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Injection or Sclerotherapy

Sclerotherapy is an effective and inexpensive option for treating early and small hemorrhoids. The procedure is far less intensive as compared to surgical interventions and involves injection of sclerosants around the enlarged hemorrhoids which will result in its shrinking. The patient needs to adhere to strict protocol prior to, and after, the procedure to get maximum relief.
Indications for Sclerotherapy:
Grade I hemorrhoids
Early-stage grade II hemorrhoids
Small internal hemorrhoids
Advantages of Sclerotherapy:
Day procedures
No anesthesia & hospitalization is required
Quick and safe procedure
Fast relief from hemorrhoid pain and discomfort
70 percent success rate
Relieves hemorrhoid pain by numbing the nerve endings
Patient can resume normal activities, including work, the day after the procedure
Multiple hemorrhoids can be treated at a time
Procedure:
Surgeon gently inserts a proctoscope (short tube with a light) into the anus to look at the membranes lining the anus. Now a liquid containing drugs like quinine, polidocanol or zinc chloride (sclerosant) is injected into the blood vessels around the enlarged hemorrhoids. This will reduce the blood supply, form scar and eventually cause shrinking of the hemorrhoids. The procedure needs to be repeated and injections are given every few weeks to treat all of the enlarged hemorrhoids.
What will happen after sclerotherapy?
Patient may experience bleeding and mild pain
Patient may feel pressure or something in their anal passage
Procedure can also lead to swelling or infections
Thrombus may form in the anal region