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You may need to have surgery to treat the internal hemorrhoids. Several different procedures are available to eliminate or shrink hemorrhoids. These include: 1. Rubber band ligation: the doctor ties a rubber band around the hemorrhoid to cut off the circulation; the hemorrhoid then shrivels and disappears. 2. Sclerotherapy: the doctor injects a chemical solution into the hemorrhoid to shrink it. 3. Infrared coagulation: the physician burns the hemorrhoid off. 4. Hemorrhoidectomy: this is a surgical procedure to remove hemorrhoids. 5. Transanal Hemorrhoidal Dearterialization or THD: THD a less invasive, less traumatic approach to hemorrhoid treatment. Consult your physician to see what’s right for you.

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