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Office based treatments for hemorrhoids include injection sclerotherapy, infrared coagulation, and rubber band ligation. Injection sclerotherapy is my favorite because it’s least painful (most people actually feel nothing, and you can treat multiple hemorrhoids at once). It works by creating a scar over the hemorrhoidal vein and making it scar. In my experience if this is done correctly it can work tremendously well and I’ve seen many patients recommended to have surgery avoid it. Infrared used
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