Hemorrhoids Treatment

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The Treatment of Hemorrhoids -

Part 2

Aside from Local Anesthetics, Vasoconstrictors, Protectants and Astringents, there are other over-the-counter (OTC) products available for the treatment of hemorrhoids. There are also non-operative procedures for internal hemorrhoids that a patient can choose in lieu of going under the knife.
The OTC products are the following:

1) Antiseptics—inhibit the growth of bacteria and other harmful organisms

a. Resorcinol

b. Boric Acid

c. Benzethonium Chloride

d. Hydratis

e. Cetylpyridinium Chloride

f. Phenol

g. Benzalkonium Chloride

2) Keratolytics—chemicals that result to the disintegration of the outer layers of skin or other tissues that allows for the deeper penetration of the drugs that are applied to the perianal area and the anus

a. Resorcinol (1% to 3%)

b. Aluminum Chlorhydroxy Allantoinate or Alcloxal (0.2% to 2%)

3) Analgesics—relieve pain, burning and itching by suppressing pain nerve receptors

a. Juniper tar (1% to 5%)

b. Menthol (0.1% to 1%)

c. Camphor (0.1% to 3%)

4) Corticosteroids—reduce inflammation can relieve itching though the persistent use of such drugs result to permanent skin damage.
For the treatment of internal hemorrhoid, there are non-operative procedures that have the same effect to the hemorrhoidal cushions. These procedures cause inflammation which produces scarring on the cushions. This causes the cushions to shrivel and attach to the cnal canal muscle beneath. The attachments prevents the hemorrhoidal cushions from being dragged down into the anal canal. No anesthesia is required for these painless procedures because they only involve the visceral nerves that doesn’t feel the pain unlike the somatic nerves.

1) Sclerotherapy—one of the oldest forms of treating hemorrhoids in which a liquid—phenol or quinine urea is injected into the base of the hemorrhoid. Inflammation follows and scarring sets in. Patients who choose to undergo this procedure usually come back after several years to complain the return of hemorrhoids.

2) Rubber band ligation—with the use of a tight rubber band, the hemorrhoidal cushion is encircled to cut off blood supply. The tissue cut off eventually dies and heals with scarring. This is more effective than sclerotherapy and recurrence of symptoms is lesser. The complications may include frequent but mild pain , severe bleeding after ligation,, and bacterial infection in the tissues surrounding the anal canal. Other infectious complications are more common among hemorrhoid patients who have AIDS, cancer or diabetes.

3) Heat coagulation—use of heat to result in swelling and scarring. Heat methods include bipolar diathermy, direct-current electrotherapy and infrared photocoagulation.

4) Cryotherapy—use of cold temperatures to disintegrate the veins and cause inflammation and scarring. This procedure is more time-consuming and entails more post-treatment pain.

Finding treatment for hemorrhoids is not only a matter of the availability of a certain procedure. The patient should also take in consideration his/her financial capacity and post-operative matters like recovery and the costs involved.