Drugs for pain relief
Other drugs are often used at the same time:
- Non-steroidal anti-inflammatory drugs (anti-inflammatory agents such as ibuprofen) to combat pain and inflammation.
- Painkillers like paracetamol, to fight the pain.
Treatment of hemorrhoid disease or hemorrhoids with cream
Cream for hemorrhoids is a common treatment. It should be applied around the anus: either outside or in the rectal opening with the help of an expert.
But beware: because cortisone the effects heal faster. In other words, this cream increases the risk of anal fissures. It is therefore important to use it only in the short term, at most for several days, and should seek advice from a doctor.
Treatment of hemorrhoids or hemorrhoid without surgery
Instrumental treatment
Instrumental treatment aims to create fibrosis (a kind of scar) above the hemorrhoidal tissue. It strengthens the suspension and limits circulation, which reduces swollen tissue.
They are done in minutes by a proctologist, without anesthesia and through an anoscope.
- Arterial hemorrhoids ligation: With this treatment the elastic bands are placed around the troubled hemorrhoids that prevent blood flow. Intervention with a particular instrument (ligator) only takes a few seconds. There is no need for anesthesia for ligation, as the area has no nerve and therefore does not cause pain. Currently there are devices that can be done under ultrasound control.
- Arterial sclerosis: the doctor injects inflammatory products into the anal canal - in an insensitive area. Injections can cause discomfort or moderate pain.
- Infrared photocoagulation: by infrared light, doctors perform thermal coagulation, a kind of tissue burning.
Side effects of instrumental treatment
This treatment causes frequent but relatively mild side effects. Examples are pain, deformity or mild blood loss. Less than 5% of their cases are more severe: severe pain, haemorrhagic thrombosis or urinary tract disorders. Finally, some of the rare complications (less than 2% of cases) require medical or surgical treatment. The most severe is heavy bleeding, fever, and temporary disability to urinate (urinary retention).
Your doctor may advise you to take painkillers for several days after this procedure. If you are still experiencing a lot of pain or if you lose a lot of blood, do not hesitate to consult a doctor.
The role of surgery against hemorrhoids or hemorrhoids
Treatment of non-surgical hemorrhoids usually does not cause much pain, is manageable and the side effects are often often negligible.
But they also have losses. First and foremost, they are not effective for everyone - between 10 and 30% of non-surgical treatments fail. More importantly, recurrences often occur after months or years, even with successful treatment.
Sometimes it's better with surgical procedures.
Hemorrhoidectomy
With a scalpel, the structure of the hemorrhoids or primary hemorrhoid is removed. That is the most complete approach.
- This procedure is quite painful after anesthesia has been successful. Drugs help control pain.
- The consequences of the surgery are rather disturbing. The patient should clean the wound. It is usually recommended to use suppositories. It improves healing and facilitates excretion of bowel movements. Patients also have to do a touch of rectum every day to prevent the narrowing of the anal canal.
- It is important to avoid constipation after surgery. It is therefore advisable to take laxatives.
- Healing lasts an average of six weeks. Usually need to stop working three weeks to a month.
- Complications are rare, but can be serious: bleeding, infection. Usually, antibiotics are prescribed preventively. Better choose a surgeon who has experience in this field.