Hemorrhoids Treatment Options

When you hear the word operation (surgery), that comes to mind is the flash of hemorrhoid sufferers scary knife. Yet nothing was horrified at these sharp tools in action ripping and rummaged through the body. For patients, this is part of the struggle in an effort to get rid of lumps in the "south pole" of his. That is why many people reluctant to undergo surgery hemorrhoids. If it is still possible, hemorrhoid sufferer would have chosen different ways of handling.

Haemorrhoids is dilation of blood vessels beneath the anal mucous membrane (flexus hemorrhoidal) became a kind of tangled to form clots or lumps. Most hemorrhoids is happening in so-called internal haemorrhoid. Because of this location in which the sufferer is often inconvenient. While hemorrhoids are happening outside or haemorrhoid externa number of cases only slightly, about 5 -7%.

This is good news for people with hemorrhoids hemorrhoid alias, or haemorrhoids. Those who used to be afraid to undergo surgical removal of hemorrhoids, can now choose how the non-surgical treatment that is more friendly.

According to Western medical concepts, the occurrence of haemorrhoids caused delays forth flow of blood to the heart, so that the blood vessels dilate.

Slightly different from the above understanding, the concept of Eastern medicine explained that the occurrence of hemorrhoids is not merely a backflow barrier, but because the structure is also one of her anus. This is supported by research, which states 90% hemorrhoids caused by hereditary factors. Because of hereditary factors, means that the structure of the anus.


There rectal circular muscle that gripped hold for 24 hours. He relaxes only when there is dirt leaving the group to "world" new. Allegedly, hemorrhoids happen because there is a weak part of the structure of the anus grappling. "Therefore, in treating hemorrhoids, not enough to treat wasirnya, but her anus muscle contraction must be repaired," said dr. Niko M. Manaf, RS digestive surgeon. Kartika, Polumas, Jakarta.

Conditions of haemorrhoids distinguished 4 levels. The first level, only occurs with itching bleeding. The second level, bleeding and pain accompanied by the appearance of small bumps that do not interfere with the process of defecation. The third level, the bleeding with a lump that came out after a bowel movement, but can go alone. The fourth level is marked with a lump that popped after shitting can not go alone, so that should be helped to put it back. In fact, dr. Niko M. Manaf added fifth gradation, ie, when the lump can not be pushed back. This occurs because the process of fibrosis (hardening) or the formation of thrombosis (blood clotting). At this level are usually very ill patients.

The difference is degree haemorrhoids which later differentiate how to handle. For mild cases is usually sufficient to control the drinking, eating high-fiber menus, and shitting on a regular basis. Creams containing corticosteroid drugs and materials of local anesthetics can reduce swelling and pain. However, the possibility of re-emergence of haemorrhoids is still wide open.

More severe hemorrhoid can be overcome by the binding of the swollen parts with rubber to "die" and off by itself. However, how binding of the base of haemorrhoids is very out of date and only a limited circle who still practice. His success was not guaranteed, even infections that often lead to torture or unusual bleeding.

Thus if at some "south pole" spent ambein

Until now, "only the best therapy is to raise the lump it," said dr. Niko. Technique of operation vary. Able with conventional ways, cryosurgery (ekstradingin operations), or can be the same with using laser surgery. After the operation, "the new blood vessels are formed. But, even if new obstacles are still there, hemorrhoids will come again," he added. According to him, with operating rates reached 60% relapse within a year and 70 - 80% within 2 years.

Binding artery
If reluctant or afraid to undergo surgery, the patient can also choose non-operative measures. Among them, a fairly modern and have been accepted in the medical world is sclerotherapy (injecting a liquid irritant). In this way the swollen blood vessels will have pengkerutan. Or, Transproctoscopie method Haemorrhoidal Artery Doppler Ultrasound Ligation (TDUHAL) which has been developed in Australia. Implementation of this method is quite simple; patients undergoing only binding action arteries that leads to swelling of hemorrhoid.

Characteristic TDUHAL method is dipergunakannya doppler ultrasound tool and its supporting equipment. In the sophisticated and expensive equipment have doppler transducer, equipped with sensors such speakers. With the help of this tool, doctors may hear the sound pulse that can be known where the problematic artery. In front of the Doppler transducer, there are small windows and lamps. From this hole doctors were doing the binding on this troubled arteries. Point binding of approximately 10 cm from the anus.

With preliminary treatment of sedation in order not nervous, this action only takes 15 minutes plus time for recovery from sedation for about 30 minutes. "Anesthesia is not required and relatively pain is not too disturbing," said dr. Henry Santoso, a surgeon Procto Center Indonesia (PCI) who practiced TDUHAL method.

According to Nur Damnur (56) who found after undergoing Summary TDUHAL action, hemorrhoid treatment in this way does not mean painless. "Yes, when tools (Doppler, Red.) Put it that felt a little sick. Once inside, I did not feel anything. Next thing I know is over," he said.

Post-action is not required special treatment. Patients do not need to undergo hospitalization. He was only given antibiotics, medicines antinyeri, drug haemorrhoids (anusol), and laxatives for melembekkkan dirt. "The medicine is given as antinyeri pain threshold of each person is different. The drug is only taken when the ache. Anusol while is given to shrink the swelling that happens around the binding."

By doing binding arteries, hemorrhoids no longer have blood supply. "In theory, two weeks after bonding, the blood vessels going to die," said dr. Henry, who received this method of training in South Korea. Therefore, the lump eventually will shrink, not lost. This method success rate of about 80%.

According to Bambang Budiono (41), who had undergone TDUHAL action last year and a half, now has shrunk ambeiennya. In fact, when the live-action TDUHAL hemoroidnya already reached the second level.

Dr. Henry added, TDUHAL best method to deal with third degree haemorrhoids. The more severe hemorrhoid patients suffered, the more binding are performed. As for the fourth level, dr. Henry still recommend actions selected operations. "However, if patients still insist not want the surgery, with some reason, the method still can be tried TDUHAL. At times, his actions could not be done just once, but until two or three times. The result was quite good," he added.

Injection of hemorrhoids and anal muscles
Hemorrhoid treatment will be slightly different if the concept of Eastern medicine is used. Based on the concept of this medicine, there are methods of hemorrhoid treatment is more promising, with the injection of hemorrhoid medicine. Which was injected in the method first used in 1993 was not just wasirnya, but also her anus muscle. Purpose is to make the anal muscles to grip well and evenly in all parts.

Kinds of medicine a lot, depending on the severity ambeiennya. The more severe levels of illness, required quality hemorrhoid medication that the better. With a better drug, improvement happens will be better. This drug will be injected in the section about 2 weeks. "For two weeks he improved the structure of the anal muscle. He will improve the contractions, forming a new blood flow, and eliminate varisesnya. Wasirnya not shrink but melt and be absorbed the body," said dr. Niko.

Expected, with a single action, no recurrence of hemorrhoids. "As the inventor of this hemorrhoid medicine, once injection for life. I hope so. I've helped thousands of people, the result is something like that," said dr. Niko. The level of failure is estimated only 2%. "That did not work, because not following the instructions. For example today the injection, several hours later returned to Bali by train, so that the treatment mechanism is not working," he said.