In the past 10 years, Phyathai 2 Hospital has performed surgical treatment for hemorrhoids on more than 3,600 cases, averaging 300 cases per year.
From the above number, it can be seen that hemorrhoids is not a distant issue and does not limited by gender, age, or stage of life. Hemorrhoids" are mainly caused from improper bowel habits, such as straining during bowel movements, sitting for extended periods while defecating, constipation, diarrhea, and so on. If the symptoms are not too severe, adjusting lifestyle habits may help to relieve the symptoms. This includes consuming fresh vegetables and fruits that are high in fiber, exercising regularly to promote bowel movement, and the condition may resolve on its own. If the symptoms worsen, it is advisable to seek a medical attention from an experienced specialist to determine whether it is hemorrhoids or another serious condition, in order to ensure timely and accurate treatment.
Severity levels of "Hemorrhoids"
Our anus has "cushion tissues" that help expand the anus during defecation and ensure the anus remains tightly closed. If these cushion tissues hang lower than usual, swell without reducing after defecation, or bleed, it can be considered that you may have hemorrhoids. The symptoms of internal hemorrhoids can be divided into 4 levels as follows:
• Grade I: Bleeding occurs during bowel movements, but no prolapsed hemorrhoid is visible.
• Grade II: Hemorrhoids prolapse or protrude but retract on their own.
• Grade III: Hemorrhoids prolapse and require finger to push them back into place.
• Grade IV: Hemorrhoids are constantly prolapsed and cannot be pushed back in. Immediate medical attention is required at this stage to before becoming tissue necrosis due to lack of blood supply.
What types of surgery are there for “Hemorrhoids”?
1.Traditional Hemorrhoidectomy
This method can be used for all types of hemorrhoids but is generally more painful compared to other methods and depends on the surgeon's expertise. Therefore, the outcomes of the surgery can vary significantly.

2.Stapled Hemorrhoidectomy
Advantages include less pain, quicker recovery, and no external wounds. However, it cannot be performed on every patient and this method is suitable for those with internal hemorrhoids and multiple hemorrhoid clusters.

3.Laser Surgery
This is another effective treatment method with minimal postoperative pain and quick recovery. However, it is suitable for hemorrhoids that are not severe and not too large. Laser surgery requires a highly skilled surgeon and is ideal for those who fear pain and are anxious about surgery, as it is quick, requires minimal recovery time, and has a high chance of complete healing. While laser treatments were not very effective in the past, there are now specific lasers for hemorrhoid treatment.

4.Other Treatment Methods
Other treatment methods, such as suturing the blood vessels to limit the blood flow to the hemorrhoid. Different names are called but are not popular because their effectiveness is similar to rubber band ligation.
Currently, there are more diverse treatment options for hemorrhoids. With modern surgical techniques, patients can stay in the hospital for just one night after the surgery and then return home. Postoperative wound care allows patients to have normal bowel movements without the need for warm water sitz baths or sit on cushions. If the surgery is performed correctly by a skilled physician, there is no need to worry about fecal incontinence, as patients will be able to control their bowel movements normally after the surgery.
A specialist at Phyathai 2 Hospital holds a board certification in colorectal surgery with over 20 years of experience in surgical treatment of colorectal diseases, including hemorrhoids