Internal Hemorrhoids: Treatment Options and Surgery - Surgery

More Info

---

Internal hemorrhoids, also known as internal piles, are swollen veins located inside the rectum. They can cause discomfort, bleeding, and other symptoms, particularly during bowel movements. Treatment options for internal hemorrhoids vary depending on the severity of the condition, and they can range from conservative management to surgical interventions.

Initially, many patients are treated with conservative measures, which may include topical treatments such as ointments and suppositories. These medications can help alleviate symptoms like itching and inflammation. It's common for doctors to prescribe a combination of topical creams and suppositories to provide relief. The use of suppositories typically lasts for about a week, but it’s essential to follow your doctor's specific instructions regarding the duration of use. If your doctor has advised you to use the suppository for seven days, it is advisable to adhere to that recommendation unless otherwise directed.

If conservative treatments do not provide sufficient relief, or if the hemorrhoids are particularly large or symptomatic, surgical options may be considered. There are several surgical procedures available for treating internal hemorrhoids, including:
1. Rubber Band Ligation: This is a minimally invasive procedure where a small rubber band is placed around the base of the hemorrhoid to cut off its blood supply. The hemorrhoid shrinks and eventually falls off within a week or so.

2. Sclerotherapy: In this procedure, a chemical solution is injected into the hemorrhoid tissue, causing it to shrink.

3. Infrared Coagulation: This technique uses infrared light to coagulate the blood vessels supplying the hemorrhoid, leading to its shrinkage.

4. Hemorrhoidectomy: This is a surgical procedure that involves the complete removal of the hemorrhoids. It is usually reserved for severe cases or when other treatments have failed.

5. Stapled Hemorrhoidopexy: This procedure involves using a stapling device to remove a portion of the hemorrhoidal tissue and reposition the remaining tissue.

Regarding your concerns about passing gas and bowel movements leading to discomfort or "oily" discharge, it is not uncommon for individuals with internal hemorrhoids to experience changes in bowel habits or sensations. If you notice that these symptoms persist or worsen, it is crucial to discuss them with your healthcare provider. They can provide guidance on managing these symptoms and determine if further evaluation or treatment is necessary.

In summary, if you are considering surgery for your internal hemorrhoids, it is essential to have a thorough discussion with your healthcare provider. They can assess your specific situation, explain the potential benefits and risks of surgery, and help you decide on the best course of action. Additionally, if you have any concerns about the use of suppositories or the timing of stopping them, do not hesitate to reach out to your doctor for clarification. They are best positioned to provide personalized advice based on your medical history and current condition.