Medical treatment includes diet rich with fibres, intake of oral fluids to maintain hydration and sitz baths.
Office Procedure (Treatment)
A number of office based procedures may be performed. While generally safe, rare serious side effects such as perianal sepsis may occur.
Blood tests to measure your blood counts, your risk of bleeding or infection, how well your liver and kidneys are working and blood grouping, in case you need blood transfusion.
Chest x-ray and ECG (electrocardiogram) to check your lungs and your hearts electrical system.
Rubber band ligation is typically recommended as the first line treatment in those with grade 1 to 3 disease. It is a procedure in which elastic bands are applied onto an internal hemorrhoid at least 1 cm above the dentate line to cut off its blood supply. Within 5"7 days, the withered hemorrhoid falls off. Cure rate has been found to be about 87% with a complication rate of up to 3%.
Sclerotherapy involves the injection of a sclerosing agent, such as phenol, into the hemorrhoid. This causes the vein walls to collapse and the hemorrhoids to shrivel up. The success rate four years after treatment is ~70% which is higher than that with rubber band ligation.
Cauterization methods: A number of cauterization methods have been shown to be effective for haemorrhoids, but are usually only used when other methods fail. This procedure can be done using electrocautery, infrared radiation, laser surgery or cryosurgery. These methods may be an option for grade 1 or 2 disease. In those with grade 3 or 4 disease re-occurrence rates are high.
Rubber band ligation and Sclerotherapy