* What are the forms of treatment – surgical and non-surgical?
Hemorrhoids only require treatment when there are symptoms. And the type of treatment depends on the severity of symptoms. Mild symptoms may be managed just by eating a lot of fiber and taking in bulk laxatives such as psyllium to improve the consistency of stools and ease bowel movement. Some over-the-counter creams may provide symptomatic relief.
Non-surgical and almost painless treatments for hemorrhoids include injection sclerotherapy, infrared photocoagulation (often mislabeled as “laser treatment”), and rubber band ligation, any of which can be done safely in the clinic as an out-patient procedure. In scientific studies comparing these methods, rubber band ligation was found to be the most effective and cheap, which is why it is the most common non-surgical procedure for hemorrhoids in the world today.
Non-surgical treatment is often ineffective for large, incarcerated or thrombosed hemorrhoids. Surgery is usually recommended in these situations, and also when non-surgical treatment has failed to relieve symptoms. Traditional surgery requires cutting out the hemorrhoid using a variety of instruments such as scissors, knives, cautery, and ultrasonic dissectors. Unfortunately, any wound created in the outer skin of the anus results in often Sever post-operative pain, which is responsible for the reputation of hemorrhoid surgery being one of the most painful of operations.