There are many hemorrhoid treatments available for you. So to know the best treatment for your hemorrhoid, you need to know about the type of hemorrhoid, because treatment of hemorrhoid is divided by the cause of symptoms into internal and external treatments. Internal hemorrhoids do not have cutaneous innervation that’s why it’s painless, except when it incarcerated and strangulated, and can be destroyed without anesthetic. It has 4 stages, classified by symptoms. For stage 1 bleeding is the only symptoms, stage 2 it can prolaps with straining but it will return to their resting point by itself, in stage 3 you will find that you will need a manual effort to put it back into the acal canal, and at stage 4 it’s constantly outside so it will not return to the canal. External hemorrhoids involve the veins outside the anus and it affect the skin that innervated so it can be itchy or painful and can sometimes crack and bleed. For the first line treatment you can use a conservative therapy but if it doesn’t have any respond then you should considered the non-operative treatment such as rubber band ligation, sclerotherapy injection, heat coagulation, carbon dioxide freezing, Lord dilatation.
Sclerotherapy injection is a procedure for treating small, internal, first or second degree hemorrhoids. This procedure using a liquid chemical (phenol or quinine urea) injected into the base of the hemorrhoid. This will finally move into the blood vessel area and discontinue the blood supply that is moving to the hemorrhoid, this process will caused it harder and die end with the hemorrhoid comes off. The hemorrhoids symptoms will return after a few year and may need further treatment.
Rubber band ligation can be used with first, second, and third degree internal hemorrhoids and more effective than sclerotherapy. It will encircle the base of the hemorrhoidal anal cushion with a tight rubber band until the tissue cutt off.
Heat coagulation used for first, second, and third degree hemorrhoids. This procedure will kill the tissues in and around the hemorrhoids and cause a scar tissue to occur. There are certain treatment that use heat to kill the hemorrhoidal tissue and promote inflammation and scaring such as bipolar diathermy, direct-current electrotherapy, and infrared photocoagulation.
Cryotherapy use a cold temperature to obliterate the vein and make inflammation and scaring. This procedure is less effective and not commonly used.
Lord dilatation is rarely used because it can caused an uncontrolled disruption of the sphincter mechanism. This technique, also known as anal stretch will stretching out your anal walls to the point where eight fingers are inserted after the stretching is achieved, a sponge is inserted to prevent damage to the area. The goal of this procedure is to relieve constriction of the area.