What Causes Hemorrhoids?

Some common causes of hemorrhoids include:

  • Obesity
  • Anal sex
  • Pregnancy or childbirth
  • Lifting heavy weights
  • Sitting for prolonged periods of time
  • Weakening of tissues around the anus due to aging

Although the word “hemorrhoids” describes a medical condition, it also refers to the anatomy. Hemorrhoids themselves are normal tissue and only cause concern when they become inflamed, swollen, or bleed. Hemorrhoids return after nonsurgical treatment about half of the time, but the rate of recurrence following surgical procedures is only 5 percent.

Symptoms of Hemorrhoids:

  • Anal itching or swelling
  • Pain in the area of the anus
  • The presence of a lump at the anus

What Are the Types of Hemorrhoid Treatments?

The goal of hemorrhoid treatment is to control inflammation through hydration and diet so that surgery can be avoided. In this sense, hemorrhoids are considered to be a lifelong condition to be managed rather than cured.

Hemorrhoids usually respond quite well to nonsurgical treatment options, such as:

Rubber Band Ligation

Sometimes known as “banding,” ligation treats hemorrhoids that are protruding or bleeding by cutting the blood supply and circulation reaching the hemorrhoid. Your provider would place a rubber band around the hemorrhoid base. Both the rubber band and banded area of the hemorrhoid can be expected to shrink and fall away on their own within a week.

Rubber band ligation is a fast and painless treatment that involves no recovery time.

Infrared Photocoagulation

This technique is used to treat internal hemorrhoids. Thermal energy from infrared light creates scar tissue, which cuts off the blood supply and shrinks the hemorrhoid. This keeps adjacent veins from bulging into the anal canal.

Surgical Treatments

Although hemorrhoids usually respond well to nonsurgical treatments, sometimes surgery is recommended.


Types of anesthesia available for a hemorrhoidectomy include sedation, spinal block, and full anesthesia.

During the surgery, your surgeon will surgically excise the large hemorrhoids. You’ll then be taken to a recovery room and placed under observation for a short period. Once your vital signs stabilize, you can return home.

The most common risks of a hemorrhoidectomy are pain and infection. Your doctor will provide instructions on how to reduce these risks.

External Hemorrhoid Thrombectomy

This procedure is used for external hemorrhoids with a blood clot. It is considered to be less involved than a full hemorrhoidectomy.

Your surgeon will remove the hemorrhoid and drain the wound.

Transanal Hemorrhoidal Dearterialization (THD)

To perform a THD, your provider will use ultrasound to identify the hemorrhoid’s blood vessel supply and ligate it using stitches. Without its blood supply, the hemorrhoid will shrivel and shrink. There will be no external wound, making the procedure almost painless.

Schedule Your Hemorrhoid Treatment in Mount Vernon

For more information about your hemorrhoid treatment options, or to schedule a consultation, please contact your Ahuja Bariatric & Beyond provider at your earliest convenience.

Schedule a Consultation

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