External Hemorrhoids: Treatment Options and Costs - Surgery

More Info

---

External hemorrhoids, commonly known as piles, are swollen veins located around the anus and lower rectum. They can cause discomfort, pain, and bleeding, especially during bowel movements. In your case, it seems that you have experienced a progression from anal fissures to the development of hemorrhoids, which is not uncommon.

Treatment Options
1. Conservative Management:
- Topical Treatments: Medications like 保痣寧 (a topical ointment) can help reduce inflammation and discomfort. These treatments may alleviate symptoms but may not eliminate the hemorrhoids entirely.

- Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements, which is crucial for managing hemorrhoids.

- Hydration: Drinking plenty of water can also help prevent constipation.

2. Minimally Invasive Procedures:
- If conservative treatments fail, there are several minimally invasive options available:
- Rubber Band Ligation: This involves placing a small band around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and fall off.

- Sclerotherapy: A chemical solution is injected into the hemorrhoid tissue, causing it to shrink.

- Infrared Coagulation: This technique uses infrared light to coagulate the tissue and reduce the size of the hemorrhoid.

3. Surgical Options:
- In cases where hemorrhoids are large or persistent, surgical options may be considered:
- Hemorrhoidectomy: This is a surgical procedure to remove the hemorrhoids. It is usually performed under anesthesia and may require a recovery period.

- Stapled Hemorrhoidopexy: This procedure involves using a stapling device to reposition the hemorrhoids and cut off their blood supply.


Costs and Duration
The cost of treatment can vary significantly based on the method chosen and the healthcare facility. Here’s a rough estimate:
- Topical Treatments: These can range from $10 to $50 depending on the medication.

- Minimally Invasive Procedures: Costs can range from $300 to $1,500, depending on the specific procedure and whether it is done in an outpatient or hospital setting.

- Surgical Options: A hemorrhoidectomy can cost between $3,000 to $10,000, depending on the complexity of the case and the facility.


Follow-Up and Prognosis
- Follow-Up: After any treatment, follow-up appointments are essential to monitor recovery and ensure that the hemorrhoids do not recur.
- Prognosis: Most patients experience significant relief from symptoms after treatment, especially if they adhere to lifestyle changes that prevent constipation and straining.


Conclusion
If the topical treatment you are currently using does not provide relief, it is advisable to consult a specialist, such as a colorectal surgeon, for further evaluation. They can provide a comprehensive assessment and discuss the most appropriate treatment options based on the severity of your condition. Seeking a second opinion is also a good practice if you have concerns about your current treatment plan.
In summary, while topical treatments can help manage symptoms, they may not eliminate hemorrhoids entirely. If the condition persists or worsens, more invasive treatments may be necessary. Always consult with a healthcare professional to determine the best course of action for your specific situation.