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Suggest Treatment For Internal Hemorrhoids

Posted on Fri, 17 Oct 2014

Question: I had a colonoscopy done in December 2009 due to bright red bleeding in my stool. The colonoscopy showed I had internal hemorrhoids. There were no polyps. Since then, I've had rubber band litigation done but my hemorrhoids have now come back and they are grades 3 to 4 as of a week ago. I have bright red bleeding after every bowel movement. My colorectal surgeon met with me a week ago and suggested a hemorrhoidectomy and another colonoscopy. He confirmed I have internal hemorrhoids. Do I really need another colonoscopy done so soon since I just had it done 3 1/2 years ago and it's confirmed I have internal hemorrhoids? There is no history of colon cancer in my family. I'm a 34 year old healthy married male.

Answered by Dr. Dr Samir Patil (20 minutes later)

Brief Answer:
repeat scopy not required

Detailed Answer:
Hello,
You do not need a colonoscopy as a screening for Colo rectal cancer. You will definitely need surgery for grade 3 hemorrhoids.please discuss with your doctor as to why he has advised colonoscopy
Regards
Dr Samir Patil

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr Samir Patil (48 minutes later)

Thank you. When should I get another colonoscopy done if I decide not to do the hemorrhoidectomy and continue to have bleeding during bowel movements? My doctor said I don't have to do the hemorrhoidectomy if I'm okay dealing with the hemorrhoids.

Answered by Dr. Dr Samir Patil (3 minutes later)

Brief Answer:
if bleeding present need to intervene

Detailed Answer:
Do you have grade 4 hemorrhoids,
( piles come on of rectum while passing stools. If yes then surgery would be advisable. If not Grade4 then repeat banding can be done
Regards
Dr Samir XXXXXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr Samir Patil (8 minutes later)

He said I have 2 hemorrhoids that are between grades 3 and 4. He said banding can't be done because the banding failed when I did it previously. When should I get another colonoscopy done?

Answered by Dr. Dr Samir Patil (1 hour later)

Brief Answer:
surgery- a better option

Detailed Answer:
Hello,
I would suggest colonoscopic banding which is possible.I believe banding can be repeated.But not advisable for grade 3 and 4 hemorrhoids.Surgery ,either conventional or minimally invasive would be a better option. A repeat colonoscopy can be done after 2 More years or earlier if you develop new symptoms
Regards
Dr Samir Patil

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj