When hemorrhoids cause persistent bleeding, pain, or prolapse that does not improve with conservative treatment, medical procedures may be recommended.
Most hemorrhoid treatments are minimally invasive and performed in the office, while more advanced cases may require surgery.
Dr. Aisha Akhtar, a board-certified colorectal surgeon in Phoenix, offers a range of procedures for hemorrhoid treatment depending on the severity of symptoms and the type of hemorrhoid.
Many hemorrhoids can be treated using simple outpatient procedures with minimal recovery time.
These procedures are most commonly used for internal hemorrhoids that continue to bleed or prolapse.
Rubber band ligation is one of the most common treatments for internal hemorrhoids.
During the procedure:
Benefits include:
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Sclerotherapy treats hemorrhoids by injecting a special solution into the hemorrhoidal tissue.
The injected medication causes the blood vessels to collapse and the hemorrhoid gradually shrinks.
Sclerotherapy may be recommended for:
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👉 Sclerotherapy for Hemorrhoids
Infrared coagulation uses infrared light energy to shrink hemorrhoidal tissue.
The heat generated by infrared light creates scar tissue that cuts off blood supply to the hemorrhoid.
This treatment is commonly used for small to moderate internal hemorrhoids, particularly those causing bleeding.
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👉 Infrared Coagulation Treatment
Surgery may be recommended for severe hemorrhoids or symptoms that do not improve with office treatments.
A hemorrhoidectomy is a surgical procedure used to remove large or severe hemorrhoids.
It is often recommended for:
Although recovery may take longer than office procedures, hemorrhoidectomy provides long-term symptom relief.
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Stapled hemorrhoidopexy is another surgical option primarily used for prolapsing internal hemorrhoids.
This procedure:
It typically causes less postoperative pain than traditional hemorrhoidectomy, although it is not appropriate for every patient.
Before undergoing treatment, patients should understand how to prepare and what to expect.
Important preparation instructions include medication management, bowel preparation, and recovery planning.
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Treatment decisions depend on several factors, including:
Many patients improve with lifestyle changes and dietary adjustments, while others benefit from minimally invasive procedures.
A procedure may be recommended if you experience:
Evaluation by a colorectal specialist helps determine the most appropriate treatment option.
You may also explore these guides:
Dr. Aisha Akhtar, MD is a board-certified colorectal surgeon specializing in the evaluation and treatment of hemorrhoids and other anorectal conditions. She offers comprehensive care ranging from conservative management to office procedures such as hemorrhoid banding and advanced surgical treatments when necessary.
“ The whole office was wonderful. Dr Akhtar was excellent. She was thorough. She explained things extremely well. She answered all my questions. I... The whole office was wonderful. Dr Akhtar was excellent. She was thorough. She explained things extremely well. She answered all my questions. I never felt like she was rushing my exam. ”
“ Dr. Akhtar and the entire team made what could have been a very stressful experience feel comfortable, reassuring, and genuinely cared for from sta... Dr. Akhtar and the entire team made what could have been a very stressful experience feel comfortable, reassuring, and genuinely cared for from start to finish. Dr. Akhtar was professional, compassionate, and took the time to thoroughly explain everything before my procedure, which immediately put me at ease. The procedure itself went smoothly, and I truly felt I was in excellent hands the entire time. The office staff was also kind, organized, and attentive throughout the process. I’m incredibly grateful for the level of care, patience, and professionalism I received. I would absolutely recommend Dr. Akhtar to anyone looking for a skilled doctor who truly cares about their patients and their comfort. ”
“ I cannot express the how thankful I am for Dr. Akhtar. I had been to 4 other colorectal doctors, 3 gastro doctors before seeing Dr. Akhtar. I was c... I cannot express the how thankful I am for Dr. Akhtar. I had been to 4 other colorectal doctors, 3 gastro doctors before seeing Dr. Akhtar. I was crying in her office when she met me the first time. That didn't deter her. Not only that but she located the issue on my first visit. She is kind, caring, thorough and incredibly knowledgeable. She listens, spends time with you and doesn't talk over you. I've needed extra time to discuss my case many times and she has always taken the time that I needed. I've brought to her research I've read, and she always already knows about the publications. The staff are kind and helpful. I dont know what I would have done without finding her. Another health care provider recommended her highly as do I. ”
“ Best colorectal surgeon I’ve ever met. Dr. Akhtar is compassionate, gentle, warm, and caring. I came to her in Glendale after having a horrific exp... Best colorectal surgeon I’ve ever met. Dr. Akhtar is compassionate, gentle, warm, and caring. I came to her in Glendale after having a horrific experience with a general surgeon in Flagstaff (where I live). The Flagstaff surgeon caused a hemorrhage that almost cost me my life, and then I developed stenosis after the emergency room surgeon “fixed” the hemorrhage. Dr. Akhtar was kind enough to take me as a patient (most surgeons will not take a patient who has already been operated by another surgeon due to liability). She was very respectful and gentle in the examination, and was even able to fit me in for an outpatient procedure under sedation the very same day (knowing that I drove over 2 hours to see her). I could not be happier with her. She took the time to personally call me the next day to check on my progress. You do not see this type of doctor very often anymore. She is someone who is in it for the patient, and you can tell. I will continue to drive over 4 hours there and back to receive her high quality care and expertise. Cannot recommend her highly enough. ”
“ Dr. Akhtar is THE BEST provider I have ever seen, period. She is incredibly knowledgeable, informative, and above all so kind. I have not met... Dr. Akhtar is THE BEST provider I have ever seen, period. She is incredibly knowledgeable, informative, and above all so kind. I have not met many people who have as comforting a bedside manner as she does. I was educated properly every step of the way and felt confident doing so because of her caring demeanor. Her PA Moses is also so friendly and upbeat, helping to ease any tension you may be feeling prior to the exam. The energy both Dr. Akhtar and Moses bring was paramount to how excellent my experience was here. Given their specialty, it would be easy to have an uncomfortable experience. However, they go the extra mile to make sure you are comfortable and reassured before anything is done. I cannot recommend this practice enough. Thank you Dr. Akhtar for the genuine concern and care you provided to me! Both my body and my outlook on my health outcomes are better off because of you. ”
“ Dr. Akhtar and her office were excellent to work with . They were fast and efficient. Dr. Akhtar made me feel very comfortable. She’s incredibly kn... Dr. Akhtar and her office were excellent to work with . They were fast and efficient. Dr. Akhtar made me feel very comfortable. She’s incredibly knowledgeable and I felt that I was in good hands. She’s a very smart doctor and I’m so glad she took care of me. ”
“ DR. AKHTAR is always very attentive and compasionate to my needs a patient. Takes plenty of time to discuss my issues and overall genuine concern.... DR. AKHTAR is always very attentive and compasionate to my needs a patient. Takes plenty of time to discuss my issues and overall genuine concern. She is a great person and provider, makes you feel that you are important, not just a number. ”
“ Very caring and attentive doctor. She truly cares about her patients and takes her time explaining everything. 🤍 ”
“ It is my absolute pleasure to write a review for Dr. Akhtar. After having some tough experiences with doctors along the way, Dr Akhtar is a breath... It is my absolute pleasure to write a review for Dr. Akhtar. After having some tough experiences with doctors along the way, Dr Akhtar is a breath of fresh air and just a lovely person. She made a very uncomfortable situation much easier. Her bedside manner is wonderful. She is detail oriented and actually listened to every, single word I said. She truly cares and wanted me to feel one hundred percent. I trust and feel comfortable with her and haven’t been able to say that about a doctor in a long time. She is skilled, up to date on the latest medical advancements and explains everything in detail as well as takes the time and answers every question. I am so grateful I found her. All of her office staff is so helpful and friendly as well. Thank you for helping me feel like myself again and taking such good care of me. I’ll see you soon. Highly recommend. ”
“ What a great experience with Dr. Ahktar! She was so thorough and knowledgeable explaining everything regarding my sigmoid colectomy! She made me co... What a great experience with Dr. Ahktar! She was so thorough and knowledgeable explaining everything regarding my sigmoid colectomy! She made me comfortable to proceed with the process even after having hesitation! She has an amazing bedside manner and you can tell she truly cares about her patience and their experience! Her office staff is very kind and helpful as well! ”
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