Hemorrhoid treatment

Hemorrhoids are a so-called "civilisation" disease. Lifestyle changes, reduced physical activity, dietary errors, obesity, and congenital factors contribute to its development. More than half of all people in developed countries suffer from the disease.

Good eating habits and regular exercise can help prevent the disease. Haemorrhoidal haemorrhoids (nodus haemorrhoidalis) are venous haemorrhoids that form under the skin (external haemorrhoids) surrounding the anus (level of the anal sphincter) or under the mucous membrane (internal haemorrhoids) on the inner wall of the rectum. Internal haemorrhoid nodules are usually painless, bleeding may occur. Hemorrhoid nodules may gradually dilate and bulge outside the anus or bulge towards the rectal cavity. Cystic discharge may occur. External haemorrhoids are usually painful. In addition to pain, itching and bloody stools are common during defecation. Hemorrhoids may be inflamed, clotted, bleeding, painful and growing. They make it difficult to keep the skin around the rectum clean.

Stages of haemorrhoids

Stage I

In the first stage of haemorrhoids, the nodules are only located inside the rectum. The most common symptom is bright red bleeding on defecation, without pain. In this early stage, lifestyle changes, a fibre-rich diet, topical remedies and sitz baths are usually good treatments.

Stage II

In the second stage, the nodules may protrude through the anus during defecation, but they will retract on their own. In addition to bleeding, there may be itching, tightness and discharge. Again, treatment is mainly conservative, but minor outpatient procedures may be necessary.

Stage III

In the third stage, the protruding hemorrhoidal nodules will no longer retract on their own and can only be repositioned manually. The symptoms become more persistent and uncomfortable, with frequent inflammation and irritation. At this stage, some form of medical intervention is usually recommended.

Stage IV

In the fourth, most severe stage, the haemorrhoids remain permanently outside the anus and cannot be reinserted. Symptoms are severe: pain, inflammation, discharge, even blood clots. In such cases, surgery is usually necessary to permanently resolve the symptoms.

Rubber ring treatment

In stages II and III of the disease, the most common treatment for hemorrhoids is the application of a rubber ring (Barron's ligation). The procedure is performed with a colonoscope or anoscope is done using.

After inserting the device into the rectum, a special instrument is used to place the rubber ring on the dilated vein. The haemorrhoid will die as a result of the clamping, suture and then scar. The desiccated tissue is removed spontaneously after 5-7 days. The application of the rubber ring takes a few minutes and may be accompanied by a temporary feeling of tightness. One or up to two haemorrhoids can be treated at a time. At least two weeks should elapse between repeated treatments. The number of treatments depends on the situation, usually 2-3 times. After the procedure, there may be a feeling of tightness around the rectum for 1-2 days.

Colonoscopy

(anoscopy) with consultation

at Endomedix

For more serious haemorrhoidal complaints, we recommend a specialist consultation with an anoscopic colonoscopy at Endomedix. In addition to the recording of complaints and medical history and the physical examination, an anoscopic examination is carried out in one step and, if necessary, 1 or up to 2 rubber rings are applied.

A SPECIALIST CONSULTATION COMBINED WITH AN ANOSCOPIC COLONOSCOPY IS
AVAILABLE AT OUR CENTRES

Budapest XIII. Gastroenterology Centre

52 000 Ft

Booking

Our doctors who carry out this test

Prof. Dr. Péter Kupcsulik Ph.D FACS

Surgeon, gastroenterologist, Endomedix Budapest

52 000 Ft

Booking

Presentation of related studies

Presentation of related studies
If ringing is performed, a control anoscopy is also required at the latest 1 week later. A maximum of 2 rings will be inserted during a colonoscopy, if more rings are needed, more appointments will be scheduled. The price of the colonoscopy does not include the cost of the nodal ring. Please see below for an itemised price list.