Hemorrhoid grades and their treatment options.

Рет қаралды 18,341

2 жыл бұрын

There are 4 hemorrhoids grades. what can be done for them?
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Пікірлер: 94

@dame7420 2 жыл бұрын

This is very informative. I'm on week 5 post hemorrhoidectomy for 3 grade four hemorrhoids. If I would have known years ago surgery was the way to go I wouldn't have spent 15 years suffering and trying different treatments. I'm hopeful that the pain will end and I'll be able to have a normal life soon. Seeing a colorectal surgeon was the best decision I made.

@yourfriendlyproctologist 2 жыл бұрын

Thank you for sharing your story. I'm so glad you were able to find a great surgeon to help you. I wish you the best in your recovery!

@peterobrien2537 2 жыл бұрын

how r u now Dame?

@ankitasaxena3935 Жыл бұрын

Hey is the recovery too hard or painful to handle please share as every says it’s extremely bad and I am scared 🥺 also how are you now are you even fully even after one year plz plz reply 🙏

@dame7420 Жыл бұрын

It's been a year and a half since I had the surgery. It was the worst experience, pain wise, that I've had in my life. And I had two 8lb. babies without pain management! After the 3rd day I had my first bowel movement and I cried, yelled and almost passed out from the pain. This continued for about 6 weeks. I had 3rd & 4th degree hemorrhoids that were constantly bleeding, painful and protruding for years. My doctor warned me about the pain but didn't do enough to provide meds for it. She was concerned about addiction as most doctors are now and only provided enough meds for 4 days. I regret not advocating enough for myself. However, presently I am doing great! I did have a lasting effect from the surgery. If I get just a tiny bit constipated, I bleed and have internal pain for days. I use Calmol 4 for those times. It helps everything slide out and eases the pain. I hope and pray you have the outcome you desire. Despite everything, I don't regret it! Hope this helps you make an informed decision. 🙏

@tdg223 Жыл бұрын

@@dame7420 Thank you i will never get this surg

@stellaochan8310 2 жыл бұрын

Thank you for giving me a framework on how to deal with my hemorroids right now.

@yourfriendlyproctologist 2 жыл бұрын

Thanks for commenting! So glad to hear from you.

@marouanefilali1726 Жыл бұрын

Dr, can you make a video about Laser hem removal ? And for what grade these are done? Thx doc

@cherylcervantes6252 2 жыл бұрын

Hi doc this is very informative ,I have hemorrhoids thrombosis stage 4 laser is known for surgeon is it good Thank you doc

@JT-ql3er 2 жыл бұрын

Hi Doc, what would you suggest for grade 1/2 hemorrhoids between THD/Hal rar and banding? What are advantages and disadvantages between them? Some specialists prefer to do the banding with(out) phenol injection, others recommend THD/Hal rar for longer term positive results. Obviously THD/Hal rar is slightly more invasive than banding due to it being performed under GA over in-office banding. Curious as to your thoughts.

@Zest4life890 11 ай бұрын

I suffered for internal and external hemorrhoids for years also along with my diverticulitis

@JT-ql3er 2 жыл бұрын

Hi Doc, what do you think about infrared coagulation for grade 1 hems?

@paulkenney5846 Жыл бұрын

What’s up DR. I poop in the morning. They prolapse, then ai go about my day. They go back home, no pain.I saw my gastrologist. they were backed up inside. I showed him a picture of a flareup. He referred me to his associate. I’m going this week to see about getting banded. Is this possible thank you very much.

@shepmans2290 Жыл бұрын

Hello doc, i found out that i have grade 2 external mixed hemmorhoids . Will it disappear with proper treatment naturally? Thank you

@twoscoops5374 2 жыл бұрын

Your videos are informative and I enjoy your energy. Thanks! I have a question. I have a grade 2 internal hemorrhoid. I do not strain but the first part of my stool is hard (miralax does the trick) but I got my hems banded twice. No luck. Can I keep getting them banded till they fall off? I was told that straining is what causes my hems to bleed. I really don't strain but the hardness of the stool scrapes the hems causing them to bleed. I can't fix my bowel situation. My digestive tract is messed up from a cdiff infection. My colonoscopy result was good. Any tips or advice? I really do not want surgery.

@yourfriendlyproctologist 2 жыл бұрын

Thanks for sharing your story. I agree that your stool texture is causing your hemorrhoid irritation. Its difficult to say what will improve your stool textures as I regularly spend nearly an hour my patients to work on these issues. If you have mixed texture stools, it might be because you have too much fiber on board. I wish you the best.

@navneet2649 Жыл бұрын

Dr. by Hemorrhoid, do you refer to both internal and external here? or just external?

@dorkettedorkee7904 4 ай бұрын

Can you recommend a topical treatment?

@ad-hocmodeller5285 Жыл бұрын

4:59 - in my village, I came to proctologist just for checkup. Almost without warning he turned on his "vacuum cleaner" and started to do something. I felt like I am taking a high speed elevator to the hell. When he finished - he told me: "you've got a bit hemorhorid I banded it". After 4 days I come from by work - and see a blood in a toiled. Does it sound like the case you discuss at 4:59?

@valerie4912 Жыл бұрын

This is great info but has left me even more confused. How much is a video consult?

@yourfriendlyproctologist Жыл бұрын

Please email yourfriendlyproctologist@gmail.com for details.

@rhysdaniels1003 2 жыл бұрын

Hello Dr Chung,how are you?Im struggling,I’ve had 2 endoscopies and they say I’m bunged up so I’ve got to have another before they can do my hemerroids……I’ve got the 2 drinks and tablets to take now when they will re book me in.im on medication for degenerative spinal disease and lots of fractures and neck c6/5 problem,I need advice to get sorted,im grade 4,and they bleed a lot and won’t go back in.Please help..thank you 🇬🇧🇬🇧🇬🇧🇬🇧 Rhys ✌️👍👋🙌❤️

@rhysdaniels1003 2 жыл бұрын

Also I bleed,and not just when I go to the loo,it can just start for no reason with no messing or irritation

@haseeb2615 Жыл бұрын

Dr. I went through a surgery for 3rd grade internal hemorrhoid and after 20_25 days of post op, i started to feel like having grade 2 hemorrhoids is it normal? Or should i show to my doctor?...

@norecordkk 11 ай бұрын

Why is it that when I lay down in bed I have hemorrhoid and fissure pain. When I sit down in a hard chair the pain almost goes away?

@juniorchaidez4890 Ай бұрын

Hey Dr! The specialist mentioned i have a grade 2 internal hemorrhoid. Im i able to let this heal naturally without having to do the rubber banding?

@ad-hocmodeller5285 Жыл бұрын

in my village - there is one proctologist , who is considerest the best of the best. And - whenever you come to him, ligation - without any questions. Other gastroenterologist work with hemmordhoids . Should I trust them?

@doodlecaptain Жыл бұрын

Is it possible to remove grade 3 under local in certain circumstances?

@user-cw2ft4ei4v 2 ай бұрын

I have grade 1 hammeroids i only bleed i dont fell any pain and any things but if i take enough water then bleeding stops

@Zest4life890 11 ай бұрын

I have diverticulitis and In order to check and see if you have internal hemorrhoids the patient should get a colonoscopy as I did before I had my internal hemorrhoid banding, I had an upper endoscopy and a colonoscopy the same day. This way they can check for cancer, polyps, celiac disease, I had tissue biopsies, thank God, everything is negative before I was to have my internal banding of two hemorrhoid’s , now I am one week of having my hemorrhoid banding. I’m starting to feel a little relief. Although back in November 2022, I had a perforated diverticulitis with an abscess, I saved my life because I was adamant for them to give me a CAT scan and if I had not had a CAT scan I would have had at least 12 to 14 inches of my colon cut because the abscess was infected severely, I was immediately given pain meds and antibiotics in my IV and my white blood cell count was high, which noted an infection and by the next day, my white blood cell count were very low and by the third day I was released from the hospital with my white blood cell count was lower

@JT-ql3er 2 жыл бұрын

Hi Doc, my surgeon recommended THD/HALO-RAR for my grade I hems. This worked well for one of them as it regularly bled and I had alot of loose skin with an external component. But it also created a thrombosed external hemorrhoid in another area where I never had any problems. The hematoma regularly recurs on a minor scale after each movement, and the perianal skin has hardened whereas previously it was soft even after bowel movements. I suspect it’s because that area has become too tight now following the lifting in from the RAR. Is there anything that can be done? The recurring lumps are annoying. I saw a proctologist and he said he could not see anything wrong and that I could see another proctologist but I would just be wasting my money. I told him the lumps are there after each bowel movement but they go away throughout the day.

@yourfriendlyproctologist 2 жыл бұрын

I think your situation may have more benefit with a video consultation as your situation is a bit complicated. Please see the details in the description.

@JT-ql3er 2 жыл бұрын

@@yourfriendlyproctologist Hi Doc, always appreciate your replies as it provides good reassurance and whilst I greatly admire you and would not think twice about making an appointment with you if I lived in LA or on the west coast, I personally believe a digital rectal exam is a key component in deriving diagnoses. Unfortunately this is impossible from a video consultation for my situation. If I still have issues in the future and I’m travelling to the US and passing through LA, I’ll remember to book in for a consult. For now, I and many others who watch your vids can only rely on being as descriptive as possible with our queries. Thanks Doc, you’re awesome :)

@johncarcamo6772 Жыл бұрын

my hemorrhoids are no way worse than the case of shingles I had. I still feel neuropathy the after 3 years

@0000AT 2 жыл бұрын

Hi Dr. Chug. When I narrow everything down, I'm pretty sure my hemorrhoid happened from straining and constipation. I feel like mine is the size of a penny....also I could be wrong, but I feel like it's either a 2nd or 3rd grade hemorrhoid. It's not painful and doesn't bleed (although I've had times where it did bleed because of rough bowel movements or using too much baby wipes instead of rinsing my butthole right after. TMI sorry but it's real life and the struggle is real and Im trying to be as detailed as possible to get the most accurate response virtually) Not sure if I have and external or internal one though. It's protruding and it sometimes goes back in on its own if I drank a lot of water and if I wasn't constipated. I'm able to push it back in but sometimes it pops back out right away and sometimes it can stay in for a while.... By all this info I gave you, what do you think it could be? I really want to come see you. I want to have a baby with vaginal birth but hesitating because I'm afraid the pushing might make my situation worse and more uncomfortable (which I don't need at all 'cause the process of being pregnant will already be too much to deal with) or the doctor will tell me to do Cesarian because of it and I don't plan to do a Cesarian for my 1st future baby.

@yourfriendlyproctologist 2 жыл бұрын

If you can come to the office, that is ALWAY better since I can examine you and give you the most helpful recommendations.

@shwetaranka996 Жыл бұрын

Did you got better. I feel the same you described your issues. And also did you had a baby already, cause i am frightened too in giving a birth through vaginally

@lengmoua16 6 ай бұрын

@@yourfriendlyproctologist jw where are u located ?

@twoscoops5374 2 жыл бұрын

Is it possible to get a fissure/tear on your internal hemorrhoid? I have a missing flesh that looks like a fissure but it's on my hemorrhoid. Or is that just a damaged hemorrhoid wall from the hard stools? Thank you.

@yourfriendlyproctologist 2 жыл бұрын

Yes, the fissure goes through the hemorrhoids. I would need to see you to understand your condition.

@Figs-and-olives 8 ай бұрын

I have the same issue, a grade 3 or 4 hemorrhoid and an anal fissure... I tried to change my diet and take medicines, but i still have constipation or diarrhea...i just dont know what to do

@sambob8019 11 ай бұрын

So what happens if it pops

@SimpleB2k4 2 жыл бұрын

Hi doc. Thanks for sharing your knowledge, expertise, passion and care. What kind of surgery do you recommend for grade 4 hem which has mushroom like shape outside, a bit large lump

@yourfriendlyproctologist 2 жыл бұрын

Hi! If the hemorrhoid is truly grade 4, I recommend a hemorrhoidectomy for the best long term results.

@jayrongoco5273 2 ай бұрын

@@yourfriendlyproctologisthi doc. If i had grade 2 hemmorroid... isnt ready for surgery?

@laisadiaz869 2 жыл бұрын

Hi doc. Im 37 weeks pregnant and i am getting a c section on my 39. I been having grade 4 hemorrhoids, used tucks,preparation h but still hurts everytime i move. You do you think i should go to the ER? Oh also yesterday i was bleeding like ALOT. Even blood coming down from my leg :/

@yourfriendlyproctologist 2 жыл бұрын

I suggest getting medical attention, for sure.

@kateofbuckingham 2 жыл бұрын

I’m 11days post op from removing seven Types 3 and 4 hembrrhoidectory. I’m out of prescription pain pills and laying in bed in agony. You are absolutely bed and bath- bound for a good while. Not happy this pain will continue for months! I’ve lost ten pounds since surgery’s realistically looks like I’m going to lose another ten if this pain after BM continues with the same intensity. That is is the only positive point of all this agony. Yes, I’m glad I did it but I pray I never have to go through this agony with another operation. The pain is unbearable even with a pain pill.

@yourfriendlyproctologist 2 жыл бұрын

I'm so sorry your recovery went this way. Pain control is very important and something I help my patients with! Because I know I would want the same treatment!

@kateofbuckingham 2 жыл бұрын

@@yourfriendlyproctologist thanks doc! Your videos were very helpful and entertaining as I lie in bed in recovery! Today is a better day than yesterday, and tomorrow will be even better!

@peterobrien2537 2 жыл бұрын

@@kateofbuckingham how r u now dear?

@ankitasaxena3935 Жыл бұрын

How long did it take for you to recover completely and is the pain too extreme to handle I have small baby to handle and I don’t know what to do plz suggest did you face issues after surgery

@ad-hocmodeller5285 Жыл бұрын

6:49 pneumatic drain guns are not for a house with ancient plumbing, dated back to Great Depression, WWI, and whatever was in past.

@michaelzephyros7725 Жыл бұрын

What to do when you bleed for several minutes a constant flow, and I generally sit 8+ hours a day do to work and my activity of video games.

@hsk7289 2 ай бұрын

How it's now is it solved ?

@Alexandra.Singh. 2 жыл бұрын

Hi Doctor! I have rectal bleeding without pain, itches or any type of other discomfort. Creams or other over the counter treatments don t really work. There s no constipation , just the simple act of sitting on the toilet can sometimes (but regularly) cause bleeding. Gp said i have 3 large hemmoroids right of the end of the anus, which i can also feel and see and reffered me to a specialist. Do you think they can treat me without surgery? I m so scared of that 🤕 Also, i see that lots of people have combined symptoms, but i only have bleedings for about 1 year. Are there any other people getting only bleedings? Thank you

@yourfriendlyproctologist 2 жыл бұрын

It's hard to say, I would need more info. I suggest a video consultation with me. check out the description box for details.

@Alexandra.Singh. 2 жыл бұрын

@@yourfriendlyproctologist thank you, i will email you 🙏

@rhysdaniels1003 2 жыл бұрын

Mr Albv giving by vii hisgc I’m c ert Chung can you come to me and do my hemerroids

@samusvikerness661 Жыл бұрын

I consider getting the banding done years ago as one of the worst decisions of my life. Didn't seem to help, it was extremely embarrassing and they stuck me with a bill for about 2k after assuring me insurance would "cover it".

@StaydwnnM Жыл бұрын

Why didn’t it work?And have u found any solution to it now

@ad-hocmodeller5285 Жыл бұрын

7:07 I am of this kind.

@AndyReago 4 ай бұрын

I'm having so much pain with my hemorrhoid and worried I won't get in quick with a proctologist. I'd love to know how to reduce the pain until I can get in with someone. :(

@sannemwf3779 3 ай бұрын

search hemorrhoid yoga, it helps pump blood away from you anus.

@jasperedog9026 2 жыл бұрын

Hi Doc, what grade or opinion do you have of one that doesn’t really come out on bowel movements and if it does it goes way back in - but will peek out after taking a walk, working out, etc. and has to be pushed back in and will stay unless some other walking or exercise is done during the day.

@yourfriendlyproctologist 2 жыл бұрын

this can be internal or external hemorrhoids based on your story. The physical exam is crucial.

@jasperedog9026 2 жыл бұрын

@@yourfriendlyproctologist more info - a gastroenterologist said it was distal to the dentate line so not good for banding due to pain so i think it is kind of in no mans land between being true on edge external vs not high up internal

@yourfriendlyproctologist 2 жыл бұрын

@@jasperedog9026 You will need a surgeon to handle it.

@NorthLVLowRoller 2 жыл бұрын

Hey doc, mine seems to feel better at night and when I wake up I can't feel them anymore. Once I go to the bathroom it might sting alittle but then doesn't hurt for about 45 mins, after that 45 mins it starts creeping pain and hurts for 4-5 hours after.

@yourfriendlyproctologist 2 жыл бұрын

Thanks for sharing your story. You could be dealing with hemorrhoids and a fissure at the same time. It sounds like a diagnosis of your symptoms with a specialist would be a good start.

@sardangerous1394 2 жыл бұрын

Outside of banding or surgery, have you ever seen a grade 3 or 4 go away without a procedure?

@yourfriendlyproctologist 2 жыл бұрын

A non-inflammed grade 3-4 hemorrhoid will not go away on its own, unfortunately. I can produce a video to explain exactly what I mean. Thank you for commenting!

@leohp8933 3 ай бұрын

I have grade 3 for years! Whenever they are mad..i go with flavonoids and minerals which calms them down miraculously 😊- read about Diosmin/ hesperidin combo

@BasedChadman 2 жыл бұрын

I believe I have grade 4, but they only stay outside when swollen? I'm not too sure, but it definitely hurts a lot more than I want to tolerate for any longer.

@Terry1212 Жыл бұрын

Did it go away on its own?

@BasedChadman Жыл бұрын

@Terry1212 No. Thankfully, I'm able to have them banded soon, and adjusting my diet and bowel habits has helped a bit

@kellielesher5623 5 ай бұрын

How'd it go

@BasedChadman 5 ай бұрын

@kellielesher5623 Was unpleasant. The banding was unsuccessful and only further aggravated the tissue due to the jamming of objects. What has helped is vitamin e suppositories, oddly enough, and preparation H after a bowel movement. I'm hoping I can avoid going under the knife.

@socabere 2 жыл бұрын

Hello!! Can you make a video about hemorrhoidectomy? I am almost 9 weeks post op, and I thought full recovery was going to be easier and faster (maybe 2-4 weeks). Now I know is about 2 to 6 months to a 100% full recovery. So it will be nice if you can do a video about it. 🇨🇷

@yourfriendlyproctologist 2 жыл бұрын

Thanks for your story! I have a video on the hemorrhoidectomy coming out soon. More videos to come! Wish the best for your recovery.

@ankitasaxena3935 Жыл бұрын

How long was the pain before it was gone completely

@socabere Жыл бұрын

@@ankitasaxena3935 hi!! Like 6 months. The first month was the worst. But it took 6 months to feel good again.

@ankitasaxena3935 Жыл бұрын

@@socabere thanku for your response 🙏🏻

@user-lw2id4gk7p 5 ай бұрын

my doctor didnt examine anything... he listened to my heart and scheduled a colonoscopy...my General practitioner at least had me drop my pants and had a look, told me theyre stage four hemorrhoids... the proctologist listened to my heartbeat, bever hadd me drop trou, and scheduled a colonoscopy... im now learning how wrong that is... i hate modern healthcare... it didnt used to be like this... they used to pride themselved in fixing the issue, now they just wanna milk you and your insurance for max profit it seems, they dont wanna fix the problem, they want you coming back as many times as possible... and if the bandiing tool isnt big enough, get a bigger banding tool, i have a banding tool in my barn big enough for a pair of sheep testicles, i thinik i can do this myself... grandpa was a vet and i was his assistant for over 20 years, ive castrated thousands of sheep and calves in my day... i think i can handle this...