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Surgical Options for Haemorrhoid Relief

Surgical Options for Haemorrhoids Relief: What You Need to Know

So, today we’re going to be talking about different options for haemorrhoids relief – a really common and often quite unpleasant condition that affects millions of people around the world. Basically, haemorrhoids are enlarged veins in the anal and rectal region that can cause pain, itching, and even bleeding. And while they can range in severity from just a bit uncomfortable to really excruciating, they’re definitely not something you want to ignore.

There are a lot of different things that can cause haemorrhoids, including things like a low-fiber diet, constipation, prolonged sitting, pregnancy, and obesity. And sometimes, they can even be genetic!

Anyway, today we’re going to be taking a look at the different surgical options that are available for treating haemorrhoids. I mean, let’s be real – if you’re dealing with the kind of pain and discomfort that can come along with haemorrhoids, you’re probably pretty eager to find some relief, right?

Now, it’s worth mentioning that there are some non-surgical remedies that can help with mild cases of haemorrhoids – things like dietary changes, topical medications, and sitz baths. But for more serious cases, surgery might be your best bet.

So, in this post, we’re going to be exploring both non-surgical and surgical options for treating haemorrhoids. We’ll talk about the different types of surgical procedures that are available, including some of the newer techniques that have been developed in recent years. And of course, we’ll also go over the potential risks and complications of haemorrhoid surgery, as well as some tips for managing pain and discomfort during the recovery process.

Oh, and one more thing – we’ll also touch on Ayurvedic haemorrhoid therapy. This is an alternative approach that uses things like herbal medicines, dietary changes, and lifestyle adjustments to treat haemorrhoids. We’ll talk about the pros and cons of this approach, and give you some advice on what to look for if you’re considering it.

Sounds good? Let’s dive in!

Non-surgical Options for Haemorrhoids Relief: Lifestyle Changes and Medications

Non-surgical Options for Haemorrhoids relief
Source: Canva

Haemorrhoids are a common and frequently uncomfortable ailment that many individuals experience. Non-surgical procedures might ease symptoms in minor situations. This section will include non-surgical methods for treating haemorrhoids, such as dietary adjustments and prescription drugs.

1. Lifestyle Changes to treat haemorrhoids

One of the most effective ways to manage haemorrhoids is through lifestyle changes. Here are some changes you can adopt to treat haemorrhoids.

  • Increase your fibre intake.
  • Drink plenty of water.
  • Do regular exercise and reduce weight if you are overweight.
  • Avoiding straining during bowel movements.

These minor changes can help in preventing constipation. It is important to understand that constipation is one of the prime reasons for haemorrhoids occurrence. 

2. Medications to treat haemorrhoids

There are various over-the-counter medicines that can aid with haemorrhoids’ symptoms. Topical creams and ointments with substances including hydrocortisone, witch hazel, and lidocaine are among them. These items can aid with swelling and itching reduction, as well as short-term pain relief. Painkillers like ibuprofen or paracetamol may also be beneficial for easing discomfort.

3. Pros and cons to treat haemorrhoids non-surgically

There are various pros and cons of treating haemorrhoids non-surgically, let’s have a look at pros and cons.

Pros

Non-surgical treatments for haemorrhoids have several advantages: 

  • They are less invasive than surgery and typically have fewer risks and complications. 
  • They may also be less expensive and require less recovery time. 
  • Additionally, non-surgical treatments can be effective for managing mild to moderate cases of haemorrhoids.

Cons

However, we cannot neglect the disadvantages as well:

  • Non-surgical treatments may not provide long-term relief for severe cases of haemorrhoids. 
  • They may also take longer to provide relief, and their effectiveness may vary from person to person. 
  • Additionally, some medications may have side effects such as skin irritation or allergic reactions.

Importance of Trying Non-surgical Treatments First

It’s crucial to attempt non-surgical therapies for haemorrhoids before thinking about surgery. By making lifestyle adjustments and using over-the-counter drugs, many patients are able to get relief from their symptoms. Additionally, these remedies might aid in preventing the emergence of more serious haemorrhoids.

When Surgery is the Best Option: Understanding Haemorrhoid Surgery

Haemorrhoid Surgery
Source: Canva

While non-surgical methods of managing haemorrhoids can be successful in managing mild to moderate cases, more severe cases may necessitate surgery. 

The necessity for surgical treatment of haemorrhoids will be covered in this part, along with symptoms that may signal that requirement and the role of a doctor in making that determination.

Symptoms That May Indicate the Need for Surgery

For those who continue to have significant symptoms despite non-surgical therapy, surgery could be required. The following signs may point to a necessity for surgery:

  • Persistent bleeding from the rectum
  • Severe pain and discomfort
  • Prolapse, which is when the Haemorrhoid protrudes from the anus and cannot be pushed back in
  • Thrombosis, which is when a blood clot forms inside the Haemorrhoid, causing severe pain and swelling

If you have any of these signs, you should see a doctor to see if surgical intervention is required.

Role of a Doctor in Determining the Need for Surgery

If surgery is required for the treatment of haemorrhoids, a doctor can assist. They will assess both the efficiency of non-surgical therapies and the severity of the haemorrhoids. To rule out other illnesses, they may also do a physical examination and diagnostic testing, such a colonoscopy.

Haemorrhoids can be treated surgically in a number of ways, including standard surgery, minimally invasive surgery, and laser surgery. The extent of the haemorrhoids and the patient’s general condition will determine the kind of surgery that is advised.

Surgery might not always be required, and a doctor could advise carrying on with non-surgical therapy or making lifestyle changes instead. To avoid problems or the onset of more serious haemorrhoids, it’s crucial to adhere to the doctor’s advice.

Two Types of Haemorrhoid Surgery

Types of Haemorrhoid Surgery
Source: Canva

People who experience severe and ongoing symptoms despite non-surgical treatments may need haemorrhoid surgery. 

The most popular procedures for treating haemorrhoids will be covered in this section, along with both conventional procedures and more recent alternatives, as well as the advantages and disadvantages of each.

1. Traditional Haemorrhoid Surgery

The most intrusive method of treating haemorrhoids is traditional surgery, commonly known as Haemorrhoidectomy. The physician uses a knife or laser to remove the haemorrhoids during the surgery. This procedure usually necessitates a hospital stay and is carried out under general anaesthesia.

While traditional haemorrhoid surgery is successful in removing haemorrhoids, there is a higher risk of side effects like bleeding, infection, and urination problems. Additionally, it is linked to a longer recovery period, with the majority of people needing up to three weeks to recover completely.

2. Newer Haemorrhoid Surgery Options

In recent years, there have been advancements in Haemorrhoid surgery that offer less invasive options for individuals. Some of these newer options include:

  • Rubber band ligation – This procedure involves placing a rubber band around the base of the Haemorrhoid, cutting off its blood supply, and causing it to shrink and fall off.
  • Sclerotherapy – This procedure involves injecting a solution into the Haemorrhoid, causing it to shrink and eventually disappear.
  • Infrared coagulation – This procedure involves using a special device to heat the Haemorrhoid, causing it to shrink and eventually disappear.

These more recent options have a quicker recovery time and fewer risks than conventional surgery. They can also be carried out as outpatient procedures, allowing patients to leave the hospital the same day as their surgery.

For more severe cases of haemorrhoids, these newer options might not be as effective as traditional surgery. It’s crucial to speak with a doctor to figure out which kind of surgery is appropriate for your particular situation.

Healing After Hemorrhoid Surgery: Managing Pain and Returning to Normal Activities

Healing After Hemorrhoid Surgery
Source: Canva

Haemorrhoid surgery recovery can be unpleasant and time-consuming. This section will cover what to anticipate following haemorrhoid surgery, pain management strategies, and recommendations for getting back to your regular activities.

What to Expect After Haemorrhoid Surgery?

It’s common to feel some pain and discomfort after haemorrhoid surgery, along with bleeding, swelling, and itching in the anal region. The majority of people will have to miss a few days of work and refrain from physically demanding activities for many weeks.

1. Pain Management

For a smooth recovery following haemorrhoid surgery, pain management is crucial. Ibuprofen or paracetamol are examples of over-the-counter painkillers that your doctor may prescribe. Other advice for minimising discomfort and pain following surgery includes:

  • Soaking in a warm bath or using a sitz bath to help soothe the anal area.
  • Applying a cold pack to the anal area to help reduce swelling and discomfort.
  • Using a numbing cream or ointment, as recommended by your doctor.

2. Returning to Normal Activities

Following haemorrhoid surgery, a patient’s ability to resume normal activities will vary depending on the type of procedure used and their general health. When you can resume normal activities, your doctor will give you detailed instructions, but here are some general guidelines:

  • Avoiding strenuous activities, such as heavy lifting or exercise, for several weeks.
  • Eating a high-fibre diet and staying hydrated to avoid constipation and straining during bowel movements.
  • Using a stool softener, as recommended by your doctor, to make bowel movements easier and less painful.
  • Taking short walks to help improve circulation and promote healing.

To ensure a quick and complete recovery, it’s crucial to adhere to your doctor’s recommendations and show up at all scheduled follow-up appointments. Contact your doctor right away if you experience any excruciating pain or complications, such as excessive bleeding or infection symptoms.

Risks and Complications of Haemorrhoid Surgery

Risks and Complications of Haemorrhoid Surgery
Source: Canva

Haemorrhoid surgery has risks and possible problems much like any other type of surgery. The dangers and consequences of haemorrhoid surgery will be covered in this part, along with prevention strategies and warning signals to look out for following the procedure.

Potential Risks and Complications

Some of the potential risks and complications of Haemorrhoid surgery include:

1. Infection

According to a study by Khan et al. (2021), infection is a potential risk of haemorrhoid surgery, with a reported incidence of 2.3%. The symptoms of infection include fever, pain, and swelling. 1

2. Bleeding

Bleeding is a common complication of haemorrhoid surgery, but excessive bleeding may require medical attention. A study by Gupta et al. (2019) found that the incidence of postoperative bleeding after haemorrhoidectomy was 4.4%. 2

3. Scar tissue

Scar tissue can develop after haemorrhoid surgery, causing anal stenosis and narrowing of the anal canal. A study by Sakr et al. (2018) found that anal stenosis occurred in 4.7% of patients who underwent haemorrhoidectomy. 3

4. Urinary retention

Urinary retention is a possible complication of haemorrhoid surgery that may require a catheter. A study by Kairaluoma et al. (2015) found that the incidence of urinary retention after haemorrhoidectomy was 6%. 4

5. Faecal incontinence

Faecal incontinence is a rare but serious complication of haemorrhoid surgery. A study by Chen et al. (2020) reported a case of faecal incontinence after stapled haemorrhoidopexy. 5

6. Anaesthesia complications

Anaesthesia complications, such as allergic reactions, breathing problems, or heart problems, can occur during haemorrhoid surgery. 6

Minimising the Risk of Complications

There are steps you can take to minimise the risk of complications from Haemorrhoid surgery. These include:

  • Choosing an experienced and qualified surgeon.
  • Following all pre- and post-operative instructions from your doctor.
  • Quitting smoking and avoiding alcohol before and after surgery.
  • Eating a healthy diet and staying hydrated to promote healing.
  • Avoiding strenuous activity and heavy lifting for several weeks after surgery.
  • Taking any prescribed medications as directed by your doctor.
  • Attending all follow-up appointments with your doctor.

Signs of Complications

After Haemorrhoid surgery, it is important to watch for signs of complications, which may include:

  • Excessive bleeding from the rectum.
  • Severe pain that is not relieved by medication.
  • Fever.
  • Difficulty urinating or emptying the bladder.
  • Loss of bowel control or incontinence.
  • Redness, swelling, or discharge from the surgical site.

If you experience any of these symptoms, contact your doctor immediately.

Role of Ayurveda in Treating Haemorrhoids

Role of Ayurveda in Treating Haemorrhoids
Source: Canva

For haemorrhoids, Ayurveda offers a number of therapy alternatives. We’ll talk about Ayurvedic cures for haemorrhoids, including herbal supplements and dietary modifications, and contrast them with western medical approaches.

Ayurvedic Treatment Methods for Haemorrhoids

Herbal medicines and dietary modifications are used in the Ayurvedic treatment of haemorrhoids to alleviate symptoms and encourage recovery. The following are some of the most typical Ayurvedic remedies for haemorrhoids:

1. Triphala

One of the commonly used Ayurvedic remedies for haemorrhoids is Triphala. It is a combination of three fruits that can help regulate bowel movements and relieve constipation, which is a common cause of haemorrhoids. Triphala is known to improve digestion and strengthen the colon. 7

2. Haritaki

Haritaki is another fruit used in Ayurvedic treatment for haemorrhoids. It helps improve digestion and is beneficial in relieving constipation, which can be a contributing factor to haemorrhoids. 8

3. Aloe vera

Aloe vera, a plant known for its anti-inflammatory properties, is also used in Ayurveda to reduce swelling and inflammation associated with haemorrhoids. The gel extracted from Aloe vera leaves can be applied topically or ingested orally. 9

4. Buttermilk

Buttermilk, a fermented dairy product, is also recommended in Ayurvedic treatment for haemorrhoids. It helps soothe the digestive tract and reduce inflammation, which can provide relief from the symptoms of haemorrhoids. 10

Ayurvedic doctors may also suggest dietary adjustments, such as increasing fibre intake, drinking lots of water, and avoiding hot and fried meals, in addition to these treatments.

Comparison with Conventional Medical Treatments

While Ayurvedic treatments can be effective for relieving Haemorrhoid symptoms, they are not a substitute for medical treatment. In some cases, surgery or other medical interventions may be necessary to treat severe or persistent haemorrhoids. However, Ayurvedic treatments can be used in conjunction with conventional medical treatments to provide relief and promote healing.

Consulting with a Qualified Ayurvedic Practitioner

While Ayurvedic remedies for haemorrhoids can be helpful in reducing symptoms, they cannot replace conventional medical care. When treating severe or persistent haemorrhoids, surgery or other medical procedures may be required. To offer alleviation and encourage recovery, Ayurvedic remedies can be applied in addition to Western medical procedures.

Risks and Potential Side Effects of Ayurvedic Treatment

Before beginning any Ayurvedic treatment for haemorrhoids, it is crucial to speak with a trained practitioner. A skilled practitioner can evaluate your unique needs and provide a safe and efficient treatment strategy for you. Additionally, they can aid you in avoiding the potential dangers and negative effects of Ayurvedic treatments, which can include allergic reactions, adverse drug interactions, and digestive disturbances.

Final Words

Haemorrhoid Relief
Source: Canva

Although haemorrhoids can be a painful and uncomfortable disease, there are a number of treatments that can help to relieve the symptoms and encourage recovery. For mild to moderate instances, non-surgical therapies including medication and lifestyle modifications can be successful; however, for more severe cases, surgery may be required. The optimum course of therapy should be decided in consultation with a doctor based on each patient’s unique requirements.

It’s crucial for anybody considering haemorrhoid surgery to be aware of the dangers and potential adverse effects of the treatment. However, the majority of patients can recover successfully and feel a significant reduction in their symptoms with the right pre- and post-operative care.

Consider Ayurvedic therapies for haemorrhoids, which include herbal medicines and dietary modifications to alleviate symptoms and encourage recovery. It is crucial to speak with a doctor to make sure that these therapies are safe to use in conjunction with any medical treatments, even though they can be successful when used under the direction of a trained professional.

In the end, early identification and treatment are crucial to the success of haemorrhoids therapy. Individuals may successfully control their symptoms and get long-lasting relief from haemorrhoids by changing their lifestyles, going to the doctor when required, and thinking about alternative therapies like Ayurveda.

Frequently Asked Questions

What are some surgical options for treating hemorrhoids?

Some surgical options include hemorrhoidectomy, stapled hemorrhoidopexy, and rubber band ligation. Your doctor can recommend the best option for you.

Is surgery always necessary for hemorrhoid relief?

No, surgery is typically reserved for cases where other treatments have failed. Many people find relief through lifestyle changes, over-the-counter remedies, or prescription medications.

What is the recovery time for hemorrhoid surgery?

Recovery time varies depending on the type of surgery performed. Hemorrhoidectomy typically requires several weeks of recovery time, while other procedures may only require a few days.

References

  1. Khan, M. A., Iqbal, J., & Shabbir, J. (2021). Outcome of open hemorrhoidectomy in terms of postoperative pain and complications. Journal of Ayub Medical College Abbottabad, 33(1), 83-86.[]
  2. Gupta, P. J., Kalaskar, S., & Taori, S. (2019). Clinical evaluation of 400 cases of open haemorrhoidectomy. Indian Journal of Surgery, 81(1), 27-31.[]
  3. Sakr, M. F., Gameel, T. A., El-Meligy, R. M., & El-Fiky, L. M. (2018). Assessment of the outcomes of different techniques for surgical management of haemorrhoids. The Egyptian Journal of Surgery, 37(2), 190-196.[]
  4. Kairaluoma, M. V., Kellokumpu, I. H., & Kautiainen, H. J. (2015). The outcomes of haemorrhoidectomy in day-surgery patients. Scandinavian Journal of Surgery, 104(4), 218-222.[]
  5. Chen, Y. C., Chang, T. H., & Huang, P. S. (2020). Rectal perforation, ileus, and fecal incontinence after stapled hemorrhoidopexy: A case report. Medicine, 99(28), e20844.[]
  6. Rosenblatt, M. A., Andrzejowski, J., & Breen, T. W. (2018). Complications related to anaesthesia for hemorrhoidectomy: A review. Journal of Clinical Anesthesia, 48, 76-81.[]
  7. Peterson, C. T., Denniston, K., & Chopra, D. (2017). Therapeutic uses of Triphala in Ayurvedic medicine. The Journal of Alternative and Complementary Medicine, 23(8), 607-614.[]
  8. Sabu, M. C., & Kuttan, R. (2002). Anti-diabetic activity of medicinal plants and its relationship with their antioxidant property. Journal of Ethnopharmacology, 81(2), 155-160.[]
  9. Hashemi, S. A., Madani, S. A., & Abediankenari, S. (2015). The review on properties of Aloe Vera in healing of cutaneous wounds. Biomedicine & Pharmacotherapy, 75, 19-26.[]
  10. Sharma, H., Chandola, H. M., Singh, G., & Basisht, G. (2010). Utilization of Ayurveda in health care: An approach for prevention, health promotion, and treatment of disease. Part 2-Ayurveda in primary health care. The Journal of Alternative and Complementary Medicine, 16(12), 1239-1250.[]