Gastroenterologist Questions

Hemorrhoid procedure decision

My daughter has seen two different GI drs about her stage 3/4 internal hemorrhoids. One told her to have rubber band ligation procedure and one recommended the laser hemorrhoidoplasty. Do you have advice on which is the better way to go? The only other medical information is that she is allergic to gluten and is being tested for Celiac. She has had two colonoscopies over the past few years with negative results. Only thing that showed up was the hemorrhoids. She does have quite a bit of bleeding that comes and goes.

Female | 21 years old
Complaint duration: 3 years
Medications: No GI meds only meds for mental health
Conditions: Internal Hemorroids

1 Answer

This is more the realm of a surgeon rather than a gastroenterologist. To my knowledge, the two methods you name have not been compared in a definitive randomized trial. They both can be helpful, so I think either choice is ok, but both are not as effective as a surgical hemorrhoidectomy.