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    Hemorrhoid treatment

    Not a topic I enjoy talking about but I was wondering if anyone out there has had treatment for either internal or external hemorrhoids.

    I have both unfortunately from 30 years of routines and digital stimulation. I usually use witch Hazel on cotton balls and anusol to take them down after a treatment but I'm considering getting a more invasive treatment. I guess the choice is probably between banding or sclerotherapy (with phenol).

    I'm wondering if anyone here has had either treatment and if it was successful for them. How long it lasted, if the hemorrhoids returned. If they had any adverse side effects.

    My proctologist was recommending sclerotherapy instead of banding because he thought banding might induce autonomic dysreflexia , or there's always the possibility of the bands popping off. He said with the sclerotherapy is just an injection to shrink and scar the hemorrhoid. I'm a little nervous if I'm honest about that 'cause I'm worried about impairing sensation and creating further incontinence. I'm lucky enough to have probably 97% intact sensation ... And like I said I worry about maybe scars causing powers to be more incontinent and having accidents.

    My PSW said with all of the hemorrhoids that I have over the years internally there's already scarring there so I really shouldn't worry about it but he's not an expert. It's always wondering if anyone here has had any experience with other treatment.


    #2
    i had 3 sessions of banding done on internal ones and was very successful... externals were removed surgically also very successful..no AD with either .. they were caused from sitting on commode for long periods and doing stims while seated. we now do bowel routines in bed on my side with blue pads and am hemi free for over 3 yrs.
    c4/5 incomplete with high sensation also

    Comment


      #3
      AD can result from any surgical procedure for hemorrhoids, both injections and rubber banding, as well as traditional surgery. This can be minimized by using a local injectable anesthetic at the beginning of the procedure, but it can continue for 24 hours or so after the procedure as well, so it is wise to have a plan for medication to manage any AD symptoms during that time period.

      With any of the procedures, they can re-occur if you continue to sit for long periods, and do bowel care as before. For many, there are no good alternatives, so it is just something that you may need to repeat in 4-5 years.

      Generally, we did not treat at all unless they were causing AD, or bleeding between bowel programs.

      There is minimal risk of causing a flaccid anal sphinter regardless of the method used for treatment, especially when done by a specialist colo-rectal surgeon.

      (KLD)
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

      Comment


        #4
        Originally posted by SCI-Nurse View Post
        AD can result from any surgical procedure for hemorrhoids, both injections and rubber banding, as well as traditional surgery. This can be minimized by using a local injectable anesthetic at the beginning of the procedure, but it can continue for 24 hours or so after the procedure as well, so it is wise to have a plan for medication to manage any AD symptoms during that time period.

        With any of the procedures, they can re-occur if you continue to sit for long periods, and do bowel care as before. For many, there are no good alternatives, so it is just something that you may need to repeat in 4-5 years.

        Generally, we did not treat at all unless they were causing AD, or bleeding between bowel programs.

        There is minimal risk of causing a flaccid anal sphinter regardless of the method used for treatment, especially when done by a specialist colo-rectal surgeon.

        (KLD)
        I do get bleeding sometimes. Usually not a lot…like couple drops… but over the past 5 months there have been about a least a 12-18 routines where the internal ones bled very notably during the routine into the toilet where you say it was a lot of blood and concerning. Why I went for a colonoscopy to check it was not something else.

        I assume with banding there’s more potential for the same spot to reopen later on?

        Comment


          #5
          A little blood can easily look like a lot. if bleeding during bowel care is less than a tablespoon, and there is no bleeding between bowel care, you can probably wait.

          I know of no data indicating the reoccurance of hemorrhoids is higher with one method of treatment vs. another. All of them remove or seal up that dilated blood vessel, and new blood vessels, which can become hemorrhoids later, regrow.

          (KLD)
          The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

          Comment


            #6
            Originally posted by SCI-Nurse View Post
            A little blood can easily look like a lot. if bleeding during bowel care is less than a tablespoon, and there is no bleeding between bowel care, you can probably wait.

            I know of no data indicating the reoccurance of hemorrhoids is higher with one method of treatment vs. another. All of them remove or seal up that dilated blood vessel, and new blood vessels, which can become hemorrhoids later, regrow.

            (KLD)
            Unfortunately sometimes it’s much much more than a tablespoon. It is bleeding that goes on for a little bit and I have to wait for it to stop. So it’s probably to a point that I need it addressed

            Comment


              #7
              I've had banding done many times on the external 'roids. No problems afterwards.

              Whoops....I meant to say "I've had banding done many times on the internal 'roids. No problems afterwards."
              Last edited by smokey; 24 Nov 2021, 2:57 PM.

              Comment


                #8
                Hi RJC. I was in the same situation. Banding was hit and miss. Most fell off prematurely doing routine. Had 2 hemorrhoid surgeries.(one side at a time) Best thing I did. Problem resolved. Zero bleeding once healed. (Took about 4+ months to fully heal.) Had to wear depends in that period to protect against oozing / spotting. No AD after surgery. Big ++ in quality of life. I was loosing alot of blood and routine took 2H. Now 1 - 1.5h max. Fewer dig stim. No bleeding. Are you in GTA? Great surgeon at SGH. You likely have a prolapse issue as well (Push back in?) He fixed that up too.

                Comment


                  #9
                  Have had a few internal hemorrhoids banded, no problems and really helped. Even the super tiny ones made a huge improvement, wish I had had them done early.. for some reason I was really nervous about banding. If they do come off too soon, go back and get them done again.. the procedure takes like 5 minutes.

                  Comment


                    #10
                    I was experiencing significant bleeding and eventually had hemorrhoidectomy about 20 years ago. Hemorrhoids have come back a bit and become uncomfortable at limes but not enough to warrant treatment. Annoyance is that inserting suppository it's sometimes not easy finding the target.

                    Comment

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