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Posts Tagged ‘Grade 1’

Less used Hemorrhoid Treatments


Other less common hemorrhoid treatments include: Cryosurgery  for hemorrhoids This is a procedure where hemorrhoid tissue is frozen and eventually sloughs off, it are not popular as a form of treatment due to pain and the watery discharge. The major disadvantage to cryosurgery is the post operative pain associated it seems to be not as effective as other treatments and people do not tend to want to have repeated treatments due to the pain.   Diathermy – bi-polar for hemorrhoids This is used to cause coagulation (burning) of the tissue of the hemorrhoid causing the tissue to fall away. This leaves the tissue underneath fibrosed, like a scar which is hoped will keep the cushions of the anal canal from forming another hemorrhoid. One of the main draw backs of this is the burning sensation which local anaesthetic did not completely eliminate during the procedure and post operative pain. Post operative bleeding was another of the complications. Radiofrequency coagulation for hemorrhoids This is another form of coagulation (burning) which seals the skin surface causing scaring. Research showed that with early stage 1-2 hemorrhoid treatment this was effective and although patients still experienced pain immediately post operatively the majority of people returned to their activities of daily living quite rapidly. It should be noted that grade 1-2 hemorrhoids do not require the same level of intervention as 3-4 and to date more research is needed with regard to this. However the outlook is distinctly promising with reduced pain, complications and return to work.

Internal Hemorrhoids


These use the grading system from 1-4 or First to Fourth degree

  • Grade 1: First Degree –These are relatively small up inside the anal canal and are more like bulges in the mucosal layer of the rectum. They can be felt on examination by a doctor.
  • Grade 2: Second Degree – These are larger and will remain inside your rectum, occasionally protruding when a stool is passed but returning inside once you have finished evacuating your bowels.
  • Grade 3: Third Degree – These begin inside the rectum but actually hang out and you may be able to feel these. They can be gently pushed back inside the anal canal with your fingers.
  • Grade 4: Fourth Degree – These become large protrude outside the anal sphincter. They are not able to be pushed back inside. You will need to see your doctor about these as you will require treatment.