What are the contraindications to nonsurgical procedures for internal hemorrhoids?

Updated: Sep 24, 2019
  • Author: Kyle R Perry, MD; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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The following conditions are contraindications for performing the nonsurgical procedures mentioned above:

  • Acquired immunodeficiency syndrome (AIDS): Human immunodeficiency virus (HIV) infection and anal disease often occur together—conservative therapy is suggested, especially if immunosuppression is evident; poor healing occurs with low CD4 counts, especially when less than 200 cells/mm3

  • Immunodeficiency disorders

  • Coagulopathy

  • Irritable bowel disease

  • Pregnancy: This condition is associated with many anorectal complaints; nonoperative treatment or office thrombectomy usually relieves complaints, although operative hemorrhoidectomy is safe in pregnant women [35]

  • Immediate postpartum period

  • Rectal wall prolapse

  • Large anorectal fissure or infection

  • Tumor

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