Haemorrhoids (Piles) Ligation

What is the treatment?

1. Lifestyle Modifications Small haemorrhoids can get better even without medical treatment. If they are caused by constipation, the aim of the treatment is to achieve regular soft stools. A softer stool makes emptying the bowels easier and lessens the pressure on haemorrhoids caused by straining. The most important measurement is a change of diet with the addition of more fibre and roughage particularly green vegetables, fresh fruit, wholegrain cereals and bran. Fluid intake should be increased to 8 to 10 glasses (2L) of fluid daily. The patient is also advised to avoid straining when passing a stool. Sitting in a shallow bath of hot water for 15 minutes several times a day, will reduce the pain.

2. Medication Relatively small haemorrhoids can be treated using creams or suppository (Proctosedyl) together with medication (Daflon).

3. Rubber Band Ligation More severe cases need to be treated by a specialist. One possible treatment is rubber band ligation. Rubber band ligation is performed as outpatient procedure and does not require hospital admission. The procedure involves placing a small rubber band at the base of the haemorrhoid with a special applicator. The rubber band cuts off the blood supply to the haemorrhoid, which eventually falls off after a few days. Cure rate has been found to be about 87%.