Hemorrhoids are swollen and inflamed veins located in a person’s anus and lower rectum. Hemorrhoids present symptoms including itching and burning sensations, discomfort, swelling or the appearance of lumps around the anus and bleeding during bowel movements. The condition can be caused by straining during bowel movements, increased pressure from pregnancy or obesity, anal trauma, or chronic diarrhea or constipation. Hemorrhoids are more likely to occur in older adults as the tissues supporting the veins in this delicate area can stretch and weaken with aging.
A hemorrhoidectomy is the surgical removal of a hemorrhoid. Most of the time, this procedure is performed with general or spinal anesthesia. During the procedure, incisions are made with a scalpel or a laser in the tissue surrounding the hemorrhoid and the swollen vein trapped inside is tied off to prevent bleeding. Then the hemorrhoid is removed and the treated area is closed with a couple of stitches.
Since the surgery is performed under general anesthesia, the patient will need someone to drive them home, if they are not going to stay over night. Patients are given a long-acting local anesthetic, which usually lasts for between 6 and 12 hours, to provide pain relief directly following the procedure. If the patient is not going to stay overnight, they will not be discharged until the anesthesia wears off and they are able to urinate. Patients may experience some discomfort following the procedure. The doctor will write a prescription or suggest over-the-counter medications to ease any painful sensations. Ice packs may also be helpful. Patients should eat a bland, soft and gentle diet including plenty of liquids for the first few days following surgery and slowly add more fibrous foods and move back to a normal diet. If bowel movements are painful an analgesic or local numbing medicine can be applied. The doctor may suggest a stool softener for future use, as straining to make a bowel movement can cause hemorrhoids to form.
This is a short-list of just some of the plans we accept. Please contact our office if you do not see your insurance provider listed.