Primarily, various Ayurvedic medicinal treatments are advised to stop bleeding. Ksharakarma (local application of alkaline herbal paste) is often advised to shrink the first and second degree internal piles masses.
The third and fourth degree haemorrhoids are ligated with ksharasutra.
Yes, any type of surgical intervention causing anal dilation requires suitable anaesthesia. Commonly, these surgeries are performed under saddle block anaesthesia. External skin tags can be removed under local anaesthesia.
Ksharasutra ligation performed under saddle block requires hospitalization. The period of hospitalization may vary from 24 hours to 72 hours. The procedure performed under local anaesthesia may be discharged on same day.