When a patient with a severe case of hemorrhoids has not responded well to more conservative treatments, we may recommend surgery for hemorrhoids. Hemorrhoids that are very larger or bleed regularly may need to be removed entirely in order to provide relief from discomfort and symptoms. This is a one-time procedure and most patients enjoy a better quality of life as a result.
When the veins in the wall of the rectum have become enlarged, twisted, swollen, or inflamed, they can cause large bumps that start to bleed or cause significant pain and discomfort. Internal hemorrhoids form inside the anus. External hemorrhoids form right under the skin around the anus. Both types can protrude and cause discomfort then sitting or performing certain types of exercises.
Since hemorrhoids are often caused by an increase in pressure or strain when having bowel movements, they may be prevented by eating a diet that reduces the risk of constipation. Maintaining a healthy weight can also reduce the risk of obesity-related hemorrhoids.
Other ways to prevent hemorrhoids include:
• Eating more fiber-rich foods
• Drinking more water and fluids to prevent constipation
• Exercising regularly
• Refraining from excessive laxative use
• Avoiding strained bowel movements
How Surgery for Hemorrhoids is Performed
Hemorrhoid surgery is an outpatient procedure and is typically performed under local anesthesia, a spinal block or general anesthesia. Your surgeon will place a metal scope directly into the anal canal to detect the internal hemorrhoids and then lift up the excess mucosa to remove the internal and external hemorrhoids. We use a pair of scissors to cut away the tissue or an ultrasonic device to cut and seal the tissue quickly during the procedure. Any sutures used will dissolve and can be removed later.
Life After Hemorrhoid Surgery
Even though the surgical procedure is fairly simple, some patients do experience some pain and bleeding after surgery. Warm baths can help to alleviate some of the pain and staying hydrated will reduce the risk of pain from constipation. Most patients can return to work within three weeks of surgery with no discomfort.
Learn more about treatment options for hemorrhoids by scheduling your appointment at our Los Angeles or Glendale office today.