Different treatment options of Hemorrhoidectomy by Gastroenterologist Dr. Paul Yap Ray Yee

Dr. Paul Yap Ray Yee is a very skilled and knowledgeable Gastroenterologist serving as a consultant at Gleneagles Hospital, Kuala Lumpur. With experience of more than 11 years, he specializes in general gastroenterology, Liver diseases, viral hepatitis, Gastroesophageal Reflux Disease, Chronic Diarrhoea, and Biliary disease. He pursued MBBS from the University of Manchester in 2004 followed by MRCP from the Royal College of Physicians in 2010. Dr. Paul Yap Ray Yee is an active member of the British Society of Gastroenterology, The Malaysian Society of Gastroenterology, Hepatology and the Academy of Medicine.

Hemorrhoidectomy

It is a surgery that removes internal and external hemorrhoids. It is typically not the first line of treatment but becomes necessary when other treatments fail. It is a safe and effective treatment that makes hemorrhoids easier to live with and gets rid of them altogether.

Effects of Hemorrhoidectomy

• Severe hemorrhoids can cause bleeding, itching, and pain. They continue to swell and increase in size over time.
• Internal hemorrhoids can lead to mild fecal incontinence, irritated skin, and mucus discharge. When there is a cut-off in the blood supply to internal hemorrhoids they can become gangrenous.
• They are fairly common and affect nearly three out of four adults at some point in their lives. To manage the symptoms most people are able to use non-invasive methods.

Other Less Invasive Treatment Options

• Lifestyle modifications
• Doing regular exercise and not straining especially when you go to the bathroom.
• Diet is also an important factor. Increase your fluid intake and reduce the consumption of fats.
• Add some fiber with fruits, vegetables, and whole grains, and take fiber supplements.

Symptom Relief

To ease symptoms such as swelling, itching, and pain try the following remedies:

1. Topicals: Over-the-counter (OTC) hemorrhoid creams, pads, or suppositories help to ease symptoms. Look for products that have hydrocortisone, lidocaine, or witch hazel.
2. Baths: Relax in a plain warm bath for some time. A sitz bath that fits on the toilet seat proves very helpful. Soak for 10 to 15 minutes several times a day.
3. Oral medications: Using OTC anti-inflammatories relieves pain.
4. Stool softeners: Use stool softeners to avoid straining while moving bowels.

Non- Surgical Treatments

1. Sclerotherapy: In this procedure, a chemical solution is injected into hemorrhoid to shrink it.
2. Coagulation: Using a laser or infrared light to shrivel internal hemorrhoids.
3. Rubber Band Ligation: Rubber bands are tied around the base of an internal hemorrhoid that cuts off circulation so that hemorrhoid falls off within a week.
4. External Hemorrhoid Thrombectomy: Blood clots in an external hemorrhoid are removed under local anesthesia under a doctor’s supervision.

Conclusion

Hemorrhoidectomy is a last resort treatment when less invasive interventions have failed or the condition is severe. Hemorrhoidectomy has fewer risks and is considered a safe and effective treatment. In case of hemorrhoid pain, itching and swelling, consult your doctor about different options for treatment. For proper treatment consult Dr. Paul Yap Ray Yee one of the best Gastroenterologists in Kuala Lumpur Malaysia. You can see him at Gleneagles Hospital in Kuala Lumpur.