Internal & External Hemroids (Piles) Treatment Hemroids DoctorsHemroids Specialist

Perianal tags 

 

 

 

 

 

HEMORRHOID-PATHOLOGY

FIGURE . Thrombosed external hemroids (long arrow) and perianal tags from "old" disease (short arrow).

 

Band ligation can be used to treat most grade II and III, and some grade IV internal hemroids. Infrared coagulation is suitable for grades I and II, and some grade III lesions. The radiofrequency treatment unit (Bicap; Circon Corp.) can be used for grades I through IV. Sclerotherapy is now rarely used in the United States for the treatment of internal hemroids, with the possible exception of patients with bleeding disorders or those taking anticoagulation medication. 

Prolapsed, irreducible hemroids can become gangrenous and require emergency surgical intervention