How should internal hemorrhoids be treated for optimal results?
May 16, 2022
Source: Cainiu Health
Dr. Cheng Yicheng
Introduction
Internal hemorrhoids can be treated with ligation, rubber band ligation, or injection therapy—treatment selection depends on the individual case.
Asymptomatic circumferential internal hemorrhoids do not require treatment. However, if prolapse is present, surgical excision is indicated.
In cases of bleeding, hemostatic suppositories may be used; if bleeding persists or recurs frequently, injection therapy is an option.
Generally, sclerosing agents are employed to induce fibrosis and shrinkage of the hemorrhoidal tissue, forming small, firm nodules that help prevent further bleeding.
In daily life, hemorrhoids affect the everyday routines and health of many individuals. They are classified into internal and external hemorrhoids. So, what is the most effective treatment for internal hemorrhoids?
What is the most effective treatment for internal hemorrhoids?
Internal hemorrhoids can be treated via ligation, rubber band ligation, or injection therapy—treatment selection depends on individual circumstances. Asymptomatic circumferential internal hemorrhoids generally require no intervention. However, if prolapse is present, surgical excision may be necessary. For bleeding, hemostatic suppositories or topical hemostatic ointments may be used; persistent or recurrent bleeding may warrant injection therapy. Typically, sclerosing agents are injected to induce fibrosis and shrinkage of the hemorrhoidal tissue, forming small, firm nodules that help prevent further bleeding. Thus, multiple treatment options exist for circumferential internal hemorrhoids, tailored to the individual patient. Surgical treatment offers the best long-term outcomes and rapid symptom relief. In contrast, injection therapy has suboptimal long-term efficacy, with recurrence rates reported in 2–5 years. Pharmacological management alone provides only temporary symptomatic relief and does not address the underlying pathology.
The primary symptoms of internal hemorrhoids include prolapsing anal masses and intermittent post-defecation bleeding. Pain is typically absent unless complications such as thrombosis or infection occur. Internal hemorrhoids are clinically graded into four stages based on severity: • Grade I: Minimal bleeding—blood may appear on stool or toilet paper; bleeding ceases spontaneously after defecation, and no prolapse occurs. • Grade II: Prolapse occurs during defecation but spontaneously reduces afterward. • Grade III: Prolapse occurs not only during defecation but also with exertion, prolonged standing, or coughing; manual reduction is required. • Grade IV: Prolapsed tissue cannot be reduced manually and is often associated with severe bleeding.
Maintaining good personal hygiene is essential in daily life to prevent hemorrhoids and safeguard both daily functioning and overall health. We hope this information proves helpful to you!
