Dietary and lifestyle modifications
 Goal: to minimize straining at stool  minimizing constipation
 Diet
- Increase fluid intake
- Stool softeners
 Lifestyle modifications
- Regular defecatory habits
Medications
 Local and oral medications
 Arrests bleeding
 Relieves pain, irritation, and inflammation
 Guard against infection
Outpatient hemorrhoid treatment
 Rubber band ligation, endoscopic ligation
 Ultroid system
 Sclerotherapy
 Infrared coagulation
 Bicap electrocoagulation
 Cryotherapy
 Laser treatment
Banding / Ligation of hemorrhoids
 For Grade 2 and 3 internal hemorrhoids
 Principle: Banding  ischemic necrosis  slough off within few days
 Successful respond rate: 60-70% cured with a single treatment session
http://youtu.be/K7HKrBwuKSw (Video demonstration)
Reference: http://psclinic.com.hk/
The information aims to provide educational purpose only. Anyone reading it should consult
Surgery Specialist before considering treatment and should not rely on the information
above.
 
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