This is the surgical removal of hemorrhoids. A hemorrhoid is an enlarged vein in the anus or beginning of the rectum.
Hemorrhoids are swollen veins in the anus or rectum.
Some people who have hemorrhoids have no symptoms. For others, symptoms may include:
If hemorrhoids are severe and untreated they can lead to:
When the blood supply to a hemorrhoid is affected it can cause death of tissue (gangrene). In this case the hemorrhoid needs to be surgically removed.
A hemorrhoidectomy is the surgical removal of hemorrhoids. It can be done with:
Hemorrhoids are caused by increased pressure within the veins in the rectal area. The increased pressure causes enlargement of the veins. Factors that may contribute to hemorrhoids include:
Rectal bleeding is often related to hemorrhoids. However, it can also signify more serious conditions, such as colorectal cancer. Contact your healthcare provider if you have rectal bleeding or other symptoms that are persistent. He or she will take a medical history and perform a physical exam to find out whether your symptoms are due to hemorrhoids or another condition. To diagnose internal hemorrhoids, your healthcare provider may recommend:
A sigmoidoscopy or colonoscopy may also be recommended if you need a more complete exam of the colon to rule out a more serious condition.
Treatment options for hemorrhoids vary depending on the location and severity of the hemorrhoids. Most hemorrhoids can be treated with:
Your healthcare provider may recommend a hemorrhoidectomy if conservative treatments have not improved symptoms that affect your quality of life. Prior to surgery, tell your healthcare provider about any medications you are taking (including over-the-counter medications and supplements). Ask about specific instructions you should follow before surgery and get clear instructions on what you need to do. These may include:
If you are a smoker, you should quit smoking, as it can interfere with your recovery.
A hemorrhoidectomy is usually done in an operating room on an outpatient basis. The type of anesthesia you are given depends on your circumstances. You may receive:
After surgery, expect some pain and tenderness at the site. Soaking in a warm bath can help. You may also be told to:
Complete recovery from a hemorrhoidectomy may take up to three to four weeks. Most people can resume normal daily activities in about a week.
If your healthcare provider recommends a hemorrhoidectomy, ask the following questions.
Prior to discharge, you should understand all home care instructions. This includes symptoms to report before your next appointment, medications and their side effects and follow-up plans. Don't forget to make arrangements for transportation to and from the facility and for help at home while you recover.
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