Hemorrhoids

Office care to LigaSure hemorrhoidectomy

Bleeding is common — but not every bleed is “just hemorrhoids.”

Internal and external hemorrhoids cause bleeding, prolapse, itching, and discomfort. Grade and symptom pattern guide care from dietary measures and office procedures to excisional hemorrhoidectomy, including energy-device techniques such as LigaSure in selected grades. Bright rectal bleeding in adults — especially with anemia, habit change, or age-related risk — may still need colonoscopy to exclude other causes. Surgery is for symptomatic advanced disease that fails conservative care, not for every visible cushion. Pain control and stool softness dominate recovery after excision.