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Hemorrhoid treatments ...

Q Despite increasing my fiber intake, I'm still troubled by uncomfortable hemorrhoids. Are there any surgical options I can consider?

A There are treatment options for severe hemorrhoids that aren't eased by conservative measures. Rubber band ligation, which involves tying off the hemorrhoid until it comes away on its own, is a less invasive approach but is more painful than other methods. The procedure can be performed in your doctor's office, but it is not suitable for people who take blood thinners, such as warfarin (Coumadin), dabigatran (Pradaxa), rivaroxaban (Xarelto), apixaban (Eliquis), and edoxaban (Savaysa).

Other options include sclerotherapy, in which a solution is injected around the blood vessel to shrink the hemorrhoid, and infrared coagulation, in which a device is used to burn the hemorrhoidal tissue.


Orli R. Etingin, M.D.

Director, Iris Cantor Women's

Health Center

Vice Chairman, Dept. of Medicine

Professor of Clinical Medicine, Weill Cornell Medical College

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Title Annotation:ASK DR. ETINGIN
Author:Etingin, Orli R.
Publication:Women's Health Advisor
Date:Mar 30, 2019
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