There are various methods in treating hemorrhoids depending on its severity. People suffering from this condition can choose from surgical and non-surgical treatments. Others may opt to choose homeopathic remedies especially for mild cases. But before deciding on what particular therapy you choose, a consultation with your doctor is a must. A common therapy for bleeding internal hemorrhoids, for example, is Sclerotherapy or injection therapy.
If you are new to this injection therpy for hemorrhoids, a thorough discussion will be made in this article. Sclerotherapy is a procedure where a sclerosing or hardening solution is injected to the vein within a hemorrhoid. Most doctors advice this injection therapy for small internal hemorrhoids. It uses a chemical or a saline solution that scars the tissues and causes the vein to harden. This will eventually cut off the blood supply to hemorrhoid and causing the tissue to die. When these tissues become firm and thick it will hold nearby tissues and veins preventing it to bulge in the anal canal.
Advantages of Injection Therapy
This method is easy to administer and cheaper compared to surgical treatments. It can be done on an out-patient procedure. After the treatment, the patient will recover within 7 to 10 days since the hemorrhoid will fall off during normal bowel movement. The symptoms will disappear particularly the bleeding. Another advantage of injection therpy is its use on elderly patients. Doctors prefer to use this procedure in treating small hemorrhoids on older people since they already have fragile veins. For people suffering from multiple hemorrhoids, this injection therapy is also recommended. The doctor can treat up to 3 hemorrhoids in just one session.
Injection therpy is not recommended for large hemorrhoids because of higher incidence of recurrence. There are also some cases where hemorrhoids came back 12 months after the treatment. To make it more effective, sclerotherapy is more applicable in the treatment of first-degree and early second-degree piles. Patients with acute prolapse-thrombosis and suffers from severe bleeding or ulceration are prohibited to undergo this therpy. The procedure can aggravate bleeding and can contribute to the formation of ulcers in the mucosal tissue of the colon. In addition, other conditions such as fissures and fistula are also contra-indicated in sclerotherapy.
With the use of local anesthetic gel, the patient is required to lie down on a table positioned on the left side in the left lateral position. To illuminate the area to be injected, a proctoscope with a wide-bore is inserted into the anal canal. The injection is done at the base of internal hemorrhoid. If the patient feels too much pain during the injection, it could be due to incorrect location of the needle. The injection is made parallel to the anal canal and inserted about 1 to 2 cm deep. The procedure is done slowly to allow 3 to 5 ml of sclerosing agent disperse in the tissues. The needle is then allowed to stay in the area for almost 2 minutes to avoid bleeding and leaking of the solution.
Complications from injection therpy for hemorrhoids are very rare. These could include bleeding, too much pain and other side effects due to accidental injection to other area in the hemroid. Based on statistics, only 0.02% or 1 in 5,000 injections could lead to serious complications but this is commonly due to improper technique or unskilled medical practitioner.