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Sclerotherapy Treatment For Piles – Benefits And Side Effects And Risks

Sclerotherapy treatment for piles is a procedure to treat internal hemorrhoids. It is done as an outpatient process by injecting a chemical solution to the affected area in the anal region.

Sclerotherapy treatment for piles is a procedure to treat internal hemorrhoids. It ... Read More

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  • What is Sclerotherapy?

    Sclerotherapy is a minimally invasive medical procedure used to treat different veinous disorders. During sclerotherapy, a solution is injected directly into the affected veins, causing them to shrink, collapse, and eventually fade away.

    The solution irritates the lining of the blood vessel, leading to the formation of scar tissue that closes off the vein. Over time, the body absorbs the treated vein, redirecting blood flow to healthier veins.

    In recent years, sclerotherapy has seen growing demand for treating even anorectal disorders. Its minimally invasive nature, effectiveness, and relatively low risk of complications have made it an attractive option for treating conditions such as hemorrhoids.

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    What Happens in Sclerotherapy for Piles?

    Here’s a typical overview of how sclerotherapy for piles is performed:

    The procedure begins with an evaluation by a doctor, typically a gastroenterologist, proctologist, or colorectal surgeon, to assess the severity and location of the hemorrhoids. The doctor may evaluate the condition through physical examination, anoscopy, or other imaging tests.

    The patient is positioned comfortably on an examination table, usually lying on their side with their knees bent. The area around the anus is cleaned and sterilized to reduce the risk of infection.

    Using a fine needle, the doctor injects a sclerosing solution directly into the internal piles tissues. 

    The solution irritates the blood vessels, causing them to shrink and collapse. This helps reduce the size of the hemorrhoids and alleviate symptoms such as bleeding, pain, and discomfort.

    After injecting the solution, the patient may be asked to keep lying down for a short period to allow the sclerosing solution to take effect. 

    Some patients may require multiple sclerotherapy sessions, some weeks apart to achieve optimal results. 

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    What to Expect After Sclerotherapy for Piles?

    After sclerotherapy for piles, patients can expect the following:

    • Mild discomfort or a sensation of fullness in the rectum may occur immediately after the procedure. The discomfort is not major and should subside within a few hours.
    • Minor bleeding from the injection sites or hemorrhoids may occur, but it typically resolves on its own. 
    • Patients may experience changes in bowel movements, such as increased frequency or urgency, as the treated hemorrhoids shrink and heal. Stool softeners or fiber supplements may be recommended to ease bowel movements and prevent constipation.
    • Some swelling or inflammation in the anal area may occur after sclerotherapy, but it usually resolves within a few days with proper post-procedure care.
    • Sclerotherapy typically results in a reduction in the size of hemorrhoids and an improvement in symptoms such as bleeding, pain, itching, and discomfort during bowel movements.
    • Most patients can resume normal activities, including work and light exercise, within a day or two after sclerotherapy. 
    • Strenuous activities, heavy lifting, and vigorous exercise should be avoided for at least a week to allow for proper healing.

    Benefits of Treating Piles With Sclerotherapy?

    Here are the benefits of treating piles with sclerotherapy:

    • Sclerotherapy is a minimally invasive procedure that can be performed on an outpatient basis.
    • Patients typically experience minimal discomfort and can resume normal activities quickly after sclerotherapy.
    • Sclerotherapy effectively reduces symptoms such as bleeding, pain, itching, and discomfort associated with hemorrhoids.
    • Sclerotherapy offers a non-surgical alternative to traditional hemorrhoid treatments, such as surgery or rubber band ligation.
    • Sclerotherapy can be tailored to each patient’s specific needs and the severity of their hemorrhoids.
    • Compared to surgical procedures, sclerotherapy carries a lower risk of complications and adverse effects.
    • Sclerotherapy can be easily repeated if necessary to achieve optimal results or address recurrent hemorrhoids.
    • Sclerotherapy is typically performed in a clinic or office setting, eliminating the need for hospitalization.

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    Can Sclerotherapy Treat Piles Permanently?

    While sclerotherapy can effectively manage the symptoms of piles to a great extent, it may not always provide a permanent solution. The procedure can reduce the size of hemorrhoids and alleviate symptoms such as bleeding, pain, and discomfort, but it may not eliminate the underlying cause of piles.

    For a more permanent solution, surgery is often recommended to address the root cause of hemorrhoids and prevent recurrence. Surgery, such as hemorrhoidectomy or minimally invasive procedures like piles laser surgery offers a higher likelihood of long-term relief from piles compared to sclerotherapy.

    Therefore, while sclerotherapy can provide significant symptom relief, it may not be a feasible permanent solution for treating piles.

    Risks and Side Effects of Piles Sclerotherapy?

    Sclerotherapy for piles is a pretty simple, straightforward, and safe treatment for piles. However, risks and complications associated with the method are not unheard of. Some risks of sclerotherapy are:

    • Pain or discomfort at the injection site.
    • Bleeding from the injection site or hemorrhoids.
    • Temporary inflammation or swelling in the anal area.
    • Formation of blood clots in treated veins.
    • Infection at the injection site.
    • Allergic reaction to the sclerosing solution.
    • Recurrence of hemorrhoids despite treatment.
    • Rarely, ulceration or tissue damage at the injection site.
    • Changes in bowel habits or stool consistency.
    • Unintended scarring or skin discoloration at the injection site.

    FAQs Related to Sclerotherapy

    Is sclerotherapy good for piles?

    Sclerotherapy can be effective in reducing the size of hemorrhoids and alleviating associated symptoms such as bleeding and discomfort. However, its effectiveness may vary among individuals, and it may not provide a permanent solution for treating piles.

    How long does hemorrhoid sclerotherapy last?

    The length of effectiveness of hemorrhoid sclerotherapy varies among individuals, but it typically provides relief from symptoms for several months to years. Repeat treatments may be necessary to maintain results or address recurrent hemorrhoids.

    Is hemorrhoid sclerotherapy painful?

    Piles sclerotherapy may cause mild discomfort or a sensation of pressure during the injection, but it is generally well-tolerated by most patients. The sensation is similar to that of any other injection and typically lasts only a few seconds. Any discomfort is usually brief and subsides quickly after the procedure.

    Is hospitalization needed for piles sclerotherapy?

    Sclerotherapy for piles is a daycare procedure, meaning no hospitalization is required. The patient can return home once the treatment is done and the doctor monitors the vitals of the patient.

    Is sclerotherapy for piles a major surgery?

    Sclerotherapy is not a surgery. It is a pretty simple, minimally invasive outpatient procedure performed in a clinic or office setting without the need for anesthesia. The procedure involves injecting a sclerosing solution directly into the hemorrhoids to reduce their size and alleviate symptoms, and patients can typically resume normal activities shortly afterward.

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    Content Reviewed By
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    Dr. Sanjeev Gupta
    25 Years Experience Overall
    Last Updated : July 9, 2024

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