Category Archives: Hemorrhoid treatments

The Potential Health Benefits of Elephant Foot Yam | Minnesota

Alternative MedicineYes, you read that correctly—elephant foot yam is loaded with potential medicinal benefits and may even improve hemorrhoidal symptoms. This alternative medicine has long been used in Ayurveda, a traditional system of medicine rooted in the Indian subcontinent whose practices have recently been globalized. Used to treat numerous conditions such as sperm quality, liver and spleen disorders, and hemorrhages, elephant foot yam just may be the next big home remedy for treating hemorrhoids as well.

The thickened, underground part of the yam’s stem, known as tubers, is often prescribed as medicine in Ayurveda to treat hemorrhoids, dysentery, asthma, vomiting and abdominal pain. While it is typically used as a blood purifier, tubers can also be made into a paste to externally treat arthritis pain.

In treating hemorrhoid symptoms, elephant foot yam can be prepared as a medicine called “suran vataka,” recommended to be taken in small capsules (1-2 grams each) both morning and evening on an empty stomach. While the exact treatment results are unclear due to the yam’s alternative nature, this has long been a prescribed treatment method for patients in India suffering from hemorrhoid/bowel discomfort.
 

Other Potential Health Benefits of Elephant Foot Yam

  • The cooling effect of the yam can be a cure for hypertension.
  • The yam may help reduce cholesterol levels.
  • It can serve as an anticoagulant (blood thinner) to improve blood flow.
  • Elephant foot yam may even help maintain hormonal balance in women by increasing estrogen levels and relieving them of pre-menstrual syndrome.
  • The presence of Vitamin C can help delay aging.
  • Elephant foot yam may also benefit patients who suffer from acute rheumatism.
  • Irregular bowel movements and constipation may be cured through consuming elephant foot yam.
  • It may help reduce muscle spasms.
  •  
    Please note that while elephant foot yam may help with hemorrhoid symptoms, anyone who suffers from hemorrhoid discomfort should see a doctor for a full evaluation. Home remedies certainly help with symptoms, but it’s always best to see a doctor for a complete, thorough treatment method.

     

    5 Potential Side Effects of Taking Stool Softeners | Minnesota

    When considering temporary hemorrhoid treatment options and lifestyle changes to help battle hemorrhoid flare-ups, stool softeners are almost always recommended. Because hemorrhoids often develop as a result of constipation and overstraining during bowel movements, taking stool softeners is an efficient short-term option for easing stool passage.

    However, every drug has its side effects. While stool softeners are generally well-tolerated by hemorrhoid patients, there are a few potential side effects that can cause discomfort.
     
     
    Stomach Cramps

    Because the ingredients in stool softeners aim to soften your stool for easier bowel movements, there’s a chance that you’ll experience stomach/intestinal cramps. Your digestive tract, which was previously constipated, is now suddenly being affected by changing stool habits. Make sure to drink plenty of water while taking stool softeners to help prevent cramping.
     
    Diarrhea

    If you exceed the recommended dosage for your stool softener, your stool may become overly runny and loose, potentially leading to over-passage of stool. If diarrhea does occur, drink plenty of fluids to avoid dehydration
     
    Nausea & Vomiting

    Whenever your digestive tract is affected, there’s always the risk of nausea and vomiting. If vomiting occurs, stop taking the stool softener immediately, as severe vomiting can lead to dehydration and more extreme digestive issues.
     
    Allergic Reaction

    While allergic reactions to stool softeners are fairly rare, they can occur. Hives, difficulty breathing, rashes, and swelling in the lips, hands and tongue can all potentially develop. In these cases, immediately stop taking the stool softener; call 911 if a severe allergic reaction occurs.
     
    Rectal Bleeding

    This side effect is more uncommon, but if rectal bleeding or irritation occurs, call your doctor immediately.
     

    If you experience any of the above side effects, stop using the stool softener and call your doctor to discuss alternative treatment methods.
     

    Is a Hemorrhoidectomy During Pregnancy Safe? | Minnesota


     
    Hemorrhoids during pregnancy is, without a doubt, one of the most irritating and uncomfortable parts of the pregnancy process. While developing pregnancy hemorrhoids is extremely common, treatment methods differ depending on the size and severity of a patient’s hemorrhoids. While some women are able to effectively utilize home remedies or less invasive procedures like infrared coagulation (IRC) and rubber band ligation (RBL), there’s the unfortunate chance that your hemorrhoids will require a hemorrhoidectomy.

    Typically used to treat more extreme, grade 4 internal hemorrhoids or severe cases of external hemorrhoids and thrombosed external hemorrhoids, a hemorrhoidectomy is a more invasive hemorrhoid removal procedure. It’s generally used on patients whose external hemorrhoids clot repeatedly, who don’t respond to rubber band ligation, whose protruding hemorrhoid does not respond to treatment, or who experience ongoing bleeding.
     

    Are Hemorrhoidectomies Safe for Pregnant Patients?

    Because a hemorrhoidectomy is more intensive, it’s admittedly not the preferred treatment method for pregnant patients. However, it is perfectly safe to perform either during pregnancy or shortly afterward. In the case that your hemorrhoids fail to respond to less invasive treatments, your doctor will most likely suggest surgery in the form of a hemorrhoidectomy. Here at One Stop Medical Center, Dr. Shu opts for a less invasive version of a traditional hemorrhoidectomy, combining it with rubber banding and IRC. This approach typically produces great results while allowing patients a quicker recovery.

    During the hemorrhoidectomy, the bleeding tissue is surgically removed with a radio frequency device under local anesthesia. Both ends of the hemorrhoid must be tied to prevent bleeding while the hemorrhoid is being removed. After excision is completed, the incision site is sewn or cauterized shut. Medicated gauze is then placed over the remaining wound. Healing time is generally four to six weeks, during which patients must increase fiber intake, drink plenty of fluids, and take stool softeners to ease bowel movements.
     
    Click here to learn more about our hemorrhoid treatment options, or call us at (952) 922-2151 to schedule a consultation.

     

    Here’s What to Expect After Undergoing Rubber Band Ligation | Minnesota

    Rubber band ligation (RBL) is a common treatment method for hemorrhoids, especially prolapsed hemorrhoids, in Minnesota. This office procedure is almost never appropriate for grade 1 or mild grade 2 hemorrhoids (which are treated with IRC) or more severe grade 4 hemorrhoids (which are treated with surgery). RBL involves a doctor inserting a scope into the anus and clamping onto the prolapsed hemorrhoid to place a rubber band around its base, cutting off the blood flow to the hemorrhoid and causing it to shrink and die off. The procedure only takes a few minutes but is usually limited to one hemorrhoid per office visit. RBL downgrades hemorrhoids to grades 1 or 2, and any remaining hemorrhoids are typically treated with infrared coaguation (IRC).
     

    What Happens After the Procedure?

    After rubber band ligation, you’ll typically experience a bit of pain and a feeling of fullness in the lower abdomen, as well as an urge to have a bowel movement. These sensations are totally normal and usually subside within a few days. You may also experience small amounts of anal/rectal bleeding for about 7 days after procedure due to the hemorrhoid falling off. It’s encouraged to avoid physically intense activities that strain the body for at least 2-3 weeks. While some patients are able to return to regular activities immediately, others may need a couple days of downtime and bed rest.

    Below are a few guidelines for navigating your post-rubber band ligation recovery process:

    Avoid any strenuous exercises, such as biking/cycling, jogging, weight lifting, and aerobics, for 2-3 weeks or until your doctor gives you the green light.

    Avoid lifting heavy objects for 2-3 weeks, including groceries, backpacks/briefcases, dog food, children, etc.

    If you previously took any medications or blood thinners, such as warfarin (Coumadin), clopidogrel (Plavix), or aspirin, your doctor will let you know when it’s okay to restart your meds.

    Take your post-surgery pain medications exactly as directed, but do not take two or more types of pain meds at the same time unless instructed to.

    Take showers/baths as usual, but make sure to thoroughly dry the anal area dry.

    Drink plenty of fluids, and eat lots of high-fiber foods to aid your bowel movements.

    Take stool softener such as Colace to keep stool soft.

    Try to avoid straining during bowel movements.

    To speed up your recovery process, take a sitz bath (sit in 2-3 inches of warm water for 15-20 minutes) three times daily AND after bowel movements. Remember to pat the anal area dry afterward.

    Call your doctor immediately if you cannot pass stools or gas, see bright red blood soaking through the bandage, or see signs of infection (increased pain, swelling, redness, pus draining from the area, fever).

     

    Major Moments in Hemorrhoids History | Minnesota

    Hemorrhoids have plagued humans for thousands of years, with the earliest known mention of its symptoms dating back to roughly ~2250 BC in the kingdom of Babylon in the Code of King Hammurabi. Fast forward to 1700 BC in Egypt, and we stumble upon the first-ever recorded case of hemorrhoids, which also happened to highlight an important topical wound ointment.

    The first use of the word “haemorrhoids” in the English language occurred in 1398. The term derived from the Old French word “emorroides,” taken from Latin derivative “hæmorrhoida-ae,” which in turn originated from the Greek word for “haimorrhois.”

    Below is a timeline of key events in the history of hemorrhoid development:
     

    Hemorrhoid History: A Timeline

    ~2250 BC: Babylon Code of King Hammurabi described the symptoms of hemorrhoids

    1700 BC: Egyptian papyrus pronounced a topical astringent lotion

    1552 BC: Egyptian medical record detailed remedies for hemorrhoids

    1046 BC: Old Testament, 1 Samuel 5:9 Philistines punished with “emerods”, and in 1 Samuel 5:12 People who moved the Ark to Ekron were punished with “emerods”

    460–375 BC: Hippocratic Treatises described hemorrhoid treatment by cautery and excision, and first recorded use of speculum to inspect the rectum (endoscopy)

    25 BC–AD 50: Celsus describes Pile ligation

    41–68: Roman physician Dioscorides defined Aloe Vera use for easing hemorrhoids

    130–200: Roman Emperor Marcus Aurelius’s physician Galen pronounced hemorrhoids treatment ointment containing laxatives and leeches. He also explained thread use to tie off piles causing them to shrivel up

    4th–5th Century: Indian Susruta Samhita text defined clamp and cautery use

    5th–10th Century: Arab physician El-Zahrawy defined cautery irons use, whilst Byzantine physicians ligated with thread on the hemorrhoid base, before amputating

    1307–1370: John of Ardene’s exposition transcribed hemorrhoids and fistula treatment, and enemas use

    1806: Modern era of endoscopy was piloted by Bozzini with his aluminum tube to expose the genitourinary tract

    1835: St.Marks Hospital London was founded by Frederick Salmon providing modern hemorrhoids and fistula treatment

    1849: Introduction of anal dilation for hemorrhoids treatment

    1935: St.Marks Hospital further developed excision and ligation methods at the hands of ETC Milligan and C Naughton Morgan – nowadays defined as the gold inhemorrhoidectomy standard

    1952: Modification to the Milligan-Morgan procedure introduced by Ferguson

    1955: A.G. Parks’ developed his closed method surgical treatment the hemorrhoidectomy

    1963: J Barron developed an out-patient rubber band procedure to tie hemorrhoids

    1970: Development of cryotheraphy, diathermy, infrared coagulation and laser cauteries

    1975: PH Lord developed his anal dilation hemorrhoid treatment method, whilst WHF Thompson postulated that hemorrhoids developed from anal cushions that are part of the normal anatomical structures

    1997: Italian A Longo introduced his stapled hemorrhoidectomy procedure for prolapsed hemorrhoids
     
    Due to lack of studies and documentation on hemorrhoids, as well as lack of patients seeking medical assistance, the exact prevalence of hemorrhoids is unknown. However, it’s estimated that roughly half of Americans develop hemorrhoids by age 50, with roughly five percent of the US population affected.

    The outlook for hemorrhoid treatment and rehabilitation is generally positive. While some individuals suffer from flare-ups and recurring hemorrhoids, only a small portion of patients require surgery.

     

    The Treatment of Hemorrhoids in Ancient and Modern Times | Minnesota

    Hemorrhoids, a condition that involves swelling of the veins in the rectum, have been a nuisance since the dawn of man. Accounts of hemorrhoids date back to the earliest of civilizations, including the Egyptians, the Greeks and the Romans.

    Ancient Egyptian documents directed caregivers to apply an ointment made from ground acacia tree for an unnamed, but painful, perianal disease that was most likely hemorrhoids. The word “haemorrhoid” has Greek roots: haema (blood) and rhoos, coined by Hippocrates in 460 BC. Hippocrates provided some of the earliest recorded methods of surgical procedures, including a ligation procedure that involved tying thick woolen thread around the hemorrhoid to cut off its blood supply. Later writings also described excision of hemorrhoids. The Roman, Arab and Indian societies also recorded writings that described their own ligation and excision techniques.

    During the Middle Ages, these procedures were often performed by literal barber instead of physicians, who thought themselves to be above performing surgery. Barbers often had various tools essential to their trade that doubled as makeshift surgical equipment. Science and surgery met once again the during The Renaissance, where documents indicated the usage of ligation with needle and thread, followed by excision.

    Clearly, ligation was the preferred way of operating on hemorrhoids. It was simple to do and only required readily available material. Even today, ligation is an incredibly common procedure offered by many clinics, including One Stop. Rubber band ligation, the modern version of the procedure, is not far off from that of ancient times. The procedure involves inserting an anoscope into the anus, grasping the hemorrhoid, then attaching a rubber band tightly around the base of the hemorrhoid. The hemorrhoid then shrivels up and falls off in about a week.

    Nowadays, ligation is just one of multiple options and is performed depending on how advanced the hemorrhoids are. Infrared Coagulation Therapy, or IRC, is a procedure that has gained popularity for small to medium sized hemorrhoids. The device is inserted through an anoscope and will then apply infrared light directly to the hemorrhoid, which causes clotting and scar tissue. Scarring causes the hemorrhoid to shrink. Rubber band ligation is slightly more painful, but IRC has slightly higher chances of relapse. Ultimately, they are similar in effectiveness.

    Hemorrhoids have been an issue for people for as long as civilization has existed, and it’s fascinating to see its presence so universally throughout history. It’s important to remember that everyone suffers from hemorrhoids, so don’t be afraid to have them checked out by your doctor.

    The Best & Worst Foods to Eat When You Have Hemorrhoids | Minnesota

    Dealing with hemorrhoids is no walk in the park, but knowing the right kinds of food to incorporate into your daily diet can make a major difference in treating and preventing flare-ups. While it’s always encouraged to fill your diet with high-fiber foods, the vast amount of fiber-filled options can be pretty overwhelming! Below is a quick and dirty breakdown of the best and worst foods to consume while dealing with hemorrhoids.

     

     

    BEST FOODS

    EAT plenty of fruits and vegetables. Apples, berries, broccoli, leafy greens and winter squash are great options. It goes without saying that fruits and vegetables provide valuable nutrients, and most people don’t consume enough of them. In addition to easing constipation symptoms, fruits and vegetables add bulk to your stool and may reduce strain during bowel movements.

    EAT whole grains. Oatmeal is one of the most popular whole grain foods, as well as whole grain breads, brown rice and popcorn. Whole grains have NOT been refined and contain all the nutritious parts of the original grain, providing more fiber, protein and micronutrients.

    EAT more legumes (beans, lentils, nuts). Black beans, almonds, chickpeas and edamame contain large amounts of fiber even in very small portions. The legume family is also credited for helping decrease blood sugar levels and increase healthy gut bacteria.

    EAT flax, hemp and chia seeds. These are all good sources of soluble fiber.

    DRINK LOTS OF WATER! In addition to helping with your increased fiber intake, water throughout the day is crucial for good digestion. Aim for at least eight cups of water daily.

    Remember: Shoot for 25-50 grams of fiber everyday. Too much fiber in one sitting can cause gas and bloating, so be sure to add it to your diet in small increments.
     

    WORST FOODS

    AVOID refined grains. This includes white bread, bagels, white rice and pretty much anything made from white flour. Refined grains have been milled, which removes the bran and germ and, consequently, any nutrients the grain originally contained.

    AVOID processed foods as much as possible. Fast food, frozen meals and pre-packaged junk food are absolutely terrible options, as they contain few nutrients and tons of sodium. They also contain inflammation-promoting ingredients that increase constipation and bloating.

    AVOID excessive alcohol. This can be tough, but alcohol dehydrates your body and can lead to constipation and disrupt the digestive balance in your stomach.

    AVOID dairy. Milk and cheese products can irritate hemorrhoids since they often cause gas and bloating, which can contribute to hemorrhoid pain and stomach cramps if you are already constipated.

    AVOID fried, salty food. Fries, fried chicken, fritters, the list goes on. These items scream inflammation and can cause your body to hang onto water, putting more pressure on your blood vessels. More pressure means more likelihood of developing hemorrhoids. Fried foods are also difficult to digest.

    AVOID spicy food. Again, inflammation.
     
     

    How Aging Increases Your Chances of Getting Hemorrhoids | Minnesota

    As we grow older and experience a variety of physical and mental changes to our bodies, we also become more susceptible to disease and illness. Because our regenerative powers slowly decrease over time, our bodies have a tougher time battling symptoms as we age—making hemorrhoids all the more common and bothersome.

    How Aging Affects the Development of Hemorrhoids

    Hemorrhoids, which develop when the veins in the anus and rectum become distressed and swollen, are much more of a threat when the body is sedentary. Decreased mobility (and increased amounts of time sitting), typically associated with aging, can cause blood flow to the lower part of the body to also decrease. The blood is then more likely to gather up/pool in the anal veins, causing irritation and swelling that can develop into hemorrhoids.

    Older individuals are also more prone to constipation as a result of having a more sedentary lifestyle. The straining that occurs from constipation, due to passing hard and dry stools, can cause prolonged stress to the anal and rectal veins. Once the blood vessels in these veins become extremely irritated, hemorrhoids can develop.

    Preventing Hemorrhoids in Old Age

    Diet Changes

    Hemorrhoids in the elderly can be effectively prevented by making conscious diet and lifestyle changes. A high-fiber diet helps maintain healthy bowel movements, thereby lowering chances of constipation and anal vein swelling. Consuming more fruits and vegetables, as well as legumes (chickpeas, lentils, soybeans) and whole grains (oatmeal, brown rice, barley), easily adds more fiber to your diet.

    Oatmeal bowlChickpeas

    DRINK. MORE. WATER. Consuming plenty of fluids helps keep the bowel healthy and functioning, and stools remain soft. This further prevents constipation and lowers your chances of having hemorrhoids.

    Exercise

    For elderly individuals who are capable of moderate levels of exercise, this is another good way to improve overall bowel movement and lower body blood circulation. Daily short walks, light swimming, and gardening are all appropriate examples of moderate exercise. However, you should always consult your doctor before starting any new diet or exercise routine.

    Treating Hemorrhoids at Home

    If the above prevention methods fail, and you find yourself with pesky hemorrhoids, there are a few home remedies that can help alleviate your symptoms. Sitz baths (soaking the affected area in warm water for 10-15 minutes) can soothe anal tissues and decrease pain and discomfort. Oils and creams may also be good options for early-stage hemorrhoids, such as witch hazel ointment or witch hazel hemorrhoidal pads.

    If symptoms do not clear up (or become worse) despite home treatment efforts, make sure to see a doctor for a full examination and advanced treatment method.

    Treating Hemorrhoids With Witch Hazel: The Rundown | Minnesota

    No, witch hazel isn’t some concoction brewed in a cauldron—but it most certainly can have beneficial health effects, especially on pesky hemorrhoids.

    One of history’s most powerful natural healing agents, witch hazel has long existed as an anti-inflammatory compound. Dating back hundreds of years, it was used by both Native Americans and European settlers to reduce inflammation and bleeding within the body, and has since been touted for its natural astringent properties. Witch hazel has been an effective at-home remedy to treat hemorrhoid discomfort, yeast infections and acne.

    In essence, witch hazel derives from the leaves and bark of the North American witch-hazel, Hamamelis virginiana. Its healing properties come from tannic acid, a chemical that can help constrict and cool the blood vessels and skin at the end of the rectum, which in turn reduces swelling and bleeding.

    Thayer's Witch HazelWitch Hazel Hemorrhoidal Pads

    How Do You Use Witch Hazel?

    Witch hazel can be purchased in liquid form or ointment form. Apply a pea-sized amount directly to the hemorrhoid three times daily AND after every bowel movement.

    Witch hazel can also be found in products like hemorrhoidal pads and medicated wipes. For best results, use witch hazel products after taking a sitz bath (soaking the affected area in warm water for 10-15 minutes).

    Are There Any Potential Risks or Side Effects?

    Stomach discomfort may result if witch hazel is taken orally. Very rarely, topical witch hazel (applied directly to the skin) can cause inflammation. Overall, witch hazel is considered to be safe.

    Keep in mind that while witch hazel can help alleviate hemorrhoid pain, it’s mostly used for basic, non-severe hemorrhoids. In the case of severe hemorrhoids or increased hemorrhoid flare-ups, witch hazel might not prove as effective. It is extremely important that anyone who suffers from hemorrhoid discomfort visits a doctor for a full evaluation or follow-up even after seeing signs of improvement from using witch hazel. Home remedies certainly help with symptoms, but it’s always best to see a doctor for a complete, thorough treatment method.

    Infrared coagulation (IRC) – Non Surgical Solution for Internal Hemorrhoids | Minnesota

    Hemorrhoids describes both a series of blood vessels in the perianal area as well as the condition that afflicts them, typically in older adults. With age these hemorrhoids can become swollen and inflamed, resulting in itching, pain, bleeding, thrombosis, and infection. While not deadly, hemorrhoids can often be a nuisance to the point of debilitation. So how do we treat them?

    There have been many methods devised to treat hemorrhoids since ancient times, ranging from medicinal plants, topical creams, to hemorrhoidectomy, rubber band ligation, and more. The most common method, which we use most often, is infrared coagulation, or IRC. Infrared coagulation is a non-surgical procedure that is a convenient and minimally invasive way to treat hemorrhoids.

    There is generally no special preparation needed for IRC. During the procedure, a small probe will be placed into the anus which will flash infrared light onto the surface of the hemorrhoid. The heat from the infrared probe will burn the hemorrhoid, creating scar tissue that cuts off blood supply to the hemorrhoid and causes it to shrink and die.

    You may feel some heat and pain, but the discomfort is minimal, and the treatment only takes a few minutes.

    After the procedure you may feel the urge to defacate or a feeling of fullness in the lower abdomen. These are temporary. It is also possible to experience some rectal bleeding, which should stop on its own.

    It’s a good idea to take some stool softener to help ease bowel movements in the days following the procedure. Do not take aspirin or any NSAIDs. It is also a good idea to regularly exercise and maintain proper diet and bowel habits going forward.

    IRC offers major advantages to patients over previous hemorrhoid treatment methods:
    • Fast, simple, and safe solution
    • No anesthesia required
    • No special preparation needed
    • No recovery time after treatment
    • Clinically proven results
    • Covered by all major insurance companies

    Your Recovery after Hemorrhoids Removal | Minneapolis & St Paul

    After you have hemorrhoids removed, you can expect to feel pain, bleeding, swelling in the first week. This is most likely when you have a bowel movement. It is important to keep stool soft and do Sitz bath, and you will feel much better in the second week. It is common to have some light bleeding and clear or yellow fluids from your anus in the first 2 weeks. You will notice the swelling of wound edges and hardness of the tissue around anus, and it may last for 1 to 2 months after surgery.

    After the first few days, you should be able to do most of your normal activities. But don’t do things that require a lot of effort. It is important to avoid heavy lifting and straining with bowel movements while you recover.

    Post-op instructions:
    1. You may shower in the evening or next morning. Good hygiene is essential for proper healing.
    2. Water is your best friend. It is important to take a sitz bath after each bowel movement or at least three times a day.
    3. Wearing soft gauze pads or Maxi pads in your underwear helps to control bleeding, fluid /mucous drainage.
    4. Avoid foods which make you constipated. Be sure to include wheat bran, fresh fruits and plenty of vegetables in your diet.
    5. Take Metamucil to increase fiber intake.
    6. Take stool softener, such as Colace.
    7. Drink plenty of water, otherwise, fiber and stool softener won’t work.
    8. Avoid straining, especially the first week after surgery.
    9. If you develop hard stool or constipation, A laxative, Miralax is recommended.
    10. Mild to Moderate exercise is encouraged. You may walk as much as you like.
    11. Avoid heavy lifting.
    12. You are able to drive right after the surgery, and you may return to work with restriction in 2 days.
    13. You may take Tylenol or Ibuprofen (Advil, motrin, etc.) for mild pain. Should these not be effective in relieving the pain, prescription pain medications will be given on an individual basis.
    14. Please call the office to report any of the following: excessive bleeding, fever, Signs of wound infection, persistent moderate to severe pain, and constipation.

    What are the Best Treatments for Hemorrhoids? | Minneapolis & St Paul

    The term “hemorrhoid” has been used to refer to both normal anatomic tissue and pathologic structure. Hemorrhoid diseases are swollen and varicose blood vessels in the lower rectum. They are among the most common causes of anal complaints in the office visits.

    Hemorrhoids diseases include internal hemorrhoids, external hemorrhoids, anal tags, thrombosis of hemorrhoids and mixed hemorrhoids. Internal hemorrhoids are graded from I to IV based on the degree of prolapse. Besides causing anal itching, pain, bleeding and prolapse, hemorrhoids could cause other complications, such as thrombosis, anemia, and infection. Moreover, many hemorrhoid patients have a comorbidity of anal fissure, fistula, or anal warts. Because no single treatment modality can fix all hemorrhoids, a true hemorrhoid clinic will offer multiple treatment modalities and options to meet a patient’s specific needs and provide complete care.

    If you are treated with single modality for your hemorrhoids, regardless of the severity, type of hemorrhoids, and associated anorectal conditions, it leads to poor results because of poor quality care.

    Internal hemorrhoid Grade 1
    Very early hemorrhoids can often be effectively dealt with by dietary and lifestyle changes. The lifestyle changes should also be part of the treatment plan for more advanced hemorrhoids.
    1. Eating plenty of high-fiber foods
    2. Drinking plenty of fluids
    3. Keeping stool soft
    4. Good toilet habits
    5. Doing exercise regularly, but avoid heavy lifting
    6. Reducing weight

    Internal hemorrhoid Grade 1-2
    Infrared coagulation (IRC) is a non-surgical treatment that is fast, well tolerated, and remarkably complication-free. The infrared light quickly coagulates the vessels that provide the hemorrhoid with blood, causing the hemorrhoids to shrink and recede.

    Internal hemorrhoid Grade 3
    The third grade internal hemorrhoids can be treated with the combination of infrared coagulation and rubber band ligation (banding). Rubber band ligation is widely used for the treatment of more advanced (more prolapsed) internal hemorrhoids where the prolapsed hemorrhoidal tissue is pulled into a double-sleeved cylinder to allow the placement of rubber bands around the tissue. Over time, the ligated tissue dies off. Rubber band ligation downgrades the hemorrhoids to grade 1 or 2, so some patients may need to do Infra-Red Coagulation (IRC) treatments after rubber band ligation.

    Internal hemorrhoid Grade 4
    A hemorrhoidectomy surgically removes the tissue that causes bleeding or protrusion. It is done in a doctor’s office, surgical center, or hospital under anesthesia and may require a period of inactivity.

    External hemorrhoidal tags (anal tags)
    Small and asymptomatic tags don’t need any treatment. If symptomatic, anal tags can easily be removed in the office using a local anesthetic and a radiofrequency device.

    Thrombosed external hemorrhoids
    These hemorrhoids are typically treated with either incision to remove the clot or with external hemorrhoidectomy. Simply draining the clot usually relieves the pain immediately, but it may not work well if multiple thromboses exist as it can also lead to recurrence, so it is better for patients with multiple thromboses to completely excise the thrombosed hemorrhoids.

    External hemorrhoids
    Small and asymptomatic external hemorrhoids don’t need any treatment, however most patients will have an intermittent flare up. Eventually patients may need surgery (external hemorrhoidectomy) if you have large external hemorrhoids and/or persistent symptomatic external hemorrhoids.

    How to Treat if I Have Both Hemorrhoids and an Anal Fissure? | Minneapolis & St Paul

    The patients in Minnesota often couldn’t tell the differences between anal fissure and hemorrhoids because they both cause rectal pain and rectal bleeding at the same location. Although both hemorrhoids and anal fissure are associated with similar symptoms, they are two very different diseases that are important to distinguish.

    Hemorrhoids could be as painful as anal fissure when thrombosis develops. In the most time, the pain caused by hemorrhoids is mild, persistent, dull aching pain, not always related to bowel movement. Anal fissure usually has sharp rectal pain during bowel movements.

    An anal fissure is a tear in the anal canal in the lower rectum. Anal fissures are typically thought to be caused by trauma from a hard or painful bowel movement. Many patients report bright red blood on the toilet paper or the stool, though bleeding is usually not significant.

    If hemorrhoids and anal fissures occur together, the patients have to treat anal fissure first. Not only is anal fissure more painful, but also is hemorrhoids usually treated under anoscope which creates more pain and makes anal fissure worse.

    Hemorrhoids and anal fissures are initially treated with high fiber diet (such as fruits, veggies and whole grains) , taking an over-the-counter stool softener and using creams or ointments especially for hemorrhoids. It can also help to soak your bottom in warm water for 2-3 times a day, and Sitz baths after bowel movements are effective in relieving symptoms.

    If these first-line treatments do not work, the patient will focus on the definitive treatments for anal fissure with the topical agents such as Nifedipine and nitroglycerine (NTG) ointment in conjunction the treatments listed above.

    Botox has also shown to be a promising treatment, its relaxation effect on sphincters lasts for three months that is long enough for anal fissure to heal. If the anal fissure does not resolve following treatments, then a partial anal sphincterotomy may be needed, where a cut will be made on the anal sphincter in a different location in the anus, and both the fissure and new cut will heal together.

    After anal fissure heals, the attention turns to treat the hemorrhoids with infra-red coagulation, banding or surgery if necessary.

    FAQs of Infrared Coagulation | Minnesota

    A hemorrhoid is a common illness that numerous Americans suffer from. Approximately three out of four adults will have hemorrhoids at some point in their life. If you have anorectal symptoms, such as anal itching, rectal bleeding, anal lumps, and you suspect hemorrhoids , you should always be evaluated with a thorough evaluation by a physician for an accurate diagnosis and treatment plan and to exclude a serious illness.

    GREAT NEWS ABOUT HEMORRHOIDS! Infrared coagulation, or IRC, a minimally invasive, non-surgical procedure is available to treat hemorrhoids. This blog is to answer the common questions on the IRC with the FAQs.

    What is infra-red coagulation?
    Infrared coagulation (IRC) has quickly become the world’s leading office treatment for hemorrhoids and is preferred over other methods because it is fast, well-tolerated, and virtually complication-free. A small probe is placed in the base of the hemorrhoid, and a few bursts of infrared light are applied. The vessels that provide the hemorrhoid with blood are then congealed, and the hemorrhoids shrink away. It may take a few weeks for all the hemorrhoids to shrink completely.

    IRC is more effective and fewer infections than sclerotherapy, and may be better tolerated than rubber band ligation in most cases.

    How long is the procedure?
    Each treatment lasts about a couple of minutes, but the severity of the hemorrhoid as well as your comfort level is considered.

    Does it hurt?
    The procedure is very tolerable. You’ll probably feel a brief sensation of heat rather than any actual pain. You may feel some discomfort from anoscope. This treatment is available to be done during a regular office visit and does not require any special preparation, anesthesia, or medication or salves.

    How should I prepare for the procedure?
    In most cases, there is no preparation necessary. The physician will need to examine you to decide on the ideal treatment plan. Try to have a bowel movement 30 minutes before coming into the office.

    Who are the Best Candidates for Infrared Coagulation (IRC)?
    Infrared coagulation can be used to treat the early stages of hemorrhoids, and it is most effective in grade 1-2 hemorrhoids. If you’re suffering from irritating internal hemorrhoids that continue to cause itching, discomfort, pain, bleeding and other symptoms, and it does not respond to conservative self-management, IRC treatments might be a good solution.
    How is Infrared Coagulation Procedure Performed?

    Before IRC procedure is performed, Dr. Shu gently inserts the anoscope (a very short, 3-4 inch rigid metal tube), then uses a handheld device that creates an intense beam of infrared light to touch the mucosa above the hemorrhoids, exposing the hemorrhoid tissue to a quick pulse of infrared light. The heat from the infrared light burns 4-5 spots in the targeted area, coagulating the vein above the hemorrhoids.

    What is the Recovery Time of Infrared Coagulation Procedure?
    After the IRC procedure, you may feel mild discomfort in the anus and the urge to have a bowel movement sometimes. You are able to resume normal everyday activities immediately afterward. Typically, there are no post-treatment effects. However, there may be slight spot bleeding a few days later, but heavy rectal bleeding is extremely rare. Avoid heavy straining, lifting, and aspirin. If you notice significant rectal bleeding, you should call your doctor’s office.

    You may use Tylenol as needed and take a warm sitz bath daily to relieve discomfort. A stool softener, fiber, and water will help ease your bowel movement while you heal.
    How many visits are required?

    This depends on how severe the hemorrhoid problem is, the location of the hemorrhoids, and your individual response to the procedure. Most patients require 4 visits every two weeks.
    Will the hemorrhoids come back?

    Does it come back?
    Recurring hemorrhoids in different locations may occur in some patients. If this happens, infra-red coagulation, rubber band ligation or repeat hemorrhoidectomy may be necessary. Also, a sensible diet, moderate exercise, and proper bowel habits are helpful.

    Do you offer other treatment options?
    An expert in proctology, Dr. Shu does hundreds of hemorrhoid treatments every year. He offers rubber band ligation and hemorrhoidectomy for the most severe cases if necessary. He also treats other anorectal diseases such as anal fissure, anorectal abscess, anal polyp and anal warts.

    Dr. Shu has had extensive experience in treating hemorrhoids with non-surgical IRC treatments in the past two decades, and he has successfully treated more than two thousand hemorrhoids patients with almost ten thousand IRC treatments. Please call 952-922-2151 if you need help to treat your symptomatic hemorrhoids.

    Hemorrhoid Diet and Preventing hemorrhoids | Minneapolis & St Paul

    There is a strong correlation between diet and hemorrhoids. Turns out that what you eat, and what it subsequently turns into, has a huge effect on the health of your bowels- and that includes hemorrhoids, those pesky swollen veins that no one wants to talk to their doctor about. Basically, repetitive stress on the vascular hemorrhoidal cushions causes the supporting tissue to weaken and become inflamed, which results in the hemorrhoids getting blown up like a balloon. Trust me, you don’t want any balloons down there. With the skin and tissue stretched so thin, it can tear and bleed onto your toilet paper, an alarming sight for anyone procrastinating at work. It can get a lot worse than that too, like if it develops into an external hemorrhoid, becomes thrombosed, or, god forbid, gets infected. But that’s not what this is about. Today we’re talking prevention.

    There are three big things when it comes to hemorrhoids: stool hardness, toilet habits, and inflammation. Don’t strain too long or too hard on the toilet, as it puts pressure on the hemorrhoids.

    Have you gotten your fiber today? It’s recommended that women consume at least 25 grams of fiber a day, and that men consume 30-38 grams of fiber a day. Most likely, you’re one of the 95% of people in America that don’t get the proper fiber intake they need. Fiber adds bulk to stool, making it easier to pass and reducing the chance of constipation. Constipation is problematic. The less fiber you eat and water you drink, the harder your stool. The harder your stool, the more constipated you get. The more constipated you get, the more you strain. The more you strain, the more pressure you put on the hemorrhoidal cushions, and, well, you know the rest.

    Good toilet habits: move your bowels as soon as you feel the urge; Do not sit on the toilet for long periods of time.

    Inflammation is swelling. increased blood flow. Heat. Irritation. Hemorrhoids. Diet can be a big factor in inflammation. Here are a few things to take note of:

    -Reduce refined carbohydrates and animal products
    -Reduce alcohol consumption
    -Get enough micro minerals such as zinc and chromium
    -Get enough essential fats such as Omega-3 fats
    -If possible, don’t be overweight

    How Many Times can You Have the Rubber Band Ligation Treatments | Minnesota

    Rubber band ligation (RBL) is one of the common procedures to treat hemorrhoids. RBL is an office procedure that mainly treat the prolapsed hemorrhoids in the advanced grade 2 and grade 3 hemorrhoids.

    RBL is very effective in treating hemorrhoids, but it is not very efficient because RBL treatment is usually limited to one hemorrhoid each office visit and additional areas may be treated at 2 week intervals. Most patients need 2-4 RBL sessions. The patients will have more rectal discomfort, rectal tenesmus (feeling of incomplete defecation), and pain if given the RBL in two locations at the same time.

    The hemorrhoid tissue has to be prolapsed enough to be tied off at its base with rubber bands, so it cannot be performed if there is not enough tissue to be pulled into the barrel in the banding device. This procedure is almost never appropriate for grade 1 or mild grade 2 hemorrhoids. The infra-red coagulation (IRC) is the better option for early and mild hemorrhoids.

    The RBL process involves a doctor inserting an anoscope into the anus and grasping the prolapsed hemorrhoid with a long clamp to place a rubber band around its base. With the rubber band in place, the hemorrhoid dies off in a few days or a week. The procedure is done in a doctor’s office and only a couple of minutes.

    After the procedure, some patients may feel tightness, mild pain or have the feeling of bowel movement. Most patients are able to return to regular activities (but avoid heavy lifting) almost immediately. If you feel some pain after banding, you may use Tylenol or Ibuprofen as needed and do a lot of Sitz bath to relieve discomfort. Some patients may have slight rectal bleeding in a week. If you notice significant rectal bleeding, then you should call your doctor’s office.

    Proctalgia Fugax Means “Fleeting” Rectal Pain | Minneapolis & St Paul

    8%-18% of people have it. And of those people, only 20-30% seek a professional diagnosis for it. Patients suffer from episodes of severe pain that can make it difficult to function in their daily lives. What is this mysterious ailment?

    Proctalgia fugax is the answer. Proctalgia fugax, fugax meaning “fleeting” in Latin, is a condition that causes severe episodic pain in the anorectal area caused by cramps in the levator ani, the main pelvic floor muscle. Attacks typically occur at night and are often mistaken as an urge to defecate. When the levator ani spasms, the result is anorectal pain lasting anywhere from a few seconds to 30 minutes. Men may even get an involuntary erection! This condition typically starts around the age of 45. While it does not cause physical damage to the body, proctalgia fugax can be very painful and debilitating.

    Proctalgia fugax cannot be cured, but its symptoms can be managed. Here’s a list of some of the many treatments that can help ease the pain during an attack:
    1. Warm baths
    2. Warm enemas
    3. Cold packs
    4. Relaxation techniques
    5. Salbutamol inhaler – Usually used for bronchitis, salbutamol inexplicably seems to shorten episodes of pain
    6. Botox – Inhibits acetylcholine, the neurotransmitter that controls muscle, which reduces contractions
    7. Topical calcium channel blockers – Vasodilates blood vessels, reduces muscle contractions
    8. Counseling – Stress can be a major trigger of proctalgia fugax. Eliminating stress may reduce the frequency of attacks.
    9. Galvanic stimulation – High voltage stimulation has been shown to reduce frequency of attacks
    10. Treatments of the underlying diseases, such as hemorrhoids and anal fissures.

    Overall, proctalgia fugax can be a real nuisance. The 8%-18% figure above may be even greater in reality because so few people seek treatment. And it’s understandable why people don’t- it’s an uncomfortable and embarrassing thing to talk about. Many will just try to ride it out. Proctalgia fugax can be a struggle. It’s not worth the loss in quality of life. If you feel that proctalgia fugax is making your life worse, it might be time to see your doctor.

    Three KEY BENEFITS OF INFRARED COAGULATION THERAPY FOR INTERNAL HEMORRHOIDS | Minneapolis & St Paul

    Many Americans experience hemorrhoids. The exact prevalence is unknown because most patients are asymptomatic and do not seek care from a physician. It may affect approximately half the population by the age of 50. Hemorrhoids are more prevalent in persons 45 to 65 years of age.

    Although the precise cause is not well understood, hemorrhoids are associated with intrinsic weakness in rectal hemorrhoidal tissues with conditions that increase pressure in the hemorrhoidal venous plexus, such as straining during bowel movements secondary to constipation. Other risk factors include obesity, pregnancy, constipation, chronic diarrhea, anal intercourse, and pelvic floor dysfunction.

    Hemorrhoidal size, location, and thrombosis, determine the extent of pain or discomfort. Internal hemorrhoids, proximal to the dentate line, are traditionally graded from I to IV based on the extent of prolapse. External hemorrhoids and anal tags, distal to the dentate line, develop secondary to internal hemorrhoids or result of thrombosis.

    The ideal treatments for early stages of internal hemorrhoids are always debated. Some are more effective but are more painful, others are less painful but their efficacy is also lower. Thus, comfort or efficacy is a major concern.

    Medical management (e.g., stool softeners, topical over-the-counter preparations), dietary modifications (e.g., increased fiber and water intake), and behavioral therapies (good toilet habit, sitz baths) are the mainstays of initial therapy.

    If conservative management is unsuccessful, office-based, non-surgical treatments of grades I to III are the preferred next step and the common treatment options include infra-red coagulation and rubber band ligation. The studies showed that band ligation, although more effective in controlling symptoms and obliterating hemorrhoids, is associated with more pain and discomfort to the patient. As infrared coagulation can be conveniently repeated in case of recurrence, it could be considered to be a suitable alternative office procedure for the treatment of early stage hemorrhoids.

    Excisional hemorrhoidectomy leads to greater surgical success rates but also incurs more pain and a prolonged recovery than office-based procedures; therefore, hemorrhoidectomy should be reserved for recurrent or higher-grade disease.

    3 KEY BENEFITS OF INFRARED COAGULATION THERAPY FOR INTERNAL HEMORRHOIDS

    Infrared coagulation is quick and near painless
    Infrared coagulation can reduce or eliminate the hemorrhoid with a series of a few quick and near painless treatments using short bursts of hot light.

    The primary benefits of infrared coagulation are the quick and near painless treatments. While a series of 3 or 4 treatments is normally required over a 2 month period to reduce hemorrhoid, the individual treatments only take a few minutes, and require no recovery time. This is a big perk compared to taking several days off for surgery and recovery, which can be required in the most severe cases.

    Infrared coagulation is nonsurgical

    While many people associate hemorrhoids with painful surgery, only a small percentage of patients actually require surgery. Hemorrhoidectomy is a surgical procedure to remove most severe hemorrhoids. Instead, infrared coagulation, or other nonsurgical treatments, can reduce or eliminate the source of a hemorrhoi. The treatment is performed right in the office with no anesthesia, incisions, or stitches.

    Infrared coagulation is effective
    Nonsurgical treatments are simple, quick and convenient, but they must also offer a certain level of effectiveness. To that end, infrared coagulation is up to 95% effective.
    If you’d like to see how infrared coagulation can help you, give Procedure Clinic a call today at (952) 922-2151 to schedule a consultation. You can enjoy lasting relief from hemorrhoid pain!

    The External Hemorrhoidectomy Recovery Process

    What happens afterwards? The External Hemorrhoidectomy Recovery Process.

    If you’ve only local anesthetic was used, you’ll be able to go home right after surgery. Most external hemorrhoidectomies are performed under local anesthesia without any sedation. If you have large external hemorrhoids or mixed hemorrhoids, you may be given oral or intravenous sedation, and you leave once the sedative wears off, you need to arrange a driver . General anesthesia is typically unnecessary for external hemorrhoidectomy.

    Following an external hemorrhoidectomy, the recovery should involve a little time off work (a couple of days), and avoiding intense physical strain; that said, it is important to try to remain active while you recuperate.

    Pain management after an external hemorrhoidectomy is important part of recovery. Your bowels still need to keep work while recovering, except now it has a wound in it. It is almost certainly going to be quite sore at first.

    Most patients go through bowel preparation before surgery, and as a result usually don’t have any bowel movements in the first day or even 2nd day. You should reduce the amount of food you eat in the first 2 days in order to reduce the bowel movements. You’ll also get some fiber and medication to soften your stool, allowing you to pass it more easily and with less disturbance to the operative wounds. For similar reasons, you should make sure you drink plenty of water, at least 6 to 8 glasses every day. This also helps keep your stools soft and easy to move.

    Tylenol or Ibuprofen is usually sufficient for pain control. If the pain is severe, stronger painkillers such as narcotics may help keep it in check. That said, you are discouraged from using them since narcotics may cause constipation, which affects the wound healing.

    It is also important to give yourself a Sitz bath three times a day, 15 minutes each time to help the wound healing and prevent infection. Wash or soak after each bowel movement, and Keep the anus clean and dry.

    The pain ought to lessen as the wound heals over, which is a fairly fast process – everything should be back to normal, and pain-free, within two to three weeks.

    The Management of Anal Tags | Minneapolis & St Paul

    Anal tagHave you been using too much toilet paper because of pesky anal tags? Hemorrhoidal skin tags are flaps of skin or flesh found around the anus. They often form as a result of an existing hemorrhoid.

    Anal tags are the shapeless lumps and flaps of skin and tissue found at the anal verge. They’re quite common and usually come with other anorectal problems, such as hemorrhoids.

    Anal skin tags often occur if an individual heals the thrombosed external hemorrhoids at home without surgery, the thrombosed hemorrhoids may leave behind skin tags. Anal sentinel tags may also form because of non-hemorrhoid causes, such as anal fissure, surgery, or infection, etc.

    Despite the fact that people often confuse them with cancerous growths, skin tags are benign and present no serious health concerns.

    Hemorrhoidal skin tags often don’t cause significant rectal symptoms, but they often affect the cleansing after bowel movement. If feces become trapped beneath the skin tags, it can cause irritation and lead to itching and further inflammation. Skin tags can also cause pain when it flairs up or if there’s another underlying rectal problem.

    Patients suffering discomfort or itching due to hemorrhoidal skin tags can treat the condition with the following:

    • Thorough cleaning of the affected area after bowel movement. May use gentle cleansers, such as witch hazel or aloe vera extract.
    • Do a Sitz bath with warm water.
    • May use OTC hemorrhoid cream to reduce irritation and swelling.
    • If the skin tags frequently cause symptoms, individuals may consider having them removed surgically.
    • Most patients who have anal tags often have hemorrhoids, too, they should consider complete care by treating internal hemorrhoids before removal of anal tags or at the same time.

    Excision of anal tags:
    Anal tags can easily be removed in the office using local anesthetic. A radiofrequency device is used to get rid of skin tabs and resurface the anal area to acquire a good cosmetic result. The procedure takes less than 10 minutes and patients are safe to drive immediately afterwards. There may be mild postoperative pain and discomfort with bowel movement in the first week. The patients are typically able to go back to work next day although the whole healing process may take a few weeks. If the patient needs a hemorrhoidectomy, anal tags can be removed together as part of hemorrhoidectomy. If the anal tag is extensive, two stages of surgery may be necessary to avoid anal stenosis.

    Find a Qualified Hemorrhoid Doctor | Minnesota

    A hemorrhoid is a common illness that numerous Minnesotans suffer from. If you suffer from hemorrhoids, the good news is that the symptoms of mild hemorrhoids usually improve on their own with at-home treatments. But what if they get to the point where you need to see a doctor for an evaluation or treat them? How do you choose where to go and what doctor is right for you?
    Here’s what you should know about finding the right hemorrhoid doctor for you:

    The hemorrhoid procedures are usually conducted by colorectal surgeons, general surgeons, and family physicians. Here are some tips to help find a qualified doctor who can provide hemorrhoid care.

    1. Check doctors’ credentials; besides basic medical credentials, the most important questions you need to ask are:

  • How many hemorrhoid procedures does the doctor performs every week?
  • How many years has the doctor been providing hemorrhoid care?
  • Does the doctor provide complete hemorrhoid care by offering all available hemorrhoid procedures such as IRC, banding and surgeries?
  • What is the complication rate?
  • Does the doctor offer the convenient and alternative hemorrhoid care delivery system?
  • Experience matters.

    2. You may ask if the doctor uses any newer non-surgical technologies or surgical techniques. It makes a big difference in many aspects between the combined non-surgical and surgical approach and traditional hemorrhoidectomy only approach since not every patient needs hemorrhoidectomy. Some family doctors offer hemorrhoid cream only and other surgeons offer hemorrhoidectomy only. In fact, hemorrhoid care should be based on the severity of hemorrhoids, and the treatment plan should be customized based on each patient’s needs.

    3. There are a multitude of sources that offer information on hemorrhoid doctors in a patient’s area. These include Google searches, insurance companies, and primary-care doctors. If the patient knows any friends, family members and colleagues who have had hemorrhoid treatment, ask them about their personal experience with that particular hemorrhoid doctor and clinic. This information may be more in-depth, and can also provide the patient with a better understanding of the whole process of hemorrhoid care and what to expect.

    4. Once a number of hemorrhoid doctors have been identified, try to find out more about them. While credentials and clinical experience are important to consider, there are also practical considerations to take into account. These factors indirectly indicate how much the doctors are committed to hemorrhoid care and quality of hemorrhoid care.

    a. You should review their website to see if:

  • It is an informative and well-designed website
  • The contents are frequently updated
  • There is a user friendly online registration.
  • It is a dynamic website with ongoing blog posting
  • There are positive testimonials. There is a big difference in the evaluation of patient satisfaction between a few outdated testimonials and hundreds of recent testimonials.
  • b. If the price is affordable, ask about the total cost.

    c. You should find the whole hemorrhoid care system to be a friendly and patient-oriented service. For example, One Stop Medical Center offers the Easy Hemorrhoid Care with one trip care system.

    d. Consider the office location and convenience.

    e. Evaluate the quality of customer service: how the patient is treated on the phone during inquires, the cleanliness of the office, the attitudes of the staff during initial contacting, the level of the procedure room (simple office room or higher level of Surgicenter), and other less-tangible measurements should also influence your decision.

    When Should I Call a Doctor in the Hemorrhoid Clinic to Treat My Hemorrhoids? | Minneapolis & St Paul

    Hemorrhoid disease is not a cancer, and it usually doesn’t kill you. However, it often affects the quality of life. Letting a hemorrhoid go untreated can lead to serious complications
    If you suffer from hemorrhoids, you’re not alone. A hemorrhoid is a common illness that numerous Minnesotans suffer from. It is estimated that more than 10 million people in the United States suffer from hemorrhoids on a daily basis. Approximately three out of four people will develop hemorrhoids at some time in their lives. And while sometimes the symptoms are minor enough to be managed by yourself with home remedies. It’s important to know when you need to call a doctor.

    For the majority of hemorrhoid cases, using home remedies will only temporarily help to relieve the symptoms for a short period of time while prolonging the problem since it typically only addresses the symptoms rather than the root cause of hemorrhoids, Talking to a doctor can put you on track toward correct diagnosis and the treatment that will relieve you of your painful, inflamed hemorrhoids for good. Plus, hemorrhoids can be a sign of more serious medical issues, such as colon cancer or rectal cancer – so it’s important to get them checked out by a physician.
    Contact a doctor to treat hemorrhoids if:

    • Experiencing any rectal bleeding.
    • Having black stool
    • Noticing an anal lump
    • Experiencing changing and worsening rectal symptoms
    • Have abdominal symptoms such as bloating, diarrhea or constipation
    • Having very thin and small size of stool

    What About Non-surgical Hemorrhoid Treatments?
    The non-surgical hemorrhoid treatments like the infrared coagulation and the rubber band ligation are quick, simple, and virtually pain-free, and they are safe and effective office procedures. One Stop Medical Center offers the Easy Hemorrhoid Care with convenient, minimally invasive hemorrhoid treatments.

    Do I have Internal or External Hemorrhoids? | Minnesota

    You’re might be reading this because you saw blood on your toilet paper. Or maybe it was because it’s so itchy down there and it makes your life a living hell in public, or even worse- it hurts when you have a bowel movement. Well, you and 75% of the population are or will be wondering the same thing. Most likely, you have hemorrhoids.

    Now, you probably want to know more about them. It’s your body, after all. Essentially, there are three types of hemorrhoids – internal, external, and mixed, which are usually the result of intrinsic weakness of local hemorrhoid tissue with other factors, including excessive or prolonged straining, pregnancy, constipation, heavy lifting, or just unfortunate genetics.
    Internal hemorrhoids form above the dentate line, while external hemorrhoids form below the dentate line. Mixed hemorrhoids can either refer to lesions formed at the dentate line, or to the presence of both internal and external hemorrhoids. Luckily, all of them can be treated fairly easily in a clinical setting.

    External Hemorrhoids
    External hemorrhoids are pretty easy to figure out when you feel bulges or bumps around the anus. It usually affects the cleansing after the bowel movement and cause the skin irritation and itching. The thrombosed external hemorrhoids occur if the varicose veins rupture and the blood clots develop, it is often accompanied by severe pain and swelling. Lots of people can self-diagnose external hemorrhoids, but a doctor’s visit is required to make sure since there are several other medical conditions look similar to external hemorrhoids, such as anal warts, sentinel pile of anal fissure, anal polyp and anal cancer.

    Internal Hemorrhoids
    Internal hemorrhoids, while not as apparent as external hemorrhoids, are far more common. It is the root cause of hemorrhoid disease. In fact, they are so common that 100% of the population has them. Normal hemorrhoidal tissue is actually a physical part of your body, not an affliction. They only become a problem once the connective tissue around it weakens and the veins become swollen.

    For many, the only sign of internal hemorrhoids might be bleeding. As the hemorrhoid grows, it may become prolapsed, which is certainly not a pretty sight. This means the hemorrhoid is bulging out of the anus. Prolapsed hemorrhoids will be pretty obvious and can be painful and itchy. They can often be pushed back in manually if they aren’t too big. Note that external hemorrhoids and internal prolapsed hemorrhoids are not the same thing, but many patients with external hemorrhoids also have internal hemorrhoids, and your doctor will be able to tell you which it is if you aren’t sure.

    Ten Ways to Temporarily Alleviate Symptoms of Hemorrhoids | Minneapolis & St Paul

    You come home one day and in the bathroom you notice blood on the toilet paper after you wipe. It might hurt, and it might be itchy, and, like most adults, you probably haven’t been meeting your daily requirement for fiber lately. If you tick all these boxes, well, congratulations! You probably have hemorrhoids! and you should call your doctor’s office to make an appointment for the evaluation and treatment, especially when you have rectal bleeding. While you wait for your doctor’s appointment, you can start treating the rectal symptoms by yourself to temporarily alleviate the hemorrhoidal symptoms.

    1. Keep the area clean and dry. Do not wipe or rub vigorously.
    2. Take sitz bath in warm water for 15-20 min, 2-3 times a day and after every bowel movement. Sitz baths will help relieve discomfort and clean the area.
    3. Good toilet habits: move your bowels as soon as you feel the urge; Do not strain and bear down; Do not sit on the toilet for long periods of time.
    4. Avoid constipation by eating plenty of high-fiber foods, drink plenty of fluids, and exercise. If your diet is lack of fiber, y can also take two tablespoons of fiber supplement. If you develop constipation with hard stool, you may use a stool softener with or without laxative.
    5. Do not stay seated for more than two hours.
    6. Avoid heavy lifting for a few weeks.
    7. Do not drink alcohol or reduce alcohol intake.
    8. Apply hemorrhoid creams.
    9. Witch Hazel is found in many OTC hemorrhoid creams, you may use it since Witch hazel is an astringent that reduces swollen hemorrhoids.
    10. Put cold on the hemorrhoids every 5 minutes for a few times if you have the flair-up with swollen prolapsed hemorrhoids.

    Infrared coagulation (IRC) is a fast and effective non-surgical solution for hemorrhoid treatment!

    A hemorrhoid is a common illness that numerous Minnesotans suffer from. Approximately three out of four people will develop hemorrhoids at some time in their lives. While many people associate hemorrhoid treatments with painful surgery, only a small percentage of hemorrhoid patients actually require hemorrhoidectomy. A fast and simple non-surgical office procedure has taken the fear out of hemorrhoid treatments. The majority of hemorrhoid patients in Minnesota are good candidates for non-surgical Infrared coagulation (IRC) treatments.

    What is Infrared Coagulation (IRC)?
    IRC is a FDA approved office procedure that uses infrared light to treat symptomatic internal hemorrhoids, and it takes just a couple of minutes for each treatment. IRC is a safe, fast, and effective solution for hemorrhoids. Therefore, IRC has quickly become the most widely used office procedure for hemorrhoid clinics and is preferred over other methods because it is fast, effective, well-tolerated by patients, and rarely has complications.

    A small light probe contacts the area above the hemorrhoid complex under direct view, exposing the tissue to a burst of infrared light for about 1.5 second. This coagulates the veins above the hemorrhoid, causing it to shrink.
    With IRC, hemorrhoid doctor can effectively coagulate the insensitive area right above the hemorrhoids and destroy these small veins. In this way, the sensitive and painful area is avoided, and IRC becomes a very tolerable treatment.

    IRC offers major advantages to patients over previous hemorrhoid treatment methods:

    • Fast, simple, and safe solution
    • No anesthesia required
    • No special preparation needed
    • No recovery time after treatment
    • Clinically proven results
    • Covered by all major insurance companies

    Who are the Best Candidates for Infrared Coagulation (IRC)?
    Infrared coagulation can be used to treat the early stages of hemorrhoids, and it is most effective in grade 1-2 hemorrhoids.

    How is Infrared Coagulation Procedure Performed?
    Before IRC procedure is performed, Dr. Shu gently inserts the anoscope (a very short, 3-4 inch rigid metal tube), then uses a handheld device that creates an intense beam of infrared light to touch the mucosa above the hemorrhoids, exposing the hemorrhoid tissue to a quick pulse of infrared light. The heat from the infrared light burns 4-5 spots in the targeted area, coagulating the vein above the hemorrhoids.

    The resulting scar tissue cuts off the blood supply to the hemorrhoid venous complex. This causes the hemorrhoid complex to shrink and die. It may take a few weeks for all the hemorrhoids to shrink completely. Moreover, the scar tissue acts to hold nearby hemorrhoid veins in place so they don’t bulge into the anal canal easily and become hemorrhoids as you age.

    Each IRC treatment only takes a couple of minutes. You may need as many as four separate treatment sessions every two weeks to cover all the areas where hemorrhoids appear, but this depends on each individual case and how extensive your hemorrhoids are.

    What is the Recovery Time of Infrared Coagulation Procedure?
    After the IRC procedure, you may feel mild discomfort in the anus and the urge to have a bowel movement sometimes. You are able to resume normal everyday activities immediately afterward. Typically, there are no post-treatment effects. However, there may be slight spot bleeding a few days later, but heavy rectal bleeding is extremely rare. Avoid heavy straining, lifting, and aspirin. If you notice significant rectal bleeding, you should call your doctor’s office.

    You may use Tylenol as needed and take a warm sitz bath daily to relieve discomfort. A stool softener, fiber, and water will help ease your bowel movement while you heal.

    Rectal Bumps : Hemorrhoids or Something else? | Minnesota

    A rectal lump is a growth in the anal canal or rectal area. Rectal lumps vary in size and the degree to which they produce symptoms. Depending on the underlying cause, a rectal lump may or may not cause any pain. A palpable mass in the anal area may or may not indicate cancer or hemorrhoids. Lumps can be caused by a variety of conditions including anal warts, hemorrhoids, polyps, fissures, or cancer.

    Hemorrhoids are probably the most common reason for having a rectal lump. It can be caused by prolapsed internal hemorrhoids, but more commonly by external hemorrhoids. If a rectal lump is related to internal hemorrhoids, it usually gets bigger and more prolapsed right after the bowel movement; it could be spontaneously reduced in the early stage of internal hemorrhoids. But it could be non-reducible in the late stage of hemorrhoids. It may be associated with other symptoms such as bleeding, itch or pain. The thrombosed external hemorrhoids are usually very painful if the varicose veins rupture and the blood clots develop.

    Anal warts are caused by human papilloma virus (HPV). HPV infection is considered to be sexually transmitted diseases. Left untreated, anal warts can spread and increase the risk of cancer in the anorectal region.

    Anal Fissure is a small cut or split in the anal lining often caused by a painful, hard bowel movement. Fissures are typically located anterior or posterior to the anus. Anal fissure is often associated with a lump called sentinel pile, accompanied by pain and bleeding.

    Anal polyps are the growth in the anal canal that must be removed for the biopsy. Further examination with colonoscopy is required for polyps confirmed to be adenomatous in order to check for proximal lesions in the rectum and colon.

    Anal cancer occurs in the anal canal, it is account for 2% of cancer in the gastrointestinal tract. An external or internal mass may be palpable. Anal or rectal cancer generally does not produce any pain; some lesions are so soft that they are missed on palpation. Anal cancer can take several forms including ulcers, polyps or verrucous growths.

    The Easy Hemorrhoid Care™ (EHC) | Minnesota

    One Stop Medical Center invites you to experience an elevated level of care for your hemorrhoid treatments, with Minnesota’s first ever Easy Hemorrhoid Care™ Experience.

    For nearly 20 years, Dr.Steven Shu has been providing exceptional hemorrhoid care utilizing the state-of-the-art medical techniques and technology available. Now he and his team offer Easy Hemorrhoid Care™ , a new care delivery system for hemorrhoid treatment with minimal invasive procedures, including Infrared Coagulation (IRC), rubber band ligation, and modified hemorrhoidectomy. It is an efficient system that requires only one trip. We provide patients a new experience in hemorrhoid care, from procedure through recovery. These advancements reduce discomfort, time, decrease the chance of complication and reduce the total recovery time.

    For the first time in Minnesota, a personalized approach to meet your specific hemorrhoid care requirements is now available! The Easy Hemorrhoid Care™ Experience has been designed to take the stress and worry out of your hemorrhoid treatment. This package provides the most comfortable and seamless hemorrhoid care experience possible, with enhanced, customized hemorrhoid care, saving you precious time in your busy schedule.

    Benefits of the Easy Hemorrhoid Care™ (EHC)
    In the standard hemorrhoid care, the patients with hemorrhoids require multiple office visits with Infrared Coagulation and/or rubber banding ligation for their internal hemorrhoid treatments, followed by external hemorrhoidectomy and/or excision of anal hemorrhoids. It is a long process, but it is usually covered by your medical insurance.

    The Easy Hemorrhoid Care™ (EHC) is a specially designed hemorrhoid care delivery system that aims to shorten the whole process of hemorrhoid treatment, to reduce discomfort, the chance of complications, and total recovery time. Patients are given Botox during the procedure to relax anal sphincter muscles, reducing post procedural pain. It is an efficient system that requires only one trip where you receive premium medical care, but it is not covered by your insurance.

    To learn more about our Easy Hemorrhoid Care™ Experience in One Stop Medical Center, please contact us by calling at 952-922-2151 or email at info@shuMD.com.

    Pregnancy and Hemorrhoids | Minnesota

    Going to the doctor again for hemorrhoids is one of the last things a woman wants to deal with after pushing a child out of their body, but the only thing less appealing than that is actually having hemorrhoids. Pregnancy brings a lot of changes to a woman’s body, one of which is an increase in progesterone, a hormone that is responsible for regulating pregnancy. Aside from one of the greatest joys in life, progesterone also causes one of the greatest inconveniences: hemorrhoids. The combination of progesterone and intense pushing during labor makes hemorrhoid a common ailment among women.

    One of the things that can affect the likelihood of developing hemorrhoids during pregnancy is whether the birth is vaginal or a C-section. A vaginal birth is much more likely to result in hemorrhoids, due to all the pushing and strain on the anorectal area. Straining that area of your body can cause hemorrhoids whether your pregnant or not (so don’t spend too much time reading the news on your phone in the bathroom), and anyone that has had experience with childbirth will know that women have to push very very hard, and that’s putting it lightly.

    C-sections are less likely to result in hemorrhoids because the entire process of straining and pushing the baby through the birth canal is avoided. However, this all depends on how much straining the pregnant woman does before the procedure.

    Usually, very conservative treatment is given to women with hemorrhoids, as additional stress from a procedure is usually not the best for a pregnant woman. Typically, fiber intake, topical ointments, and cold packs are enough to manage hemorrhoids. However, in more severe cases, a procedure may be required to deal with it. In this case, it is best to go with your doctor’s recommendation as to what is best for you and the baby.

    Epidemiology on Hemorrhoids | Minnesota

    Hemorrhoids are swollen blood vessels in the lower rectum and anus. They are among the most common causes of anorectal complaints, and only a small proportion of those people seek therapy. This blog will summarize the current epidemiology of hemorrhoids.

    Prevalence
    The prevalence of hemorrhoids is not well documented due to the lack of clinical research on this topic. There has been a scarcity of literature reporting on the epidemiology of hemorrhoids.
    It is estimated that the overall prevalence of symptomatic hemorrhoids in the general population is about 4.4%, but the true prevalence of hemorrhoids, including asymptomatic hemorrhoids should be much higher than 4.4%.

    According to a study done in a hemorrhoid center, estimates suggest that around half of Americans develop hemorrhoids by time they are 50. The number of people in the US suffering from symptomatic hemorrhoids is estimated to be around 10 million, with 1 million new cases occurring each year. Up to one third of those 10 million people with hemorrhoids seek medical treatment.

    Trends
    It is noticed that the number of people visiting hospitals for hemorrhoidectomies has fallen. A peak of 117 hemorrhoidectomies per 100,000 people was reached in 1974; this rate declined to 37 hemorrhoidectomies per 100,000 people in 1987, and the number should be much lower now. Office treatment of hemorrhoids with non-invasive methods account for some of this decline.

    Gender
    There is no known sex predilection, although men seem to be more likely to seek medical attention. However, the physiological changes that occur during pregnancy also increase the likelihood that hemorrhoids will become symptomatic and may increase the incidence of thrombosis in females.

    Race
    Caucasians are more frequently present with hemorrhoidal disease and seek treatment more often than other races.

    Genetics
    Some individuals are more genetically predisposed to hemorrhoids than others. But there are no indicative factors that can be used to identify this group of patients.

    Age
    The prevalence of hemorrhoids increases as people age. In most cases, hemorrhoids develop in individuals who are over 30 years old, with a peak in persons aged 45-65 years, although they can develop at any age. External hemorrhoids tend to occur more commonly in younger adults.

    Socioeconomic Status
    People who live in rural areas and those with a higher socioeconomic status appear to be more likely to develop hemorrhoids.

    One Stop Medical Center Receives the Renewal of Three Accreditation from IMQ 2nd Time a roll | Minnesota

    One Stop Medical Center (OSMC) recently received an updated renewal accreditation by the Institute for Medical Quality (IMQ) that assures their patients are receiving the highest level of care. Three year accreditation is the longest term that an ambulatory surgical facility can get from IMQ. This is the second time in a roll that OSMC received three year accreditation.

    It’s an honor to be recognized as a top-quality ambulatory surgical facility. We are extremely pleased to have received the renewal of three year accreditation 2nd time in a roll. We work extremely hard to uphold the highest standards of patient care. For our patients, this serves as validation for out rigorous standards of safety, professionalism and quality care by our clinic.

    The Institute for Medical Quality certification is a complicated, lengthy process that serves to ensure all accredited surgery centers and operating rooms are providing high quality, safe surgical care. The IMQ Ambulatory Care Review Program includes a rigorous review of the facility’s clinical staff credentials, patient medical record-keeping practices, calibration, and maintenance of medical equipment and other safety measures. Facilities are also evaluated on-site by physician peers before a final decision is rendered by the IMQ Ambulatory Care Review Committee.

    Dr. Shu and his staff all strive to make sure our medical and cosmetic patients are receiving the best care possible in our clinic. From a warm, welcoming environment to our bedside manner to the innovative surgical procedures we provide.

    Hemorrhoids and Pregnancy | Minensota

    Hemorrhoids are very common complaints during pregnancy. It afflicts 20 to 50 percent of all pregnant women in Minnesota. Pregnancy changes your body in more ways than you might think. Why does pregnancy make women more prone to hemorrhoids? There are several reasons on it.

    1. Hemorrhoids are a type of venous disease similar to varicose veins; it is surely not perfect designing in its anatomy and physiology with intrinsic defects.

    2. The enlarging uterus plus increased blood flow put pressure on the pelvic veins and other large veins that increases the pressure on the veins and causes them to become more dilated.

    3. Constipation is another common problem during pregnancy, which can also aggravate hemorrhoids due to the straining.

    4. An increase in progesterone hormone during pregnancy causes the walls of hemorrhoidal veins to relax, allowing them to swell more easily. Moreover, progesterone slows down women’s digestive tract and contributes to constipation.

    5. The pushing process involved in labor also makes the existing hemorrhoids worse.

    Many women in the Minneapolis and St Paul areas develop the new hemorrhoids during their pregnancy; others have the preexisting hemorrhoids even before they get pregnant. Some women get them in the first pregnant, others get recurrent hemorrhoids. Hemorrhoids usually get worse in the third trimester, right after labor pushing or if you develop constipation.

    The typical hemorrhoids symptoms during pregnancy are anal itching, rectal bleeding, pain, and bulging out. The good news is that hemorrhoids will begin to improve soon after giving birth.
    The most conservative hemorrhoid treatments are usually prescribed for hemorrhoids occurring during pregnancy and soon after childbirth. Local application of over-the-counter ointments, fiber supplements, Sitz bath and cold packs are often sufficient to relieve the symptoms. If the patients develop the hemorrhoid complications, commonly painful thrombosed external hemorrhoids, then the simple surgical procedure with incision and drainage is necessary to remove the blood clots and alleviate excoriating rectal pain. Occasionally, the limited external hemorrhoidectomy is needed in some severe cases.

    The patients are encouraged to see hemorrhoid doctors, family physicians or colorectal surgeons for hemorrhoid evaluation in 2-3 months after delivery if they have severe hemorrhoids during pregnancy or the symptoms linger even a few months after giving birth.

    The good thing is that minimally invasive hemorrhoid procedures, such as Infrared coagulation (IRC) and banding, can effectively treat most hemorrhoids without cutting or stapling to postpartum women. For the extensive or severe hemorrhoid cases that do not respond to conservative methods, hemorrhoidectomy is needed to remove them completely. Dr. Shu prefers to perform less invasive hemorrhoidectomy, not traditional hemorrhoidectomy, in combination with banding and IRC, The patients usually have good result with quicker recovery with this approach.

    9 Tips for Recovering After Infrared Coagulation (IRC) Treatment of Hemorrhoids | Minnesota

    If you’re suffering from hemorrhoids, Infrared coagulation (IRC) is often an initial treatment of choice, especially for early stage of internal hemorrhoids. In this procedure, an intense infrared light heats the hemorrhoidal tissue, creating scar tissue that blocks blood supply to the hemorrhoid, which shrinks and dies.

    In general, IRC is a very safe office procedure that takes less than a minute in each treatment. It is relatively painless and no anesthesia or painful injections are needed. It produces very good results in the early stages of hemorrhoids with minimal complications and quick recovery. The recovery time after IRC treatment is minimal with very little pain or discomfort. It is important to take care of the rectal area after the IRC procedure to avoid a recurrence of the hemorrhoids. Here at the Procedure Clinic in Edina, MN, we offer the following tips on recovering from IRC treatments.

    1. Keep the area clean and dry. Do not wipe or rub vigorously.

    2. Take sitz bath in warm water for 15 min, twice a day and after every bowel movement. Sitz baths will help relieve discomfort and clean the area.

    3. Good toilet habits:
    a. Move your bowels as soon as you feel the urge.
    b. Do not strain, bear down, or hold your breath during a bowel movement.
    c. Do not sit on the toilet for long periods of time. If you cannot empty your bowel, you may re-visit the toilet at a later time.

    4. Avoid constipation and straining during bowel movements:
    a. You are encouraged to eat plenty of high-fiber foods, drink plenty of fluids, and exercise. The high fiber food includes vegetables , fruits, , beans, and whole grains.
    b. If your diet is lack of fiber, y can also take two tablespoons of any over the counter fiber supplement such as natural wheat bran, natural oat bran, flax, Benefiber with a lot of water.
    c. If you develop constipation with hard stool, you may use a stool softener with or without laxative.

    5. Do not stay seated for more than two hours. Do the muscle exercise by tightening your buttock muscles 10 times and take 10 deep breaths every a couple of hours.

    6. Avoid heavy lifting for a few weeks.

    7. Do not drink alcohol or reduce alcohol intake.

    8. Apply hemorrhoid creams when the symptoms flair up.

    9. Be sure to follow your doctor’s instructions.

    When to Call Your Doctor
    Problems are not common with the IRC treatment. However, if there is a substantial amount of bleeding, severe pain, chills, fever or difficulty passing urine (very rare), you should call your doctor to seek medical attention.

    Hemorrhoid Myth-busting | Minnesota

    Hemorrhoids are uncommon
    FALSE– Hemorrhoids are actually incredibly common. A whopping 75% of adults will suffer from hemorrhoids at some point in their life.

    Only old people can get hemorrhoids
    FALSE– While hemorrhoids are most commonly found in people aged 45-65, it’s definitely possible to find it in younger adults and even children.

    Spicy foods can give me hemorrhoids.
    FALSE– There is no evidence that spicy foods will cause hemorrhoids or make them worse. Those that eat spicy food while having hemorrhoids do not report any increased pain or discomfort with their bowel movements either.

    Sitting on the toilet too long can give me hemorrhoids
    TRUE– This is actually true. Sitting on the toilet too long, especially straining for long periods of time, puts pressure on the veins in the rectum, increasing the chances of developing hemorrhoids. Put away the phone and do your business.

    Cold surfaces can give me hemorrhoids
    FALSE– There’s no evidence that suggests sitting on a cold surface would increase the chances of developing hemorrhoids.

    I shouldn’t exercise if I have hemorrhoids
    FALSE– Exercise actually helps prevent hemorrhoids. However, weightlifting with poor form can increase the chances of developing hemorrhoids and make existing hemorrhoids worse.

    Hemorrhoids could give me cancer
    FALSE– There is no evidence hemorrhoids will increase the chances of cancer.

    Effective Non-surgical Treatment Protocol | Minnesota

    The effective Non-surgical Treatment Protocol we use is based on 17 Years Clinic Experience and About 3000 Hemorrhoids Cases with More Than 10,000 Treatments. It takes out your fear of hemorrhoid treatment!

    Infrared coagulation (IRC) and rubber band ligation (banding) of hemorrhoids are fast and effective non-surgical solutions.

    While many people associate hemorrhoids with painful surgery, only a small percentage of patients actually require surgery. A fast and simple office procedure has taken the fear out of hemorrhoid treatment. The majority of hemorrhoids patients are good candidates for non-surgical treatments, or Infrared coagulation (IRC) and rubber band ligation (banding).

    Recently, we reviewed the hemorrhoid cases treated in the past 17 years. We accumulated extensive clinical experience on hemorrhoid treatments due to the vast numbers of hemorrhoid cases and treatments we did, which helped us to consistently refine the treatment protocols based the type of hemorrhoids and severity of hemorrhoids. Therefore, each patient can be offered with a customized treatment protocol with better results.

    The IRC and banding both are office-based procedures takes just a few minutes and uses infrared light or tiny rubber bands to treat symptomatic internal hemorrhoids. IRC has quickly become the most widely used office procedure for hemorrhoids and is preferred over other methods because it is fast, effective, well-tolerated by patients, and rarely has complications. IRC can be used to treat the early stages of hemorrhoids, and it is most effective in grade 1-2 hemorrhoids, and banding can be used to treat more advanced hemorrhoids, such as prolapsed grade 2-3 hemorrhoids.

    You may need as many as four separate treatment sessions every two weeks to cover all the areas where hemorrhoids appear, but this depends on each individual case and how extensive your hemorrhoids are.

    After the IRC or banding procedure, you may feel mild discomfort in the anus and the urge to have a bowel movement sometimes. You are able to resume normal everyday activities immediately afterward. Typically, there are no post-treatment effects. However, there may be slight spot bleeding a few days later, but heavy rectal bleeding is extremely rare. Avoid heavy straining, lifting, and aspirin. If you notice significant rectal bleeding, you should call your doctor’s office. You may use Tylenol as needed and take a warm sitz bath daily to relieve discomfort. A stool softener, fiber, and water will help ease your bowel movement while you heal.

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