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

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When it comes to mixed hemorrhoids, the decision to undergo surgery is often influenced by the severity of symptoms, the size of the hemorrhoids, and the patient's overall health. Mixed hemorrhoids, which consist of both internal and external components, can cause discomfort, swelling, and other symptoms that may lead individuals to seek treatment.
1. Swelling of External Hemorrhoids: Yes, external hemorrhoids can swell, especially after prolonged periods of standing or sitting, as you described when holding your child. This swelling can be due to increased pressure in the anal region, which can occur during activities that put strain on the pelvic area, such as lifting or prolonged sitting. If the external hemorrhoid becomes thrombosed (a blood clot forms), it can lead to significant pain and swelling, although you mentioned that you are not experiencing pain at this time.

2. Frequency of Rubber Band Ligation: Rubber band ligation is a common procedure for treating internal hemorrhoids. While it can be effective, it is not uncommon for hemorrhoids to recur after treatment. The number of times this procedure can be performed varies by individual, but it is generally safe to repeat it several times if necessary. However, if you find that you are needing this procedure frequently, it may be worth discussing other treatment options with your healthcare provider.

3. Surgical Considerations: The decision to proceed with surgery for hemorrhoids, especially when they are small, should be made carefully. While smaller hemorrhoids may seem like they would be easier to remove and recover from, surgery carries risks, including pain, infection, and complications such as anal stenosis or incontinence. The recovery process can also be influenced by the surgical technique used. Some patients may find that conservative management, such as dietary changes, increased fiber intake, and topical treatments, can effectively manage their symptoms without the need for surgery.

In your case, since you are not experiencing significant pain or bleeding, and your symptoms seem manageable, it may be prudent to consider non-surgical options first. However, if your symptoms worsen or if you develop new symptoms, it would be wise to revisit the possibility of surgical intervention.
It's also important to maintain open communication with your healthcare provider. If you feel anxious about your symptoms or the potential for surgery, discussing your concerns with your doctor can help alleviate some of that anxiety. They can provide reassurance, explain the risks and benefits of various treatment options, and help you make an informed decision that aligns with your health goals and lifestyle.

In summary, while surgery for mixed hemorrhoids can be effective, it is not always necessary, especially if symptoms are mild. Conservative management should be considered first, and surgery can be reserved for cases where symptoms are more severe or persistent. Always consult with a qualified healthcare provider to determine the best course of action for your specific situation.