Dealing with hemorrhoids – any advice?

So, here I am, nearly two months out from my DG-HAL procedure, which I had done privately with Dr. Ivanović. Unfortunately, I don't have much good news to share. Aside from a few days dealing with some pretty hard stools, the recovery process itself wasn't too bad, but... about two weeks ago, things took a turn. I ended up with an external hemorrhoid, and if I’m being honest, it feels like this isn't over. Then, about a week ago, the burning during bowel movements started, and things have just been getting worse ever since. It’s looking like I might have developed a fissure that’s starting to get complicated. I’ve started using some Hadens cream, which provides a bit of relief—it worked for my dad when he went through something similar, so fingers crossed it does the trick for me too. All in all, the whole "permanent removal" promise hasn't really held up in my case, and if things keep sliding downhill like this, I’m definitely going to leave a scathing review of the DG-HAL method, especially since it's only been about six weeks since the surgery.
I think forums like this exist so people can see every side of the story, and unfortunately, my side falls right into that "4-6% recurrence rate" they love to mention in their marketing materials...
Alright, let's break it down; DG-HAL+RAR per Thomas Doyle462:
1. Painless—not exactly true. It hurts, though maybe not quite as much as the other options out there.
2. A 94-96% success rate in preventing recurrence—not accurate for me, considering I dealt with my first post-op hemorrhoid plus a fissure just a month after the procedure.
3. Quick return to work—this one is true; I was back at my job ten days after the operation.
4. No complications—aside from some minor spotting when I went to the bathroom for about three weeks, yeah, that’s true.
5. Would I do the surgery again given this experience and the circumstances? —Maybe. The bleeding stopped, and honestly, I didn't even believe the recurrence part at first. The only real issue is the fissure, which is something I probably could've ended up with regardless of how I handled it.
Later; just keep a cool head and stay well-informed so you can make the right call to fix your problems, but if you ask me, don't wait too long...

Thomas Doyle462 said:Here’s my update. It’s been nearly two months since I went private for the DG-HAL procedure with Dr. Ivanovic. Unfortunately, I don't have much good news to share. Aside from a few days dealing with some hard stools, the recovery process itself wasn't too bad. BUT, about two weeks ago, things flared up again—this time with an external hemorrhoid. Honestly, looking at how things are going, I don't think this is over. A week ago, I started feeling a stinging sensation during bowel movements, and the situation has just kept getting worse over the last seven days. I’ve realized I likely have a fissure that’s starting to complicate things. I started using a cream from Hades which offers a little relief; it helped my father when he dealt with similar issues, so I'm hoping for the same luck. All in all, in my case, that "permanent" fix didn't quite stick. If things continue to slide downhill like this, I’ll be giving the DG-HAL method a major thumbs down, especially since it’s only been six weeks since the surgery.
I think forums exist precisely so people can see all sides of the story. Sadly, my side falls right into that "4-6% recurrence rate" they mention in their marketing.
So, here is the breakdown for DG-HAL+RAR per zzzkomarac:
1. Painless—not really. It hurts, just maybe not as much as the other options.
2. 94-96% success rate in preventing recurrence—not true for me. I ended up with my first post-op hemorrhoid and a fissure just a month after the procedure.
3. Quick return to work—true. I was back at the office ten days after the surgery.
4. No complications—mostly true, except for some minor bleeding during bowel movements for about three weeks.
5. Would I do the surgery again given this experience? Maybe. The bleeding stopped, and I honestly didn't believe the recurrence claim in the first place. The only real issue is the fissure, which is something I could have ended up with regardless.
Best regards; keeping a cool head and staying well-informed will help you make the right choice and find a way out of your problems, but my advice is don't wait too long...

It sounds like your procedure wasn't done correctly. When everything is handled properly, there shouldn't be any chance of the hemorrhoids returning. It means the laser didn't hit the right vein or failed to close it off completely. As for the fissure, that might not even be related to the hemorrhoids at all...

Thomas Doyle462 said:So, here’s my update about six weeks after having the DG-HAL procedure done privately with Dr. Ivanovic. Unfortunately, I don't have much good news to share. Aside from a few days dealing with some really hard stools, I didn't have any major issues during the recovery period. BUT, about two weeks ago, everything flared up again—this time it's an external hemorrhoid, and honestly, it feels like this isn't over. About a week ago, I started feeling a burning sensation during bowel movements, and things have just been getting worse over the last seven days. I’m pretty sure I’ve developed an anal fissure that’s starting to get complicated. I started using some Hades cream, which provides a little relief; it helped my dad when he went through something similar, so I'm crossing my fingers it works for me too. All in all, in my case, that "permanent" fix didn't quite stick, and if things keep heading downhill like this, I’m going to have to give the DG-HAL method a big thumbs down since it’s only been about a month and a half since the surgery.
I think this forum exists precisely so people can see every side of the story, and unfortunately, my experience falls right into that "4-6%" recurrence rate they mention in their marketing.
So, here is my breakdown of DG-HAL+RAR:
1. Painless—that's not true; it hurts, though maybe not quite as intensely as the other options out there.
2. A 94-96% success rate in preventing recurrence—not accurate for me, as I dealt with my first post-op hemorrhoid and a fissure just a month after the procedure.
3. Quick return to work—this part is true; I was back at my job ten days after the operation.
4. No complications—well, except for some trace bleeding during bowel movements for about three weeks, then yeah, it's true.
5. Would I do the surgery again given this experience and the circumstances? — Maybe. The bleeding stopped, and I honestly didn't believe the recurrence part would happen to me, so the main issue now is the fissure, which is something I might have ended up with regardless of how I handled it.
Take care; keeping a cool head and staying well-informed will help you make the right call and find a way out of your problems, but my advice is: don't wait too long...

I am so sorry you're going through a relapse because I know firsthand how miserable that can be. That was actually my biggest fear. Looking at the forum so far, we've seen two positive experiences with Dr. Ivanovic and two that were clearly not as successful. I still feel like the DG-HAL RAR method is a solid choice for many, but it might be worth checking out other clinics and seeing what else is out there. 🤷

It’s really kind of you to share your story like this, and you hit the nail on the head saying we need to stay level-headed, even though that's a lot easier said than done when you're actually in pain.
Lately, I've been hesitant to give anyone advice, but I really have to tell you: please don't ignore that fissure, because if it turns into a chronic issue, the pain is absolutely brutal.
Maybe try looking for some other specialists who handle this; there are plenty of different ways to treat it...

Hey everyone!
About two months ago, I started dealing with this intense pain and burning sensation every single time I have to go to the bathroom. A few days later, I felt this little lump—about the size of a kidney bean—on the outside. After doing some digging online, I convinced myself it was probably just an anal fissure. I eventually saw a specialist about a month and a half later, and they confirmed my suspicion. Before that appointment, I tried using all sorts of different ointments and taking Pilex tablets, but honestly, they barely touched the pain and definitely didn't heal anything. Now, I’m stuck between a rock and a hard place: I’m terrified of the treatment my doctor is pushing, and I’m dealing with significant bleeding every time I go. In fact, the bleeding actually got worse after my exam when the doctor used those instruments to check everything out. My specialist wants me to perform manual dilation using two fingers along with some 5% EMLA cream. But let me tell you, with how much pain I'm in, that sounds absolutely impossible to endure. I went back for a follow-up yesterday, and the doctor actually tried to perform the dilation right there in the office, but I had to say no because the pain was just too overwhelming.
I'm really wondering if there are any other ways to heal a fissure besides this finger dilation thing. These past two months have been a total nightmare. I’m starting to panic every time I have to head to the restroom because I know exactly what kind of torture is waiting for me, and the misery lasts for hours afterward.

I don't know anything about fissures, and honestly, thank God for that—I have zero experience dealing with them. But from what I can gather, forcing anything through when it hurts just doesn't make sense. You shouldn't have to go through sheer agony just to hope for a better outcome later on. That seems totally illogical to me. It feels like you're just inviting more tearing and even more pain. If I were in this position, I’d head out and see another specialist to get a second opinion and see if there’s some other kind of therapy they could suggest instead...

Gary Evans69 said:Hey there!
About two months ago, I started dealing with this intense pain and burning sensation every single time I had to use the bathroom. A few days later, I noticed a little bump, about the size of a kidney bean, right on the outer edge. After falling down an internet rabbit hole, I convinced myself it was probably just an anal fissure, which was eventually confirmed by a specialist I saw about a month and a half later. In the meantime, I tried everything from various ointments to Pilex tablets, but they only took the edge off without actually healing anything. Now, the real nightmare is the treatment plan my doctor is pushing, especially since the bleeding gets pretty heavy every time I go—it actually got even worse after he did an exam using some kind of instrument. My doctor wants me to perform manual dilation using two fingers along with some 5% EMLA cream. Honestly, with how much this hurts, it feels completely impossible. I went back for a follow-up yesterday, and he actually tried to do the dilation himself right then and there, but I had to refuse because the pain was just too overwhelming.
I’m really wondering if there’s any other way to heal a fissure besides this dilation thing, because these last two months have been a total living hell. I start panicking every time I have to head to the restroom because I know exactly what kind of misery is waiting for me and how long the aftermath will last.

There are Botox injections you can get near the fissure to help relax the whole area so the wound can finally close up. You usually need a series of them, spaced out about two weeks apart, and yeah, they aren't exactly painless, but it's non-invasive and doesn't carry major risks. The downside? They are incredibly expensive, and there's a decent chance the fissure might just come back anyway.

Then there's lateral sphincterotomy, which is a more invasive procedure—basically a minor surgery where they make a small incision above the fissure to relax the sphincter tone so it can heal. It takes about four to five weeks to fully heal, though the pain usually subsides after about a week. I won't sugarcoat it: for the first three days after my surgery, I felt like screaming from the pain, but after that, it was gone completely. Just keep in mind that since it's surgery, there are complications to consider, so you really need to find a top-tier surgeon. I rushed into mine quite suddenly without fully grasping the potential side effects, so I just went for it. Looking back at all the stories shared here on the forum, I honestly don't know if I'd make the same choice again. I think I just got lucky.

As for that anal dilation... maybe try reaching out to another member who might have gone through it; it would be good to get a second perspective. It sounds less intense than a sphincterotomy, but I don't know enough about it to say for sure. One thing bugs me, though: why didn't your doctor offer you local anesthesia to dull the pain? Is that even an option? And is it a one-and-done thing, or do you have to keep repeating it? If it's just a single session, it might be worth the struggle. Definitely ask about the potential side effects before you commit.

My best advice? Get a second (or third) opinion. Every doctor is going to pitch their own specific method, but eventually, you'll find someone whose approach actually makes you feel confident and heard.
Hang in there! 🙂

He wouldn't even give me the painkiller injection, claiming he didn't have any in stock at his clinic.
I honestly don't get how dilation is supposed to speed up wound healing when the whole process just stretches everything out further. It actually makes me nervous that it might trigger more bleeding, but hey, I guess doctors know best, right?
At this point, I think my best bet is to go see another specialist—probably a private one—just to get a second opinion and see what they think.

Karen Thompson10 said:See, I didn’t even realize radiofrequency ablation was an option for treating fissures! Honestly, I get the feeling everyone just hawks their own preferred methods because, well—it’s good for business. Based on this discussion, and looking at a few articles I dug up online, it seems like anal dilation might actually be the superior route. When I was making my decision, I was convinced it would be way more invasive—Dr. Egypt went out of his way to convince me of just how intrusive it was, even sketching out the whole procedure for me. 🙄
He probably assumed I wouldn't even ask about surgical excision since I was so terrified of everything else that I hadn't even considered it. And I didn't ask Dr. Ivanovic anything regarding dilation—I had already crossed it off my list—though he did bring it up, and I simply shut it down immediately. Long story short, this entire ordeal has taught me that you MUST always seek out multiple medical opinions...

For what it's worth, I also spent a long time assuming all my issues were stemming from hemorrhoids, so it was quite the shock when they told me I actually had a fissure caused by them.
And a fissure is actually a consequence of increased sphincter tone—not the other way around. In fact, if I recall correctly (though I can't be 100% certain), I think the doctor suggested surgery because it offers a more permanent fix, given that the muscle tension could potentially return.

Anyway, best of luck, and please share your impressions once you're through (I'm saying this to everyone 😁)—it helps give people a bit more clarity!

Best regards—I underwent surgery for both hemorrhoids and a fissure with Dr. Phil, and the recovery is going smoothly so far... the hemorrhoids were handled via ligation, while the fissure was treated with RF cauterization... the wound (the fissure) is no longer burning, and every day it feels like things are returning to normal. I'm hopeful the rest of the healing process goes well, and I'll touch base with my observations once the recovery period is fully behind me...

Hey everyone, has anyone else dealt with more complex chemo treatments and felt this weird sensation of being "full," like you just haven't fully emptied your bowels? Also, does anyone get sharp pains in the rectal area? Sometimes when I sit down too fast, I get this sudden stabbing pain inside that makes me bolt upright immediately, and I've definitely dealt with some pretty heavy bleeding after bowel movements.

mistymaker8 said:Hey everyone. For those of you who have dealt with complicated hemorrhoids before, do you ever get that feeling of being "full"? Like you just haven't fully emptied? Also, does anyone else deal with rectal pain? Sometimes when I sit down too fast, I get this sharp stabbing sensation inside that makes me jump right back up. I've also had some pretty heavy bleeding after using the bathroom.

I can't speak to your specific symptoms, but listen, honey—if there's bleeding and pain, don't just sit there waiting. Go see a doctor immediately. If you want more details on how bad things can get, go back and read my old posts to see what I went through myself...

Hey there.

My dad’s been dealing with a massive hemorrhoid flare-up for three days now. He had two colon polyps removed last year and has had a couple of colonoscopies, just routine stuff.
Anyway, I’ve honestly never seen him in this much pain. He can barely sit up without complaining, and don't even get me started on his time spent in the bathroom. 😲
I think they might be external since there's no bleeding, but he did feel a lump. His doctor called in a prescription for some Faktu ointment, so he started using that today.

I’ve seen people on here recommending chamomile baths along with Hemophagen and Dolocat. He actually wanted to try the bath yesterday, but the pain was so intense he couldn't even manage to sit down in the basin. 😢

Is there anything else out there that could help take the edge off the pain right now?

Sophia Cook42 said:Hi there!

My dad has been dealing with a massive hemorrhoid flare-up for three days now. To give you some context—he had two colon polyps removed last year and has undergone a few colonoscopies since then.
Honestly, I have never seen him in this much pain; he can’t even sit up without complaining, let alone spend any meaningful time in the bathroom. 😲
I suspect they might be external since there isn't any bleeding, but he did feel a sort of lump. His doctor essentially took a shot in the dark and prescribed Faktu ointment, which he started using today.

I’ve been reading through various threads here, and people seem to suggest chamomile baths along with Hemophagen and Dolocat. By the way, he actually intended to try a soak yesterday, but the discomfort was so intense that sitting down in a basin was practically impossible. 😢

Is there anything else that could provide some immediate relief—even just to take the edge off the pain?

It is incredibly difficult for anyone to recommend a specific treatment without an actual diagnosis—trust me, I know. I once spent my time banging my head against a wall thinking I just had simple hemorrhoids, only for a doctor to tell me it was actually an anal fissure. My best advice? Get him to a proctologist immediately. Even if it means seeing a private specialist, he needs a professional to determine exactly what is going on given how severe this is. The pain following surgery usually lasts a few days and is certainly manageable, but the quality of life improvement afterward is incomparable. Your father really shouldn't have to endure this kind of agony; I know firsthand how absolutely miserable it feels.

darkbear14 said:It’s tough for anyone to give a recommendation blindly over the internet. I once spent my time banging my head against a wall from the pain; I thought it was just hemorrhoids, but the doctor ended up diagnosing me with an anal fissure. My advice? Get him to a proctologist. A private specialist is fine if you need answers fast, especially since the pain is so intense. Post-op pain usually lasts a few days and is manageable, but the quality of life afterward is incomparable. You really don't want him suffering through this—I know firsthand how brutal it is.

This flared up for the first time just now. I honestly didn't realize things could escalate so suddenly, especially since he had a colonoscopy last year, which should have flagged anything suspicious.
Unfortunately, he's dealing with much more pressing health issues right now, so we're just trying to manage this with ointments and creams for the time being. Besides, there's no way I can just toss him in the car and drive him to a doctor at this moment.

Sophia Cook42 said:This flared up for him for the very first time. I had no idea it could just explode like that—since he had a colonoscopy last year, we assumed anything suspicious would have been flagged back then.
Unfortunately, he’s dealing with much more pressing health issues right now than this, so we’re going to try managing it with ointments and creams. Besides, there is zero chance I can just toss him in the car and drive him to see a doctor at this moment.

I spent years keeping my own situation under control—right up until it spiraled out of hand—and then I started dealing with agonizing pain that eventually led to a surgery far more complicated than if I had just addressed it when it first appeared... regarding the creams: they won't do much for you here. Once things hit an acute stage, topical treatments tend to be pretty useless because acute issues almost always demand a radical approach... however, please, listen to the advice on this forum and read through everything from the beginning; you will likely find yourself much better informed than you are currently... wishing you and your father all the best.

darkbear14 said:I kept things under control for years myself, right up until they spiraled out of hand. Then I was stuck dealing with unbearable pain and eventually had to go through surgery—which ended up being way more complicated than if I’d just handled it sooner. Honestly, creams won't do much once things hit an acute stage; radical issues usually need radical solutions. Just listen to the advice on this forum and read everything from the beginning. You'll probably be better informed than you are now. Wishing you and your dad all the best.

Thanks. I've already gone through the first ten pages and a few at the end. Everyone keeps mentioning those two specific creams. We'll give them a shot and see how things go.

Hey everyone,
I've been dealing with ulcerative colitis for about 10 years now. I thought I knew my pain tolerance limits, especially with the occasional inflamed hemorrhoid,
but then two months ago, things went south. A hemorrhoid—pretty sure it's an external one since it's right on the edge—basically burst. I had some heavy bleeding for five days and spent about ten days running a low-grade fever every evening (around 99.5–100°F), so I ended up on antibiotics for three weeks.
My gastroenterologist has been keeping a close eye on me...
Between staying super clean, drinking tons of fluids, having some fruit compote, and using homemade castor oil along with Hemophagen ointment, I'm doing better. But man, there's still this painful little wound on the hemorrhoid that just won't quit...
I'm going to give Pilex tablets a shot. I'll be heading over to Europe soon, so I'll let you guys know how much they cost.
For context, Detralex tablets (30 count) go for $22 over there, but here in the States, they're $40..
I've pretty much read every single thread on this site and a bunch of other forums, so I’ve actually put together a list of some alternative hemorrhoid therapies I stumbled upon...
Wishing you all the best and a speedy recovery!

http://www.svejeizljecivo.com/hemoba...balans-magneti

http://www.flasteri.com/hemoroidi.html

shadowsailor10 said:Hey everyone,
I’ve been dealing with ulcerative colitis for about ten years now, and while I thought I knew exactly how much pain I could handle from occasional inflamed hemorrhoids,
everything changed two months ago when one of them basically burst—it feels external since it's right at the edge—causing heavy bleeding for five days straight and leaving me with a low-grade fever every evening for about ten days, hovering around 99 or 100 degrees. It landed me on a three-week course of antibiotics,
under the close watch of my gastroenterologist...
Between staying on top of hygiene, drinking tons of fluids, having fruit compote, some homemade castor oil, and using Hemophagen ointment, things have stabilized, but I still feel this
painful little wound on the hemorrhoid area
, and it just won't go away...

That sounds almost certainly like an anal fissure! They can be incredibly painful and often come with those spikes in temperature you mentioned. You also specifically mentioned a wound, which is a huge clue. Honestly, topical creams aren't going to fix this; you need actual treatment to heal the tissue. The scary part is that fissures can actually expand over time, which makes them dangerous because they can lead to much more complicated issues, like an abscess or a fistula. Do a quick search online to see what I mean. You mentioned seeing a doctor, but did you see a proctologist specifically? If you haven't had a specialist take a look, you might just be treating symptoms instead of the cause. Go see a specialist.

And just so you know, a fissure is almost always accompanied by what people call a "sentinel pile"—a sort of guard hemorrhoid right next to the tear—so many people mistakenly think the pain is coming from a hemorrhoid when it's actually the fissure itself. Those tiny wounds can be incredibly hard to spot on your own, which is exactly why you need a professional to check it out.

Hello everyone.

I have been lurking until now, but I decided to chime in with my own experience. I am not here to offer advice, but perhaps my story will help someone.
I have dealt with hemorrhoids for ten years, though without major issues. Every couple of years, I might have had a day or two of discomfort, and that was it. My mistake was staying on the toilet too long; I did it to avoid that uncomfortable sensation of the sphincter closing immediately after a bowel movement. However, for the last two years, I have been bleeding. It follows a pattern: a week of bleeding, then a week of nothing. Hard stools always trigger it, and once it starts, it won't settle down for at least a week. This has been the cycle for a year or two. Often, there is a significant amount of blood in the bowl. I didn't worry because there was no pain. Then, two months ago, I felt weak and had bloodwork done. The results showed severe anemia and catastrophically low iron levels. To be honest, looking back, I ate quite healthily—no high blood pressure or high cholesterol—but I had actually cut out foods high in iron, like beef and organ meats, while consuming plenty of things like tea that inhibit iron absorption.
After seeing those terrible blood results—low hemoglobin and low iron—I decided to take this seriously. I took two weeks of medical leave and added another two weeks of vacation. For one month, I stayed home and maintained extreme discipline. This included a mandatory morning routine of eating plenty of cherries and berries. Every day for lunch, I ate heavy meat and liver. I drank massive amounts of fluids and consumed high-fiber foods like whole grains daily. On top of that, I took iron supplements. Within a month, my blood work was nearly back to normal. My bowel movements became regular, twice a day, with ideal consistency. Since I was home, I followed every movement with a warm shower. During that month, I had zero hemorrhoid issues and zero bleeding. Furthermore, the actual movement lasted only seconds before the sphincter closed naturally. I didn't wait around for minutes like I used to. I thought I had finally gained control. Then, I went back to work—an office job, lots of sitting. No matter how much water I drink, it isn't enough. Within days, the hard stools returned—not voluminous, just dense and difficult to pass. And again, the bleeding started, though not heavily since I close the sphincter quickly.
Since I cannot change my job, nor do I want to because I am satisfied with it, I realized surgery is inevitable. The classic method is out of the question. I haven't seen a doctor yet. I contacted one private clinic in a large US city (K), and they told me that if I come in for an exam, the surgery can be done immediately. They bring in a surgeon from Israel, so appointments must be booked. However, I am not seeking surgery during the summer; I am waiting for fall or winter. From what I read on this forum, people have had bad experiences with that other clinic. I haven't read the entire post because it's massive, but I read most of it. I would like to know if anyone has had surgery at Dr. Krpan's clinic and can share their experience. As I understand it, THD and DG HAL RAR are the same method, just different names. The principle is using Doppler guidance to locate the arteries and tie them off. This stops the blood flow to the hemorrhoidal tissue, causing it to shrink over time. If the hemorrhoids are more advanced, tying the arteries isn't enough; the tissue must be reconstructed, which means pulling it back inside. That is why it is called RAR (recto anal repair). THD stands for transanal hemorrhoidal dearterialization, which includes the process I described. Some use the term HALO. Because this involves tying and reconstruction rather than cutting tissue, the surgery isn't invasive like the traditional way. Additionally, the classic method removes tissue without tying off the arteries, making recurrences more likely. Not to mention the recovery time. Now the question remains: why do our surgeons still use the old Morgan Milligan method instead of this newer technique that has been standard in England for a decade? In my view, the new method is simpler to perform than the classic one. But that is the problem with our disorganized healthcare system.
I said I wouldn't offer advice, but here is one anyway. Is it not always wise to seek a second or even third medical opinion? My own experience with a different illness taught me that. Had I sought another doctor sooner, could I have avoided so many complications?
As for surgery, isn't skill and experience the deciding factor? One might know the theory, but can they execute it? It is an art form requiring intuition alongside knowledge. The issue remains: how does one find the elite when they are so rare? I searched online to see if such specialists exist in the US, but found nothing.
Furthermore, I haven't seen anyone post a video demonstrating the actual procedure here (apologies, I haven't read the entire thread).

Here are some links. The first two are diagrams; the latter two are actual footage. Watch them if you wish.

http://www.youtube.com/watch?v=888q9...eature=related

http://www.youtube.com/watch?v=6Ah7PhbBg8Q

http://www.youtube.com/watch?v=xrwRO7vTsd8&NR=1

http://www.youtube.com/watch?v=5KarLDbbXaA&NR=1

Interesting clips you shared. I noticed they didn't include any diagrams or animations showing the specific vein patterns feeding the hemorrhoids, though. That said, your explanation of the classic stitching method was spot on. Really appreciate the effort you put into this. I remember seeing a photo of my own condition right before surgery—it was honestly gruesome. It’s important to see stuff like that because this isn't something to mess around with. Things can get life-threatening if complications arise. Seriously, don't wait; find a reputable doctor immediately. As for me, I finally got rid of the constant discomfort, and I feel like a whole new person. For anyone living near a major hub like Chicago, you can look back at my previous posts to see which clinic I used. If you go there to get it handled, you won't regret it. Good luck to everyone out there, and please, remember: stop trying to self-treat. Go to a professional to fix the issue. The longer you stall, the worse the consequences become and the more complicated things get...

A quick correction. We aren't looking for a vein; we are talking about an artery. That is why the term THD exists (arterialization), or according to DG HAL terminology, where AL stands for artery ligation. By ligating the artery, you close the arteriovenous shunt, which addresses the root cause. For lower-grade hemorrhoids without prolapse, only the artery ligation is performed. If using DG HAL terminology, that is all there is to it. However, when there is prolapse—meaning the tissue is too stretched or loose—RAR is required. This involves using sutures to pull the tissue back inside to "compact" it, as shown in the video. Consequently, surgery involving the RAR procedure is more difficult and requires a longer recovery. Simple artery ligation is easier to endure. The question remains: does anyone here even seek surgery while they are still in that early stage?
If the surgeon performs the procedure correctly, there shouldn't be any issues. Unfortunately, I am far from Sarajevo, so I will likely opt for one of the private clinics in a major US city this fall or winter. I am waiting to hear about other members' experiences.

Note: I am not a doctor, so do not take this as gospel. These are just my layman's conclusions based on the literature I have read.

Here is a helpful video. http://www.youtube.com/watch?v=05FuzfakqmI