Hello,
I am over in San Ramon... small world!
In the past I worked for a prominent colorectal surgeon and he always said that he prayed the manufacturer of Preparation H would never go out of business as the patients that use it found it never worked, therefore he would always be busy. So-- you are right, he really only works minimally or in most cases not at all.
My suggestion is that you seek a consult with a colorectal specialist or gastreoenterologist for an exam to determine which type of treament would be beneficial to you. What is important to know is that hemorrhoids are classified as either internal or external and in degress from First through Fourth.
In some cases for minor hemorrhoids, Annusol HC is prescribed. Often a ligation procedure is performed in the physician's office in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow to the hemorrhoid. Rubber band ligation is the most widely used treatment for internal hemorrhoids. If symptoms persist after three or four treatments, surgery should be considered.
Infrared coagulation is often used by some physicians, but the succes rate is not as high as with ligation procedures. Recurrence of hemorrhoids or failure rate of the coagulation was higher with the infrared coagulation procedure than the rubber band ligationt. Coagulation can be conveniently repeated in case of recurrence, but most patients prefer immediate resolution of their symptoms.
Surgical removal of hemorrhoids (hemorrhoidectomy) is recommended for third- and fourth-degree internal hemorrhoids (with or without external hemorrhoids) when conservative treatment measures fail to alleviate severe burning, itching, swelling, protrusion, bleeding, and pain. It is also recommended for external hemorrhoids when medical treatment has failed and symptoms persist.
Click on the links to learn more. Let me know what questions you may have.
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