After Infared Photocoagulation

Infrared photocoagulation is an effective and well-tolerated office method for
treating bleeding hemorrhoids and other bleeding sites within the anorectal area.
It is as good as or better than rubber banding for bleeding hemorrhoids, and it is
simpler, may cause less pain and have fewer complications.

The infrared machine creates a localized burn in the lining of the rectum where
there is little sensation. This leads to scarring and obliteration of the bleeding
vessels. Each treatment takes only a few minutes. Anywhere from 1 to 5 treatments
are given at 6-week intervals.

Most patients are able to resume work right after a treatment although heavy lifting
or exertion for the first 72 hours should be avoided. You may feel some discomfort
in the rectal area for 24 hours – this is normal. Plain Tylenol Extra Strength tablets
are effective for this. Do not take any aspirin-containing medications or anti-
inflammatories such as Advil or any Ibuprofen product. A small amount of bleeding
during the first 72 hours is also common and should not worry you. Very rarely,
bleeding may be more significant. If you find significant amounts of blood whenever
you sit on the toilet (more than a few teaspoons), contact the Clinic. If you are
unable to make contact and you feel the problem is significant, go to an emergency
department near you and they will assess the urgency to the problem.

Infrared photocoagulation may cause a general spasm in the pelvic floor muscles,
and this may make it difficult to pass urine for a day or so. This issue affects
men primarily. So it is best to limit fluids on the day of the procedure and avoid
caffeinated drinks, which act as a diuretic and will cause the bladder to fill and be
difficult to empty.

WHAT TO WATCH FOR:
Contact the Clinic at (604) 730-5810 immediately if you have severe pain that you
cannot control with Extra Strength Tylenol, inability to pass urine, nausea, vomiting,
fever, shakes/chills, more than a modest amount of bleeding.

Feel free to contact the office at any time if you have questions or concerns about
the treatment or your condition.

© Pezim Clinic, Vancouver, British Columbia, Canada