinners for other health concerns are especially vulnerable to potential medical complications from excessive bleeding.

While there are numerous treatments for internal hemorrhoids, hemorrhoid artery embolization (HAE) has emerged as the most promising.

Hemorrhoid Artery Embolization (HAE)

HAE, also called superior rectal artery embolization, is an endovascular internal hemorrhoid treatment alternative to traditional surgical intervention. The HAE is a medical procedure which utilizes a minimally invasive approach that offers exceptional outcomes for patients with symptomatic internal hemorrhoids.

Embolization is a form of interventional radiology. An interventional radiologist makes a minor incision in the wrist or groin to access the rectal artery supplying blood to the internal hemorrhoids. The radiologist uses fluoroscopic imaging to guide a catheter through to the targeted network of blood vessels where embolic agents are released. The embolic agents – materials that block the transfer of blood – effectively starve the hemorrhoids of their blood supply so that they shrink, stop bleeding, and stop causing symptoms.

HAE is an outpatient procedure that does not involve general anesthesia. The treatment takes approximately 45 minutes and does not require significant recovery time. Most patients require less than one week of downtime before returning to normal activities and experience no significant post-procedure discomfort.

Alternative Internal Hemorrhoid Treatment

Hemorrhoid Banding

Rubber band ligation is a standard hemorrhoid removal treatment. It involves restricting a hemorrhoid with a tiny elastic band. The band cuts off the hemorrhoid's blood supply, and the tissue falls away.

Hemorrhoid banding, while effective, can cause significant pain and bleeding post-procedure, which can be managed with prescription medication. Additionally, certain types of banding – notably endoscopic banding – require pre-procedure bowel preparation, fasting, and sedation.

Hemorrhoid Surgery

Hemorrhoid removal surgery (hemorrhoidectomy) might be recommended for severe, grade 4 hemorrhoids. The procedure involves hemorrhoid excision using a cutting device like a scalpel, electrocautery device, or laser. This approach requires sutures, significant recovery time, wound care, and pain management.

Hemorrhoidectomy is associated with the highest rate of complications, though the success rate is considerable.

External Hemorrhoids

External hemorrhoids develop underneath the skin of the anus. They tend to be more painful than internal hemorrhoids because they can irritate the surrounding skin. Occasionally, external hemorrhoids can become thrombosed, which means they develop a blood clot within the vein, causing severe discomfort.

External Hemorrhoid Treatment

While HAE is not recommended for external hemorrhoids, effective treatment options are available. These include the following:

Home Treatment for Hemorrhoids

• Sitz bath. A sitz bath for hemorrhoids is a warm water bath that enhances blood flow to the tissues and reduces itching, pain, and discomfort.
  A sitz basin is a specialized basin that fits over a toilet; it frequently comes in a kit. Fill the basin with warm water and sit in it for approximately 15 minutes. Additives are not necessary or recommended; water alone is effective. 
• Hemorrhoid cream. Hemorrhoid creams, like Preparation H for hemorrhoids, work by narrowing the blood vessels located in the anus. It can reduce swelling and relieve burning and itching.

Hemorrhoid Surgery

Hemorrhoidectomy might be recommended for severe or thrombosed external hemorrhoids.

Dr. Lie - Hemorrhoid Artery Embolization

Georgia Hemorrhoid Institute: Minimally Invasive Hemorrhoid Treatment in North Atlanta

At Georgia Hemorrhoid Institute, the highly skilled medical professionals ensure that patients receive comprehensive care throughout their treatment journey. The team strives to create a comfortable and supportive environment from the initial consultation to the follow-up appointments.

If you are struggling with hemorrhoids and seeking a compassionate and effective treatment, don't wait to seek help. Contact our caring representatives today to schedule an evaluation.