Infrared Coagulation (IRC)
& O'Regan Rubber Band Ligation (RBL)

What are hemorrhoids?
Does everyone have hemorrhoids?
Why are hemorrhoids there?
Are there different types of hemorrhoids?
What symptoms do hemorrhoids cause?

Infrared Coagulation

What is Infrared Coagulation (IRC)?
Is IRC Painful?
How many treatments will I need?
Is Infrared Coagulation effective on all grades of hemorrhoids?
Will I have any post treatment after effects?
Can hemorrhoids be cured?

O'Regan Rubber Band Ligation (RBL)

What is O'Regan Rubber Band Ligation (RBL)?
Is RBL Painful?
How does RBL work?
How many treatments will I need?
Is O'Regan Rubber Band Ligation effective on all grades of hemorrhoids?








Q - What are hemorrhoids?
A -
External hemorrhoids are swollen veins on the outside of the anal canal. Internal hemorrhoids are downwardly displaced anal cushions that contain swollen blood vessels, elastic tissue and smooth muscle fibers. (top)

Q - Does everyone have hemorrhoids?
A -
Yes, everyone is born with three internal hemorrhoids located in the upper anal canal. Unless they are enlarged or inflamed, they do not usually cause problems. (top)

Q - Why are hemorrhoids there?
A -
Internal hemorrhoids inflate with blood during any increase in intra-abdominal pressure, such as coughing, sneezing, or bending over the pick something up. They help maintain continence of gas and stool, and assist in supporting the anal canal during defecation. (top)

Q - Are there different types of hemorrhoids?
A -
External hemorrhoids are located around the anal opening. Internal hemorrhoids are located in the upper part of the anal canal. (top)

Internal hemorrhoids are usually not painful and are classified into grades depending on their location and prolapse status.

Grade I: Bleeding without prolapse(top)

 Grade II: Prolapse with spontaneous reduction.(top)

Grade III: Prolapse with manual reduction
Grade IV: Incarcerated, irreducible prolapse

External hemorrhoids are caused by a swollen branch of the inferior hemorrhoidal vein, and may contain a blood clot.  They are sually very painful. (top)

Q - What symptoms do hemorrhoids cause?
A -
1.      Bleeding – is usually bright red and is often seen on the toilet paper after wiping, and is sometimes seen in the toilet bowel after a bowel movement.
    2.      Burning – is one of the inflammatory symptoms caused by hemorrhoids.
    3.      Discharge – is the result of excessive mucus production by the anal mucosa overlying the inflamed hemorrhoids.
    4.      Discomfort – during bowel movements is often caused by constipation or diarrhea, which irritate hemorrhoids. Straining, prolonged sitting on the toilet, and wiping with dry toilet paper can make the problem worse.
    5.      Itching – is usually caused by the production of excessive mucus by the anal mucosa due to inflammation of the hemorrhoids.
    6.      Prolapse – a feeling of fullness in the lower anal canal, or finding that the hemorrhoid protrudes out of the anal opening during or after a bowel movement indicates prolapse.(top)






Q - What is Infrared Coagulation (IRC)?

A -
Infrared Coagulation is a non-surgical procedure which involves treating the blood supply above the hemorrhoid with short bursts of warm light from a small infrared probe.

Much like a laser, this generates heat which causes the hemorrhoid's blood supply and the hemorrhoid to shrink.

Below is a picture of how Infrared Coagulation is applied to the hemorrhoids.


Q - Is IRC Painful?
A -
The patient may feel slight pressure and a sensation of heat very briefly, but since the treatment is done in an area which lacks pain fibers, it is generally not painful. Therefore, anesthetics are usually not required. (top)

Q - How many treatments will I need?
A -
Optimal results usually occur after six (6) weekly or biweekly treatments. Some patients may require up to nine (9) treatments depending on the severity of their symptoms. Patients can return to their usual activities the same day. (top)

Q - Is Infrared Coagulation effective on all grades of hemorrhoids?
A -
IRC can be used to effectively treat grades 1 - 3 hemorrhoids. Grade 4 hemorrhoids require stapling or surgery. (top)

Q - Will I have any post treatment after effects?
A -
There may be slight spotting or bleeding 2 - 3 days after a treatment which resolves spontaneously. There is usually no significant post treatment pain. (top)

Q - Can hemorrhoids be cured?
A -
Hemorrhoids can and often do recur even after painful surgical removal. Symptoms generally do not recur after IRC treatment. If symptoms recur years after IRC treatment, they usually resolve after re-treatment. (top)






Q - What is O'Regan Rubber Band Ligation (RBL)?
A -
During this brief and painless procedure a small rubber band is placed around the hemorrhoid above the dentate line where there are no pain sensitive nerve endings.(top)

Q - Is RBL Painful?
A -
Unlike traditional banding techniques that utilize a metal-toothed clamp to grasp the tissue, a gentle suction device is used, reducing procedure related pain and bleeding.(top)

Q - How does RBL work?
A -
This banding procedure works by cutting off the blood supply to the hemorrhoid, and causing the surrounding tissue to shrink back in place. This shrinking process eliminates the prolapse, and typically takes several weeks for the full effect to be reached.

The banded tissue dies and falls off, mixing in with the stool, and the hemorrhoid shrinks as a result of the above. You probably won’t even notice when this happens or be able to spot the band in the toilet.

Once the banded tissue falls off in 7 – 10 days, the resulting wound heals a few days later. In order to maintain the highest level of safety, only one hemorrhoid is treated at a setting.(top)

Q - How many treatments will I need?
A -
There are three sites where hemorrhoids frequently form, so the majority of patients require three separate treatment sessions. Some patients will require more than three treatments; some others may require subsequent external skin tag removal, if they are causing discomfort, irritation, or difficulty with hygiene.(top)

Q - Is O'Regan Rubber Band Ligation effective on all grades of hemorrhoids?
A -
O'Regan Rubber Band Ligation is effective for 98% of hemorrhoids. Only a very small number (1 – 2%) may be too advanced for rubber band ligation techniques and may require surgical intervention.(top)



We recognize that hemorrhoids can be both painful and embarrassing. We treat each patient with dignity and respect and we comply with all government HIPPA privacy rules and regulations.

At Advanced Hemorrhoid Care, we focus on painless non-surgical treatment for patients suffering with Grade 1 - 3 hemorrhoids. Michael Bush, MD, a board certified physician and AHC Medical Director, specializes in Infrared Coagulation (IRC) - a well recognized hemorrhoid treatment that has a success rate of greater than 90%.

If you have been suffering with hemorrhoids, call Advanced Hemorrhoid Care now for an appointment: 520-795-6900 (top)