Haemorrhoid treatment
Bleeding after a bowel movement, itching, burning or pain around the anus can point to haemorrhoids, an anal fissure or another problem. The exact cause can only be determined by a proctological examination.
At ON CLINIC, in Prague and Brno, we specialise in examination and outpatient treatment - the removal of internal haemorrhoids and the treatment of anal fissures. We remove haemorrhoids using Barron ligation or infrared coagulation. In suitable cases, the doctor may use both methods at once. Choose: booking Prague or booking Brno.
Book an appointment that suits you
The quickest way to book is by phone. If you would prefer not to call or cannot call, simply send the online form and we will get back to you.
800 103 300Mon to Thu 8:00 to 18:30 · Fri 8:00 to 14:30
Problems we can help you with
Book an examination if you are troubled by:
- blood after a bowel movement
- itching or burning of the anus
- pain during a bowel movement
- pressure or a feeling of a foreign body
- a small lump by the anal opening
- moisture or mucus discharge
- prolapsed haemorrhoids
- recurring problems despite using ointments and suppositories
It is difficult to tell on your own whether it is haemorrhoids. The doctor will identify the cause of your problems during the examination and recommend a suitable course of action.
What are haemorrhoids
Haemorrhoids are vascular cushions in the anal area. A problem arises when they enlarge and start to bleed, hurt or prolapse. We distinguish two basic types.
Internal haemorrhoids
They are located inside the rectum. They often do not hurt, but they can cause:
- bright red blood after a bowel movement
- pressure in the rectum
- itching and moisture
- prolapse during a bowel movement
It is precisely internal haemorrhoids that can often be treated on an outpatient basis without conventional surgery.
“External haemorrhoids”
They are located around the anal opening and may be visible or palpable. They often manifest as pain, swelling, itching or a tender lump.
Neither Barron ligation nor infrared coagulation is intended for this type of haemorrhoid. The doctor will recommend a suitable solution after the examination.
Grades of internal haemorrhoids
Grade I
The haemorrhoids remain inside but may bleed.
Grade II
They prolapse during a bowel movement and return on their own.
Grade III
After prolapsing, they can be pushed back in. And they remain inside the rectum. It is high time to see a doctor. And to set aside embarrassment, fear and hesitation.
Grade IV
They remain permanently prolapsed.
The earlier haemorrhoids are addressed, the greater the chance of using gentle outpatient treatment.
Anal fissure
An anal fissure is a small tear in the lining of the rectum. Typical symptoms include sharp pain during a bowel movement, burning and sometimes a small amount of bright red blood.
Fresh fissures can often be treated by adjusting the stool, with proper hygiene and topical preparations. For long-term problems, the doctor will recommend a further course of action.
Do not underestimate blood after a bowel movement
Bleeding can be caused by a haemorrhoid or an anal fissure, but also by another condition. It is therefore not advisable to automatically assume that it is
only haemorrhoids.
If bleeding recurs, book an appointment for a specialist examination.
What a proctological examination looks like
Consultation with the doctor
The doctor will ask about your problems, bleeding, pain, bowel movements and any medicines you take.
Brief examination
Depending on what is needed, this is followed by a visual examination, a digital examination or an inspection of the anal canal using an anoscope.
Treatment recommendation
The doctor will explain what is causing your problems, what type of haemorrhoids it is and whether outpatient treatment is suitable for you.
How we treat haemorrhoids
Barron ligation
Barron ligation, sometimes called rubber banding of haemorrhoids, is used to treat internal haemorrhoids. The doctor places a small elastic band over the haemorrhoidal node, which cuts off its blood supply. The tissue then shrinks and separates off naturally.
The patient may feel pressure, an urge to pass stool or temporary discomfort.
Infrared coagulation
During infrared coagulation, the doctor treats the haemorrhoidal tissue with targeted infrared light. This closes off the small blood vessels and gradually shrinks the haemorrhoid.
The method is used especially for smaller internal haemorrhoids and bleeding.
Combination of methods
In some patients, the doctor may recommend combining Barron ligation and infrared coagulation. It depends on the type, number and size of the haemorrhoids.
Advantages of outpatient treatment
- no hospital stay
- no conventional surgery
- the procedure is short
- usually a quick return to normal activities
- treatment tailored to the specific finding
- gentle methods without a long recovery period
What to expect after the procedure
After treatment, the following may briefly occur:
Common effects after treatment
- pressure or mild pain
- an urge to pass stool
- a small amount of blood
- increased sensitivity
After the procedure we recommend
- drinking plenty of fluids
- increasing your fibre intake
- preventing constipation
- not straining during a bowel movement
- temporarily limiting heavy physical exertion
- following the doctor's instructions
Book an examination
The sooner we identify the cause of your problems, the sooner we can recommend suitable treatment. At ON CLINIC we provide proctological examination and outpatient treatment of haemorrhoids in Prague and Brno.
Book your initial examination.