Large rectal polyp with haemorrhoidal disease Elective polypectomy
Managing Large Rectal Polyps with Haemorrhoidal Disease
Managing a large rectal polyp alongside haemorrhoidal disease requires a careful and personalized approach, depending on the size, type, and symptoms of both conditions.
Understanding Large Rectal Polyps
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Large polyps (especially >2 cm) can be challenging due to their size, flat shape (sessile), or location near the anal canal.
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Risks include bleeding, incomplete removal, and in rare cases, potential precancerous changes.
Treatment Options for Polyps
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Endoscopic Mucosal Resection (EMR)
A solution is injected beneath the polyp to lift it before removal. Often used for larger but benign polyps. May need multiple sessions. -
Endoscopic Submucosal Dissection (ESD)
Advanced method allowing full single-piece removal. Reduces recurrence risk but needs an expert surgeon. -
Transanal Endoscopic Microsurgery (TEMS)
Minimally invasive surgery through the anal canal for polyps not easily accessible by endoscope. -
Surgical Resection
Required if the polyp is cancerous or too complex for endoscopic removal. May involve part of the rectum being removed.
Understanding Haemorrhoidal Disease
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Haemorrhoids are swollen blood vessels in the anal canal, often causing pain, bleeding, itching, or prolapse.
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Can worsen due to chronic constipation, straining, or prolonged sitting.
Treatment Options for Hemorrhoids:
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Lifestyle & Medical: High-fiber diet, warm water sitz baths, ointments, and stool softeners.
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Minimally Invasive: Rubber band ligation, infrared coagulation.
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Surgical: Hemorrhoidectomy or stapled hemorrhoidopexy (in severe cases).
Risks and Considerations (Both Conditions)
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Bleeding: Especially after polyp or hemorrhoid removal.
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Perforation: Rare but serious risk during large polyp resection.
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Incomplete Treatment: May need staged or multiple procedures for complete management.
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Co-management: Symptoms from hemorrhoids can worsen during recovery if not addressed simultaneously.
Next Steps
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Consultation: Meet a colorectal surgeon or gastroenterologist experienced in both polypectomy and hemorrhoid management.
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Evaluation: You may need colonoscopy, endorectal ultrasound, or MRI to assess the full extent of both problems.
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Combined Treatment Planning: In some cases, both conditions can be treated in one procedure. The decision depends on your overall health and anatomy.
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Recovery and Follow-Up: Healing varies by procedure type. Follow-up is essential to monitor healing and prevent recurrence.
If you need help finding a qualified specialist or an Ayushman Bharat empanelled hospital for treatment support, feel free to ask. Wishing you the best for a complete and speedy recovery.
Vianam Healthtech Private Limited (HexaHealth), Third Floor Building B, The Presidency, 46/4, Sector 14, Mehrauli Gurgaon Road, Gurgaon, Haryana 122001
