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Do Haemorrhoids Need Surgery?

Colorectal & perianal · 1 min

When conservative treatment may be enough and when a procedure is considered.

Most haemorrhoids do not need an operation

Do all haemorrhoids require surgery? No. Many cases can be managed without surgery, and treatment usually begins with simple measures before any procedure is considered.

Laser Haemorrhoidoplasty (LHP) infographic explaining the procedure for haemorrhoids.

When a procedure is needed, the choice depends on how far the haemorrhoid comes out. Haemorrhoids that do not stay out are usually treated in the clinic, for example with banding or injection sclerotherapy, while surgery is usually offered when the haemorrhoid stays out or when symptoms keep returning despite other treatment.

If your symptoms persist or you are unsure of the cause, arrange an assessment.

Haemorrhoids are swollen blood vessels in and around the anal canal. They can cause bleeding, a lump that protrudes from the anus, itching or discomfort. However, rectal bleeding can also be caused by anal fissures, polyps, bowel inflammation or colorectal cancer.

When should you be assessed?

  • Fresh red blood during bowel movements
  • A lump protruding from the anus
  • Itching, mucus or discomfort
  • Pain or swelling at the anal margin
  • Recurrent symptoms despite medication

Treatment Options

Treatment depends on the grade and symptoms of the haemorrhoids. It may begin with high fiber diet, adequate fluid intake, stool softeners and medication. If symptoms persist, procedures or surgery may be discussed according to the type of haemorrhoid and the patient’s needs.

Read More: Haemorrhoids

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Book an Appointment

If your symptoms persist or you are unsure of the cause, arrange an assessment.