How to treat hemorrhoids

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Doctor Howard Kaufman earned his M.D at John Hopkins School of Medicine and completed his surgical training, research fellowship, and fellowship in Gastrointestinal Surgery at John Hopkins Hospital.

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What are some Hemorrhoid Treatments?

hemorrhoid appointment howard kaufman los angeles pasadena hemorrhoidThough hemorrhoids can often be treated at home, it is important to understand that they can evolve into serious health issues. Listed below are home treatments for hemorrhoids.

  1. Use moistened wipes or scent-free, dye-free soap to blot rectal area clean after bowel movements
  2. Pat area dry with a clean, absorbent towel or toilet paper
  3. Take pain relievers such as Ibuprofen, acetaminophen, or aspirin
  4. Hot-and-Cold Therapy: apply ice for 10 minutes, followed by a warm compress for an additional 10 minutes
  5. Sitz bath: fill tub with only enough warm water to immerse anus in water
  6. Wear cotton underwear to avoid excessive moisture

These remedies work temporarily, but removal or surgery is often the only permanent solution for hemorrhoids. If any symptoms persist for more than one week, make an appointment with Doctor Howard Kaufman at Huntington Colorectal.


Some Non-surgical Treatments for Hemorrhoids:

HET – Non Surgical Hemorrhoid Treatment

The HET procedure is a non-surgical, minimally invasive, treatment option for hemorrhoids. This bipolar system offers consistent compression, low treatment temperatures, and nominal discomfort providing a gentle procedure for patients. The simple procedure can be completed alongside a diagnostic colonoscopy thus reducing the number of operations. Also, through the efficiency of the HET bipolar system, it can treat multiple symptomatic hemorrhoids in a single procedure.

Rubber Band Ligation for Hemorrhoid Treatment

In a rubber band ligation the hemorrhoid is tied off at its base with rubber bands, which cuts off blood flow and can be done without need for anesthesia. However, this treatment is limited to internal hemorrhoids.

Procedure for Prolapse and Hemorrhoids

Procedure for Prolapse and Hemorrhoids (PPH) – Otherwise known as the PPH procedure, stapled hemorrhoidectomy, stapled hemorrhoidopexy, or circumferential mucosectomy. In this procedure, the muscular tissue that supports the pelvis weakens and breaks, causing hemorrhoidal tissue to begin protruding. An internal tucking and stapling device will be implemented to restore hemorrhoidal tissue back into a normal position.

 


Less than 5% of patients require surgery.
Surgeries for hemorrhoids:

What is a Hemorrhoidectomy?

Hemorrhoidectomy is a procedure used to remove hemorrhoids, and patients will be given general or spinal anesthesia. Dr. Kaufman uses incisions in the tissue around the hemorrhoid to remove hemorrhoidal tissue. The swollen vein inside the hemorrhoid is tied off to prevent bleeding and is then removed. The surgical area may be sewn closed or left open, as medicated gauze is used to cover the wound.


What is the THD Procedure?

THD is implemented for symptomatic internal hemorrhoids that fail conservative management. During this incisionless, minimally invasive procedure, the surgeon restricts the affected blood vessels with Doppler-guided technology and sutures. It is performed above the dentate line without the excision or “cutting” of tissue, so patients experience less pain and discomfort.

An Incision-Less, Minimally Invasive Procedure

THD uses a doppler to locate the branches of the hemorrhoidal arteries that need to be terminated. Once the artery is located the surgeon uses an absorbable suture to ligate or “tie-off” the arterial blood flow and the venous “outflow” remains to “shrink” the cushion.

When necessary, Dr. Kaufman will perform a hemorrhoidopexy to repair the prolapse. This repair restores and “lifts” the tissue back to its anatomical position. All processes within this procedure are done without the removal of any tissue.

The THD procedure takes about 20 minutes and is offered as an outpatient surgery. Consult Dr. Kaufman to see if the THD procedure is the right option for you.

Average Recovery for Hemorrhoid Treatments:

Normal activities may be resumed within four days but is determined on a case per case basis. Physicians may advise a high fiber diet following any hemorrhoid procedure.


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Treated Conditions

Hemorrhoid Removal
Pelvic Floor Disorders
Pelvic Floor
Fecal Incontinence
Anorectal Manometry
Anal Ultrasound
Obstructed Defecation
Rectal Prolapse

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Howard Kaufman, MD

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Address: 10 Congress Street, Suite 300 Pasadena, CA 91105

Phone: (626) 397-5896
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