LA is a vital world city which acts as a foundry for the world’s best storytelling and entertainment. But all that mental work can take a toll as well; sitting all day, as many writers and producers do, can exact a price in the form of GI problems such as hemorrhoids.
How can you treat your hemorrhoids to ensure they don’t come back? Science has given us a number of methods, starting with lifestyle changes and moving up all the way through surgical interventions such as sclerotherapy and IR coagulation.
This scholarly article walks California proctologists such as myself through the essential steps of diagnosis and treatment. Helping to clear up some of the mahy questions about when and where to administer the best possible hemorrhoid care for each patient. Money quote:
A highly cited meta-analysis by Helen MacRae queried 18 studies that assessed 2 or more treatment modalities involving grades 1, 2, and 3 hemorrhoids…This analysis concluded that RBL was the preferred initial strategy on the basis of a combination of initial outcomes, less need for additional therapy, and low complication rates. Hemorrhoidectomy yielded the best treatment response but had higher complications than RBL. RBL was more effective than sclerotherapy and was similar in efficacy to IRC, with lower recurrence rates than either sclerotherapy or IRC. RBL was associated with more postprocedural pain.
Ultimately whether you choose banding or IRC comes down to individual preference about discomfort versus long-term efficacy. It’s a conversation to have with your Los Angeles hemorrhoid doctor. Don’t wait until sweeps to see an expert. Contact us today.