Rubber band ligation is the most widely used treatment for internal hemorrhoids (almoranas puwet). Rubber band ligation is a procedure in which the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow to the hemorrhoid. In this procedure, a rubber band is applied to the base of the hemorrhoid to hamper the blood supply to the hemorrhoidal mass. The hemorrhoid will then shrink and fall off within 2-7 days.
Sclerotherapy - In this procedure, your doctor injects a chemical solution into the hemorrhoid tissue to shrink it. While the injection causes little or no pain, it may be less effective than rubber band ligation.
Coagulation - delivers heat to destroy the tissue so it can be removed. This method is used for treating Condyloma (warts), hemorrhoids (almuranas sa pwet o piles), chronic rhinitis and tattoo removal. Now, it is used to treat internal and external anal low grade squamous intraepithelial lesions (LSIL) and high grade squamous intraepithelial lesions (HSIL).