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Is Band Ligation Procedure Effective In Treating Hemorrhoids?
Question: I got a colonoscopy a month ago. External and internal hemorrhoids were noted (no surprise) without bleeding or thrombosis, and there were no polyps which is good. I do have itching and bleeding on occasion when passing stools. I understand banding is a procedure to eliminate hemorrhoids.
Is banding used on both internal and external hemorrhoids?
When is banding justified or contra-indicated?
In what setting(s) is it done? ...medication required? ...at what anticipated cost range?
Any other treatment recommended, besides live with it and have a diet that is high fiber and promotes soft stools?
Is banding used on both internal and external hemorrhoids?
When is banding justified or contra-indicated?
In what setting(s) is it done? ...medication required? ...at what anticipated cost range?
Any other treatment recommended, besides live with it and have a diet that is high fiber and promotes soft stools?
Brief Answer:
Band ligation.
Detailed Answer:
Hello,
Thank you for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concern.
As per your queries answers are-
1)Rubber band ligation is a procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow to the hemorrhoid. This treatment is only for internal hemorrhoids.
2)Internal hemorrhoids may be classified into four grades on the basis of the Goligher system-
Grade I hemorrhoids protrude into the anal canal but do not prolapse
Grade II hemorrhoids prolapse with straining or defecation but reduce spontaneously.
Grade III hemorrhoids prolapse and usually require manual reduction
Grade IV hemorrhoids are prolapsed and cannot be reduced and are thus at risk of strangulation and thrombosis.
Grade I, II, and III hemorrhoids are managed medically whereas grade IV hemorrhoids require interventions.
Patients with symptomatic internal hemorrhoids in whom conservative management has failed or who want to go for nonsurgical therapeutic modality are candidates Band ligation.
3)Contraindications are-
Thrombosis,Colitis,rectal prolapse,Rectal malignancy or any bleeding disorder.
4)The rubber bands used for this procedure are inexpensive and are easy to deploy its a daycare procedure usually done in local anaesthesia.
5)Its a good procedure and should be tried initially.Success rate varies from about 70-80%.
You should take a stool softener like lactulose daily along with a good quality probiotic like VSL#3.
No alcohol
No smoking
No aerated beverages.
Take fiber containing easily digestible food.
Avoid meat.
Regards!
Band ligation.
Detailed Answer:
Hello,
Thank you for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concern.
As per your queries answers are-
1)Rubber band ligation is a procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow to the hemorrhoid. This treatment is only for internal hemorrhoids.
2)Internal hemorrhoids may be classified into four grades on the basis of the Goligher system-
Grade I hemorrhoids protrude into the anal canal but do not prolapse
Grade II hemorrhoids prolapse with straining or defecation but reduce spontaneously.
Grade III hemorrhoids prolapse and usually require manual reduction
Grade IV hemorrhoids are prolapsed and cannot be reduced and are thus at risk of strangulation and thrombosis.
Grade I, II, and III hemorrhoids are managed medically whereas grade IV hemorrhoids require interventions.
Patients with symptomatic internal hemorrhoids in whom conservative management has failed or who want to go for nonsurgical therapeutic modality are candidates Band ligation.
3)Contraindications are-
Thrombosis,Colitis,rectal prolapse,Rectal malignancy or any bleeding disorder.
4)The rubber bands used for this procedure are inexpensive and are easy to deploy its a daycare procedure usually done in local anaesthesia.
5)Its a good procedure and should be tried initially.Success rate varies from about 70-80%.
You should take a stool softener like lactulose daily along with a good quality probiotic like VSL#3.
No alcohol
No smoking
No aerated beverages.
Take fiber containing easily digestible food.
Avoid meat.
Regards!
Above answer was peer-reviewed by :
Dr. Kampana
Thanks - what are the recommended treatment(s) for external hemorrhoids?
Brief Answer:
Follow up.
Detailed Answer:
Hi again,
Sorry for a bit delayed reply.
Some suggestions are-
1)Sitz bath-Sit in about 3 inches of warm water for 15 minutes or so, several times a day. This helps reduce swelling in the area and relaxes your clenching sphincter muscle.
2)A 1% hydrocortisone cream on the skin outside the anus can relieve itching and pain.
3)With an electric probe, a laser beam, or an infrared light, a tiny burn will be made to remove tissue and painlessly seal the end of the hemorrhoid, causing it to close off and shrink.
Regards!
Follow up.
Detailed Answer:
Hi again,
Sorry for a bit delayed reply.
Some suggestions are-
1)Sitz bath-Sit in about 3 inches of warm water for 15 minutes or so, several times a day. This helps reduce swelling in the area and relaxes your clenching sphincter muscle.
2)A 1% hydrocortisone cream on the skin outside the anus can relieve itching and pain.
3)With an electric probe, a laser beam, or an infrared light, a tiny burn will be made to remove tissue and painlessly seal the end of the hemorrhoid, causing it to close off and shrink.
Regards!
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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