If pain from a thrombosed hemorrhoid is severe, your physician may decide to remove the hemorrhoid and/or clot with a small incision. These procedures can be done at your physician’s office or at the hospital under local anesthesia.

Rubber Band Ligation: This treatment works well on internal hemorrhoids that protrude during bowel movements. A small rubber band is placed over the hemorrhoid, cutting off its blood supply. The hemorrhoid and the band fall off in a few days. The wound usually heals in one to two weeks. Mild discomfort and bleeding may occur. Sometimes this treatment needs to be repeated for complete treatment of the hemorrhoids.


  • Bulging, bleeding, internal hemorrhoid
  • Rubber band applied at the base of the hemorrhoid
  • About seven days later, the banded hemorrhoid has fallen off, leaving a small scar at its base

Injection and Coagulation: This method can be used on bleeding hemorrhoids that do not protrude. Both methods are fairly painless and cause the hemorrhoid to shrivel up.

Hemorrhoidectomy: This is the most complete surgical method for removing extra tissue that causes bleeding and protrusion. It is done under anesthesia using either sutures or staples. Depending on the case, hospitalization and a period of rest may be required. Contrary to popular belief, laser methods do not offer any benefit compared to standard operative techniques. Laser surgery is expensive and no less painful.

Hemorrhoidectomy is considered when:

  1. Clots repeatedly form in external hemorrhoids
  2. Ligation is not effective in treating internal hemorrhoids
  3. The protruding hemorrhoid cannot be reduced
  4. There is chronic bleeding