Our Summary

This research paper discusses hemorrhoid disease, a common health issue that can cause anything from minor discomfort to severe pain and social embarrassment. Hemorrhoids are blood vessels that can swell and fall out of place, causing symptoms like itching, bleeding, and intense pain. Many people don’t seek treatment because they’re embarrassed about the problem since it involves a private area.

The paper suggests that the first step in treatment should be simple, non-invasive measures that can be started by a regular doctor. It’s important for patients to be educated about the condition. If the hemorrhoids are persistent or severe, a specialist, such as a colorectal surgeon, can offer a variety of treatments from minimally invasive procedures to surgical removal of the hemorrhoids.

FAQs

  1. What are some of the symptoms of hemorrhoid disease?
  2. What are some of the treatment options for persistent or severe hemorrhoid disease?
  3. Why might some patients not seek treatment for hemorrhoids?

Doctor’s Tip

One helpful tip a doctor might tell a patient about hemorrhoidectomy is to make sure to follow post-operative care instructions carefully. This may include taking prescribed pain medication, keeping the area clean and dry, and avoiding strenuous activities that could worsen symptoms. It is also important to eat a high-fiber diet and stay hydrated to prevent constipation, which can exacerbate hemorrhoid symptoms. Lastly, be sure to attend follow-up appointments with your healthcare provider to monitor healing and address any concerns.

Suitable For

Patients who are typically recommended for a hemorrhoidectomy are those who have persistent or severe hemorrhoid disease that does not respond to conservative measures such as dietary changes, topical medications, and lifestyle modifications. Patients who experience severe pain, bleeding, itching, or prolapsed hemorrhoids may benefit from a hemorrhoidectomy. Additionally, patients who have tried other treatments without success or who have recurrent hemorrhoids may also be candidates for a hemorrhoidectomy. It is important for patients to consult with a colorectal surgeon to determine the best course of treatment for their individual case.

Timeline

Before hemorrhoidectomy:

  • Patient may experience symptoms such as itching, bleeding, pain, and prolapse of hemorrhoids
  • Patient may try conservative measures such as dietary changes, fiber supplements, and over-the-counter medications
  • Patient may see a primary care physician for initial management and education on hemorrhoid disease
  • If symptoms persist or are severe, patient may be referred to a colorectal surgeon for further evaluation and treatment options

After hemorrhoidectomy:

  • Patient undergoes surgical procedure to remove hemorrhoids
  • Patient may experience pain, discomfort, and swelling in the rectal area post-operatively
  • Patient is advised to follow specific post-operative care instructions, such as taking pain medications, applying ice packs, and avoiding certain activities
  • Patient may need to follow up with their colorectal surgeon for monitoring and management of any complications
  • Patient should see improvement in symptoms over time and may require additional follow-up appointments to ensure proper healing and resolution of hemorrhoid disease.

What to Ask Your Doctor

Some questions a patient should ask their doctor about hemorrhoidectomy may include:

  1. What are the potential risks and complications associated with a hemorrhoidectomy?
  2. What is the expected recovery time after a hemorrhoidectomy?
  3. What type of anesthesia will be used during the procedure?
  4. Will I need to stay in the hospital overnight after the hemorrhoidectomy?
  5. What kind of post-operative care will be required, and how can I manage any pain or discomfort?
  6. Are there any dietary or lifestyle changes I should make to help prevent future hemorrhoids?
  7. How long before I can return to work or normal activities after a hemorrhoidectomy?
  8. Are there any alternative treatments or procedures that may be considered instead of a hemorrhoidectomy?
  9. What is the success rate of a hemorrhoidectomy in relieving symptoms and preventing recurrence?
  10. Are there any long-term effects or complications that I should be aware of after undergoing a hemorrhoidectomy?

Reference

Authors: Lawrence A, McLaren ER. Journal: 2023 Aug 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 29763185