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Hemorrhoids, also known as "piles", is defined as a group of swollen veins at the distal part of the rectum, in other words the anus.

This condition can be extremely painful, but sometimes the patient may not complain of any pain at all. Though this condition is not usually serious, the distress that it causes in daily life is very disturbing. This is the reason surgeons recommend surgical treatment for hemorrhoids before the condition gets complicated. There is no doubt that this condition can be treated with diet changes, drugs, and medications, but surgical removal of hemorrhoids remains the best treatment option if the condition is interfering with your daily life.

Surgery For hemorrhoids: Hemorrhoidectomy

Surgery to remove hemorrhoids is called Hemorrhoidectomy.

The patient is given general or spinal anesthesia depending upon the situation. In spinal anesthesia, the patient is awake but does not feel any pain. The surgery is done using a scalpel (knife), a laser, or a cautery pencil, an instrument that uses electricity.

There is another procedure called Hemorrhoidopexy. A circular stapling device is used in this procedure. No incision is made; hemorrhoidal tissue is lifted and is stapled back in place within the anal canal. This surgery is less painful but more expensive. Recovery is fast in this case but patient is more likely to develop hemorrhoids again and come back for another surgery.

Another type of hemorrhoid surgery is Doppler-guided Hemorrhoidectomy. This procedure involves removal of hemorrhoids using scope with special probe. This procedure is also expensive but there is not much data available on its long-term effectiveness.

Recovery After Hemorrhoidectomy

Recovery after hemorrhoid surgery usually takes two to three weeks.

Going Home

Right after the surgery, patients are given a local anesthesia which keeps the wound numb for 12 hours approximately. As soon as the anesthesia wears off, the patient is allowed to go home and come back for the follow after two to three weeks. In certain cases the patient may be kept under observation for more than 24 hours to few days or even weeks.

Hemorrhoidectomy is a safe procedure and it is very unlikely to have any complications during the procedure.

Taking Care Of Yourself After Hemorrhoidectomy

Medication: You may experience some pain after the surgery. Your doctor will prescribe you medicines for pain; make sure that you take those as prescribed. You can also use some over-the-counter medicines for pain but only after consulting your doctor.

Bowel Movements: You may have disturbed bowel movements especially for the first few days. You may also experience some rectal bleeding which is normal.

Diet: It is the most important thing for a patient after the surgery. Take only liquids for a few days after the surgery. When you begin feeling a bit better, you can take bland diet. It includes plain rice, applesauce, banana, etc.

Pain relief: You can use topical creams and ointments before and after bowel movements to relieve pain. Ice packs can be applied to the anal region to reduce pain and swelling. Your doctor will also recommend you stool softeners that contain fiber. This is because hard stools tend to cause severe pain.

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