Do You Need Surgery for Fibrotic Hemorrhoids? Expert Insights - Surgery

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Fibrotic hemorrhoids, also known as fibrous hemorrhoids, are a condition characterized by the presence of swollen veins in the rectal area that have become hardened or fibrotic due to chronic irritation or inflammation. This condition can be uncomfortable and may lead to symptoms such as itching, pain, and discomfort during bowel movements. However, the need for surgical intervention largely depends on the severity of the symptoms and the impact on the patient's quality of life.

In your case, since you mentioned that you do not experience blood in your stool or prolapse, and you maintain a regular bowel schedule without excessive straining, it suggests that your condition may be manageable without immediate surgical intervention. Many patients with mild to moderate hemorrhoids can find relief through conservative measures, such as sitz baths, dietary changes, and over-the-counter medications.


Conservative Management
1. Sitz Baths: Taking warm sitz baths several times a day, especially after bowel movements, can help soothe the area and reduce discomfort. This practice promotes blood flow to the region and can aid in healing.


2. Dietary Adjustments: Increasing fiber intake through fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements. Staying well-hydrated is also crucial.

3. Over-the-Counter Medications: Topical treatments, such as hydrocortisone creams or witch hazel pads, can provide symptomatic relief. Oral pain relievers like acetaminophen or ibuprofen may also help manage discomfort.

4. Avoiding Prolonged Sitting: Since you mentioned that your job requires prolonged sitting, it may be beneficial to take regular breaks to stand up, stretch, and walk around. This can help alleviate pressure on the rectal area.


When to Consider Surgery
Surgery for fibrotic hemorrhoids is typically reserved for cases where conservative treatments have failed, or if the hemorrhoids are causing significant pain, bleeding, or other complications. Surgical options include:
- Hemorrhoidectomy: This is the surgical removal of hemorrhoids and is usually considered for severe cases.

- Rubber Band Ligation: 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.


Conclusion
In summary, for your situation, it seems that conservative management may be sufficient at this stage. However, it is essential to monitor your symptoms closely. If you experience any changes, such as increased pain, bleeding, or other concerning symptoms, it would be prudent to consult with a healthcare professional for further evaluation. They can provide personalized advice and determine if surgical intervention is necessary based on your specific condition and overall health.

Always remember that while online resources can provide general information, they cannot replace professional medical advice tailored to your individual circumstances. If you have further questions or concerns, consider scheduling an appointment with a healthcare provider who specializes in gastrointestinal health or colorectal surgery.