Infrared Coagulation (IRC)

IRC is the most widely accepted office treatment for internal hemorrhoids and is preferred over other methods because it is fast, well-tolerated by patients, and has a low rate of complications. A small probe 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 not required.

Are there any after-effects?

After a brief office visit, most patients return to normal activity the same day. There may be slight spot bleeding a few days later. Heavy straining or lifting should be avoided.

How many visits are required?

Depending on the size and number of your internal hemorrhoids, the number of visits can vary from just one to three or more.

What type of preparation is required?

There is no laxative preparation or need for fasting before this procedure. You don't need a driver to accompany you. After examining the rectum with a lubricated glove, the doctor will insert a short plastic scope called an anoscope. This is not painful but will cause a feeling of fullness in the anal area. The doctor can now view the hemorrhoids directly. Once the "target" is identified, he will pass a small infrared probe above the hemorrhoids. He will then apply short bursts of Infrared light. This generates heat which destroys the veins that feed the hemorrhoid tissue.

Will the hemorrhoids come back?

Millions of patients have been treated with IRC. Our experience has been that hemorrhoids treated with IRC shrink, and may never recur. A sensible diet, moderate exercise and proper bowel habits will also help.

Is the procedure covered by health insurance?

Yes, private insurance and Medicare cover these types of procedures.

A word about colon cancer

Blood in the stool can be a sign of a tumor in your colon or rectum, or another condition other than hemorrhoids. It is important that you talk to a specialist. Whether you are symptomatic or not, the American Cancer Society recommends a screening colonoscopy for people over 50 years old.