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Piles problem
I have internal and external hemorrhoids, one doctor suggested me that surgery can cure permanently this problem. I am not feeling pain or itching till now.
Should I go for surgery immediately ? if yes , what is the best method (Hemorrhoidectomy, Stapled Hemorrhoidectomy(PPH), Rubber band Ligation, Lateral Internal Sphincterotomy or any other).
Or should I continue with my medicine.
Answers (2)
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The following is a quick summary of treatment for internal hemorrhoids by grade:
Grade 1 hemorrhoids are treated with conservative medical therapy and avoidance of nonsteroidal anti-inflammatory drugs and spicy or fatty foods
Grade 2 or 3 hemorrhoids are initially treated with nonsurgical procedures
Very symptomatic grade 3 and grade 4 hemorrhoids are best treated with surgical hemorrhoidectomy
Treatment of grade 4 internal hemorrhoids requires prompt surgical consultation..consult surgeon they will explain in detail.
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Dr. Venkat Raghav
General Physician
7 yrs exp
Bangalore
Hello..... Stapled hemmoroidectomy is done commonly in third and fourth grade hemmoroids..Another alternative is to do a stapled hemorrhoidectomy and a simple excision of the external hemorrhoids. If the external hemorrhoids are large, a standard surgical hemorrhoidectomy may need to be done to remove both the internal and external hemorrhoids.lateral sphincterotomy is not done in this case... I think you got confused ,consult general surgeon.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.