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Hemorrhoids can be painful, uncomfortable, and sometimes downright unbearable. Whether you’ve been struggling with itching, bleeding, or discomfort while sitting, you’re not alone. Millions of people suffer from hemorrhoids, and while many cases can be managed with lifestyle changes and medications, some require hemorrhoid surgery for lasting relief.
If you’ve reached the point where conservative treatments aren’t working, it may be time to consider hemorrhoidectomy, a proven surgical solution. In this guide, we’ll walk you through everything you need to know about hemorrhoid treatment, different surgical options, and what to expect before, during, and after the procedure.
Synopsis
What is Hemorrhoidectomy?
A hemorrhoidectomy is a surgical procedure used for internal hemorrhoid removal and external hemorrhoid surgery. It is performed when hemorrhoids are severe, large, or unresponsive to non-surgical treatments. During the procedure, a surgeon removes the swollen veins, providing long-term relief.
This surgery is most effective for patients with:
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Large, painful hemorrhoids
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Bleeding that doesn’t improve with medications
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Prolapsed hemorrhoids that don’t retract
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Blood clots in external hemorrhoids
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Chronic irritation and discomfort
Causes of Hemorrhoids
Hemorrhoids develop when the veins in the rectum or anus become swollen due to increased pressure. Some common causes include:
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Chronic Constipation or Straining – Excessive straining during bowel movements increases pressure on rectal veins.
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Prolonged Sitting – Sitting for long periods, especially on the toilet, can contribute to hemorrhoid formation.
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Low-Fiber Diet – A diet lacking in fibre can lead to constipation, making bowel movements more difficult.
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Pregnancy and Childbirth – The increased weight and pressure during pregnancy can lead to hemorrhoids.
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Obesity – Excess weight exerts additional pressure on pelvic veins.
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Heavy Lifting – Frequent heavy lifting can strain rectal veins.
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Ageing – As we age, the tissues supporting rectal veins weaken, making hemorrhoids more likely.
Understanding these causes can help in both treatment and prevention.
Symptoms of Hemorrhoids
The symptoms of hemorrhoids vary depending on their type:
Internal Hemorrhoids
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Painless rectal bleeding (bright red blood in stool or toilet paper)
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Protrusion or prolapse of hemorrhoids outside the anus
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Mucus discharge
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Discomfort or irritation
External Hemorrhoids
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Swelling or lumps around the anus
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Pain or tenderness, especially while sitting
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Itching and irritation in the anal area
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Bleeding from irritated hemorrhoids
Thrombosed Hemorrhoids
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Severe pain due to blood clot formation inside hemorrhoids
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Bluish or purple discolouration of the hemorrhoid
If you experience persistent pain, bleeding, or discomfort, it’s important to seek medical attention to prevent complications.
Types of Hemorrhoid Surgery
|
Type of Surgery |
Procedure Details |
Best for |
|
Traditional Hemorrhoidectomy |
Complete surgical removal of hemorrhoids using a scalpel or laser. |
Severe internal and external hemorrhoids |
|
Stapled Hemorrhoidectomy (PPH) |
Hemorrhoids are repositioned and stapled to reduce blood flow, causing them to shrink. |
Internal hemorrhoids |
|
Laser Hemorrhoid Surgery |
A minimally invasive method using laser energy to remove or shrink hemorrhoids. |
Moderate to severe hemorrhoids |
|
Rubber Band Ligation (RBL) |
A band is placed around hemorrhoids to cut off blood supply, leading to shrinkage. |
Small to moderate internal hemorrhoids |
|
Sclerotherapy |
A chemical solution is injected to shrink hemorrhoids. |
Mild hemorrhoids |
Each procedure has its benefits, risks, and recovery times, so consulting a colorectal surgeon is essential to determine the best treatment for you.
The Hemorrhoidectomy Procedure: What to Expect
Before Surgery
Your doctor will evaluate your condition and recommend the most suitable surgical approach. You may need to:
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Stop taking certain medications before surgery
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Follow a liquid diet a day before the procedure
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Undergo bowel preparation (laxatives or enemas)
During Surgery
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The procedure is performed under local, spinal, or general anaesthesia.
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The surgeon removes hemorrhoids using a scalpel, laser, or electrocautery.
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The area is either left open (open hemorrhoidectomy) or stitched closed (closed hemorrhoidectomy).
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The entire surgery typically lasts 30–60 minutes.
After Surgery
Recovery varies but may include:
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Pain management with medications
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Sitz baths to ease discomfort
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Dietary changes to prevent constipation
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Avoiding heavy lifting for a few weeks
Most patients return to normal activities within 2–3 weeks, though complete healing can take up to six weeks.
Recovery & Aftercare Tips
|
Recovery Tip |
Details |
|
Stay Hydrated |
Drink plenty of water to prevent constipation and ensure smooth bowel movements. |
|
Eat High-Fiber Foods |
Include fruits, vegetables, and whole grains to avoid straining. |
|
Use Sitz Baths |
Soaking in warm water can provide relief and promote healing. |
|
Avoid Straining |
Using stool softeners can help prevent excessive pressure on the surgical site. |
|
Follow the Doctor’s Advice |
Take prescribed medications and adhere to post-op instructions for optimal recovery. |
When to See a Colorectal Surgeon?
If you experience severe pain, bleeding, or persistent hemorrhoids despite home treatments, it’s time to consult a colorectal surgeon. They specialize in conditions affecting the rectum and colon, ensuring the most effective treatment plan for you.
Conclusion: Get Expert Care at Manipal Hospital Ghaziabad
If you're struggling with hemorrhoids and need expert care, visit Manipal Hospital Ghaziabad. Our team of experienced colorectal surgeons offers advanced hemorrhoid treatment, including internal hemorrhoid removal and external hemorrhoid surgery, ensuring you receive the best possible care.
Take the first step towards relief today! Book a consultation with Manipal Hospital Ghaziabad and get personalized treatment for a pain-free life.
FAQ's
Hemorrhoidectomy can be painful, especially in the first few days. However, pain management with medications and proper aftercare can significantly ease discomfort.
Most patients recover within 2–3 weeks, but full healing may take 4–6 weeks.
While hemorrhoidectomy provides long-term relief, hemorrhoids can recur if preventive measures, such as a high-fibre diet and proper hydration, are not followed.
Laser surgery is less painful and has a faster recovery time, but traditional hemorrhoidectomy is more effective for severe cases.
Sitting can be uncomfortable initially, but using a doughnut cushion and taking frequent breaks can help.
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