What Are Grade 2 & Grade 4 Haemorrhoids Treatments?

Grade 2 & Grade 4 Hemorrhoids Treatment

Hemorrhoids are classified based on their severity or grade. There are typically four grades used to describe hemorrhoids:

  • Grade I (First-Degree Hemorrhoids):

Grade I hemorrhoids are internal hemorrhoids that do not protrude outside the anal canal. They may bleed but typically do not cause pain or discomfort. These hemorrhoids are often not visible during a physical examination.

  • Grade II (Second-Degree Hemorrhoids):

Grade II hemorrhoids are internal hemorrhoids that protrude outside the anal canal during bowel movements (prolapse), but retract back inside afterward. They may cause bleeding, itching, discomfort, or pain during bowel movements. These hemorrhoids can be seen and felt during a physical examination but reduce spontaneously.

  • Grade III (Third-Degree Hemorrhoids):

Grade III hemorrhoids are internal hemorrhoids that prolapse outside the anal canal during bowel movements and require manual manipulation to push them back inside.

They may bleed, cause significant discomfort, itching, or pain. These hemorrhoids often require intervention for symptomatic relief.

  • Grade IV (Fourth-Degree Hemorrhoids):

Grade IV hemorrhoids are internal hemorrhoids that are permanently prolapsed and cannot be pushed back inside. They may be accompanied by significant bleeding, discomfort, itching, pain, and difficulty maintaining hygiene. These hemorrhoids may require surgical intervention for management.

Treatments for Grade 2 And Grade 4 Hemorrhoids:

The treatment options for Grade 2 and Grade 4 hemorrhoids vary based on the severity of symptoms and the individual's overall health. Here are the typical treatment approaches for each grade:

Grade 2 Hemorrhoids:

  • Lifestyle Modifications and Self-Care:

Eating more fruits, vegetables, and whole grains can soften stools and reduce straining during bowel movements. Physical activity should increase to reduce weight since lower weight reduces pressure on the veins in the rectal area.

  • Over-the-Counter (OTC) Medications:

Topical creams, ointments, or suppositories containing hydrocortisone, witch hazel, or lidocaine can help alleviate pain, itching, and swelling associated with hemorrhoids.

  • Medical Procedures:

Rubber band ligation: This procedure involves placing a small rubber band around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and fall off.

Sclerotherapy: A chemical solution is injected into the hemorrhoid to shrink it.

Infrared coagulation: Heat is used to shrink the hemorrhoidal tissue.

Hemorrhoidectomy: Surgical removal of hemorrhoids may be considered for severe cases that do not respond to other treatments.

Grade 4 Hemorrhoids:

  • Lifestyle Modifications and Self-Care:

Lifestyle modifications and self-care measures can help alleviate symptoms and prevent worsening of hemorrhoids.

  • Medical Procedures:

Surgical hemorrhoidectomy: For Grade 4 hemorrhoids, surgical removal of hemorrhoids may be necessary to provide long-term relief. This procedure involves excising the hemorrhoidal tissue under anesthesia.

Stapled hemorrhoidopexy: This procedure involves stapling the hemorrhoidal tissue to block blood flow to the hemorrhoids and shrink them.

Also read our blog on advanced Laser treatment for Grade 4 Piles to know more insights about the latest treatment for Grade 4 hemorrhoids

How to Prepare for Hemorrhoids Treatment:

Preparing for hemorrhoid treatment involves several essential steps. Initially, schedule a consultation with a healthcare provider specializing in colorectal health to discuss your symptoms and treatment options. Undergo a thorough medical evaluation, to determine the most suitable treatment plan. Additionally, arrange for transportation to and from the procedure, especially if sedation or anesthesia will be administered.

Following these steps can help ensure a smooth and successful hemorrhoid treatment experience. By actively participating in the preparation process and adhering to your healthcare provider's instructions, you can maximize the effectiveness of the treatment and promote a speedy recovery.

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