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Infrared Coagulation

Infrared Coagulation (IRC) is the most widely used office treatment for hemorrhoids and is preferred over other methods because it is fast, well-tolerated by patients, and virtually problem-free. A small probe contacts the area above the hemorrhoid, exposing the tissue to a burst of infrared light for about one second. This coagulates the veins above the hemorrhoid, causing it to shrink and recede. The patient may feel a sensation of heat very briefly, but it is generally not painful. Therefore, anesthetics are usually not required.

There are generally no side effects. Most patients return to a normal lifestyle the same day. There may be slight spot bleeding a few days later. Heavy straining or lifting should be avoided and aspirin should not be taken for a few days.

Many patients have more than one hemorrhoid. Therefore, most physicians recommend two or three visits at two-week intervals, treating a different portion of the hemorrhoid tissue each visit.

Hemorrhoids treated with IRC generally do not recur. A sensible diet, moderate exercise and proper bowel habits will help.