Dealing with hemorrhoids – any advice?

Raymond Smith3 said:All I can tell you is—and I mentioned this just the other day—a friend of mine went through this procedure, and they came back on him four different times over twenty years. I also saw a girl on a forum mention hers returned after just a month or two. Look, the method is definitely easier on the patient since there aren't any incisions, but in many cases, they just come right back. That's just how it goes. 🙂.

Here is proof you're wrong:

M. Scheyer, E. Antoneietti, g. Rollinger, H. Mall, S. Arnold
Doppler-guides hemorrhoidal artery ligation.
Excerpt medica – The American Journal of Surgery, 2006
2006 background : in 1995 in 1995, Morinag reported a New technique for The treatment of hemorrhoids , hemorrhoidal artery ligation (HAL), which uses a specially designed proctoscope coupled with a Doppler transducer for identification and ligation of hemorrhoidal arteries.

Basically, this method was introduced in a professional journal back in 1995, and it has been used extensively in recent years.

Michael Diaz4 said:Proof you're lying:

M. Scheyer, E. Antoneietti, g. Rollinger, H. Mall, S. Arnold
Doppler-guides hemorrhoidal artery ligation.
Excerpt medica – The American Journal of Surgery, 2006
2006 background : in 1995 In 1995, Morinag reported a New technique for The treatment of hemorrhoids , hemorrhoidal artery ligation

So the method was published in a professional journal back in 1995, yet it's been seeing heavy use in recent years.

I wasn't trying to mess around or lie to you, but you clearly have no idea what you're talking about, especially since you claim people aren't returning to the Doppler or HAL methods. I actually had a better opinion of you based on your previous posts, but turns out you're just a total jerk.

Jesse Castillo9 said:Hey everyone, I'm new here. Anyone have experience with the DG HAL method? I've been dealing with grade 2 internal issues for about 4 years now.

Check out what "zzzKomarac" wrote on page 97..

Raymond Smith3 said:Check out what "zzzKomarac" wrote on page 97..

Take a look at post #1928 by Michael Diaz4. You really have to hit the right vessel. It all comes down to how skilled and experienced the surgeon is. Honestly, I haven’t heard of anyone having this come back. I actually spoke with a professor, and he was adamant—there's just no chance those same issues will resurface. A patient might have three or even four veins involved. Everything needs to be cleared out so it doesn't just migrate to the other vessels that weren't treated. How do they manage that? Using a Doppler...☕

Michael Diaz4 is absolutely right; there’s been way too much misinformation floating around this forum, which often leads people to just stay silent about wrong conclusions. That honestly helps nobody.
Nobody means any harm, but there is no way your friend could have gone in for a NASA procedure twenty years ago—not to mention that this specific method only started being used recently in the US, and even now, only a handful of doctors actually perform it.

The only thing I can't get behind is the idea that this method works perfectly every single time. I've read quite a few medical articles on the subject, and while it's highly effective, they list the success rate at around 95%. If you happen to fall into that unlucky 5%, you might have to do it again, BUT once that's done, you're set.
One woman on here mentioned that her doctor told her straight up that he couldn't guarantee her hemorrhoids wouldn't return after pregnancy, though he expected them to stay away. At the end of the day, nothing is ABSOLUTELY certain, especially when we're talking about the complexities of the human body.

Even the top-tier surgeons make mistakes sometimes. Now, I know I'm being subjective here because my own doctor was the absolute best and I've never experienced such kind, compassionate care, so feel free to disregard my bias if you want. 😁

Komarac just had bad luck. Either that, or something went sideways—who knows? But if you're going to point to just ONE person whose symptoms returned after the procedure, why leave out all the rest of us who are incredibly happy with the results?
The reality is that there are far more satisfied patients than those who had issues. Please, let's not spread unverified info around; we're dealing with people's health here. 🙄

Edit: It would actually be really helpful if the people who did experience a recurrence could speak up and share what their doctor said, why they think it happened, and what the next steps were.

Alright, here’s the scoop straight from my own experience. Everything is looking good on my end—those polyps haven't come back. It turns out you can actually develop polyps as a result of hemorrhoids (specifically the kind I dealt with). Usually, there are about 12 to 18 of them, and once they're discovered—which often happens unexpectedly—they get removed right away. You don't necessarily have to take all of them out; doctors usually just target the largest or most critical ones, while the smaller ones tend to recede on their own. Surgery is really the only definitive fix. That DG NASA method is typically used alongside other procedures when you're dealing with complications like prolapse. Honestly, all those medications, creams, ointments, or herbal teas? They’re just symptomatic "treatments." Surgery actually solves the problem. Now, there is a tiny 3% margin of unlucky individuals where the DG NASA surgery doesn't work. Those are always the severe cases where everything gets complicated, leaving even the doctor in a tough spot. In those instances, hemorrhoidal disease becomes a massive headache and is almost a mystery to scientists; it becomes incredibly difficult to resolve. There are probably extra medical factors involved that I don't know about as a layman, things even some doctors struggle with. That’s why my advice is simple: use your head. As soon as you notice the first symptoms, go see a doctor immediately. If you catch it in the early stages, it's a breeze. But most people wait until the disease has progressed to the third or fourth stage (usually involving prolapse), and by then, it's a much harder job for the physician because of the complications. I ended up with polyps myself, but luckily, everything turned out fine. Wishing everyone else the best of luck, and my advice is to make sure you find a great doctor who will handle it properly.

Thanks for the replies, but honestly, nobody seems to know what to do. I was at the hospital, and they just stick to the standard approach. When you ask how to actually fix this, all they say is "try a better diet," which doesn't help if you're looking at surgery. There are so many different methods out there that it’s impossible to decide what’s actually best. I’m asking again: if you've been through this, please share your experience. Right now, I'm looking into the DG HAL or PPH methods. Any useful info would be appreciated.

Jesse Castillo9

If you just pop "dg hal rar method" into the search bar right here on the forum, you'll find a ton of threads about it, and most of them are actually pretty recent and relevant.
Besides the dg hal rar approach, the THD method is also a solid option, though you really have to meet certain criteria to be considered a good candidate for that one.
Down in Washington, D.C., you can get the dg hal rar method done at Wells Fargo, but otherwise, you’re looking at going to a private clinic.

Best of luck! 😉

Hey everyone,

Lately, I’ve been feeling some significant discomfort when trying to have a bowel movement—it feels like things have tightened up considerably. When I check myself, I can feel what seem to be some swellings under my finger, which I assume are just swollen veins. I occasionally use some Hemopropin cream, but since I can't realistically apply it twice a day indefinitely, and frankly, it isn't doing much for me, I'm looking for alternatives.
Does anyone know of any "instant" methods for milder cases?
Maybe some kind of pill or something similar... 🤷
(Just to note, it's <25g)

Jesse Castillo9 said:Look, thanks for the replies, everyone. But honestly, it’s hard to know what to do. I was in the hospital myself, and they just stick to the standard old-school methods. When you ask them how to actually fix this, they just tell you to watch your diet. That isn't a solution for surgery yet. On top of that, there are so many different procedures out there that it's impossible to decide what's actually best. So, I'm asking again—if you've been through this, please share your experience. I'm currently looking into the DG HAL or PPH methods. If anyone has any useful info, I’d really appreciate it.

There’s really nothing to study. You just find an incredibly skilled surgeon, trust them completely, and let them do their job. They'll know exactly what needs to be done.

Paul Hayes45 said:Hey guys,

Lately, I've been feeling like it's getting harder to go. The area feels much tighter, and when I check, I can feel some swelling—probably just veins. I use Hemopip cream every now and then, but since I can't keep up with applying it twice a day, it hasn't really helped.
Is there an instant fix for milder cases?
Maybe some kind of pill or something? 🤷
(Just to note, it's about )

Surgery is the only real answer here. This DG HAL RAR method is usually used alongside something else when you're dealing with complications like prolapse. All those medications, creams, ointments, or teas... they're just treating the symptoms. Surgery actually solves the problem.

Paul Hayes45 said:Hey everyone,

Lately, I've been feeling like passing stool is getting significantly harder. My anal area feels really tight, and when I check myself, I can feel some swelling under my finger—probably just swollen veins. Every now and then, I use some Hemopropin cream, but I can't keep applying it twice a day constantly, and honestly, it isn't doing much for me.
Is there any kind of "instant fix" for mild cases?
Maybe some pills or something similar... 🤷
(Just to note, it's about <25g)

You need to go see your doctor. They will most likely refer you to a proctologist.
It is absolutely critical that someone actually examines this so you can start treatment immediately.

Hey there,

So, about three days ago, I woke up dealing with some pretty uncomfortable pain around my anal area. I went to the restroom and felt this little lump, and honestly, sitting down has been a total pain—I can only manage to sit on soft cushions or something similar right now. I’ve been browsing through various stories here from people with similar symptoms like stinging and all that, and it feels like I might just have hemorrhoids like most others, except in my case, there hasn't been any blood at all. I picked up some over-the-counter hemorrhoid cream and have been applying it for two days already; I'm not entirely sure if it's clearing up as fast as I'd hoped, though it seems to be helping a tiny bit... does anyone happen to know if this could be something else or maybe ?? Thanks in advance 🙂

Just try applying some cream that actually targets those symptoms. I’ve no idea which specific one you’ll settle on, but there are plenty of posts here offering recommendations, so just give them a shot. Speaking from my own experience, I can suggest Proctolog or FactSet (though FactSet doesn't always work for everyone). Honestly, your best bet is to head to the doctor; they can write you a prescription for something more effective. Oh, and I almost forgot to mention—it sounds like you're dealing with hemorrhoids.

Can someone please point me toward a solid private practice in NYC that handles proctological exams and DG HAL RAR procedures?
What I really need is to hear from someone who actually had a great experience with a specific doctor or a particular clinic.

Thanks

Jessica Thomas said:Can someone please point me toward a solid private clinic in NYC where they perform proctological exams and DG HAL RAR procedures?
What I really need is to hear from someone who actually had a great experience with a specific doctor or a particular facility.

Thanks

Mayo Clinic with Dr. Ivankovic. 🙂
If you take a look back at my very first posts, I’ve laid out my whole journey there in great detail.

That said, I know some people have dealt with symptoms coming back after their treatment with Dr. Ivankovic. It feels like there's a real balance in the community—just as many people feeling relieved as those who aren't quite satisfied. Personally, though, if I were grading the way they treat patients, I’d give them a perfect score, and honestly, everything else was top-notch too.
Of course, everyone's journey is unique, and others might have had a totally different outcome, so if anyone else wants to share their story, it's always helpful to get a broader perspective. From where I'm standing, I can't say enough good things about them... 🤷

Maybe someone else has a recommendation for a different specialist as well.

Hey everyone! So, after I had my baby, I dealt with some absolutely brutal hemorrhoid issues. I tried basically every cream on the market, but FactSet was my go-to until I stumbled upon those Veneto capsules. Now, the second I feel even a little bit of discomfort, I just knock out a course of Veneto and they totally vanish!
That’s just how it went for me!🙂

Ladies, I could use some advice.
I have a rubber band ligation scheduled for tomorrow, but my period just started... Is there any actual risk if I still go, or can the procedure be done normally (assuming I use a tampon)?

I think I’ll start by testing out the least invasive methods first—beginning with those Veneto capsules and then moving on to other options if needed.. 🙄

Christian Smith2 said:It’s been a while since I last checked in here. I’ve been dealing with hemorrhoids for quite some time, and by around July, I had already made up my mind to undergo DG HAL RAR surgery. My situation was significant enough that bleeding was a frequent occurrence—not uncommon. The hemorrhoids would occasionally prolapse, though they did eventually retreat on their own. The pain wasn't constant, just periodic bouts of discomfort. All this suggests I likely have Stage III hemorrhoids. Since then, I’ve completely overhauled my diet and bathroom habits. I experimented with various creams and herbal teas, but nothing really stabilized things until I fixed my digestion. Now, every single morning immediately after waking up, I prepare a large bowl of muesli mixed with water. I pop it in the microwave for a bit, let it cool, and allow the grains to swell and soften up properly. I add a little more water afterward, and yes, I eat this every single day. I have to admit, it has worked—my condition has improved significantly. The hemorrhoids haven't vanished—that's simply not an option—but they no longer prolapse, bleed, or cause me any pain. I'm not claiming that diet alone is a cure-all, but with this specific regimen, my bowel movements are perfectly regular, occurring every evening before bed. The consistency is exactly what it should be—neither too soft nor too hard. I’ve also refined my technique in the restroom; I ensure everything happens smoothly without even the slightest straining. I make it a point never to sit on the toilet for more than 30 to 60 seconds. That’s essentially the gist of it. It might help someone out, though I’d say this is more suited for milder cases or general prevention. If I were to revert to my old lifestyle—skipping breakfast and neglecting fiber—everything would slide right back to square one. This watery muesli isn't exactly a culinary delight, but it’s edible. One should be cautious if they have a sensitive stomach. For me, combining this with plenty of vegetables has stabilized my digestion (daily and ideal consistency), and so far, there are no issues.

I should also add that you absolutely have to stay hydrated; consuming too much fiber without enough liquid can lead to total constipation. I drink plenty of tea—usually a blend of mint, lemon balm, and valerian. And in the mornings, I opt for oatmeal with a banana, because milk absolutely wreaks havoc on my system...🙂