There are many hemorrhoid treatments available, some are simple diet changes and some are actual surgical procedures. Without a doubt Doppler-guided hemorrhoid arterial ligation (DG-HAL) for the treatment of hemorrhoids is a pretty exciting advancement in the treatment of hemorrhoids. This is a relatively new procedure developed by Kazumasa Morinaga, a Japanese surgeon. It is now fully approved by the FDA for the treatment of hemorrhoids, plus, it’s been shown to be as effective as other more traditional hemroid treatment options.

The Doppler part of the equation is the use of ultrasound to find the hemorrhoidal veins and then stop the blood flow to the hemroid. When the blood flow stop, the hemorrhoid shrinks up and stops causes problems. Because this procedure doesn’t involve cutting, it results in a faster recovery time with minimal discomfort. You will be able to return to work in 2-3 days. Plus, this procure is minimally invasive and can be done very quickly on an outpatient basis.  

According to a scientific paper published in 2007 titled Treatment of Grade 2 and 3 Hemorrhoids with Doppler-Guided Hemorrhoidal Artery Ligation and authored by B.M. Wallis de Vries, E.S.J. van der Beek, L.R.H. de Wijkerslooth, W.C. van der Zwet, J.A.B. van der Hoeven, M. Eeftinck Schattenkerk, E.H. Eddes Doppler guided arterial litigation achieved higher marks than rubber band ligation which is the most common hemorrhoid treatment available.

In 18 clinical trials, 13% of patients who had rubber ligation reported pain after the procedure and the retreatment rate was 40%. Reported pain during the above study was only 6% and the re-treatment rate was only 9% 18 months later for the DG-HAL.

The doctor’s in this study universally opted to make DG-HAL “the treatment of choice for symptomatic grade II and III hemorrhoids”. Somewhat ironically they wanted to do more comparison studies with rubber band ligation and DG-HAL, but due to the press, popularity and success rate of DG-HAL they couldn’t find enough patients willing to opt for the rubber band ligation to make the study possible.

Discomfort during bowel movements or while seated may be an indication of hemorrhoids. Most common hemroid treatment options may be administered at home, but the most advanced cases may require surgery. Before pursuing a surgical option, try one of the many available over the counter treatments. It is always best to talk to a doctor before undertaking any treatment plan, as the placement of a hemorrhoid and the amount of pain it is causing will help determine the best treatment option. Treatment and diagnosis can also depend on the age of the patient and a patient’s family history, so older patients or anyone who has lost a relative to colon or bowel cancers should always speak to their doctor when the pain begins.

A hemorrhoid is simply a swollen rectal vein. Blood in the stool is a common indicator of internal hemorrhoids, and hemorrhoids outside the body can be easily seen. Anyone who experiences pain or bleeding during bowel movements may be suffering from a hemorrhoid, but be aware that these symptoms can also be warning signs of more serious problems. If pain or bleeding occurs and no obvious swelling can be seen, speak to a doctor immediately.

 There are a variety of underlying causes for developing hemorrhoids. 50% of those over the age of 50 will develop them at some point. Women who are pregnant or anyone who suffers from constipation are also at increased risk. Getting your daily-recommended amount of fiber will increase bowel and rectal health and reduce the chances of hemorrhoid development. Consider an over the counter stool softener or fiber supplement to help reduce your risk factors.

Experts suggest that hemorrhoid sufferers first try to treat the problem at home and with non-invasive measures. Most of the pain associated with hemorrhoids is caused by their contact with chairs when sitting or clothing. Relieving the pain may be as simple as coaxing any external swelling back into the body. If you are not experiencing bleeding or too much discomfort, this may be the only action necessary for relief.

Over the counter treatment creams that can be topically applied are readily available at most drug stores. They serve to relieve the itching and pain that a patient often feels. Always clean and dry the area of application to reduce the risk of infection and get maximum relief. The number of creams on the market can be intimidating, so do not hesitate to speak with your physician for recommendations. The goal of most creams is a reduction in symptoms, but some may help produce scar tissue and clean and heal bleeding.

 In extreme cases, fixative or surgical procedures may be indicated. For internal hemorrhoids, a doctor may cut off the flow of blood with a rubber band to reduce swelling and promote scar tissue. This will alleviate the pressure for an immediate pain reduction, and the scar tissue will help prevent another hemorrhoid from developing in the same place. Constantly bleeding hemorrhoids may require invasive surgery. The area will be frozen or cut from the large intestine. This is by far the most expensive treatment option and will require some recovery time, so it is only called for in the most severe cases.

It’s never a good idea to simply diagnose yourself even for something as simple as hemroids. Even with hemroids, you need to get a doctor’s exam. If you’re under 50, you’ll most likely get a simple rubber glove exam. Unfortunately, if you’re over 50 you’ll be getting the Full Monty. This will be either a sigmoidoscopy or a colonoscopy. During the sigmoidoscopy, the doctor is just looking at the last 2 feet of your colon, but during the colonoscopy your entire colon is viewed. This may seem excessive for diagnosing a hemroid, but this is to make sure that you don’t have anything more serious that may have similar symptoms to hemroids. It’s in your best interest to not cut corners when it comes to maintaining your health, so be sure to book that doctor’s appointment.