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Hemorrhoids

Are you struggling with Grade 1 hemorrhoids and searching for a non-surgical treatment? Sclerotherapy might be the answer. Let us explain what it is, how it works, and what you should expect.

What are Grade 1 Hemorrhoids?

Grade 1 hemorrhoids are small, internal swellings of the veins inside the rectum that do not protrude outside the anus. They remain inside the anal canal, are not visible or palpable externally, and typically cause painless rectal bleeding or mild discomfort. Grade 1 hemorrhoids do not prolapse, even with straining during bowel movements. Most people may have minimal or no symptoms.

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What Is Sclerotherapy?

Sclerotherapy is a medical procedure where a special chemical solution, called a sclerosant, is injected into your internal hemorrhoids. This causes them to shrink and eventually scar over, helping to relieve symptoms like bleeding and discomfort.

How Does Sclerotherapy Work?

The main idea is simple: the injected solution irritates the tissue inside the hemorrhoid, triggering your body to form scar fibrosis. This scarring:

  • Reduces blood flow to the area.
  • Shrinks the hemorrhoidal mass.
  • Fixes the tissue in its normal spot, reducing symptoms and problems.

This method is sometimes called chemical ablation because it chemically "destroys" the problematic area, letting your body heal.

Who Can Benefit?

Sclerotherapy is typically used for:

  • 1st-degree internal hemorrhoids (bleeding but not sticking out)
  • 2nd-degree internal hemorrhoids (bulge out but go back in on their own)
Not suitable for:
  • External hemorrhoids
  • Hemorrhoids with clots (thrombosed)
  • Cases with gangrene

Common Solutions Used

Some of the chemicals your doctor might use include:

  • Sodium Tetradecyl Sulphate
  • Polidocanol 3%
  • Phenol with almond oil (rarely used today)
  • Aluminum Potassium Sulphate/Tannic Acid (common in Japan)

What Is the Procedure Like?

1. Positioning: You lie on your side (usually the left).
2. Injection: The doctor injects a small amount of solution (about 0.5 ml) into the area just under the lining of the hemorrhoid.
3. Goal: The chemical creates a controlled irritation, starting the healing and scarring process.
Foam Sclerotherapy: A modern twist, Tessari’s method, mixes the solution with air to make a foam. This foam spreads better, so less chemical is needed, and the results can improve.

Possible Side Effects and Complications

While sclerotherapy is generally safe, you may experience:

  • Mild pain or burning
  • Bleeding
  • Pressure in the area
  • Rarely, infections or abscesses
  • More rarely, tissue damage may occur if the injection is done incorrectly

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Important Precautions

• Check the syringe: Doctors always check that they are not injecting directly into a blood vessel.
• Repeat injections: If symptoms return, the procedure can be repeated after a few weeks.
• Surgery: Surgery may be considered if there is no improvement after three sclerotherapy sessions.

How Does This Differ from Varicose Vein Sclerotherapy?

In varicose veins, the solution is injected directly into the vein. This closes the vein, which is eventually absorbed by the body. For hemorrhoids, the chemical is injected into the hemorrhoidal mass to cause it to scar and shrink.

What Should I Ask My Doctor?

• Am I a good candidate for sclerotherapy?
• What type of solution will you use?
• What should I expect after the procedure?
• Are there any risks specific to my situation?

Dr. Kamal Gupta

Dr. Kamal Gupta is a senior laser surgeon and proctologist with over 34 years of surgical experience. He is the founder of Karan Hospital and a pioneer in minimally invasive and laser treatments in India.
Dr. Gupta is widely respected for his patient-centered care and combines surgical precision with compassion and innovation.
For more information, you can contact us at 8725048415.

Final Thoughts

Sclerotherapy can be a simple, safe, and effective way to treat early-stage internal hemorrhoids without surgery. Talk to your doctor to see if it is the right option. If constipation persists despite preventive measures, it is important to consult a healthcare professional to rule out any underlying issues.

Contact Information

ADDRESS 408-A, Adarsh Nagar, Near Jain Bhawan,
Kapurthala Road, Jalandhar, INDIA (144008)
EMAIL info@karanhospital.com

What Our Patients Say

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Dheeraj Wali

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For the last 5 Years I had been suffering from pain and bleeding after defecation. I was afraid of surgery but somebody told me about the LASER treatment that Karan Hospital was offering. I am so glad to come here and now I am fully cured. Experience was excellent. Totally satisfied.

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Gurmeet Ram

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I got very good treatment for my piles with the LASER technique. No cuts, no stitches, my treatment went very smoothly.

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Yadwinder Singh

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I would like to thank Dr. Kamal Gupta. It was wonderful and unique experience. The charges were reasonable in comparison to the satisfaction and kind of service I received during my treatment.

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Rakesh Kumar

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Dr. K Gupta M.S. Sergon is a good person and he has good knowledge. The latest equipments, ensuring the best caring in this hospital and behavior of all the staff are good.