Stapled hemorrhoidopexy is an alternative to a conventional hemorrhoidectomy. It involves the use of a circular stapling device that removes the hemorrhoidal tissue and staples the area back into its original position. While the post-operative pain tends to be less and the recovery time shorter, hemorrhoid recurrence is possible. A general or regional anesthetic may be used.
Eat the recommended amount of high-fiber foods and drink plenty of fluids to keep your stools soft and prevent straining during bowel movements. You can also speak with your doctor about taking a stool softener.
We all have hemorrhoids. Hemorrhoids are normal “cushions” of tissue filled with blood vessels, found at the end of the rectum. They only cause problems if they become enlarged. Many people are affected by this – it is estimated that about half of all adults over the age of 30 have hemorrhoids at some point.
Hemorrhoids are one of the most common causes of rectal bleeding. They’re rarely dangerous and usually clear up in a couple of weeks, but you should see your doctor to make sure it’s not a more serious condition. He can also remove hemorrhoids that won’t go away or are very painful.
It is also important to listen to the body in these cases. The moment that the body needs a bowel movement is the best time to do it. Waiting for a less social setting or waiting to use the toilet at home can actually back up the stool and cause more stress and straining. This will only make the hemorrhoids worse.
Add more fiber to your diet. Set a goal of 25 to 30 grams of fiber daily, from such high fiber foods as beans, broccoli, carrots, bran, whole grains and fresh fruits. Alternatively, many people find that it is more convenient to take a fiber powder such as psyllium (“Metamucil”), or methylcellulose (“Citrucel”), which is available at drug stores without prescription. To avoid bloating and gas, add fiber to your diet gradually over a period of several days.
Internal hemorrhoids occur within the rectum or the inside of the anus. They are one of the most common causes of bloody stools. Blood may be the only sign that a person has an internal hemorrhoid. This is because there are very few nerves and pain receptors in the rectum.
The stapled hemorrhoidectomy is a newer surgical technique that is rapidly becoming the treatment of choice for third-degree hemorrhoids. This surgery does not remove the hemorrhoids, but rather the expanded hemorrhoidal supporting tissue that has allowed the hemorrhoids to prolapse downward.
Invasive treatment may be indicated for thrombosis or severe symptoms. Sclerotherapy obliterates the vessels when the physician injects a sclerosing agent into the tissues around the hemorrhoids. With rubber band ligation (RBL), rubber bands are put on the hemorrhoids in an outpatient setting. The banded tissue sloughs. Successive visits may be necessary for many hemorrhoids. Although RBL has a high success rate, it may temporarily increase local pain and cause hemorrhage. In cryosurgery, the physician freezes the hemorrhoid with a probe to produce necrosis. Cryosurgery is used only for first- and second-degree over-the-counter pain medication. Many people with hemorrhoids experience pain, especially during bowel movements. If you’re experiencing pain because of hemorrhoids, try taking an over-the-counter pain reliever, like acetaminophen, in conjunction with topical treatments.
Seek topical relief for hemorrhoids. Over-the-counter hemorrhoid creams containing a local anesthetic can temporarily soothe pain. Creams and suppositories containing hydrocortisone are also effective, but don’t use them for more than a week at a time, because they can cause the skin to atrophy. Witch hazel wipes (Tucks) are soothing and have no harmful effects. A small ice pack placed against the anal area for a few minutes can also help reduce pain and swelling. Finally, sitting on a cushion rather than a hard surface helps reduce the swelling of existing hemorrhoids and prevents the formation of new ones.
I love your oils and have used a few of your products over the years so when I realized I had hemorrhoids I did not hesitate to order from you. It does take a bit of patience and perseverance but that is the case with most natural products. I had relief after only a few days and the hemorrhoids were gone in just over 2 weeks – like the other amoils products I have used, I rate this 5 stars and a big thank you to you for your great product line. * – M.
Electrocoagulation. A special device is used to apply electric current onto the internal hemorrhoid. The procedure causes scar tissue to form, which cuts off the blood supply and shrinks the hemorrhoid.
Hemorrhoids (Piles) are blood vessels located in the smooth muscles of the walls of the rectum and anus. They are a normal part of the anatomy and are located at the junction where small arteries merge into veins. They are cushioned by smooth muscles and connective tissue and are classified by where they are located in relationship to the pectinate line, the dividing point between the upper 2/3 and lower 1/3 of the anus. This is an important anatomic distinction because of the type of cells that line the hemorrhoid, and the nerves that provide sensation.
A number of surgical techniques may be used if conservative management and simple procedures fail. All surgical treatments are associated with some degree of complications including bleeding, infection, anal strictures and urinary retention, due to the close proximity of the rectum to the nerves that supply the bladder. Also, a small risk of fecal incontinence occurs, particularly of liquid, with rates reported between 0% and 28%. Mucosal ectropion is another condition which may occur after hemorrhoidectomy (often together with anal stenosis). This is where the anal mucosa becomes everted from the anus, similar to a very mild form of rectal prolapse.
When performed well, operative hemorrhoidectomy should have a 2-5% recurrence rate. Nonoperative techniques, such as rubber band ligation, produce recurrence rates of 30-50% within 5-10 years. However, these recurrences can usually be addressed with further nonoperative treatments.  Long-term results from procedure for prolapsing hemorrhoids are unavailable at this time. [20, 21, 22]
As the anal aperture becomes smaller and the stools larger, people experience more constipation, strain harder, feel more pain, and begin experiencing anal fissures and other complications described elsewhere on this site and in my books.
External hemorrhoids occur outside the anus. They can result in difficulty cleaning the area after a bowel movement. If a blood clot forms in an external hemorrhoid, it can be very painful (thrombosed external hemorrhoid).
The anal canal expands to 35 mm without apparent harm when there are no enlarged internal hemorrhoids to constrict it. Anything beyond that size is bound to cause pain. If an individual is tense, he or she may not be able to completely relax the external anal muscle, and may experience pain even from smaller stools.
Coconut oil, which is available online, is a natural moisturizer, which may also help with hemorrhoid symptoms. Applying coconut oil may reduce the irritation and swelling, and it may also help reduce the urge to scratch.
Anal itching is the irritation of the skin at the exit of the rectum, known as the anus, accompanied by the desire to scratch. Causes include everything from irritating foods we eat, to certain diseases, and infections. Treatment options include medicine including, local anesthetics, for example, lidocaine (Xylocaine), pramoxine (Fleet Pain-Relief), and benzocaine (Lanacane Maximum Strength), vasoconstrictors, for example, phenylephrine 0.25% (Medicone Suppository, Preparation H, Rectocaine), protectants, for example, glycerin, kaolin, lanolin, mineral oil (Balneol), astringents, for example, witch hazel and calamine, antiseptics, for example, boric acid and phenol, aeratolytics, for example, resorcinol, analgesics, for example, camphor and juniper tar, and corticosteroids.
Many patients have been referred for surgery because they have severely swollen prolapsed hemorrhoids or very large external skin tags. When questioned, the patients are asymptomatic. Treat hemorrhoids only if they cause problems for the patient. Similarly, patients often ask when they should have surgery. Remind them that their hemorrhoids do not bother anyone else, and they should opt for aggressive treatment only when symptoms become bothersome.
In most cases, your symptoms will clear up within a week or two. And by making a few small changes to your lifestyle, you can minimize the chances of hemorrhoids coming back to the same degree, if at all.
While diarrhea gets treated and your bowel movements get back to normal, go easy on the wiping. You can use extra soft baby wipes to avoid “bloody” wipes which are often the not-so-subtle indicator that you have hemorrhoids.
Senagore AJ, Singer M, Abcarian H, Fleshman J, Corman M, Wexner S, et al. A prospective, randomized, controlled multicenter trial comparing stapled hemorrhoidopexy and Ferguson hemorrhoidectomy: perioperative and one-year results. Dis Colon Rectum. 2004 Nov. 47(11):1824-36. [Medline].
37. Trompetto M, Clerico G, Cocorullo GF, et al. Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement [published correction appears in Tech Coloproctol. 2016;20(3):201]. Tech Coloproctol. 2015;19(10):567–575.
You may also try using over-the-counter (OTC) topical medications to ease discomfort, such as phenylephrine hemorrhoidal gel (Preparation H). These products are used if the hemorrhoids are bulging and inflamed. Limit use of products that contain steroids because long-term use may cause thinning of the skin around the anus. If OTC medications aren’t helping, talk with your doctor to see if you need additional treatment.
Treatment guidelines are available from the American Gastroenterological Association,  the American Society of Colon and Rectal Surgeons, [15, 16] and the American College of Gastroenterology (ACG). 
Pain results from rapid distention of innervated skin by the clot and surrounding edema. The pain lasts 7-14 days and resolves with resolution of the thrombosis. With this resolution, the stretched anoderm persists as excess skin or skin tags. External thromboses occasionally erode the overlying skin and cause bleeding. Recurrence occurs approximately 40-50% of the time, at the same site (because the underlying damaged vein remains there). Simply removing the blood clot and leaving the weakened vein in place, rather than excising the offending vein with the clot, will predispose the patient to recurrence.
*Results for individuals will vary, depending on existing health factors, lifestyle and level of fitness. The information contained on this site is intended to educate only and is in no way, a substitute for medical advice that your doctor or healthcare provider can offer, with whom you should always consult with before making any dietary changes. Information within should not be used for diagnosis, treatment or prevention of any disease. Testimonials and results contained within may not be an implication of future results. Testimonials on this site are based on the experiences of a few people and you may not have similar results. These statements have not been evaluated by the Food and Drug Administration.
There are two types of hemorrhoids: external and internal. External hemorrhoids arise from the anal canal, while internal hemorrhoids arise from the rectum, immediately above the anal canal. According to Cuckoo Choudhary, MD, associate professor of gastroenterology at Thomas Jefferson University in Philadelphia, one type is not worse than the other, but both can cause problems. “It all depends on the size and degree of the hemorrhoid,” Dr. Choudhary says. “Untreated internal hemorrhoids can cause bleeding. External hemorrhoids can cause thrombosis [blood clotting], which gives way to severe pain from hemorrhoidal strangulation.”
Cypress essential oil stops excess blood flow and promotes the clotting of blood. This is due to its hemostatic and astringent properties. Cypress oil helps with the contraction of blood vessels, and it tightens tissues. It’s also known to reduce anxiety, which can help to relieve constipation for some people. Use cypress topically by adding 3 to 4 drops to a cotton ball and applying to the area of concern. (11)
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