Effective TREATMENT of Hemorrhoids
Follow proper diet
In the initial stages when haemorrhoids is not very severe, it can be taken care of by having a proper diet and by practicing a healthy lifestyle.
One should follow a diet high in fibre, eating plenty of fresh fruits and vegetables, wholegrain breads and lots of water and liquids is also essential.
If required, fibre additives such as Psyllium, bran, etc. should also be taken. A proper consumption of both fibres and liquids aids in preventing constipation and helps in reducing pain while passing a stool.
• Bowels should be relieved at regular intervals, so as to minimize strain upon defecation and by softening one’s stool by sitting on the toilet bowl just for a few minutes.
Exercise regularly to prevent constipation and help in stimulating bowel movements.
Several individuals restrain this spur to holdup defecation, this conduct can effect in bigger and even more hard stool, which is more complex to be barred.
It is vital to evade sitting for a long time on the toilet bowl and to strain oneself upon defecation. When defecation is felt, it is sensible to go to the toilet as soon as possible. Sometimes even after passing a stool, haemorrhoid victims can feel a sense of rectal “fullness”, hence the urge to visit the toilet again.
Sometimes, haemorrhoids in the initial stage can be treated by following the simple rules of diet and exercise.
Medical treatment
Although haemorrhoids can’t be healed, their symptoms, such as pain and itching can be controlled by ointments, creams, and suppositories available by various pharmaceutical companies.
Oral treatments
To minimize vascular permeability, soreness and to improve vein tone, oral medicines such as, flavonoids and synthetic seeds, can be used.
Surgical procedures
In the initial stages of symptomatic haemorrhoidal disease Para surgical procedures can be carried out. Such treatments are apt for internal haemorrhoid cushions, situated above the dentate line, in a section where there are no sensory innervations. Such procedures are not be painful, if done properly.
Rubber band ligation
In this method, a rubber band is positioned at the base of the haemorrhoid. This stops the blood being delivered to the cushion, which falls off in a few days. Then the tissue underlying the haemorrhoid cicatrizes.
Injection sclerotherapy
Sclerotherapy is another option to rubber band ligation and lets blood supply to the haemorrhoidal cushion to be minimized. There would be a few complications, which include abscesses, blood in urine and impotence. These complications may take place if not properly injected.
Infra-red photocoagulation, cryotherapy
These parasurgical methods are less painful than conventional surgical methods. They are not very effective and hence are less popular.
Conventional surgical methods :
Milligan Morgan technique and Ferguson technique
These methods are very painful in the post-operative period, as they leave three wounds in the perianal area, which cause severe pain while defecating
Most popular haemorrhoidectomy techniques are the Milligan-Morgan method and the Ferguson method.
In the Milligan-Morgan method, wounds are left open after surgery so that they can cicatrize spontaneously.
In the Ferguson method, wounds are closed with stitches. Complications are fairly rare but severe, and may comprise anal stenosis, haemorrhage and different degrees of incontinence.
Stapled haemorrhoidopexy
A motorized stapling gadget is used in this method. The pain is less and more “physiological” than conventional haemorrhoidectomy.
THD – A painless surgical method to cure haemorrhoids
Transanal haemorrhoid dearterialization is the least persistent surgical method to treat haemorrhoids, as it involves no tissue removal. A few internal stitches are given on the rectal mucosa.
For this surgical method a doppler is used to find the terminating branches of the haemorrhoidal arteries. Once the artery is found, the surgeon uses an absorbable suture to “tie-off” the arterial blood flow. If haemorrhoids are prolapsed, a hemorrhoidopexy is carried out to repair the prolapse and to raise the tissue back to its anatomical location.
