Doctor insights on:
Treating External Hemorrhoids Without Surgery
No.: External hemorrhoids are covered by " anoderm", which is the skin like tissue in the anal region. The anoderm is innervated by a lot of pain fibers; therefore, when external hemorrhoids cause pain, they cannot be removed by rubber banding, like their internal counterpart. On the other hand, if treated conservatively, the pain from (thrombosed) ext. Hem. Will resolve w/o surgery most of the time. ...Read moreSee 1 more doctor answer
Not removed: While they cannot be removed, they can get better in terms of reduced size and symptoms. This can be done with of a variety of medications in cream and suppository forms, as well as managing bowel habits and the use of soaking in water with or without medication in it. Consider a consultation with a colorectal surgeon or your primary care to find out what's best for you. Hope this helps! ...Read more
Hi Doc, in how many days the stitches of External Hemorrhoids surgery removed from the wound ?
Ps: Forgot to enquiry this question from the doc I know
Should dissolve: In my hemorrhoid patients I used sutures that dissolve in 30-40 days and didn't need to be removed. Removing rectal stitches is like chasing a wild cat around the room, a experience both the patient and I did not want to experience. Ask your surgeon to confirm. ...Read moreSee 1 more doctor answer
Yes, possibly: The definition of grade 3 is that you have internal hemorrhoids that prolapse out, but will go back in if you push on them. Sometimes, grade 3 hemorrhoids will respond to rubber banding or injection. It is not guaranteed and may take multiple procedures. Consult an expert. Start first, though, with Sitz baths in epsom salt and reduce straining and long times on the toilet. Increase fiber/water. ...Read more
Hello, I have external hemorrhoids stage 4, recommended I do surgery. Nevertheless, this thingy does't really bother me (age 30). What do you suggest?
Staging is used for : Internal hemms. Stage IV is when they are prolapsed and can't be reduced. They are usually associated with intense pain and some bleeding. There is a risk of strangulation the longer they are incarcerated. Even in this setting theycan be managed in office at times with local anesthesia and rubber banding. I will recommend seeing a colorectal surgeon who can examine you and advice how to proceed. ...Read moreSee 1 more doctor answer
Colorectal doc said need surgery for external hemorrhoids causing feeling of muscle/ball that has to be pushed in after each bm. Is surgery really nec?
In general: it is best to obtain this type of guidance from medical providers who have examined you and know your history. The providers on HealhTap basic are here to provide medical education - not second opinions. You may wish to ask your surgeon to help arrange a second opinion evaluation by another colorectal surgeon. Good luck. ...Read more