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Reasons for Procedure
- Hemorrhoid symptoms do not get better with other therapies
- Severely bleeding hemorrhoids
- Hemorrhoid containing a blood clot
- Hemorrhoids that protrude through the anus
- Recurrence of hemorrhoids
- Narrowing of the anal canal
- Loss of bowel or bladder control
- Adverse reaction to local anesthetic
- Bleeding disorder
- Advanced age
- Prior anal surgery
What to Expect
Prior to Procedure
- Physical exam
- Rectal exam
- Anoscopy—the visual examination of the inside of the anus using an anoscope to help keep the sphincter open
- Sigmoidoscopy—the use of a specialized endoscope to examine the inside of the anus, rectum, and lower intestine
- Do not eat or drink anything after midnight.
- Your doctor will order a laxative for you. It will cleanse your colon and rectum.
- Arrange for someone to take you home after the surgery.
Talk to your doctor about your medications, even non-prescription medications. You may be asked to stop taking some medications up to one week before the procedure, like:
- Aspirin or other non-steroidal anti-inflammatory drugs, such as ibuprofen or naproxen
- Blood thinners
- Spinal anesthesia—You will be numb from the mid-abdomen down.
- General anesthesia—You will be asleep.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
- If your doctor says it is okay, take sitz baths as recommended. Sitz baths will help relieve discomfort and clean the area. For a sitz bath, sit in warm water for 10-15 minutes. Pat the area dry. Do not wipe or rub vigorously. You may be advised to take a sitz bath every four hours and after every bowel movement. Devices are available to place on top of the toilet to make this process easier.
- Move your bowels as soon as you feel the urge.
- Do not strain, bear down, or hold your breath during a bowel movement.
- Do not sit on the toilet for long periods of time.
- To prevent constipation and straining during bowel movements, use a stool softener, exercise, drink plenty of fluids, and eat plenty of high-fiber foods (fruits, vegetables, beans, and whole grain).
- Apply creams or ointments as directed by your doctor.
- Avoid heavy lifting for two or three weeks.
- Take pain medication as needed.
Call Your Doctor
- Passing large amounts of blood
- Signs of infection, including fever and chills
- Pain that you cannot control with the medications you have been given
- Constipation or trouble urinating
- An aching feeling develops in the area between the rectum and the genitals
American Gastroenterological Association http://www.gastro.org
American Society of Colon and Rectal Surgeons http://www.fascrs.org
The Canadian Association of Gastroenterology http://www.cag-acg.org
The College of Family Physicians of Canada http://www.cfpc.ca
Hemorrhoids. EBSCO DynaMed website. Available at: http://dynamed.ebscohost.com/about/about-us. Updated March 21, 2013. Accessed May 23, 2013.
Living with hemorrhoids. American Gastroenterological Association website. Available at: http://www.gastro.org/patient-center/digestive-conditions/hemorrhoids. Published April 25, 2010. Accessed May 23, 2013.
6/2/2011 DynaMed's Systematic Literature Surveillance http://dynamed.ebscohost.com/about/about-us: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Marcin Chwistek, MD; Brian Randall, MD
- Review Date: 05/2013 -
- Update Date: 05/11/2013 -