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Coagulation for Hemorrhoid Treatment

Coagulation of blood vessels is an effective method of hemorrhoid treatment. Hemorrhoid is a condition where the veins around the anal and rectal region become inflamed and swollen because of excessive pressure on the blood vessels and is characterized by bleeding and pain.

 

What is Coagulation for Hemorrhoid Treatment?

Coagulation is the process of destruction and clotting of the blood vessels. Coagulation treatment for hemorrhoids uses heat probes to cauterize or frozen probes (as in cryotherapy) to destroy the affected tissue. A modern method of coagulation treatment uses infra-red beams to destroy the affected hemorrhoid tissue. This method of coagulation treatment is preferred over other methods, since it is quite fast and well tolerated by patients. Compared to other methods of coagulation treatment, infra-red coagulation treatment is simpler to administer, more reliable and can be accurately controlled. A non-coherent and multispectral infra-red light source can be used to effectively coagulate and destroy hemorrhoidal tissue up to a depth of about 1 to 3 millimeters. Infra-red radiation raises the temperature of cellular tissue to around 100 degree C, which essentially boils the cellular fluids and destroys the proteins. This causes the hemorrhoidal tissue to shrivel up and finally fall off. Also, the scar tissue formed due to the application of infra red radiation prevents the inflammation of the other blood vessels in the anal cavity.

Coagulation of Hemorrhoidal Tissue using Infra-red Light: Procedure

Coagulation using infra-red light involves the following:

  • The patient’s complete medical history is taken into account. Patients who have been taking anti coagulant drugs or medicines have to stop taking the drugs before the procedure. This is necessary to prevent bleeding and further complication of the hemorrhoidal condition.
  • Anorectal examinations, such as sigmoidoscopy, protoscopy or a digital rectal examination, are performed to determine the grade and severity of the hemorrhoids.
  • The patient is asked to lie down on his side, with his knees drawn up to his chest.
  • The probe is lubricated and inserted through the anal opening to locate the affected tissues accurately.
  • The patient is warned of a sharp pricking or burning sensation, which is felt when the infrared rays are used.
  • Then the infrared coagulator is inserted, and infrared light bursts of about 1 to 1.5 seconds are applied to the affected area which destroys the hemorrhoidal tissue, after which the probe is removed.

Coagulation for Hemorrhoid Treatment: Advantages

Here are the benefits of using coagulation as a method of hemorrhoid treatment:

  1. The extent of tissue destruction can be accurately managed by adjusting exposure time of the infra red light bursts.
  2. Takes considerably short time to complete, and generally takes place as an outpatient procedure.
  3. Does not cause unwanted destruction of the surrounding cells
  4. Can be used to treat hemorrhoids of grade one to three.
  5. There is no limit to the number of hemorrhoids that can be treated in a single session.
  6. Beneficial for patients who have not responded well to other treatments for hemorrhoids.
  7. Less painful as compared to other forms of treatment such as rubber band ligation and sclerotherapy.

Coagulation for Hemorrhoid Treatment: Some Limitations

Infrared coagulation treatment for hemorrhoids has a few limitations, such as:

  1. Coagulation treatment requires expensive instruments, so all doctors may not be equipped with this kind of apparatus.
  2. Physicians need to be highly skilled to perform this procedure.
  3. Multiple treatment sessions may be required, depending on the severity of the condition.
  4. The long term results of coagulation treatment may not be as positive as compared to other types of treatment procedures, such as rubber band ligation.
  5. There may be some minor bleeding after the procedure for about 1 or 2 weeks.

Hemorrhoids generally do not return after this coagulation treatment, but as hemorrhoids are a lifestyle disease, one must make the necessary changes in lifestyle to avoid the recurrence of the condition. Moderate exercise, a diet high in fiber content, taking enough fluids and having proper bowel movements generally helps in reducing the risks of the recurrence of this painful condition.

Proper information about these treatment procedures can help patients choose the right treatment method for their condition.