Do 3rd degree internal hemorrhoids need surgery?

Internal hemorrhoids are divided into 4 different grades. If you are suffering from third degree internal hemorrhoids, it means that the disease is in a severe stage. So do 3rd degree internal hemorrhoids need surgery?

Poor diet and lifestyle are the main causes of internal hemorrhoids. The disease causes many inconveniences to the patient's quality and daily life. Do 3rd degree internal hemorrhoids need surgery? This is a problem faced by many patients. 

What are internal hemorrhoids?

Hemorrhoids are divided into two types, internal hemorrhoids and external hemorrhoids. Internal hemorrhoids are diseases that appear in the lower cavity of the mucosa and arise from the veins of the anus. The main cause of the disease is an unscientific lifestyle, pregnancy, and irritable bowel syndrome.

Internal hemorrhoids cause very uncomfortable symptoms

Grade of internal hemorrhoids:

Internal hemorrhoids are divided into 4 different grades:

• Grade 1 internal hemorrhoids: The symptoms of the disease at this stage are still not really clear. Patients often suffer from  constipation within several days, accompanied by itching, burning pain, and discomfort when going to the toilet. Although there is bleeding now, but not much. Although hemorrhoids have formed, it is difficult to see because it is located in the canal of the anus.
• Grade 2 internal hemorrhoids: Symptoms of the disease are more severe. Blood in the anus will bleed more, accompanied by an itching and burning sensation in the anus. The hemorrhoid will begin to protrude at this point, but will usually shrink soon after.
• Grade 3 internal hemorrhoids: At this level, there is more blood coming out of the anus. Because the hemorrhoids have developed at this time, the patient feels pain and difficulty when sitting down. At this time, the size of the hemorrhoid is quite large, so it cannot be retracted by itself, but you can still use your hand to push it inside.
• Grade 4 internal hemorrhoids: At this stage, the size of the hemorrhoid is too large, so even if you don't go to the toilet, it will prolapse outside and cannot be pushed inside. At this stage, in addition to hemorrhoids, the patient also faces the risk of many other diseases.

Do 3rd degree internal hemorrhoids need surgery?

Grade 3 internal hemorrhoids often tend to be prolapsed outside and cannot shrink on their own, so it is easy to encounter anal blockage, especially when having a bowel movement. Depending on each case and the ability of the disease to develop, the doctor will assign the patient medical treatment or use surgical methods to reduce complications.

Grade 3 internal hemorrhoids are very likely to cause swelling, inflammation, even anal infection and blood loss. Therefore, surgery to remove internal hemorrhoids grade 3 is very necessary if the patient has symptoms of infection, anal fissure , blocked hemorrhoids ...

It can be applied to treat grade 3 internal hemorrhoids with surgery or medicine. However, each treatment method has its own advantages and disadvantages. Therefore, you need to think carefully before treatment.

Do 3rd degree internal hemorrhoids need surgery? Thus, the surgery of 3rd degree internal hemorrhoids is not absolutely mandatory. However, if medication doesn't work, surgery is still needed. To be able to determine whether to have surgery or not, it is necessary to have an examination and conclusion from the doctor. Patients should not arbitrarily apply any treatment method without examination and conclusion from the doctor because it can make the symptoms worse.

Whether or not you need surgery for grade 3 internal hemorrhoids depends on the effectiveness of the medication

Surgical methods of internal hemorrhoids grade 3

Currently, a number of surgical methods for internal hemorrhoids are commonly applied such as:

• Laser burning: Under the impact of laser beam, hemorrhoids will be cut without using a surgical knife. Thanks to the large amount of heat, the laser method will help evaporate the hemorrhoid containing the steam.
• Sclerotherapy of hemorrhoids: The principle of this method is that the doctor will inject a certain amount of chemical into the hemorrhoid to create fibers in it. This will prevent blood from flowing to the hemorrhoid to feed the hemorrhoid. As a result, hemorrhoids will gradually shrink. 
• Longo method: This is a modern trend-based treatment method that is applied quite a lot today. The doctor will use a loop stitch and then cut the hemorrhoid mucosa directly above the dentate line. Thanks to this operation, the blood circulation will be reduced, the hemorrhoids are also easily shrinking.
• HCPT method: This method usually has high accuracy and fast recovery. The doctor will apply high-frequency waves to cause the cells to clot and form blood vessel knots. Finally, the doctor will use an electric knife to cut the hemorrhoid in the canal of the anus.

You should choose the right internal hemorrhoid surgery method

So, with the question " Does third degree internal hemorrhoids need surgery ?" then the answer is that it depends on each case that you should decide to have surgery or not. However, in order to avoid possible risks during surgery, it is best to have a timely remedy as soon as you detect the pathological symptoms.