Injection Treatment for Internal Hemorrhoids: What to Expect

Injection therapy for internal hemorrhoids?

Hello, Doctor.
This year, I noticed fresh blood in my stool and went to the hospital for an examination.
The physician performed a digital rectal exam and diagnosed me with an anal fissure.
However, I experienced a few more episodes of blood when wiping after bowel movements, but usually, the bleeding was only during those instances, and there was hardly any pain.
Today, I visited a different hospital, and the doctor also performed a digital rectal exam.
He said that I do not have an anal fissure, and there are no other issues with the anal area; I only have internal hemorrhoids.
He administered three injections directly.

1.
Will there be any side effects from the injections for internal hemorrhoids? I received the injections in the morning, and by the afternoon, I still felt some discomfort in the anal area (a slight feeling of swelling).

2.
I have the urge to have a bowel movement, but it feels like I might have diarrhea, although the stool volume is not significant.
Should I be more cautious?
3.
Is it okay to add Betadine to the warm water for soaking? Thank you.

AA, 30~39 year old female. Ask Date: 2014/11/24

Dr. Ke Fangxu reply Surgery

1.
After sclerotherapy injection, there may be mild pain and bleeding, which typically resolves within three days to a week.

2.
Do not spend too much time on the toilet.

3.
Post-surgery, only wounds require the application of Betadine; for sclerotherapy, a sitz bath with plain water is sufficient.

Reply Date: 2014/11/24

More Info

When it comes to the treatment of internal hemorrhoids, injection therapy, also known as sclerotherapy, is a common and effective method. This treatment involves injecting a sclerosing agent into the hemorrhoidal tissue, which causes the hemorrhoids to shrink and eventually disappear. However, it is important to understand what to expect after the procedure, including potential side effects and aftercare.

1. Potential Side Effects and Aftermath: After receiving injections for internal hemorrhoids, it is not uncommon to experience some discomfort. The sensation of swelling or a feeling of fullness in the anal area, as you described, can occur as a result of the injection. This is usually temporary and should subside within a few days. However, if the discomfort persists or worsens, it is advisable to consult your doctor. In rare cases, complications such as infection, bleeding, or allergic reactions to the sclerosing agent can occur, but these are not typical.

2. Bowel Movements and Changes: It is also common to experience changes in bowel habits after the procedure. The feeling of needing to have a bowel movement, even if the amount is small, can be a result of the irritation caused by the injection. It is essential to monitor your bowel movements and ensure that you are not straining, as this can exacerbate hemorrhoidal symptoms. Staying hydrated and consuming a high-fiber diet can help maintain regular bowel movements and prevent constipation, which is crucial for recovery.

3. Sitz Baths and Hygiene: Regarding your question about adding iodine to sitz baths, it is generally recommended to use plain warm water for sitz baths to soothe the area and promote healing. Adding substances like iodine may irritate the sensitive tissue and is not typically advised unless specifically recommended by your healthcare provider. Sitz baths can be beneficial in reducing discomfort and promoting cleanliness, but it’s best to keep them simple.

In summary, while injection treatment for internal hemorrhoids is effective, it is essential to be aware of the potential for temporary discomfort and changes in bowel habits. Monitoring your symptoms and maintaining good hygiene practices will aid in your recovery. If you have any concerns or if your symptoms do not improve, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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