Effective Treatments for Prolapsed Hemorrhoids: A Guide - Surgery

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Prolapsed hemorrhoids, also known as prolapsed piles, can be a distressing condition, especially when they protrude from the anal canal and cannot be pushed back in. This situation often arises due to increased pressure in the rectal area, which can be exacerbated by prolonged standing, straining during bowel movements, or chronic diarrhea, as you've experienced. Here’s a comprehensive guide on effective treatments for prolapsed hemorrhoids.


Initial Management
1. Lifestyle Modifications:
- Dietary Changes: Increase your fiber intake to soften stools and reduce straining during bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Consider fiber supplements if necessary.

- Hydration: Drink plenty of water to help keep stools soft.

- Regular Exercise: Engage in regular physical activity to promote bowel function and reduce pressure on the rectal area.

2. Topical Treatments:
- Over-the-counter creams or ointments containing hydrocortisone can help reduce inflammation and itching. Witch hazel pads can also provide soothing relief.

3. Warm Sitz Baths:
- Soaking in warm water for 10-15 minutes several times a day can help alleviate discomfort and promote healing.


Medical Treatments
If conservative measures do not provide relief, or if the hemorrhoids remain prolapsed, medical treatments may be necessary:
1. Rubber Band Ligation:
- This is a common outpatient procedure where a small rubber band is placed around the base of the hemorrhoid to cut off its blood supply. The hemorrhoid will eventually shrink and fall off.

2. Sclerotherapy:
- A sclerosing agent is injected into the hemorrhoid tissue, causing it to shrink. This method is less invasive and can be performed in a doctor's office.

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

4. Hemorrhoidectomy:
- In cases of severe prolapse or when other treatments fail, surgical removal of the hemorrhoids may be necessary. This is typically reserved for large or persistent hemorrhoids.


Surgical Considerations
If you are considering surgery, it’s important to discuss the potential risks and benefits with your healthcare provider. Surgical options can provide long-term relief, but they may come with complications such as pain, bleeding, or infection.


When to Seek Immediate Care
If you experience severe pain, significant bleeding, or signs of infection (such as fever or increased redness), it’s crucial to seek medical attention promptly.


Conclusion
Managing prolapsed hemorrhoids effectively involves a combination of lifestyle changes, topical treatments, and possibly medical interventions. Given your situation of prolonged standing and chronic diarrhea, addressing these underlying factors is essential. Consult with a healthcare provider for a personalized treatment plan that may include one or more of the above options. Early intervention can help prevent complications and improve your quality of life.