Swollen veins in the lower rectum or anus, known as hemorrhoids, can be painful and itchy.
Also referred to as piles, hemorrhoids are fairly common. Sometimes they simply go away with little or no treatment. If lingering pain is experienced, over-the-counter steroid cream may help. Although this option shouldn’t be used for more than a week because of the possibility of skin thinning.
Topical medications containing hydrocortisone, hazel, and lidocaine could also provide relief.
But if a blood clot forms (thrombosed hemorrhoid) or these irritations are causing severe discomfort and bleeding, hemorrhoid surgery or related procedures may be recommended.
With an external hemorrhoid that has a blood clot inside of it, a small incision may be made to remove the clot and drain the excess fluid. Patients often experience immediate relief with this simple procedure. This option tends to be more effective if performed with 72 hours of a clot forming inside of a hemorrhoid.
Minimally Invasive Hemorrhoid Surgery
For painful hemorrhoids that aren’t excessively large, minimally invasive surgery is often recommended. Procedures of this nature are usually in-office treatments that do not require anesthesia. The area being treated may still be numbed with medication to ease discomfort.
With rubber band ligation, two small bands are placed around the lower part of an internal hemorrhoid. Doing so cuts off circulation to the swollen veins. The tied-off hemorrhoid will then naturally fall off within a week or so after the procedure.
Also performed to treat varicose and spider veins, sclerotherapy involves the injection of a special solution (usually a salt solution) into the tissue of the hemorrhoid. The solution gradually shrinks the swollen vein. It’s not as effective as rubber band ligation. However, it may work well for smaller internal hemorrhoids.
Coagulation is done with infrared light or heat or a laser. This procedure is often recommended for smaller internal hemorrhoids that are bleeding. The application of heat causes the swollen veins to harden and then shrivel. Coagulation has few side effects. Patients are more likely to experience recurrence with this option.
More involved surgical procedures may be suggested if minimally invasive treatments aren’t effective. The most common type of hemorrhoid surgery that’s a step up from minimally invasive procedures is complete removal of the affected hemorrhoid, referred to as a hemorrhoidectomy.
During the procedure, excess tissue that’s causing the bleeding is removed. If this surgery is performed as an outpatient procedure, a local anesthetic may be used. In some cases, a spinal or general anesthetic is used. Small incisions are made in the affected area to slice away the hemorrhoids. Because of the sensitivity of the area where such irritations are usually located, stitches are sometimes needed after removal.
After surgery, there is usually some discomfort in the anal area for about 2-4 weeks. Warm baths and topical medication may improve comfort as the affected area heals. A hemorrhoidectomy is considered the most effective treatment for swollen veins in the anal area, especially internal ones. Possible complications associated with hemorrhoid removal are generally considered minor. However, some patients may develop a urinary tract infection or similar temporary bladder issues. If this is the case, medication usually corrects the problem.
Another surgical option is a stapled hemorrhoidectomy, also referred to as a procedure for prolapse and hemorrhoids (PPH). Normally recommended for internal hemorrhoids, this surgical option involves the use of staple-like device. Instead of removing the swollen veins, the hemorrhoids are repositioned. Doing so cuts off the blood supply, which causes the hemorrhoid tissues to shrivel and die.
Urinary retention and bleeding among the potential complications associated with hemorrhoid stapling, although such post-surgery issues are considered rare. The stapling option is typically used to treat hemorrhoids that have not fallen out of the anal area (prolapsed). Since the swollen veins are usually moved to an area where there are fewer nerve endings, stapling may be less painful for patients than hemorrhoidectomy during the recovery period.
Even after hemorrhoid surgery, it’s possible to develop hemorrhoids again. If you experience new flare-ups after minimally invasive surgery, removal, or hemorrhoid stapling, you may benefit from warm baths with a mixture of aloe vera and Epsom salts, applying cold packs to reduce the swelling, or the use of topical medications. If you have newly formed hemorrhoids that are painful or bleeding, you may be referred back to a hemorrhoid doctor. You may be able to reduce your odds of having problems with piles again post-surgery by not sitting for long periods of time, using support cushions, and eating more high-fiber foods to reduce the constipation that sometimes contributes to hemorrhoid formation.
I agree the care and people are great. However, their management tricked me into an out of network surgery. After repeatedly making it clear that I wanted all aspects of the surgery to be in network with UHC, they booked my surgery on a day when the facility switches to a different business entity called Minimally Invasive Surgical Center. So, a simple hemorrhoid procedure that normally bills for under 3K within network was billexto my insurance for 62.5k. Of course they had me pay $1,400 out of pocket just before performing yhe surgery and also had me sign numerous documents right before the procedure. If I would have received these forms, particularly the one that stated that I knew it was an out of network provider, I would have never signed it. The owner of Minimally Invasive called me on the phone when I was still plannibg the surgery to try to talk me into accepting performing out of network in exchange for some cash discount. I tefused but he still set it up as out of network without my consent. I am extremely dissapointed in these people who now refuse to re-pricess the claim. Beware of what day your surgery takes place and make sure to get all forms well ahead of your procedure date. Soecially those related to payment and claim type, or you might end up with a very expensive surprise. This is the stuff of crooks.
5 stars is not good enough for how amazing these people are! Had my producer done here on 4/23/2021 with Dr. Syn. The whole process from beginning to end was pretty great (yes... the surgery process that everyone hates). The surgery center was clean and everyone had their stuff together from the moment I parked in the check-in spot, till check-out. I can never say enough about the nurses, they are the kindest people and I am so thankful to have had them there. Even though I’ve never met them before, they made me feel at ease and we’re just kind humans ❤️Definitely recommend 🤙🏼
Definitely recommend, fast easy process. They make sure your well informed on whats happening, and if your nervous they’ll talk to you about stuff that makes you happy, especially helped when i was getting my IV.
A couple of weeks ago my mother had a bad experience at this center. She overheard the nurses making rude comments about a patient.I felt very uncomfortable going threw my procedure after what I herd.Very unprofessional attitude, please avoid this place I made the mistake of coming here.
I saw Dr. Shad after my aunt recommended me to him for back pain. I had pretty bad back pain for a young adult. Upon the first appointment he felt my injury and immediately identified the area in pain and explained everything to me. My back is doing great now and I am able to go back for tissue work when needed. Never had more confidence in a doctor then I do with Dr. Shad, definitely recommend!
I just had a procedure done here this morning. The center is very clean and orderly. The nurses were so friendly and kind, it was like talking to a friend. The anesthesiologist had great bedside manner and was honestly the nicest one I’ve ever met. Dr. Jenkins is very sweet and made sure I felt comfortable and informed. She is always very bubbly and makes you feel at ease. Really great people at this place! Highly recommend if you are needing a procedure done.
I have had a number of procedures done. The staff are amazing they took such good care of me. Dr. Ding communicates on a real level.Highly recommend this crew if you ever need surgery they are equipped for
My wife had surgery at your Facility. Dr Tony Mork was the surgeon. We were very impressed with your neat little surgery center. We got very personal care.. Thinking back 10 months when she had surgery we still remember well 😊
The morning admittance gal who was friendly , knowledgeable and put my nervousness about surgery at ease helped me fill out the necessary forms for surgery. The next nurse prepped me for surgery and explained what would be happening. Again,very personable, organized, and knowledgeableAnother nurse came over and told me she would be helping the doctor in surgery and again explained what was going on. Friendly The orthopedic surgeon came in and spine to me about the surgery also kind and caring. Then surgery was over and I was again met with a kind nurse to help me adjust to waking up. This may all sound very routine to who ever reads this but surgery is Not, routine and it is damm scary to the patient and their families. To be taken care of by friendly, kind caring and knowledgeable staff is so important. My husband And I are grateful for the entire team here at Crown Valley Surgical. Thank you, Barbara and Jeff tatro