While many cases of hemorrhoids can be effectively managed with non-surgical treatments, such as lifestyle changes, over-the-counter remedies, and in-office procedures, there are times when surgery may be necessary to provide long-term relief. In this blog post, we'll discuss the indications for hemorrhoid surgery, as well as what you can expect from the procedure and recovery process.
When is Hemorrhoid Surgery Recommended?
Hemorrhoid surgery, also known as hemorrhoidectomy, is typically recommended when other treatments have failed to provide adequate relief or when the hemorrhoids are severe and causing significant symptoms.
Some specific indications for hemorrhoid surgery include:
Large external hemorrhoids that cause significant pain, itching, or bleeding and do not respond to other treatments
Internal hemorrhoids that have prolapsed (fallen outside the anus) and cannot be manually pushed back inside
Thrombosed hemorrhoids (hemorrhoids that have developed a blood clot) that are causing severe pain and do not resolve with other treatments
Hemorrhoids that cause chronic bleeding and lead to anemia (low blood count)
Hemorrhoids that interfere with daily activities or quality of life despite other treatments
The decision to proceed with hemorrhoid surgery should be made in consultation with a qualified healthcare provider, such as a gastroenterologist or colorectal surgeon, who can evaluate your individual case and recommend the most appropriate treatment plan.
Types of Hemorrhoid Surgery
There are several different surgical techniques that can be used to remove or reduce hemorrhoids, depending on the severity and location of the hemorrhoids. These include:
Traditional hemorrhoidectomy: This involves making incisions around the hemorrhoids and removing them completely. It is typically performed under general anesthesia and may require a longer recovery period.
Stapled hemorrhoidectomy: Also known as a procedure for prolapse and hemorrhoids (PPH), this technique involves using a special stapling device to remove the hemorrhoids and reposition the remaining tissue. It may be associated with less pain and a shorter recovery period than traditional hemorrhoidectomy.
Hemorrhoid artery ligation: This procedure involves identifying and tying off the blood vessels that supply the hemorrhoids, causing them to shrink and recede. It is typically performed under local anesthesia and may have a shorter recovery time than other surgical techniques.
Your surgeon will recommend the most appropriate surgical technique based on your individual case and preferences.
What to Expect During and After Hemorrhoid Surgery
Hemorrhoid surgery is typically performed as an outpatient procedure, meaning you can go home the same day. You will be given anesthesia to ensure your comfort during the procedure, and your surgeon will provide specific instructions for preparing for and recovering from the surgery.
After the procedure, you may experience some pain, swelling, and bleeding as your body heals. Your doctor will prescribe pain medication and provide instructions for managing these symptoms, such as using ice packs, sitz baths, and stool softeners.
Most people are able to return to work and other normal activities within 1-2 weeks after hemorrhoid surgery, although it may take several weeks for the surgical site to heal completely. It's important to follow your doctor's instructions for post-operative care and to attend all scheduled follow-up appointments to monitor your healing and address any concerns.
Preventing Hemorrhoid Recurrence After Surgery
While hemorrhoid surgery can provide long-term relief, it is possible for hemorrhoids to recur, particularly if the underlying causes are not addressed. To reduce your risk of developing new hemorrhoids after surgery, it's important to:
Eat a high-fiber diet to promote regular, soft bowel movements
Stay hydrated by drinking plenty of water and other fluids
Exercise regularly to maintain healthy bowel function and prevent constipation
Avoid straining or spending excessive time on the toilet
Use the bathroom promptly when you feel the urge to have a bowel movement
If you do experience a recurrence of hemorrhoids after surgery, your doctor can recommend appropriate treatment options based on the severity and location of the hemorrhoids.
DON'T SUFFER FROM HEMORRHOIDS IN SILENCE
If you're experiencing severe or persistent hemorrhoid symptoms that are impacting your quality of life, don't hesitate to seek medical advice. While the thought of hemorrhoid surgery can be daunting, it's important to remember that this procedure can provide significant relief and improve your overall well-being.
Contact me today to schedule a consultation and discuss your hemorrhoid symptoms and treatment options. Together, we can determine whether surgery is the right choice for your individual case and develop a personalized plan for your care and recovery.
Remember, you don't have to live with the pain, discomfort, and embarrassment of hemorrhoids. With the right treatment and support, you can find lasting relief and get back to enjoying your life to the fullest.