SCLEROTHERAPY IN HEMORRHOIDS :- A MINIMALLY INVASIVE TREATMENT OPTION FOR PILES /HAEMORROIDS.

Hemorrhoids, also known as piles are a common condition that affects many individuals. While the symptoms of hemorrhoids can vary in severity, they often cause discomfort, bleeding, pain and itching, impacting the quality of life for those affected. Fortunately, there are several treatment options available to provide relief to piles patients, one of which is sclerotherapy also knows as Injection therapy.

INTRODUCTION :-
Sclerotherapy is a procedure indicated for grade I and II piles. Who are unresponsive to medical treatment Injection therapy can be done in them.Additionally, it is effective in the symptomatic treatment of bleeding piles in early patients or those with severe comorbidities who are not suitable for traditional surgical interventions .

WHAT IS SCLEROTHERAPY?

SCLEROTHERAPY IS A MINIMALLY INVASIVE NON- EXICISIONAL PROCEDURE USED TO TREAT PILES

 In this procedure 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 leads to intravascular thrombosis of veins over time, reduces the hemorrhoidal tissue itself redirecting blood flow to healthier veins.
 In recent years, sclerotherapy has seen growing demand for treating even anorectal disorders.
 Its minimally invasive nature, cost effective, and it has low risk of complications have made it an attractive option for treating conditions such as hemorrhoids
SCLEROTHERAPY FOR PILES ?
HOW A DOCTOR PERFORMS THE SCLEROTHERAPY
 The procedure begins with an evaluation by a doctor, typically a proctologist/surgeon, to assess the severity and evaluate location of the hemorrhoids.
 The doctor may evaluate the condition through video rectoscopy/ proctoscopy .
 The patient is positioned comfortably on an examination table in lithotomy position.
 The perianal region cleaned and sterilized to reduce the risk of infection.
 The use of slit proctoscope to overview the panorama of hemorrhoid with help of fine needle the doctor injects a sclerosing solution directly into the internal piles tissues.
 The solution irritates the lining of the blood vessel, leading to the formation of scar tissue that leads to intravascular thrombosis of veins over time, reduces the hemorrhoidal tissue itself redirecting blood flow to healthier veins.
 This helps reduce the size of the hemorrhoids and alleviate symptoms such as bleeding, pain, and discomfort, itching
 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 more than one sclerotherapy sessions, after some weeks to achieve the results.¹

FOLLOWING SYMPTOMS CAN HAPPEN IN SCLEROTHERAPY PATIENTS
 Mild bleeding from the injection sites or hemorrhoids may occur, but it will resolve automatically
 Mild discomfort or a sensation of gasess, abdominal fullness may occur immediately after the procedure. The discomfort is not major and should subside within a few hours.
 Patients may experience changes in bowel movements, such as increased frequency or emergency, as the treated hemorrhoids shrink and heal. Laxatives or fiber supplements may be recommended to achieve easy bowel movements and to get rid from hard stool which is the main reason for swelling of veins.
 Inflammation or swelling occurs in perianal region which may subside after some days .
 Sclerotherapy may results in few days which reduces the symptoms like bleeding , pain, constipation
 Many of the patient can resume the activities after few days of therapy
 Strenuous activities, heavy lifting, and heavy exercise should be avoided for at least a week to allow for proper healing.
FOLLOWING ARE BENEFITS OF TREATING PILES WITH SCLEROTHERAPY:
 Sclerotherapy is a minimally invasive procedure that can be performed on day care basis.
 This therapy is best alternative a non-surgical alternative to surgical hemorrhoid treatments, such as surgery or rubber band ligation.
 Compared to surgical procedures, sclerotherapy carries a lower risk of complications and adverse effects.
 Sclerotherapy effectively reduces symptoms such as bleeding, pain, itching, and discomfort associated with hemorrhoids.
 Sclerotherapy can be easily repeated if necessary to achieve optimal results or address recurrent hemorrhoids.
 Sclerotherapy eliminate the need for hospitalization.

CONCLUSION:- sclerotherapy represents a valuable treatment option for piles patients seeking relief from the symptoms of hemorrhoids. Its minimally invasive nature, effectiveness in treating internal hemorrhoids, and ability to manage bleeding make it a compelling choice for individuals looking to address their condition with a safe and convenient procedure. Dr. Kamthe’s Piles Clinic , surgical hospital and research centre is having special treatment for the Piles , sclerotherapy is done very efficiently on patients. In india sclerotherapy is popular treatment for Piles, only selective doctors do this treatment.

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SCLEROTHERAPY IN HEMORRHOIDS :- A MINIMALLY INVASIVE TREATMENT OPTION FOR PILES /HAEMORROIDS.