However, there is little scientific evidence to support the use of these treatments. bipolar diathermy and direct current electrotherapy, where an electrical current is used to burn the pile off.cryosurgery, which destroys the pile by freezing it - the pile will later shrink and fall off.infrared coagulation or laser, where infrared light is used to seal the veins above the pile causing it to shrink.It's used for first or second degree piles. In sclerotherapy your piles will be injected with an oily solution, which makes them shrivel up. The area left behind will heal up naturally. This will cut off the blood supply to the pile, causing it to die and fall off after a few days. Your doctor will place a small elastic band just above the pile. This procedure needs to be done using an endoscope. This is used mostly to treat second degree piles, but you can also have it with first degree piles if medicines haven't worked for you. These are treatments that you can have in hospital, but you won't need to stay overnight. If these self-help measures and medicines don't work, or you have a higher grade of piles, you may need to go into hospital for one of the following procedures. Products containing corticosteroids, such as Anugesic-HC and Proctosedyl, may reduce inflammation and pain.Īlways read the patient information leaflet that comes with your medicine and if you have any questions, ask your doctor or pharmacist for advice.Some contain a local anaesthetic such as lidocaine. There are many different products available. Soothing creams, ointments and suppositories may ease any pain and itchiness.Don't use laxatives that stimulate the bowel, such as senna, unless your doctor advises you to. If you're passing hard or infrequent faeces, you could try a fibre supplement such as ispaghula husk (eg Fybogel) or mild laxatives such as lactulose, which will soften your faeces.There are a range of medicines that can help relieve the symptoms of piles. If you have daily bowel movements that are solid but soft, you won't need to strain as faeces will pass easily and won't put pressure on the blood vessels in your anal area. ![]() ![]() It is important not to strain your bowels during a bowel movement. Regular warm baths may relieve irritation and help to keep the anal area clean. There are a number of treatments that can help relieve the symptoms of piles, but there isn't a cure.
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