Massachusetts Pain Center Services Over 24 Years Of Experience

Doctors For Sciatica Nerve Pain in Longmeadow MA 01106

Hemorrhoid removal. You’ve tried everything else and now you’re left with a treatment option you really don’t want to have to consider. If you have painful and bleeding hemorrhoids, you probably have a lot questions. “How do I know if I need surgery?” “If I do, what are my options?” “What kind of doctor should I see?” “What are the risks?” Doctors For Sciatica Nerve Pain Longmeadow MA 01106 “What should I expect before, during, and after surgery?” “Will surgery stop hemorrhoids from coming back?” This article answers some of the most frequently asked questions about hemorrhoid removal.

When Should I Have Hemorrhoid Surgery?

If you have substantial bleeding and pain, it’s time to call the doctor. If your doctor diagnoses your problem as thrombosed external hemorrhoids, which means your hemorrhoids contain Longmeadow MA 01106 blood clots, or large internal hemorrhoids, he or she may recommend surgery. Hemorrhoid removal is often accomplished through surgery known as a hemorrhoidectomy.

To determine whether you need surgery, your doctor will perform a rectal examination. The doctor wants to rule out other possible causes of your bleeding and pain. Methods your doctor may use to diagnose your condition include:

 

  • Performing an Doctors For Sciatica Nerve Pain Longmeadow MA 01106 anal examination, by inserting a finger into your anus to feel for a blockage or abnormal growths.
  • Performing an anoscopy, by looking through a small, lit tube, known as an anoscope, to examine the anal canal and lower rectum.
  • Inserting a proctoscope, which is a thin tube containing a camera and a light, into the rectum to examine its interior more Longmeadow MA 01106 thoroughly. This procedure is called a proctoscopy.
  • Performing a sigmoidoscopy, which examines the rectum and the lower part of the colon to search for polyps. The doctor uses a sigmoidscope, which is a flexible tube that can cut off any polyps discovered. Polyps are growths of tissue extending from mucous membranes. They are usually nonmalignant.
  • Performing a colonoscopy, in which the Longmeadow MA 01106 doctor sees and examines the large intestine and the rectum, using a long, flexible tube called a colonoscope.

 

Unless there is reason to suspect other problems, your doctor will probably confine the examination to one of the first three methods. If the doctor discovers large internal hemorrhoids or believes your external hemorrhoids warrant surgery, he or she may recommend surgery for Longmeadow MA 01106 hemorrhoid removal.

What Types of Hemorrhoids Surgery Do Doctors Perform?

Doctors, generally, perform one of two types of surgery to complete hemorrhoid removal: stapled hemorrhoidectomy and conventional hemorrhoidectomy. Let’s look briefly at each.

Stapled Hemorrhoidectomy: Procedure for Prolapse and Hemorrhoids (PPH) Stapled hemorrhoidectomy surgeries are often referred to as PPH. This stands for the “procedure for prolapse and hemorrhoids.” Generally, it’s recommended for people Longmeadow MA 01106 who suffer with Grade III or IV hemorrhoids, which means their hemorrhoids have prolapsed, or dropped below the anus.

Basically, the surgery staples prolapsed hemorrhoid tissue back into its original position. Because this position is above what is known as a pain line, fewer nerve endings are involved, resulting in less pain for the patient. The staples cut off the blood flow Longmeadow MA 01106 to the hemorrhoid, which starves it to death.

Benefits to the patient of the procedure include less pain, shorter recovery times, and fewer complaints of post-surgery complications.

Drawbacks to the procedure include a higher incidence of recurring hemorrhoids. Also, some patients complain of pain during bowel movements and internal itching from the staple.

Hemorrhoidectomy: A hemorrhoidectomy actually removes the hemorrhoid, including blood clots and Longmeadow MA 01106 blood vessels that feed the hemorrhoid. It’s usually performed as an outpatient procedure.

Hemorrhoidectomies offer the most success in preventing the return of hemorrhoids, but patients who have them also experience the most significant complications. Complications include incontinence, frequent gas and bloating, and leaking fecal matter.

Other Minimally Invasive Procedures for Hemorrhoid Removal

If you are a candidate for a less serious form of Longmeadow MA 01106 surgery, your doctor may perform what is known as a minimally invasive, or fixative, procedure. These procedures focus on cutting off the blood flow to the hemorrhoid rather than removing the hemorrhoid. The most common forms include:

Excision: In which the blood clot of a thrombosed hemorrhoid is removed

Rubber band ligation: In which rubber bands are placed around internal hemorrhoids, cutting off Longmeadow MA 01106 their blood supply

Sclerotherapy: In which a solution is injected into the hemorrhoid, shutting down entry paths for blood to feed the hemorrhoid

Laser: In which lasers are used to burn and cauterize the ends of hemorrhoid tissue, thereby blocking blood flow to the tissue

Each has a less successful track record in treating Grades III and IV hemorrhoids than hemorrhoidectomy surgery.

What Type of Longmeadow MA 01106 Doctor Removes Hemorrhoids?

Patients who have had good success with their surgery highly recommend letting a colorectal surgeon do the procedure. These surgeons are also known as colon and rectal surgeons or proctologists. Proctologists specialize in treating diseases of the large intestine, which includes the anus, rectum, and sigmoid colon. You can find a board-certified specialist near you by searching the Longmeadow MA 01106 American Society for Colon and Rectal Surgeons (ASCRS) website.

What Should I Expect?

Before the Surgery: Your doctor will give you a regimen of things to do to prepare for the surgery. This will probably include directions about what and how late you can eat the day before. Your bowels will need to be emptied prior to the surgery, so you will Longmeadow MA 01106 be instructed on how to do this. Because you will be placed under anesthesia during the surgery, you will also need to have someone drive you home later. You will be asked to arrive at the outpatient center by a certain time to be prepped for surgery.

During the Surgery: This depends on the type of surgery you receive. In any type, Longmeadow MA 01106 you will be placed under anesthesia to eliminate pain during the procedure. You may or may not be awake during the procedure.

If you have the stapled hemorrhoidectomy, the doctor will lift the hemorrhoid tissue back in place and then use a circular stapling tool to staple it.

If you have a conventional hemorrhoidectomy, the doctor will

 

  • Make an incision in the hemorrhoid Longmeadow MA 01106 tissue.
  • Remove any blood clots.
  • Remove the hemorrhoid blood vessels.
  • Remove the hemorrhoid.

 

Some doctors use sutures to close the area. Others think healing is more successful when the wound is left open. The doctor will pack the wound with gauze to absorb bleeding.

After the Surgery The surgical staff will keep you in the outpatient center until the anesthesia wears off. Longmeadow MA 01106 When you awaken, you will be asked to urinate. This provides the nurses an important clue about whether you have experienced any problematic swelling or spasms in your pelvic muscles. Your nurse will read to you important instructions and precautions to take for the next few days before releasing you. They will probably include things like:

 

  • Don’t drive for the next Longmeadow MA 01106 24 hours because you’re recovering from the effects of being under anesthesia.
  • Don’t sign important papers.
  • Don’t operate any machinery.
  • Don’t drink any alcohol.
  • Don’t do any heavy lifting.

At-Home Care: Some people experience complications; some don’t. Once you return home, expect some pain. Your doctor will probably prescribe pain medication and perhaps antibiotics. Avoid any aspirin products for at least Longmeadow MA 01106 two weeks after your surgery. Aspirin can lead to bleeding.

 

Concentrate on keeping stools soft to avoid inflaming areas that are healing after surgery. This may require that you take stool softeners. Begin eating a healthy, fiber-based diet as soon as possible. Drink lots of fluids to soften fiber bulk and keep your stools soft. Some recommend eating broth or other clear Longmeadow MA 01106 fluids for a couple of days after the surgery to give your body a rest from having bowel movements.

You may experience bleeding with your first few bowel movements. This is not a cause for worry.

While healing, take sitz baths, use ice packs, and sit on a cushion to lessen your discomfort. Wipe yourself with dampened, or medicated, wipes, such as Tucks, Longmeadow MA 01106 after bowel movements and baths. Make sure you dry yourself completely. Apply a zinc oxide cream or petroleum jelly for soothing.

Your doctor will schedule a return office visit about two to three weeks after your surgery to monitor your progress. At that time, your doctor may discuss scheduling a colonoscopy in the near future to check your entire lower digestive tract Longmeadow MA 01106 for any potential problems.

Is It Painful?

Most people experience some pain after the surgery. Many will be able to control it with simple over-the-counter-medications, such as acetaminophen (Tylenol) or ibuprofen (Advil or Motrin). Some will require prescribed medication, such as Percocet.

Common complaints include:

 

  • Spasms (Botox is being studied as a possible remedy)
  • Pain when defecating, especially the first few times after Longmeadow MA 01106 surgery
  • Internal itching after defecating
  • An urgency to eliminate frequently

What Are the Risks?

 

It is estimated that hemorrhoidectomy surgery is successful in about 95 percent of cases. Still, patients can experience some rather unpleasant side effects, including:

 

  • Pain
  • Bleeding
  • Infection
  • Incontinence
  • Stool leakage
  • Inability to urinate due to swelling and spasms in the pelvic area
  • Bad reactions to anesthesia
  • Bloating Longmeadow MA 01106 and gas

How Successful Is It?

 

The success rate for hemorrhoid removal is about 95%, but this is contingent on the patient making dietary and lifestyle changes. Without these changes, hemorrhoids may recur. For Grade III or IV hemorrhoids, hemorrhoidectomy, or hemorrhoid removal, seems to offer the best long-term results of all the medical procedures. The downside? The procedure costs more, Longmeadow MA 01106 causes many patients more pain, costs patients more time away from work as they recover, and results in a higher rate of complications than other medical treatments.

How Long Does It Take to Recover?

Best case: Expect about a two-week recovery period after undergoing a hemorrhoidectomy. For most patients, it takes at least three weeks, and can take as long as three to Longmeadow MA 01106 six weeks to get back to normal.

What Will It Cost?

Costs vary widely. The best thing to do is consult with your insurance company. If you are not insured, you may encounter the following range of costs:

 

  • Rubber band ligation: $500 to $1500
  • Laser or infrared coagulation: $400 to 500 per treatment, with about four treatments on average needed
  • Hemorrhoidectomy: $9000 to Longmeadow MA 01106 $12,000

No More Hemorrhoids

 

As always, the best treatment is prevention. For most people, the key to preventing hemorrhoids is preventing hard stools. Hard stools lead to straining on the toilet; straining leads to hemorrhoids. Hard stools bruise hemorrhoids, leading to bleeding hemorrhoids. Repeated instances of this behavior with no change in diet and lifestyle can lead to surgery. Lesson: eat right Longmeadow MA 01106 and exercise.

Doctors For Sciatica Nerve Pain in Needham MA 02192

What exactly is a back pain generator and what role does it play in your back problem and cure? You have a pain in the back, maybe it is radiating down your leg. The pain is keeping you up at night, making sitting and bending and even driving a car a painful experience. You go to the doctor’s hoping he can relieve the pain in your backside. I am willing to Doctors For Sciatica Nerve Pain Needham MA 02192 bet that the outcome of your visit will be much like mine was.

The doctor is probably pressed for time. Most doctors have only ten or fifteen minutes per patient. That means that in a very short period of time he or she will ask you some questions, give a quick exam, make a diagnosis and prescribe a treatment program which will probably include a prescription drug. But did the doctor identify Needham MA 02192 your pain generator? More than likely he or she will give you an off the cuff diagnosis. This diagnosis will usually be something too vague to be of any real use.

Or sure the pain relievers and muscle relaxants prescribed will ease the pain and give you temporary relief. Hopefully you get lucky and the back will heal itself. But chances are the pain will return. If the pain does return you Doctors For Sciatica Nerve Pain Needham MA 02192 will probably be referred to a physical therapist, who, like the doctor is also pressed for time and more than likely will use the doctor’s diagnosis as a basis for treatment. Unfortunately all this is doing is addressing the symptoms and not the cause of your pain.

This is exactly what happened to me and when the therapy and drugs did not work I had an MRI and finally surgery. Unfortunately the Needham MA 02192 pain did not go away. That is when I began looking for alternatives and stumbled upon the term pain generators.

A pain generator is a part of the body that is causing the pain. It might be a bulging disc or a deep muscle spasm in the buttock. In my case the MRI showed a disk that had ruptured. The operation corrected the problem, but the pain returned. Why, because as I Needham MA 02192 found out later the real problem was the Priformis Muscle. This is a large muscle located in the buttocks which the Sciatic Nerve rounds through. Because of muscle imbalance the Priformis had a deep spasm that was putting pressure on the Sciatic Nerve and that was the pain generator. Once the pain generator was identified a proper series of exercises to restore muscle imbalance gave me real pain relief. If I Needham MA 02192 was given the proper diagnosis the first time I could have avoided surgery and therapy. But this time instead of being based on a vague diagnosis there was a specific cause and treatment could focus on this cause and not the symptoms.

There are many causes of back pain and sometimes it is a bulging disk. But many people walk around with bulging disks and never have a problem. In many cases Needham MA 02192 muscle imbalance maybe the cause resulting in muscle weakness and spasms. The muscle imbalance could be caused by your body compensating for an injury or disk problem, but until the imbalance is addressed chance are the pain will continue.

The point of this article is to encourage you to be assertive with your doctor and the treatment he provides. This can be corrected by designing the correct exercises to treat the imbalance. Needham MA 02192 By working with your doctor and therapist and identifying the pain generator you, the patient now have a definitive plan of action. A plan that if followed will be permanent solution to your back pain.

Doctors For Sciatica Nerve Pain in Northbridge MA 01534

There was always something a little risky in attempting to continue that venerable British sci-fi franchise, Doctor Who. Reviving a show that has run since the early sixties and gathered millions upon millions of loyal followers can be a dangerous business. Done correctly, though, it can be very profitable.

So, when BBC Wales announced in 2003 that they intended to revive Doctor Who, fans Doctors For Sciatica Nerve Pain Northbridge MA 01534 met the news with concern and excitement in equal measures. The Doctor had enjoyed only one full-length screen outing since the show was cancelled in 1989 – the Fox Network’s TV movie starring Paul McGann as the eighth Doctor – and poor ratings left little doubt that the franchise was truly dead and buried.

So, it was with a sense of trepidation that the Northbridge MA 01534 BBC aired the premiere of the first new TV series in 16 years. Salford-born actor Christopher Eccleston (Gone in Sixty Seconds, 28 Days Later) was the unlikely choice for the part of the ninth Doctor, along with the even more unlikely choice of 90s songstress Billie Piper to play his spunky sidekick, Rose Tyler.

While reviews of the new show were generally positive, some Doctors For Sciatica Nerve Pain Northbridge MA 01534 hardcore Doctor Who followers were opposed to several changes. A new logo and a few minor changes to the TARDIS were enough to generate hate mail and death threats to members of the production team – but, then, cult sci-fi shows have always acted as lightning rods for those slightly less balanced elements of society.

In general, however, fans approved of the new show. Northbridge MA 01534 Ratings for the first episode, titled “Rose”, hit over ten million in the UK – the per capita equivalent of almost 50 million in the US. These ratings were high enough to spur the BBC to announce that a second season would be produced – season 27 overall.

Unfortunately, just hours after this announcement came news that Eccleston would not return for a second Northbridge MA 01534 spell as Doctor Who for fear of becoming typecast. His departure had apparently been planned before filming ended on the first season, but was not meant to be made public until after the shows had aired. Following much speculation it was announced in April 2005 that Scottish stage actor David Tennant would fill Eccleston’s shoes for the second season.

A year after its transmission Northbridge MA 01534 in the UK, the Sci-Fi channel began airing season one – with the second season beginning at the end of September 2006.

So what developments can we expect with the second season? The first episode, a 60-minute special titled “The Christmas Invasion”, was originally aired in the UK as a Christmas special in 2005. Though not technically part of the official second season it Northbridge MA 01534 will air on the Sci-Fi Channel as the first episode. “The Christmas Invasion” will contain a sub-plot focussed on introducing us to the new Doctor.

The main story will focus on an invasion of the Earth by a violent alien race, the Sycorax. But will the Doctor, weakened by his regeneration, be strong enough to save the world?

The new season will show us a Northbridge MA 01534 different side to Doctor Who. While Eccleston’s Doctor was dark and melancholic – often displaying disdain for the human race – Tennant’s incarnation has a much more upbeat personality. Speaking with distinctive Estuary English, the tenth Doctor is a cheeky scoundrel of the highest degree. Usually light-hearted and witty, Tennants’ character will become much closer to the human characters in the show – Northbridge MA 01534 especially his companion Rose.

We can, however, expect fireworks during the second season of Doctor Who. Emotions run high as The Doctor becomes ever closer to his companion Rose, and he must face up to the fact that the near immortality of a Time Lord can be a curse as well as a blessing. Can he bring himself to love a mere mortal?

Meanwhile, The Northbridge MA 01534 Doctor must face his eternal foes the Daleks – along with another ancient enemies, the Cybermen. During these battles he’ll also find help in the form of a face from the past – as well as his trusty robot dog, K-9.

The second season of Doctor Who promises all the excitement of the first and more. Travelling through time – and even between dimensions Northbridge MA 01534 – The Doctor will continue to fight the good fight against the enemies of the universe. Whether he’ll be up to the challenge we’ll have to wait and see.

Doctors For Sciatica Nerve Pain in Stow MA 01775

There was always something a little risky in attempting to continue that venerable British sci-fi franchise, Doctor Who. Reviving a show that has run since the early sixties and gathered millions upon millions of loyal followers can be a dangerous business. Done correctly, though, it can be very profitable.

So, when BBC Wales announced in 2003 that they intended to revive Doctor Who, fans Doctors For Sciatica Nerve Pain Stow MA 01775 met the news with concern and excitement in equal measures. The Doctor had enjoyed only one full-length screen outing since the show was cancelled in 1989 – the Fox Network’s TV movie starring Paul McGann as the eighth Doctor – and poor ratings left little doubt that the franchise was truly dead and buried.

So, it was with a sense of trepidation that the Stow MA 01775 BBC aired the premiere of the first new TV series in 16 years. Salford-born actor Christopher Eccleston (Gone in Sixty Seconds, 28 Days Later) was the unlikely choice for the part of the ninth Doctor, along with the even more unlikely choice of 90s songstress Billie Piper to play his spunky sidekick, Rose Tyler.

While reviews of the new show were generally positive, some Doctors For Sciatica Nerve Pain Stow MA 01775 hardcore Doctor Who followers were opposed to several changes. A new logo and a few minor changes to the TARDIS were enough to generate hate mail and death threats to members of the production team – but, then, cult sci-fi shows have always acted as lightning rods for those slightly less balanced elements of society.

In general, however, fans approved of the new show. Stow MA 01775 Ratings for the first episode, titled “Rose”, hit over ten million in the UK – the per capita equivalent of almost 50 million in the US. These ratings were high enough to spur the BBC to announce that a second season would be produced – season 27 overall.

Unfortunately, just hours after this announcement came news that Eccleston would not return for a second Stow MA 01775 spell as Doctor Who for fear of becoming typecast. His departure had apparently been planned before filming ended on the first season, but was not meant to be made public until after the shows had aired. Following much speculation it was announced in April 2005 that Scottish stage actor David Tennant would fill Eccleston’s shoes for the second season.

A year after its transmission Stow MA 01775 in the UK, the Sci-Fi channel began airing season one – with the second season beginning at the end of September 2006.

So what developments can we expect with the second season? The first episode, a 60-minute special titled “The Christmas Invasion”, was originally aired in the UK as a Christmas special in 2005. Though not technically part of the official second season it Stow MA 01775 will air on the Sci-Fi Channel as the first episode. “The Christmas Invasion” will contain a sub-plot focussed on introducing us to the new Doctor.

The main story will focus on an invasion of the Earth by a violent alien race, the Sycorax. But will the Doctor, weakened by his regeneration, be strong enough to save the world?

The new season will show us a Stow MA 01775 different side to Doctor Who. While Eccleston’s Doctor was dark and melancholic – often displaying disdain for the human race – Tennant’s incarnation has a much more upbeat personality. Speaking with distinctive Estuary English, the tenth Doctor is a cheeky scoundrel of the highest degree. Usually light-hearted and witty, Tennants’ character will become much closer to the human characters in the show – Stow MA 01775 especially his companion Rose.

We can, however, expect fireworks during the second season of Doctor Who. Emotions run high as The Doctor becomes ever closer to his companion Rose, and he must face up to the fact that the near immortality of a Time Lord can be a curse as well as a blessing. Can he bring himself to love a mere mortal?

Meanwhile, The Stow MA 01775 Doctor must face his eternal foes the Daleks – along with another ancient enemies, the Cybermen. During these battles he’ll also find help in the form of a face from the past – as well as his trusty robot dog, K-9.

The second season of Doctor Who promises all the excitement of the first and more. Travelling through time – and even between dimensions Stow MA 01775 – The Doctor will continue to fight the good fight against the enemies of the universe. Whether he’ll be up to the challenge we’ll have to wait and see.

Doctors For Sciatica Nerve Pain in Groveland MA 01834

Hemorrhoid removal. You’ve tried everything else and now you’re left with a treatment option you really don’t want to have to consider. If you have painful and bleeding hemorrhoids, you probably have a lot questions. “How do I know if I need surgery?” “If I do, what are my options?” “What kind of doctor should I see?” “What are the risks?” Doctors For Sciatica Nerve Pain Groveland MA 01834 “What should I expect before, during, and after surgery?” “Will surgery stop hemorrhoids from coming back?” This article answers some of the most frequently asked questions about hemorrhoid removal.

When Should I Have Hemorrhoid Surgery?

If you have substantial bleeding and pain, it’s time to call the doctor. If your doctor diagnoses your problem as thrombosed external hemorrhoids, which means your hemorrhoids contain Groveland MA 01834 blood clots, or large internal hemorrhoids, he or she may recommend surgery. Hemorrhoid removal is often accomplished through surgery known as a hemorrhoidectomy.

To determine whether you need surgery, your doctor will perform a rectal examination. The doctor wants to rule out other possible causes of your bleeding and pain. Methods your doctor may use to diagnose your condition include:

 

  • Performing an Doctors For Sciatica Nerve Pain Groveland MA 01834 anal examination, by inserting a finger into your anus to feel for a blockage or abnormal growths.
  • Performing an anoscopy, by looking through a small, lit tube, known as an anoscope, to examine the anal canal and lower rectum.
  • Inserting a proctoscope, which is a thin tube containing a camera and a light, into the rectum to examine its interior more Groveland MA 01834 thoroughly. This procedure is called a proctoscopy.
  • Performing a sigmoidoscopy, which examines the rectum and the lower part of the colon to search for polyps. The doctor uses a sigmoidscope, which is a flexible tube that can cut off any polyps discovered. Polyps are growths of tissue extending from mucous membranes. They are usually nonmalignant.
  • Performing a colonoscopy, in which the Groveland MA 01834 doctor sees and examines the large intestine and the rectum, using a long, flexible tube called a colonoscope.

 

Unless there is reason to suspect other problems, your doctor will probably confine the examination to one of the first three methods. If the doctor discovers large internal hemorrhoids or believes your external hemorrhoids warrant surgery, he or she may recommend surgery for Groveland MA 01834 hemorrhoid removal.

What Types of Hemorrhoids Surgery Do Doctors Perform?

Doctors, generally, perform one of two types of surgery to complete hemorrhoid removal: stapled hemorrhoidectomy and conventional hemorrhoidectomy. Let’s look briefly at each.

Stapled Hemorrhoidectomy: Procedure for Prolapse and Hemorrhoids (PPH) Stapled hemorrhoidectomy surgeries are often referred to as PPH. This stands for the “procedure for prolapse and hemorrhoids.” Generally, it’s recommended for people Groveland MA 01834 who suffer with Grade III or IV hemorrhoids, which means their hemorrhoids have prolapsed, or dropped below the anus.

Basically, the surgery staples prolapsed hemorrhoid tissue back into its original position. Because this position is above what is known as a pain line, fewer nerve endings are involved, resulting in less pain for the patient. The staples cut off the blood flow Groveland MA 01834 to the hemorrhoid, which starves it to death.

Benefits to the patient of the procedure include less pain, shorter recovery times, and fewer complaints of post-surgery complications.

Drawbacks to the procedure include a higher incidence of recurring hemorrhoids. Also, some patients complain of pain during bowel movements and internal itching from the staple.

Hemorrhoidectomy: A hemorrhoidectomy actually removes the hemorrhoid, including blood clots and Groveland MA 01834 blood vessels that feed the hemorrhoid. It’s usually performed as an outpatient procedure.

Hemorrhoidectomies offer the most success in preventing the return of hemorrhoids, but patients who have them also experience the most significant complications. Complications include incontinence, frequent gas and bloating, and leaking fecal matter.

Other Minimally Invasive Procedures for Hemorrhoid Removal

If you are a candidate for a less serious form of Groveland MA 01834 surgery, your doctor may perform what is known as a minimally invasive, or fixative, procedure. These procedures focus on cutting off the blood flow to the hemorrhoid rather than removing the hemorrhoid. The most common forms include:

Excision: In which the blood clot of a thrombosed hemorrhoid is removed

Rubber band ligation: In which rubber bands are placed around internal hemorrhoids, cutting off Groveland MA 01834 their blood supply

Sclerotherapy: In which a solution is injected into the hemorrhoid, shutting down entry paths for blood to feed the hemorrhoid

Laser: In which lasers are used to burn and cauterize the ends of hemorrhoid tissue, thereby blocking blood flow to the tissue

Each has a less successful track record in treating Grades III and IV hemorrhoids than hemorrhoidectomy surgery.

What Type of Groveland MA 01834 Doctor Removes Hemorrhoids?

Patients who have had good success with their surgery highly recommend letting a colorectal surgeon do the procedure. These surgeons are also known as colon and rectal surgeons or proctologists. Proctologists specialize in treating diseases of the large intestine, which includes the anus, rectum, and sigmoid colon. You can find a board-certified specialist near you by searching the Groveland MA 01834 American Society for Colon and Rectal Surgeons (ASCRS) website.

What Should I Expect?

Before the Surgery: Your doctor will give you a regimen of things to do to prepare for the surgery. This will probably include directions about what and how late you can eat the day before. Your bowels will need to be emptied prior to the surgery, so you will Groveland MA 01834 be instructed on how to do this. Because you will be placed under anesthesia during the surgery, you will also need to have someone drive you home later. You will be asked to arrive at the outpatient center by a certain time to be prepped for surgery.

During the Surgery: This depends on the type of surgery you receive. In any type, Groveland MA 01834 you will be placed under anesthesia to eliminate pain during the procedure. You may or may not be awake during the procedure.

If you have the stapled hemorrhoidectomy, the doctor will lift the hemorrhoid tissue back in place and then use a circular stapling tool to staple it.

If you have a conventional hemorrhoidectomy, the doctor will

 

  • Make an incision in the hemorrhoid Groveland MA 01834 tissue.
  • Remove any blood clots.
  • Remove the hemorrhoid blood vessels.
  • Remove the hemorrhoid.

 

Some doctors use sutures to close the area. Others think healing is more successful when the wound is left open. The doctor will pack the wound with gauze to absorb bleeding.

After the Surgery The surgical staff will keep you in the outpatient center until the anesthesia wears off. Groveland MA 01834 When you awaken, you will be asked to urinate. This provides the nurses an important clue about whether you have experienced any problematic swelling or spasms in your pelvic muscles. Your nurse will read to you important instructions and precautions to take for the next few days before releasing you. They will probably include things like:

 

  • Don’t drive for the next Groveland MA 01834 24 hours because you’re recovering from the effects of being under anesthesia.
  • Don’t sign important papers.
  • Don’t operate any machinery.
  • Don’t drink any alcohol.
  • Don’t do any heavy lifting.

At-Home Care: Some people experience complications; some don’t. Once you return home, expect some pain. Your doctor will probably prescribe pain medication and perhaps antibiotics. Avoid any aspirin products for at least Groveland MA 01834 two weeks after your surgery. Aspirin can lead to bleeding.

 

Concentrate on keeping stools soft to avoid inflaming areas that are healing after surgery. This may require that you take stool softeners. Begin eating a healthy, fiber-based diet as soon as possible. Drink lots of fluids to soften fiber bulk and keep your stools soft. Some recommend eating broth or other clear Groveland MA 01834 fluids for a couple of days after the surgery to give your body a rest from having bowel movements.

You may experience bleeding with your first few bowel movements. This is not a cause for worry.

While healing, take sitz baths, use ice packs, and sit on a cushion to lessen your discomfort. Wipe yourself with dampened, or medicated, wipes, such as Tucks, Groveland MA 01834 after bowel movements and baths. Make sure you dry yourself completely. Apply a zinc oxide cream or petroleum jelly for soothing.

Your doctor will schedule a return office visit about two to three weeks after your surgery to monitor your progress. At that time, your doctor may discuss scheduling a colonoscopy in the near future to check your entire lower digestive tract Groveland MA 01834 for any potential problems.

Is It Painful?

Most people experience some pain after the surgery. Many will be able to control it with simple over-the-counter-medications, such as acetaminophen (Tylenol) or ibuprofen (Advil or Motrin). Some will require prescribed medication, such as Percocet.

Common complaints include:

 

  • Spasms (Botox is being studied as a possible remedy)
  • Pain when defecating, especially the first few times after Groveland MA 01834 surgery
  • Internal itching after defecating
  • An urgency to eliminate frequently

What Are the Risks?

 

It is estimated that hemorrhoidectomy surgery is successful in about 95 percent of cases. Still, patients can experience some rather unpleasant side effects, including:

 

  • Pain
  • Bleeding
  • Infection
  • Incontinence
  • Stool leakage
  • Inability to urinate due to swelling and spasms in the pelvic area
  • Bad reactions to anesthesia
  • Bloating Groveland MA 01834 and gas

How Successful Is It?

 

The success rate for hemorrhoid removal is about 95%, but this is contingent on the patient making dietary and lifestyle changes. Without these changes, hemorrhoids may recur. For Grade III or IV hemorrhoids, hemorrhoidectomy, or hemorrhoid removal, seems to offer the best long-term results of all the medical procedures. The downside? The procedure costs more, Groveland MA 01834 causes many patients more pain, costs patients more time away from work as they recover, and results in a higher rate of complications than other medical treatments.

How Long Does It Take to Recover?

Best case: Expect about a two-week recovery period after undergoing a hemorrhoidectomy. For most patients, it takes at least three weeks, and can take as long as three to Groveland MA 01834 six weeks to get back to normal.

What Will It Cost?

Costs vary widely. The best thing to do is consult with your insurance company. If you are not insured, you may encounter the following range of costs:

 

  • Rubber band ligation: $500 to $1500
  • Laser or infrared coagulation: $400 to 500 per treatment, with about four treatments on average needed
  • Hemorrhoidectomy: $9000 to Groveland MA 01834 $12,000

No More Hemorrhoids

 

As always, the best treatment is prevention. For most people, the key to preventing hemorrhoids is preventing hard stools. Hard stools lead to straining on the toilet; straining leads to hemorrhoids. Hard stools bruise hemorrhoids, leading to bleeding hemorrhoids. Repeated instances of this behavior with no change in diet and lifestyle can lead to surgery. Lesson: eat right Groveland MA 01834 and exercise.