Can Severe Hemorrhoids Be Treated with Surgery? - Surgery

More Info

---

Severe hemorrhoids, also known as piles, can indeed be treated with surgery, especially when conservative measures fail to provide relief. Given your description of having both internal and external hemorrhoids that protrude from the anus, it seems that your condition has progressed to a point where surgical intervention may be warranted.


Understanding Hemorrhoids
Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins. They can be classified as internal or external. Internal hemorrhoids are located inside the rectum and usually do not cause pain, although they can bleed. External hemorrhoids are located under the skin around the anus and can be painful, especially if a blood clot forms.


When to Consider Surgery
Surgery is typically considered when:
1. Conservative Treatments Fail: If lifestyle changes, dietary modifications (increased fiber intake), topical treatments, and other non-surgical interventions do not alleviate your symptoms, surgery may be the next step.


2. Severe Symptoms: If you experience significant discomfort, pain, or if the hemorrhoids are prolapsing (protruding outside the anal canal) frequently, surgical options may be necessary.

3. Complications: If you develop complications such as thrombosis (blood clots), severe bleeding, or infection, surgical intervention may be required.


Surgical Options
There are several surgical options available for treating severe hemorrhoids:
1. Hemorrhoidectomy: This is the most common surgical procedure for severe hemorrhoids. It involves the complete removal of the hemorrhoids and is usually performed under anesthesia. Recovery can take a few weeks, and while it is effective, it may involve some pain post-surgery.

2. Stapled Hemorrhoidopexy: This procedure involves using a stapling device to remove hemorrhoidal tissue and reposition the remaining tissue. It is less painful than a traditional hemorrhoidectomy and has a quicker recovery time.

3. Minimally Invasive Procedures: Options such as rubber band ligation, sclerotherapy, or infrared coagulation may be considered for less severe cases but can also be effective for larger hemorrhoids in some patients.


Concerns About Surgery
You expressed concern about whether your hemorrhoids are too severe for surgery. Generally, the severity of hemorrhoids does not preclude surgical intervention. However, it is crucial to have a thorough evaluation by a healthcare professional, preferably a colorectal surgeon, who can assess the extent of your condition and recommend the most appropriate treatment.


Pre-Surgical Considerations
Before undergoing surgery, your doctor will likely:
- Perform a physical examination and possibly a colonoscopy to rule out other conditions.

- Discuss your medical history, including any medications you are taking, as some may need to be adjusted prior to surgery.

- Explain the risks and benefits of the surgical options available.


Post-Surgery Recovery
Recovery from hemorrhoid surgery can vary depending on the procedure performed. Generally, you can expect:
- Pain management with prescribed medications.

- Recommendations for dietary changes to prevent constipation.

- Instructions on wound care and hygiene to prevent infection.


Conclusion
In summary, severe hemorrhoids can be treated with surgery, and it is advisable to consult with a colorectal surgeon to discuss your symptoms and treatment options. Surgery can provide significant relief and improve your quality of life, especially if conservative treatments have not worked. Remember, early intervention can lead to better outcomes, so seeking medical advice sooner rather than later is beneficial.