Hemorrhoid Treatment Options

What are my hemorrhoid treatment options? Can hemorrhoid treatments be painless and not involve surgery? Yes, absolutely. We offer a variety of treatment options and discuss what option is best for you. These treatments include:

Most procedures are done WITHOUT loss of work or restriction of activity to you. Some treatments take only a matter of minutes.

If you have been reluctant to seek hemorrhoid treatment because of anxiety, embarrassment or fear of pain, we understand. Our experienced, caring staff is here to make you feel as comfortable as possible. In addition, we offer sedation proctology.

Sedation Proctology

The sedation is performed by a CRNA (Certified Registered Nurse Anesthetist). This greatly reduces anxiety and pain through sedation. Because treatments are performed in our office, we’ve eliminated the cost of a hospital charge or facility fee.

Hemorrhoid Care and Treatment Center Methods:

External hemorrhoids develop outside the rectum. Sometimes they are connected to the internals and are called mixed hemorrhoids. This type can swell and cause PAIN. This type may require some minor surgery in the office or hospital. Hemorrhoids, when treated early, resolve without surgery.

An exam will be done to help you make the most informed decision on what hemorrhoid treatment is right for you.

Injection or Sclerotherapy: To shrink the hemorrhoid, medicine is injected into tissue above the hemorrhoid where no feeling is present. This is performed in the office.

Infrared Coagulation: (IRC) is a widely used office treatment for hemorrhoids. A small probe contacts the area above the hemorrhoid where no feeling is present. This causes it to shrink and recede.

Rubber Banding: (Ligation) A special instrument fits a small rubber band over part of the hemorrhoid. The rubber band stops the blood flow into the pinched-off portion, which falls off within a week. This is also done where no feeling is present.

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Hemorrhoid Surgery Options

Major surgery can generally be avoided in favor of these more sophisticated methods used at our center. Non-surgical methods of treatment are available to most of our patients as a viable alternative for long-term hemorrhoid care. However, if surgery is necessary, we offer two types:

Laser Surgery:

Through state-of-the-art lasers, our trained surgeons are able to perform pin point, surgical accuracy for the removal of hemorrhoids. The hemorrhoids are literally vaporized. Because of the pin point accuracy of the laser, surrounding tissue can remain unharmed. The laser seals off nerves and tiny blood vessels. This means less bleeding for the patient and less work for the surgeon performing the procedure.

The benefits of laser hemorrhoid surgery are:

  • A shorter amount of down time, 3-5 days
  • Surrounding tissue is left unharmed
  • Less bleeding, swelling and scarring
  • Less medication is required afterwards
  • Faster healing
  • No stitches
  • The procedure is done in 15-30 minutes
  • A significantly reduced cost compared to traditional surgery

Our surgery center offers the option of unconscious sedation or unconscious IV sedation without the charge of a hospital stay.

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Traditional Hemorrhoid Surgery: Depending on the severity of the hemorrhoids, most surgery can be done on an outpatient basis in our office surgery center. The procedure usually takes 30-90 minutes. Most people go home the same day; the others go home the following morning. We will make the necessary arrangements with you and the hospital.

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Treatment for Less Serious Hemorrhoids

External hemorrhoids: Alternative remedies are recommended for most external hemorrhoids. Treatment includes sitting in a warm bath (sitz bath) several times daily, increasing fiber (fruits, vegetables, whole grain breads and cereals) and water (drinking five or more eight once glasses a day), and taking stool softeners or fiber supplements. Our office offers an excellent fiber supplement that works very well for our patients.

In some cases, a hemorrhoid may burst and a hard, painful lump forms under the skin. This is called a thrombosed hemorrhoid. The doctor may remove the contents of the lump (incision) or the entire lump (excision) to lessen the pain and speed recovery. If the lump is not removed, the pain will gradually lessen in two to seven days, even though the lump is still present.

Internal hemorrhoids: Most first-degree hemorrhoids can be treated at home with the same measures used for external hemorrhoids.

The symptoms of hemorrhoids also mimic colon cancer, such as bleeding or pain, and other diseases of the digestive system. It’s important that you come see us so that we can determine what treatment option is right for you and if there is something more serious that could be going on.

CALL and make an appointment TODAY! 

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Dr. Abbadessa is board certified by the AOA and is a member of the Missouri Association Osteopathic Physicians and Surgeons | St. Louis Metropolitan Medical Society | Missouri State Medical Association

Member American Osteopathic Association