Sclerotherapy: Injection Treatment of Hemorrhoids

This technique consists of injecting the hemorrhoid with Phenol in almond oil or vegetable oil.  Anesthesia is required and the procedure is mostly recommended for the non-protruding internal hemorrhoid or sometimes for a slightly prolapsed hemorrhoid. It is not recommended for hemorrhoids that are very inflamed (grade IV).

I have never had this procedure but can tell you that the injection that I had for anesthesia was very painful. This is a hemorrhoid treatment for internal hemorrhoids that have not protruded. At this stage, it is fairly easy to turn the inflammation around with warm baths, stool softeners and rest. The amount of effort and expense to reduce hemorrhoid pain with home remedies would likely be less than the effort and expense you’d have to endure for this treatment.

Sclerotherapy is one of the oldest treatments for internal hemorrhoids.  An article by John Morgan, a surgeon (considered a classic article in the world of colon and rectal surgeons) reports the first description of hemorrhoid treatment by injection in 1869. He describes the procedure for external hemorrhoids also but the prevailing use of the injection for hemorrhoid treatments is for internal hemorrhoids.

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2 Responses to “Sclerotherapy: Injection Treatment of Hemorrhoids”

  1. hasan Says:

    sclerotherpay ! is it possible for external piles too ?
    as far as i know it is for internal ones !

  2. admin Says:

    There is a common confusion between internal prolapsed hemorrhoids and external piles. Sclerotherapy can be used to treat slightly prolapsed hemorrhoids which are internal veins that have protruted outside the anal ring. External piles are treated differently given the external location as they are outside the anal wall.

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