Interview with Dr. Bacher
Dr. Bacher on Diagnosis and Treatment Options for Hemorrhoids
Dr. Bacher: Everyone has hemorrhoids. When do they become a problem and when should you see a doctor?
You should see a doctor for hemorrhoids if symptoms persist for more than a week, if blood is found in the stool or on toilet paper, or if there is pain during bowel movements. A doctor should also be consulted if there is itching, burning, or moisture in the anal area. A doctor's visit is particularly important if the hemorrhoids bleed heavily, cannot be pushed back, or cause pain that affects quality of life.
What does a typical examination involve?
An examination by a proctologist for suspected hemorrhoids generally includes a medical history, an external examination of the anal area, a digital rectal examination, and possibly a proctoscopy. If necessary, a rectoscopy or colonoscopy may also be performed to rule out other causes of the symptoms.
Hemorrhoids are classified into grades 1-4. What treatment options are available for the different grades?
The treatment of hemorrhoids depends on the stage (grades 1 to 4) and ranges from conservative measures to surgical interventions. For first and second-degree hemorrhoids, conservative methods such as dietary changes, anal hygiene, sitz baths, and ointments are often recommended. For more severe symptoms or higher-grade hemorrhoids, sclerotherapy, rubber band ligation, surgical removal (hemorrhoidectomy), or a minimally invasive method (LHP laser by biolitec) may be considered.
You use the minimally invasive LHP laser therapy. What are the biggest advantages for
the patient?
The laser treatment of hemorrhoids, also known as laser hemorrhoidoplasty (LHP), offers a gentle and minimally invasive alternative to conventional surgical methods. The advantages include significantly less pain, a shorter recovery time, outpatient treatment, and preservation of surrounding tissue.
How long does it take to resume normal activities?
After a laser treatment (LHP) for the removal of hemorrhoids, most patients can usually return to work after about 3-5 days. The exact duration of incapacity depends on individual recovery and the nature of the professional activity. While a longer recovery period may be advisable, longer downtimes compared to traditional hemorrhoid surgery are generally not expected.
Articles about this topic
