Hemorrhoids are a normal part of the anatomy.

We are born with them. In fact, we have two sets; internal and external. The external hemorrhoids tend to hurt. The internal hemorrhoids tend to bleed, soil, itch, ache, and can ‘block’ a bowel movement from passing.

Depending on the patient, initial treatment may involve the following:

1.  Developing a regular, easy bowel movement.  This is usually done through the use of fiber supplements (e.g. Metamucil, Citrucel, etc.), and the use of Tucks or Non-Alcoholic baby wipes to clean.

2. Shrinking the Hemorrhoids by using cortisone cream or suppositories.

3. Relieving the pain: Warm compresses are offered for severe cases.

It takes weeks for hemorrhoids to heal properly.  During this time you may have days when it seems healed, only to have a ‘bad’ bowel movement and a recurrence of symptoms.

When non-surgical measures fail, either selective treatment for the internal hemorrhoids, or operative excision of both inside and outside hemorrhoids is considered.

When the internal and external hemorrhoids are so large that they merge into one entity, then surgery becomes the best option.

Hemorrhoidectomy is a good operation with excellent results for most patients.  It is done as an outpatient procedure.  The advantages of surgery include long-term relief from pain, bleeding, itching, and soilage.  Time off of work will depend on your pain threshold, how well you can soften the bowel movement, and what type of work you do.

Can there be any complications?

The complications of hemorrhoid surgery include, but are not limited to:

(1) Pain as you heal: The most common problem is intense pain as you heal.  You will need anywhere from 1-6 weeks off work, depending on the number of hemorrhoids removed, your pain threshold, and the type of work you do.

(2) Trouble Urinating: Some patients experience trouble urinating immediately after the operation, requiring a catheter to be placed in the bladder for several days.

(3) Infection: On a rare occasion, infection can develop requiring hospitalization, antibiotics, and further surgery.

(4) Bleeding: Everyone sees a teaspoon or tablespoon of blood now and then, but if a larger blood vessel is torn open, the bleeding can be heavy.  Apply pressure and go immediately to the ER.

(5) Anus heals too tight: Occasionally the anus heals ‘too tight’, or the wounds are slow to heal requiring further surgery.

Make Your Appointment Today.

Are you suffering from hemorrhoids?

Contact the Hemorrhoid Specialists at Providence Colorectal today at 248-557-9650.  We have offices conveniently located throughout Southeast Michigan, including Southfield, Novi, Livonia, Howell, and Farmington Hills.

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