What do you do when the methods you have tried do not work with your hemorrhoids? Watching your diet, maintaining good bathroom habits, bathing frequently, and using over-the-counter symptom relievers work well for the vast majority of people living with this condition. But what if they are not working for you?
In very rare cases, home remedies are not effective in relieving persistent pain and/or bleeding. Surgery is the last bleeding hemorrhoids treatment to consider – any surgery poses risks to the patient. However, if you have tried alternative methods and have not found relief, it may be the only way for you to be pain-free if you suffer from severe or extensive hemorrhoids.
Hemorrhoidectomies are extremely effective for these patients and eliminate pain. Your doctor can help you determine if this is a viable option for you. What does this surgery involve?
During this surgery, the affected tissue is excised, or removed. A general anesthetic is used. The surgeon uses an anoscope to see the tissue and then cuts of its blood supply with stitches at the base of the hemorrhoid. The tissue is then removed with a scalpel, scissors, cautery, or laser. This is usually done as an outpatient procedure, but an overnight stay is not unusual.
Post-surgery, patients can expect to feel some pain. Pain relievers are given, and patients can bathe or use a Sitz bath to reduce discomfort. After the procedure, it is important for patients to change positions frequently to avoid putting pressure on the surgical site. Ointments, laxatives, and stool softeners are routinely prescribed. At home, it is important to drink plenty of fluids and make sure to eat a healthy, balanced, and fiber-rich diet as an ongoing bleeding hemorrhoids treatment.
As with any surgery, there are pros and cons that you need to consider very carefully before committing to this course of action. Negative aspects include: pain after surgery, recovery time of 2-3 weeks, and the risk of complications. Benefits include: better long-term results, no recurrences in 95 percent of cases, and for some, it is the only persistent method that works to relieve pain, bleeding, and irritation.
It should be emphasized that the majority of those suffering from this condition, even if there is periodic bleeding, do not need surgery. This is usually reserved for the most extensive or extreme cases. Most other people will benefit from either home remedies or less invasive procedures. Those for whom these options do not work should discuss surgery with their doctor.