By 26 de July de 2019 December 26th, 2019 No Comments


Hemorrhoids are varicose dilations in the anal canal covered by mucosa. They are generally hereditary, although constipation and pregnancy increase intra-abdominal pressure and favor hemorrhoidal prolapse.

Internal hemorrhoids

They are located in the anal canal, and as they grow they slide out of the anus and can be seen with the naked eye. Many times they have to be inserted manually to avoid ulceration or thrombosis.

External hemorrhoids

These hemorrhoids are covered by the anal skin. They generally appear after childbirth, itch, become irritated, cause difficulty for anal hygiene and are unsightly.

Most frequent complications

  • Bleeding: The anal mucosa is very thin, and the minor trauma of hemorrhoids causes bleeding of different types. This can range from light bleeding that stains clothing to chronic bleeding that leads to anemia.
  • Thrombosis: It is very painful and must be treated immediately.
  • Prolapse: It occurs when hemorrhoids exit the anal canal. The anal mucosa produces a mucous discharge that lubricates the anal canal. This mucus is normally absorbed by the body, but when the hemorrhoid is prolapsed and the secret mucosa outside the rectum generates humidity and a bad smell. This situation is aggravated when they ulcerate.

* Strangulation: It is an extremely painful process that requires immediate medical intervention.

Different types of hemorrhoid treatments

Elastic bands

A rubber band is placed with an instrument at the base of the hemorrhoid, this band adjusts to cause necrosis or death of the hemorrhoid.
The main disadvantage is that the post treatment is painful, these discomforts begin to diminish after two weeks when the band falls off and the hemorrhoid dries.
Another disadvantage is that not all hemorrhoids can be treated with this procedure. For example, it is not effective for external hemorrhoids.

Surgical treatment

Hemorrhoids are removed with a scalpel and scissors. Frequently requires general anesthesia.
Because of the trauma generated by surgery, recovery is slower and more painful.

Laser treatment

At Hoogstra Medical Centers we use two types of lasers for the non-surgical treatment of internal and external hemorrhoids.
The Carbon Dioxide Laser that produces cutting and coagulation of hemorrhoids with minimal damage to neighboring tissue.
And the 980nm and 1,064nm long pulse vascular lasers to produce intravascular coagulation similar to what is done with vascular pathologies in other regions.
This procedure is performed with local anesthesia and sedation.

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Making a brief comparison between laser treatment and conventional surgery, we can affirm that laser treatment:

  1. It is more effective
  2. Less painful.
  3. It takes less recovery time.
  4. There is less risk of complications.
  5. Does not require hospitalization.
  6. It can be performed under local anesthesia and sedation, while surgical procedures require general or epidural anesthesia in most situations.
  7. The laser does less damage to neighboring tissues. The electrocoagulation used in conventional surgery produces more damage, which increases pain, recovery time and tissue healing.

Non-surgical treatment

It is recommended to eat every 4 hours and little quantity.
Fiber-rich foods.
Vegetables and fruits in general.
Legumes such as lentils, soybeans, chickpeas, brown rice.
Other recommended foods are oats, nuts such as walnuts, almonds, hazelnuts, plums, raisins, etc.
Eat egg and spreadable cheeses, yogurt and milk.

In the middle of hemorrhoidal inflammation, it is preferable to avoid green fruits and vegetables and start with cooked ones such as zucchini, squash, carrots, potatoes and sweet potatoes.
The fruits for the inflammatory process also have to be cooked: apples, pears, peaches, etc.
Meats are recommended lean and medium cooked.

Avoid hot sauces, ketchup, mustard, etc.
Avoid all spicy species.
Do not consume alcoholic beverages, coffee or mate.
Chamomile tea is good and you can also make sitz baths with chamomile tea.
Drinking plenty of water is very good for the intestine and hemorrhoids.

Creams for local use

There is a wide variety of creams for local use, some based on corticosteroids, which is a good anti-inflammatory, but should be used for a short time.
There are others based on zinc oxide, bismuth oxide, lidocaine to relieve pain.

Doubts and queries

If you have any medical questions, send an email to [email protected]  . In this mail Only medical consultations will be received. Inquiries about shifts, payments and administrative issues are not attended.

By phone on Monday, Thursday and Friday from 8 a.m. to 3 p.m. at the following telephone numbers.

  • 0054 11 4 901 6690
  • 0054 11 4 904 3434
  • 0054 11 4 904 0880

Schedule consultation

Book a consultation at our medical centers located in Caballito, Belgrano and Pilar