Sclerotherapy near me for Hemorrhoids

Sclerotherapy for Hemorrhoids

If you’re tired of dealing with painful, swollen hemorrhoids but aren’t ready to go under the knife, sclerotherapy for hemorrhoids might be the solution you need. This non-surgical, minimally invasive treatment is designed to shrink hemorrhoids quickly and effectively—without the need for stitches, long recovery times, or hospital stays.

But what exactly is sclerotherapy, and how does it work? In this guide, we’ll break down the process, costs, aftercare, and effectiveness of sclerotherapy, helping you decide whether it’s the right treatment for you.

What Is Sclerotherapy?

Sclerotherapy is a medical procedure used to shrink hemorrhoids and varicose veins by injecting a special solution into the affected veins. This solution causes the vein walls to collapse, cutting off blood flow, which makes the hemorrhoid shrink and eventually disappear.

Sclerotherapy has been used for decades to treat varicose veins, but it is also an effective treatment for internal hemorrhoids, particularly for Grade 1, 2, and some Grade 3 hemorrhoids that don’t respond to home remedies.

How Does Sclerotherapy Work?

  1. A doctor injects a sclerosing solution into the hemorrhoidal vein.
  2. The solution irritates the vein walls, causing them to swell and stick together.
  3. Blood flow is restricted, leading to shrinkage of the hemorrhoid.
  4. Over time, the hemorrhoid hardens, dies off, and is naturally absorbed by the body.

This entire process usually takes just a few minutes and can be done as an outpatient procedure—meaning you can walk in and walk out on the same day.

Who Is a Good Candidate for Sclerotherapy?

Sclerotherapy is an excellent treatment option for:
People with internal hemorrhoids (Grades 1-2) that cause bleeding, discomfort, or itching.
Patients who haven’t responded to home treatments like fiber, sitz baths, or over-the-counter creams.
Those looking for a quick, non-surgical procedure with minimal downtime.
Individuals who want a proven, doctor-recommended treatment that doesn’t involve cutting or stitches.

⚠️ Who Should Avoid Sclerotherapy?
❌ Patients with large prolapsed hemorrhoids (Grade 4) that require surgical removal.
❌ People with external hemorrhoids, as the procedure is primarily used for internal cases.
❌ Those with blood clotting disorders or severe allergies to sclerosing agents.

How Does the Sclerotherapy Procedure Work?

Sclerotherapy is a quick, in-office treatment that usually takes less than 10 minutes. The process is simple and minimally invasive, making it one of the preferred treatments for internal hemorrhoids that don’t respond to home remedies.

Step-by-Step Breakdown of the Procedure

  1. Preparation – The patient lies on their side while the doctor cleans the area.
  2. Injection – A small amount of a sclerosing agent (such as phenol or polidocanol) is injected directly into the hemorrhoidal vein.
  3. Reaction – The injected solution irritates and inflames the vein walls, causing them to stick together and cut off blood flow.
  4. Healing Process – Over time, the hemorrhoid shrinks, hardens, and eventually disappears as the body absorbs the treated tissue.

Since no anesthesia is required, most patients can resume normal activities the same day with little to no discomfort.


How Much Does Sclerotherapy Cost?

The cost of sclerotherapy varies based on location, the number of hemorrhoids treated, and whether insurance covers the procedure.

Average Cost Breakdown

  • Per session: $300 – $600
  • Total cost for multiple treatments: $900 – $2,000
  • With insurance: Some providers may cover sclerotherapy for medical reasons, but cosmetic treatments (such as spider veins) are usually out-of-pocket expenses.

It is always best to check with your insurance provider to see whether sclerotherapy for hemorrhoids is covered under your plan.


Sclerotherapy Before and After: What to Expect

Sclerotherapy Before the Procedure

  • No special preparation is needed, but patients may be advised to avoid aspirin or blood thinners before the treatment.
  • Some doctors recommend a cleansing enema to ensure the rectal area is clean before the procedure.

Sclerotherapy Aftercare & Recovery

  • Mild discomfort, swelling, and irritation may occur for a few days.
  • Avoid strenuous activity or heavy lifting for at least 24 hours.
  • Some patients experience minor bleeding or mucus discharge, which typically resolves within a few days.
  • Sitz baths and over-the-counter pain relievers can help manage discomfort.

Most patients see improvement within a few weeks, and multiple sessions may be required for larger hemorrhoids.


Potential Side Effects of Sclerotherapy

Sclerotherapy is generally safe and well-tolerated, but as with any medical procedure, there are potential risks.

Common Side Effects

  • Temporary swelling and irritation at the injection site.
  • Minor bleeding or mucus discharge for a few days.
  • Mild discomfort that fades within a few hours.

Rare Complications

  • Allergic reactions to the sclerosing solution.
  • Infection if proper hygiene is not maintained post-procedure.
  • Ulceration or tissue damage (very rare, but possible with improper injection technique).

If severe pain, excessive bleeding, or signs of infection occur, it is essential to seek medical attention immediately.

Sclerotherapy vs. Other Hemorrhoid Treatments

While sclerotherapy is a highly effective treatment for internal hemorrhoids, it is not the only option available. Here’s how it compares to other common non-surgical treatments:

TreatmentBest ForProcedure TimeRecovery TimeEffectiveness
SclerotherapyInternal hemorrhoids (Grade 1-3)10-15 minutes1-3 daysHigh success rate for small-to-moderate hemorrhoids
Rubber Band LigationInternal hemorrhoids (Grade 2-3)10 minutes1-2 weeksMore effective for larger hemorrhoids
Infrared Coagulation (IRC)Bleeding internal hemorrhoids5-10 minutes1-2 daysEffective but may require multiple treatments
Hemorrhoidectomy (Surgery)Large, severe hemorrhoids (Grade 3-4)30-60 minutes2-6 weeksPermanent removal but with longer recovery time

Sclerotherapy is best suited for smaller internal hemorrhoids that are causing bleeding or discomfort but have not prolapsed. For larger or prolapsed hemorrhoids, rubber band ligation or surgery may be required.


Is Sclerotherapy the Best Option for You?

Sclerotherapy is an excellent choice for individuals who:
✔ Have Grade 1-2 hemorrhoids that cause bleeding or discomfort.
✔ Want a non-surgical treatment with minimal recovery time.
✔ Have not responded to lifestyle changes or home treatments.

However, it may not be suitable if you:
❌ Have large prolapsed hemorrhoids (Grade 4) that do not shrink with treatment.
❌ Are looking for a one-time permanent solution (some hemorrhoids may require additional sessions).
❌ Have external hemorrhoids, as sclerotherapy primarily treats internal cases.


Final Thoughts

Sclerotherapy is a fast, effective, and minimally invasive procedure that offers lasting relief for internal hemorrhoids. If you’re dealing with bleeding, irritation, or recurring hemorrhoids, it may be the perfect alternative to surgery.

However, choosing the right treatment depends on your specific condition. If hemorrhoids persist despite treatment, discussing other options like rubber band ligation or surgery with a doctor may be necessary.

Find more expert-backed health tips and hemorrhoid treatment options.

Scroll to Top