Quick contact – Monday-Friday: 8.30-16.30
Product of the month: Microbiome test
Quick contact – Monday-Friday: 8.30-16.30
Product of the month: Microbiome test
Haemorrhoidal disease is a so-called “disease of civilisation”. Changes in lifestyle, reduced physical activity, dietary mistakes, obesity and constitutional factors all contribute to its development. More than half of the population in developed countries suffer from the condition.
Healthy eating habits and regular exercise can help prevent the disease. Haemorrhoids (nodus haemorrhoidalis) are dilated veins that develop under the skin surrounding the anus (at the level of the anal sphincter) (external haemorrhoids) or on the inner wall of the rectum, under the mucous membrane (internal haemorrhoids). Internal haemorrhoids are usually painless, but bleeding may occur. As they gradually enlarge, haemorrhoidal nodes may protrude outside the anus or bulge into the rectal cavity. Mucous discharge may occur. External haemorrhoids are usually painful. During bowel movements, pain is often accompanied by itching and bloody stools. Haemorrhoids can become inflamed or thrombosed; they can bleed, cause pain and grow larger. They make it harder to keep the skin around the anus clean.
Stage I
In the first stage of haemorrhoidal disease, the nodes are still located only inside the rectum. The most common symptom is bright red bleeding during bowel movements, without pain. At this early stage, the symptoms can usually be treated well with lifestyle changes, a fibre-rich diet, topical treatments and sitz baths.
Stage II
In the second stage, the nodes may protrude through the anus during bowel movements, but go back in on their own. Besides bleeding, itching, a feeling of tension and discharge may also appear. Treatment at this stage is also mainly conservative, but minor outpatient procedures may be needed.
Stage III
In the third stage, the protruding haemorrhoids no longer go back in on their own and can only be pushed back by hand. The symptoms become more persistent and unpleasant, with frequent inflammation and irritation. At this stage, some form of medical procedure is usually recommended.
Stage IV
In the fourth and most severe stage, the haemorrhoids remain permanently outside the anus and cannot be pushed back. The symptoms are severe: pain, inflammation, discharge, and even blood clots may form. At this stage, surgery is usually needed to resolve the symptoms permanently.
In stages II and III of the disease, we most often treat haemorrhoids by placing a rubber band on them (Barron ligation). For the procedure, a rectoscope or anoscope is used.
The instrument is inserted into the rectum, and a special device is used to place the rubber band on the dilated vein. Because its blood supply is cut off, the haemorrhoid dies off, forms a scab and then a scar. The dried tissue falls off by itself after 5-7 days. Placing the rubber band takes a few minutes and may be accompanied by a temporary feeling of tension. One, or at most two, haemorrhoids can be treated at a time. At least two weeks must pass between repeat treatments. The number of treatments depends on the individual situation, usually 2-3 sessions. After the procedure, a feeling of tension around the anus may be felt for 1-2 days.
For more serious haemorrhoid problems, Endomedix recommends a specialist consultation combined with anoscopic rectoscopy. In addition to taking your symptoms and medical history and performing a physical examination, the anoscopic examination is carried out in the same visit and, if necessary, 1, but at most 2 rubber bands are placed.
Related examinations
If rubber band ligation is performed, a follow-up anoscopy is also required no later than 1 week afterwards. We place a maximum of 2 bands during one rectoscopy; if more bands are needed, we schedule further appointments. The price of the rectoscopy does not include the fee for placing the band. See the itemised price list below.
first examination, without band placement
follow-up examination, without band placement
The fee for the examination can of course also be paid from a health fund account – our colleagues will be happy to give you the exact details. You can find the list of health funds that work with Endomedix here.
For further details, call us (+36 1 413 2500) or contact us online.
Budapest, Debrecen, Dombóvár, Miskolc, Siófok, Szolnok and Veszprém centres: you can book on weekdays, Monday to Friday, between 09:00 and 17:00 by calling (1) 413-2500 or online – for some examinations you can also book an appointment online! Our Győr, Gyula and Esztergom GranMed centres: please book by phone with our local colleagues. Too complicated? See the phone directory or request a callback!
