Patient Information
You've been referred for IRC, which will help treat your internal hemorrhoids. This is meant to give you a basic understanding of the procedure - how it is performed, how it can help, and what side effects you might experience. It can't answer all of your questions, since a lot depends on the individual patient and the doctor. Please ask your doctor about anything you don't understand.
What Is IRC?
During IRC, a speculum is inserted into the rectum to help expose the internal hemorrhoids. A small probe then contacts the area above the hemorrhoid, exposing the tissue to a burst of infrared light for about one second. This coagulates the veins above the hemorrhoid causing it to shrink and recede. The patient may feel a sensation of heat very briefly, but it is generally not painful. Therefore anesthetic is usually not required.
Why Is IRC Done?
There are two types of hemorrhoids: internal and external. Internal hemorrhoids develop inside the anus. The most common symptoms are bleeding during bowel movements or protrusion through the anus upon straining. External hemorrhoids develop around the anus and can be very painful, especially if a blood clot develops within them. Most hemorrhoidal conditions can be managed successfully by increasing the water intake in diet as well as increased fiber. For those patients with internal hemorrhoids that fail conservative management, IRC may be an option. Importantly, IRC is NOT used for the treatment of external hemorrhoids.
What Can I Expect During IRC?
The test takes approximately 15 minutes. You will be asked to change into a hospital gown. The patient then lies on his or her left side. The speculum is then inserted into the rectum and the probe is used to treat the hemorrhoidal tissue. After the examination, you may drive yourself home and go about your normal activities. Heavy straining or lifting should be avoided and aspirin should not be taken for a few days. Some patients may require multiple sessions to fully treat all of the internal hemorrhoids.
What Are The Possible Complications Of IRC?
IRC is a safe, low risk procedure and is unlikely to cause any significant pain. The main potential complication is post-procedure bleeding, which can be immediate or occur several days later. This will usually resolve on its own.
Additional Questions?
If you have any questions about your need for IRC, alternative approaches to your problem, the cost of the procedure, or methods of billing or insurance coverage, do not hesitate to speak to your doctor or doctor's office staff about it.
