There are two kinds of hemorrhoids internal and external hemorrhoids. External Hemorrhoids are swollen areas of skin and blood vessels around the anus. They are highly innervated and sensitive and are also at risk for thrombosis. They develop around the external opening of the anus. It is usually very painful as the skin around them is very sensitive. Most of the time, they are just bothersome protrusions. Internal hemorrhoids occur above the pectinate or dentate line in the anal canal. They are covered by a mucous membrane. The external Hemorrhoids need removal.
If there is only mild discomfort, the doctor may suggest over-the-counter creams, ointments or pads. These contain witch hazel or a topical anti-inflammatory agent containing hydrocortisone. In combination with daily warm baths, this treatment helps relieve your symptoms. Often creams are available with herbal extracts like witch Hazel Compress or Cream. This is made from the leaves and bark of a plant called Hamamelis virginiana. It is applied topically to the anal area in the form of witch hazel distilled liquid, ointment, or medicated pads. It helps to relieve pain, itching and swelling and other problems associated with hemorrhoids. But in extreme cases Hemorrhoids removal needs to be done.
The hemorrhoids may be removed surgically or through other methods in extreme cases. Three surgical procedures to remove external hemorrhoids are-
a) Laser coagulation- The hemorrhoid is clotted with an electric probe which makes it shrink.
b) Infrared photocoagulation- The hemorrhoid is clotted with infrared light to make it shrinks.
c) Hemorrhoidectomy- Complete removal of the hemorrhoid.
d) Band it- This is the most commonly used hemorrhoid procedure. In this small elastic band is placed around the base of a hemorrhoid. The band causes the hemorrhoid to shrink and the surrounding tissue to scar as it heals, holding the hemorrhoid in place. There are rare complications including mild pain or tightness, bleeding, and infection.
d) Staples- A newer alternative to traditional hemorrhoidectomy is called stapled hemorrhoidopexy. Treatment for bleeding or prolapsed internal hemorrhoids is done. This is performed under general anesthesia but itís less painful and recovery is quicker.
There are certain natural ways of hemorrhoids removal. These include
1. Apply ice packs on the affected areas.
2. Sitz bath, which is a small tub and is specially designed to allow the soaking of hemorrhoids without taking a bath. In this process the rectal area is soaked in hot water for 15-20 minutes about 3-4 times a day. Not only does this helps relieve symptoms but also aids shrinkage of the hemorrhoids.