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Haemorrhoids - Why To Go For Surgery?

Written and reviewed by
Dr. Rahul Jawahar 89% (45 ratings)
MS - General Surgery
General Surgeon, Thrissur  •  6 years experience
Haemorrhoids - Why To Go For Surgery?

The symptoms of haemorrhoids are quite painful, annoying, and uncomfortable, whether they are internal (inside the rectum) or external (outside the rectum). Most of the people having haemorrhoids recover from the symptoms with some mild treatment options such as applying some creams and ointments, drinking plenty of water or eating a fibre diet. But if the symptoms become severe, resulting in more complications that can’t be treated with mild treatment options, then surgery is recommended.

Following are some important reasons to go for haemorrhoid surgery:

  1. When haemorrhoid symptoms still persist: The most common reason why a majority of patients go for surgery is that their haemorrhoid symptoms continue even after having undergone a conservative medical treatment. The affected individuals experience pain, swelling, bleeding, and itching.
  2. When serious complications develop: Some patients may develop serious complications of haemorrhoids, which may include thrombosed haemorrhoids and prolapsed haemorrhoids. When a clot (thrombus) develops in the external haemorrhoids giving a feeling of a lump near the anus, the condition is called thrombosed haemorrhoids. When internal haemorrhoids prolapse through the rectum and bulge outward from the anus due to excessive straining, the condition is called prolapsed haemorrhoids. Both these conditions cause severe irritation and can become infected. Therefore, they require a surgical treatment.
  3. When haemorrhoid symptoms become worse: Some patients may experience symptoms of haemorrhoids even at the time of diagnosis. This may require immediate medical treatment including a surgery, if needed. These symptoms include anaemia (occurs due to excessive bleeding), strangulated haemorrhoid (develops when internal haemorrhoid becomes constricted due to loss of blood supply) and extreme pain.

Types of haemorrhoid surgeries:
The two most common types of surgeries performed nowadays to treat haemorrhoids include:

  1. Haemorrhoidopexy: It is also called stapled haemorrhoidectomy or haemorrhoid stapling. This is used for the treatment of prolapsed haemorrhoids. During the procedure, the prolapsed haemorrhoid is surgically stapled back inside the rectum to its place and the blood supply cuts off so that the tissue shrinks.
  2. Haemorrhoidectomy: Also called haemorrhoid removal, it is used for the treatment of large external haemorrhoids and prolapsed internal haemorrhoids that don’t respond to other treatment options. During the procedure, the surgeon cuts out the large haemorrhoid.

There are various factors that a doctor considers while deciding on the right surgical treatment option for haemorrhoids. The degree of the symptoms, place, type of haemorrhoids, diagnosis and the individual patient’s conditions are determined before deciding to go for a haemorrhoid surgery. Hence, it is crucial that you discuss the treatment options with a specialist to get the best possible recovery. In case you have a concern or query you can always consult an expert & get answers to your questions!

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