Conservative treatment usually includes a large intake of dietary fiber-rich foods, taking anti-inflammatory drugs, sitting while bathing and general rest. The intake of foods rich in dietary fiber can alleviate some of the minor effects and symptoms but do not act as a complete treatment. There is no clear evidence that sitting baths can completely treat hemorrhoids. Local application of drugs and suppositories can be used to treat hemorrhoids, but these drugs are not supported because steroids should not be used for more than 14 days in succession, because continuous use of steroids can lead to thinning of the skin. In addition, some drugs contain analgesics, adrenaline, etc. Some people may be allergic to these ingredients. Therefore, the side effects of conservative drug treatment are relatively large.
Many people will try these methods because these therapies are relatively simple.
Rubber band ligation can treat hemorrhoid from grade I to grade III. The hemorrhoid will wither and fall off after only 5 days of using rubber band ligation. Patients will experience severe pain if using this method improperly. According to the current statistic, the cure rate is 87%, the complication rate is 3%.
Sclerotherapy is injecting hardener and phenol into the hemorrhoid, which can make hemorrhoid shrink. The success rate is 70%.
Doctors will sometimes use electrocautery, infrared radiation, laser surgery or cryosurgery. Infrared radiation burning method can be used in hemorrhoid from grade I to grade II. As for hemorrhoids from grade III to grade IV, the recurrence rate is very high.
All operative treatments might cause complications including bleeding, infection, etc. There are many treatments for internal hemorrhoids. For example: PPH(Procedure for prolapsing hemorrhoids), anorectal therapeutic apparatus, copper ion therapy, etc. The most classic surgery for mixed hemorrhoids is the Milling-Morgan procedure.
Under the influence of prolapse of anal cushions theory, PPH(Procedure for prolapsing hemorrhoids) was gradually promoted and applied, and many improved surgical approaches appeared. However, many problems such as long operation times, intraoperative bleeding, and postoperative pain still needed to be resolved. Some severely ill patients even had lingering anal dysfunction.
An anorectal therapeutic apparatus is used to treat hemorrhoids. Its advantages are that there is no bleeding during surgery and it can reduce the time of operation. Its disadvantage is that the wound will be resected or not resected depending on whether or not it falls off after solidification. This poses a risk of massive bleeding and 1~2mm I degree burns around the wound after it falls off. Pain, edema and prolonged healing time and other problems can also appear after operation.