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Hemorrhoids

As the old Chinese saying goes, “9 out of 10 men have hemorrhoids.” However, this truth is, there are chances that you may have hemorrhoids irrespective of your gender. Despite medication treatment, for more severe cases, patients may receive conventional open hemorrhoidectomy or stapled hemorrhoidectomy for a resolution of their hemorrhoids.

Symptoms of hemorrhoids

  • Blood in stool, hemorrhoid bleeding appears in fresh red colour and the blood will not be mixed with stool. If the stool appears in dark red or blood clots exist, there is a must to perform a colonoscopy examination to rule out the possibility of colon cancer.
  • Protruding anus, with pain and itchiness
  • Normally hemorrhoids will not be painful unless it caused by thrombosis in the anal vessels that resulted in acute hemorrhoids, which the protrusion is too extreme that the hemorrhoid cannot be repositioned into the anus, causing severe pain.
  • Patients may be anemic due to chronic blood loss

How to diagnose hemorrhoids?

urgeons may perform either clinical examination or colonoscopy to determine whether a patient has hemorrhoid. Generally teenagers have a lower chance of having colon cancer. Therefore they seldom require rectal or colonoscopy examination. On the other hand, elderly patients with blood in stool require colonoscopy as soon as possible to rule out the possibilities of other intestinal diseases (including colon cancer).

Treatment of hemorrhoids

Treatments can be classified into non-surgical or surgical means. Early stages of hemorrhoids are more suitable for non-surgical treatment, including taking oral medications, using topical medications, injections and lifestyle changes, such as increasing fiber intake to alleviate the condition. For patients with later stages of hemorrhoids, surgical resection, including conventional open hemorrhoidectomy and stapled hemorrhoidectomy.

Hemorrhoid surgery – conventional open hemorrhoidectomy

Conventional surgery has a satisfactory result and low recurrent rate. Although the pain will last for a few days or even weeks after surgery, the chances of bleeding, incontinence and recurrence are lower.

Hemorrhoid surgery - stapled hemorrhoidectomy

Stapled hemorrhoidectomy is the use of the circular stapler to remove the loosen part of the hemorrhoid mucosal layer and stable the incision at the same time, so as to cut off the blood supply of the hemorrhoid and let it shrink eventually.

This belongs to minimally invasive procedure. Since the wound is located inside the rectum and without touching the nerves, therefore the pain involved would be much lower than conventional surgery. The pain will subside within a day. However, complications including infection, bleeding or rectal constriction that causes problem in defecation may require further follow-up.

The information on this website is for general educational purpose only.
Readers should consult their physician before considering treatment, and should not interpret their condition solely based on the information above.