Dry hemorrhoid therapy
Hello, Director Ke.
Recently, I have been experiencing pain after bowel movements, and my internal hemorrhoids feel larger (I have researched and believe I am at grade 3).
I visited a clinic called "Hong An Hemorrhoid Clinic" in Banqiao.
After the examination, they mentioned that my condition might require surgery.
Later, they said that due to complications from surgery experienced by other patients, the doctor proposed a special non-surgical treatment that only requires three sessions (and it is painless).
However, each session costs NT$18,000, which I find quite expensive.
I would like to ask if the "Hong An" clinic's method for treating hemorrhoids is truly effective, as I prefer to avoid surgery.
My condition involves multiple hemorrhoids on both sides.
Is the rubber band ligation method applicable in my case? Additionally, what is the general cost for the non-surgical hemorrhoid treatment? Thank you very much!
Xiao Long, 30~39 year old female. Ask Date: 2008/01/17
Dr. Ke Fangxu reply Surgery
Dear Xiao Long: The need for surgery for hemorrhoids has strict indications.
In simple terms, persistent bleeding and severe pain necessitate surgical treatment.
If you seek treatment from a qualified physician, aside from experiencing some abnormal sensations in the anal area for a week post-surgery, there will be no lasting side effects.
As for hemorrhoidal prolapse, it falls under relative indications, meaning that surgery is optional and depends on the individual patient's needs.
If you prefer not to have surgery, the National Health Insurance also covers rubber band ligation and sclerotherapy for hemorrhoids, which do not require out-of-pocket expenses.
Please consult a qualified physician at a major hospital, preferably a colorectal surgeon, for advice and assistance.
Reply Date: 2008/01/17
More Info
When considering non-surgical treatments for hemorrhoids, particularly for a case classified as Grade 3, it's essential to weigh the effectiveness and costs of various options. Hemorrhoids, especially when they become symptomatic, can significantly impact quality of life, leading to discomfort, pain, and even complications if left untreated.
Non-Surgical Treatment Options
1. Rubber Band Ligation: This is a common non-surgical procedure for treating hemorrhoids. It involves placing a small rubber band around the base of the hemorrhoid to cut off its blood supply. The hemorrhoid then shrinks and falls off within a week or so. This method is generally effective for Grade 2 and Grade 3 hemorrhoids and is less invasive than traditional surgery. The cost can vary widely, but it typically ranges from $300 to $1,500 per session, depending on the provider and location.
2. Sclerotherapy: This involves injecting a solution into the hemorrhoid, causing it to shrink. It is less painful than surgery and can be done in a doctor's office. The cost is usually lower than surgical options, often between $300 and $800 per session.
3. Infrared Coagulation (IRC): This method uses infrared light to coagulate the blood vessels feeding the hemorrhoid, leading to its shrinkage. The costs are similar to sclerotherapy and rubber band ligation.
4. Cryotherapy: This treatment involves freezing the hemorrhoid tissue, which can also lead to its shrinkage. While effective, it is less commonly used than the other methods mentioned.
The Cost-Benefit Analysis
Regarding the specific treatment you mentioned at 弘安痔科, which costs $18,000 per session for a special therapy, it is crucial to evaluate the claims made by the clinic. While some clinics may offer innovative treatments, it is essential to consider the following:
- Efficacy: Is there scientific evidence supporting the effectiveness of this therapy? Research and clinical trials can provide insights into whether the treatment is genuinely beneficial.
- Cost: Compare the cost of this therapy with more established non-surgical options. If the therapy is significantly more expensive, it may not be justified unless it has proven superior results.
- Consultation: Seek a second opinion from another healthcare provider. They may offer alternative treatments or confirm the necessity of the proposed therapy.
Surgical Considerations
If non-surgical treatments fail or if the hemorrhoids are particularly severe, surgical options may be necessary. Surgical procedures, such as hemorrhoidectomy, are generally more invasive and come with risks, including pain, bleeding, and complications. The success rate for surgical interventions is high, but recovery can be longer compared to non-surgical methods.
Conclusion
In summary, while non-surgical treatments for hemorrhoids can be effective, it's essential to evaluate the costs and benefits critically. Treatments like rubber band ligation and sclerotherapy are well-established and may offer a more cost-effective solution compared to the specialized therapy proposed by 弘安痔科. Always consider consulting with multiple healthcare providers to ensure you receive the best possible care tailored to your specific condition.
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