Health Articles

Things you should know about Hemorrhoids and painless HAL-RAR Treatment


Hemorrhoids, better known as Piles, refers to swollen blood vessels in lower part of the rectum and anus (together known as anorectum) that causes pain and irritation especially when defecating. This discomfort arises from the over stretching of the walls of veins to such an extent that they bulge when they relax and contract. As the anorectum is rich in vascular supply with a considerable likelihood to swell and prolapse, hemorrhoids are fairly common.

Its symptoms can range from mild itching of the anorectum to severe rectal bleeding. No matter how difficult and unmanageable hemorrhoids may look like, they can be treated with ease. Though it may be uncomfortable opening up about the condition, medical help is highly recommended as soon as the early signs of hemorrhoids appear because the condition is comparable to a ticking time bomb.

The susceptibility to hemorrhoids increases with age in both men and women. Among women, pregnant ladies are the most susceptible to hemorrhoids.

Causes of Hemorrhoids

The following are some of the leading causes of hemorrhoids:

  • Chronic diarrhoea
  • Chronic constipation
  • Pregnancy (especially when because of the pressure on the veins in the colon when the uterus enlarges)
  •  Ageing
  • Obesity and low consumption of fiber
  • Sitting for long periods of time, especially when taking dump
  • Repeatedly lifting heavy objects
  • Anal intercourse
  • Hereditary traits

Types of Hemorrhoids

1. External Hemorrhoids

They are located beneath the skin on the outer aspect of the anus. Symptoms may
include bleeding with a bowel movement, and a mass can be felt at the anal

2. Internal Hemorrhoids

They are located on the inside lining of the rectum, usually present with painless,
bright red rectal bleeding during or following a bowel movement.

Symptoms of Hemorrhoids

● Painless Bleeding
● Anorectal itching or tingling irritation or itching
● Anorectal lumps or protuberances
● Swelling in the anal region
● Anorectal soreness or distress

Prevention of Hemorrhoids

● Add more fiber to your diet.
● Drink adequate amounts of fluid.
● Begin a program of regular exercise.
● Train your digestive tract to have regular bowel movements.

Treatment of Hemorrhoids

Home Medications

Over the counter balms, creams or suppositories containing hydrocortisone and
cushions that have topical desensitizing operator can be used as home
medications. Ice packs and compresses may also help with the swelling.
Analgesics or painkillers can also be consumed, shall the need arise.

Hemorrhoidal Artery Ligation and Recto Anal Repair (HAL-RAR)

HAL-RAR is a new, minimally-invasive treatment option for all grades of
hemorrhoids. This method is designed to eradicate hemorrhoids using a doppler
guided probe to locate, suture and ligate all the arteries supplying the
hemorrhoids with an absorbable material.

HAL-RAR Pain Management and Recovery

HAL-RAR is the most popular, painless and effective hemorrhoids treatment that
significantly reduces the risk of complications. After the procedure, patients go
through a pain management program by Vejthani Pain Management Specialists
and clinical team that includes strict pain monitoring and administration of pain
medication for about 1-2 days. The recovery time for HAL-RAR procedure is less
than a week.