Internal Hemorrhoids Treatment Options That Actually Work

While there are several internal hemorrhoids treatment options, it is essential to establish the presence of the disorder before trying these out. Unlike external hemorrhoids, the bulging varicose veins inside the rectal cavity are usually painless with bloody stools generally being the only symptom of the ailment in the initial stages.

This also means that topical preparations which help to prevent infection and have a soothing effect when used on external hemorrhoids are quite futile in case of internal hemorrhoids. However, the condition is equally serious and has to be addressed at the earliest. If you suffer from the ailment, here is an overview of hemorrhoids inside the anal cavity and various internal hemorrhoid treatment options.

What are internal hemorrhoids?

As the name suggests, these are varicose veins that bulge out inside the rectal canal. The muscles that support the veins around the rectum may become weak causing the veins to collapse and bulge out into the rectal cavity. Internal hemorrhoids can be caused due to consistent constipation that involves exerting undue pressure when passing stools, pregnancy, the sheering force caused due to unusually hard stools and age related muscle weakening etc.

Understand the severity of the condition before seeking internal hemorrhoids treatment

While first degree internal hemorrhoids will cause bleeding; they cannot be felt outside the rectal cavity; however, in more severe cases the hemorrhoids may prolapse coming out of the anus. Although in some cases the bulge retracts on its own, patients suffering from a more severe form of the disorder will find that the prolapsed hemorrhoid cannot be pushed back even with their fingers. The prolapsed hemorrhoid may get strangulated leading to thrombosis at which point the condition becomes painful.

General internal hemorrhoids treatment

Most physicians are of the opinion that straining to pass stools due to constipation or unusually hard stools can compound the issue with existing hemorrhoids, so patients who suffer from the condition should increase their intake of dietary fiber which helps to soften the stools and prevent internal hemorrhoids from being traumatized. This is one of the simplest internal hemorrhoids treatment remedies and it is particularly suitable at the onset of the disorder.

It is essential to avoid using strong laxatives as diarrhea just aggravates the issue; however, drinking plenty of water and ensuring that you get at least 20 to 30 grams of fiber from fruits, vegetables, cereals, whole grains etc will help to control the inflammation of the hemorrhoids inside the anal cavity. Supplemental fiber can also be used for stool softening such as psyllium husk, calcium polycarbophil or methylcellulose.

OTC medication for internal hemorrhoids treatment

This approach for internal hemorrhoids treatment entails the use of topical preparations administered into the anal cavity through the use of suppositories and pile pipes. Make sure that you only use “pile pipes” that have holes on the side as well as at the end so that the ointment lubricates the entire rectal canal.

The ointments, gels and creams will usually be a combination of several drugs including analgesics, antiseptics and compounds that help to shrink the varicose veins. Some common types of medication used include:

Local anesthetics: Usually used in case of prolapsed and strangulated hemorrhoids which cause pain, burning and itching. Some of the popular products in this category are:

• Benzocaine
• Dibucaine
• Benzyl alcohol
• Pramoxine etc

Vasoconstrictors: These chemicals help to reduce the swelling in the blood vessels, making them smaller; some of the drugs used in this category are:

• Epinephrine
• Ephedrine sulfate
• Phenylephrine

Protectants: These preparations form a protective sheath over the swollen blood vessels so that stools do not come in contact with the skin irritating it and increasing the inflammation. Common substances in this category include:

• Glycerin
• Lanolin
• Cocoa butter
• Aluminum hydroxide gel

Apart from these chemicals; astringents such as calamine and zinc oxide and antiseptics like boric acid may also form a part of the topical ointments.

Non surgical internal hemorrhoids treatment

Non surgical treatments are conducted without the use of anesthesia as they are not painful. Regardless of the type of non operative internal hemorrhoids treatment that you opt for, these procedures are meant to cause inflammation in the hemorrhoid cushions. This in turn leads to scarring which causes the hemorrhoidal cushions to attach to the muscles underneath and prevents them from being pulled into the anal cavity. Some of the common non operative procedures include:

• Sclerotherapy: This is one of the oldest and most frequently used forms of internal hemorrhoids treatment. The procedure entails injecting phenol or quinine urea into the bulging varicose vein; this causes inflammation and eventual scarring. Some pain may be experienced after the procedure but it usually subsides within 24 hours. In time, the symptoms may recur at which point, further treatment may be required.

• Rubber band litigation: This is another common internal hemorrhoids treatment; the procedure involves the application of a tight rubber band at the base of the hemorrhoid; this causes the blood supply to the tissue to be cut off and the cells die leading to an ulcer and scarring. Rubber band litigation is effective against first, second and third grade hemorrhoids and is often considered to be a more effective form of internal hemorrhoids treatment than sclerotherapy.

• Apart from these two procedures; less known techniques such as heat coagulation where heat is used to obliterate the hemorrhoidal tissue or cryotherapy that entails the use of cold temperature to eliminate the bulging venous mass may also be used.

Surgical internal hemorrhoids treatment

Surgical internal hemorrhoids treatment are usually only considered in case of fourth degree hemorrhoids due to the increased recovery time and the pain involved in the procedure. Like any surgical intervention, these forms of internal hemorrhoids treatment are conducted under local or general anesthesia. Some of the surgical procedures are:

• Hemorrhoidectomy: This type of surgical intervention is only used to control the most severe cases of internal hemorrhoids because of the intense post operative pain and prolonged recovery period.

• Doppler guided transanal hemorrhoidal dearterialization: This procedure is far less invasive than a regular hemorrhoidectomy. It involves the use of an ultrasound doppler to locate the arterial blood flow which is then tied off before the prolapsed hemorrhoid is sutured back.

While there is certainly no dearth of internal hemorrhoids treatment options, your physician will be able to recommend a procedure that will suit you the best depending on the severity of the condition. Many home internal hemorrhoid treatments such as sit bath are also effective in alleviating the symptoms of the condition; however, it would be best to consult your doctor before experimenting with home remedies.

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