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Treatment of Anorectal Disease

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Anorectal disease pertains to those illnesses located in the anal and rectal portions of the large intestine including hemorrhoids, anal fissures, anal abscesses, and anal fistula.

Treatment depends on the disease requiring treatment.

Many effective, non-invasive options techniques can treat hemorrhoids and anal fissures. Most people can get relief from symptoms using home treatments and lifestyle changes.

If your hemorrhoids require further treatment, your doctor may recommend:

  • Rubber band ligation which cuts off circulation to the hemorrhoid causing it to shrink
  • Sclerotherapy in which a chemical solution is injected into the blood vessel shrinking the hemorrhoid.
  • Infrared coagulation which uses heat to shrink the hemorrhoid

Large external hemorrhoids or internal hemorrhoids that do not respond to other treatments can be surgically removed.

Because anal fissures are often associated with other issues such as constipation and diarrhea, treating those issues can be the first step in treating the anal fissure.

If the above treatments are unsuccessful or the fissures recur, your doctor may recommend surgery of the anal sphincter muscle to reduce spasm and pain and promote healing. Surgery is usually done on an outpatient basis

Abscesses can typically be treated in your doctor’s office who can drain it using a local anesthetic. Larger abscesses and fistulae might require more intense treatment including:

  • Surgical drainage of the abscess and repair of the fistula
  • Antibiotic treatment
  • Placement of a steton if continual drainage is needed

Conditions Treated

Our physicians can treat all anorectal diseases including:

  • Hemorrhoids
  • Anal fissures
  • Anal abcesses
  • Anal fistula