What is Infrared photocoagulation (also called coagulation therapy)?

Infrared Photocoagulation (IRC) is a non-surgical medical procedure used to treat small and medium-sized internal hemorrhoids. IRC involves the use of infrared light as a heat source to quickly coagulate, or clot vessels supplying blood to the hemorrhoids. IRC is recommended to patients with internal hemorrhoids and bleeding piles.

How is Infrared Coagulation performed?

IRC is a painless procedure that is routinely done at Proctocare clinic. We have an advanced IRC machine for this procedure. A device called Anoscope, that generates an intense beam of infrared light, is directed to the hemorrhoid tissue. A few short bursts of infrared light burns the enlarged hemorrhoid tissue; closing and sealing it at the same time. With the procedure, the hemorrhoid recedes into the anal cavity. IRC works best for a prolapsed hemorrhoid. What exactly happens in IRC is that the Infrared light cuts off the blood supply to the hemorrhoid; causing scar tissue which holds nearby veins in place such that it does not bulge into the anal canal.

What kind of anesthesia is given for the procedure?

Unless the patient has discomfort it can be done without anesthesia .For sedation, a patient needs to be fasting for at least 8-10 hours

How is the patient prepared for the IRC therapy?

The patient is prescribed enema by the doctor that he/ she has to take prior to the procedure. This is to cleanse the rectum. There are no other restrictions or special dietary regime to be followed before the procedure.

What are the risks and complications of this treatment?

There are no notable risks of this procedure.

What is the care to be taken after the IRC treatment and how long does it take to recover fully from the symptoms?

• The patient may experience some sensation of warmth in the rectal area during and after the procedure, which usually subsides within an hour.
• Some patients may experience some mild discomfort for a few days after the procedure.
• Minor bleeding or spotting may occur in some cases.
• Stool softener and sitz bath (sitting in shallow tub of warm water) is recommended for a few days.
• Patient can return to normal activities but avoid heavy lifting for a few days following the procedure.
• Patients are provided with discharge instructions to take home.