Perhaps the most important treatment for hemorrhoids is preventing their development. For this;
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A diet rich in fiber and drinking enough water; It is necessary for regular bowel movements
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Stool softening medications may be required for those with constipation
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Anti-diarrhea treatments may be useful for those with frequent bowel movements
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What Should You Do If You Have Hemorrhoids?
External hemorrhoids can be directly seen and recognized during a physical examination by a Gastroenterologist or General Surgeon. Additionally, the anal canal and the part of the rectum close to the anal canal are examined with a finger called rectal touch. Internal hemorrhoids can be seen if they protrude or can be detected on rectal examination. Rectosigmoidoscopy in cases under fifty years of age and full colonoscopy in cases over fifty years of age are performed by a Gastroenterology specialist and a definitive diagnosis of internal hemorrhoids is provided, and other pathologies that may be confused with hemorrhoids can be excluded.
How Are Hemorrhoids Treated?
Most hemorrhoids can go away on their own or with some simple measures. If we examine these measures;
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Avoiding straining
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Consuming plenty of fiber + water in constipated cases, stool softeners if necessary
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Hot sitz bath
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Pain and itching relieving creams containing steroids
Despite these measures, complaints may recur or may not go away. In this case, non-surgical endoscopic methods can be applied by a Gastroenterologist, depending on the stage of your hemorrhoids. However, in cases of advanced-stage hemorrhoids or those that do not respond to these endoscopic treatments, surgery may be required.
What are the Endoscopic Treatments of Hemorrhoids?
Rubber Band Ligation
A special device is placed around the hemorrhoids at the end of the endoscopy. The tape is placed with the apparatus. Thus, the blood flow of the hemorrhoid is cut off, and the degenerated hemorrhoid structure, which disappears over time, is treated by the band falling off within days. It is generally a painless intervention and the discomfort it creates in the anus disappears after 24 hours. In cases of mild pain, painkillers can be used. warm sitz baths It also allows one to get through this period more easily.
Infrared Photocoagulation
A 15-volt tungsten-halogen lamp with a Teflon polymer at its tip produces infrared light. Infrared rays are given to each hemorrhoid nozzle three times for an average of 1.5 seconds, and the hemorrhoidal packets are destroyed with the heat generated. Although it is less painful than band ligation, it is more effective in early stage (Stage I) hemorrhoids.
Sclerotherapy
During sclerotherapy, it is inserted into the hemorrhoid tissue. A special chemical agent is injected and the hemorrhoid tissue is destroyed.
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