Only less than 10% of hemorrhoid cases require surgery. Hemorrhoidectomy is usually necessary for external hemorrhoids or prolapsed hemorrhoids that are inflamed, painful, infected, or complicated.
Why do hemorrhoids occur?Learn about the causes, diagnosis, treatment, and prevention methods of hemorrhoids.
In most cases, if the patient experiences only mild discomfort, they can consider using ointments, suppositories, and medicated pads to alleviate symptoms, reduce itching and pain, and wait for the hemorrhoids to heal on their own.
| Hemorrhoidectomy | Ointment Treatment |
| Principle | Removes internal or external hemorrhoids that are severe using different techniques | Removes internal or external hemorrhoids that are severe using different techniques |
| Efficacy | The most effective method for treating hemorrhoids. | Phenylephrine temporarily shrinks blood vessels, reducing swelling and discomfort, while pramoxine reduces pain and itching sensation. |
| Procedure | The doctor directly removes the hemorrhoids using sharp tools such as a surgical knife, scissors, electrocautery, or laser. | The ointment is applied to the affected area. Typically, patients are instructed to use the ointment 4 times a day (e.g., morning, bedtime, and after each bowel movement) or as directed by the doctor. |
| Pain Intensity | Patients receive anesthesia during the surgery and do not experience pain. | The ointment can alleviate the patient’s pain. |
| Suitable patients/conditions | Patients with severe hemorrhoid conditions | Suitable for most patients |
| Side Effects | Side Effects Common side effects:- Pain
- Delayed bleeding
- Urinary tract infection
- Bowel obstruction
Less common side effects: - Infection
- Wound rupture
- Fecal incontinence
- Anal stenosis
| Generally, ointment treatment does not cause significant side effects. Some patients may experience mild pain or stinging after using the ointment, and if the condition worsens, medical attention should be sought. If allergic reactions such as rash, itching, swelling, severe dizziness, or difficulty breathing occur, immediate medical attention should be sought. |
| Treatment Duration | Usually takes 30 minutes to 1 hour. | Usually takes about 7 days to take effect. |
| Chance of Relapse | Risk of Recurrence Approximately 5% of patients may experience relapse after surgery. | No relevant data available. |
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- Stay active, such as walking.
- Avoid lifting heavy objects.
- Keep the anal area dry.
- Depending on your job type, you may need to rest for 1 to 2 weeks.
- Consume high-fiber foods and drink enough water starting 2 to 3 days after the surgery.
- If you are taking aspirin or other anticoagulant medications, consult your doctor about when to resume taking them.
- If the doctor has prescribed pain medication, follow the doctor’s instructions. If no prescription pain medication has been provided, consult the doctor about whether you can take other over-the-counter pain relievers.
- If the doctor has prescribed antibiotics, take the entire course as prescribed.
- If there is no improvement in symptoms after using the ointment for 7 days, if there is persistent bleeding, pain, or worsening of the overall condition, seek medical attention as soon as possible.
- Generally, hemorrhoid ointments should not be used for more than 7 days and should not be used repeatedly without proper medical guidance.
How long is the recovery time after hemorrhoid surgery?
Patients typically require about 1 to 2 months for recovery after hemorrhoid surgery.
Can hemorrhoid surgery be performed during menstruation?
Yes, it can be performed during menstruation.
Is hospitalization required for hemorrhoid surgery?
It depends on the situation. Hemorrhoid surgery can be performed as an outpatient procedure, but in some cases, a hospital stay of 1 to 2 days may be necessary.
Author
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