Do I Need Surgery for My Hemorrhoids? Expert Insights - Surgery

More Info

---

When it comes to managing hemorrhoids, the decision to undergo surgery often depends on the severity of the condition and the symptoms experienced. Hemorrhoids, which are swollen veins in the lower rectum and anus, can be classified into two main types: internal and external. Internal hemorrhoids are located inside the rectum, while external hemorrhoids are found under the skin around the anus.
In your case, you mentioned the presence of a "small flesh ball" around the anal area, which has worsened due to recent constipation from a long flight. The fact that you are experiencing an "alien sensation" but no pain suggests that you might be dealing with either an external hemorrhoid or a thrombosed hemorrhoid, which occurs when a blood clot forms in an external hemorrhoid. Thrombosed hemorrhoids can be quite uncomfortable and may require surgical intervention, especially if they are causing significant discomfort or complications.

The good news is that many cases of hemorrhoids can be managed conservatively. Warm sitz baths, which you mentioned, can help alleviate symptoms by promoting blood flow to the area and reducing inflammation. Over-the-counter treatments, such as topical creams or ointments containing hydrocortisone, can also provide relief from itching and discomfort. Increasing dietary fiber and fluid intake can help prevent constipation, which is a common trigger for hemorrhoid flare-ups.

However, if your symptoms persist or worsen, or if you develop significant pain, bleeding, or other complications, it may be time to consider surgical options. Surgical procedures for hemorrhoids include rubber band ligation, sclerotherapy, and hemorrhoidectomy. Rubber band ligation is a minimally invasive procedure where a rubber band is placed around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and fall off. Sclerotherapy involves injecting a solution into the hemorrhoid to shrink it. A hemorrhoidectomy is a more invasive procedure that involves the surgical removal of the hemorrhoids and is typically reserved for severe cases.

In summary, while many hemorrhoids can be managed with conservative measures, surgery may be necessary if the condition is severe or if conservative treatments fail to provide relief. It is essential to consult with a healthcare professional, preferably a colorectal surgeon, who can evaluate your specific situation and recommend the most appropriate treatment plan based on the severity of your symptoms and your overall health.

In addition, it is important to address any underlying factors contributing to your hemorrhoids, such as diet, hydration, and bowel habits. Regular exercise and avoiding prolonged sitting can also help reduce the risk of developing hemorrhoids in the future. If you have any concerns or questions about your condition, do not hesitate to reach out to a healthcare provider for personalized advice and treatment options.