I'm in pain thinking about trying Infrared Coagulation. here's the info i found:

Infrared Coagulation (IRC) is the most widely used office treatment for hemorrhoids and is preferred over other methods because it is fast, well-tolerated by patients, and virtually problem-free. 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 usually not required.

It sounds really good. much better than real surgery. Have anyone done this? Is it effective? will this cure my hemroids for good?

I did!

I was in pain for about a week, and I decided to call the number they promote on the web. I went to a special doctor who specializes on IRC located in my city.
First he stuck his finger up my butt to examine me. That was very painful since I was in a big pain from extrnal hemroid.
Then he inserted a anoscpe and the IRC tool. It was extremly painful , and I did not return for other treatments (6 of them). I paid $600 for that treatment since i din't have insurance. I decided I'll go the natural way: lots of water+fiber+calmovil+medicated wipes which is helping me.

I have started IRC treatment 2 weeks ago. I have undergone 2nd treatment so far. The result is great and it did reduce the swallon and blood clot on my external hemeroid. Right now I have less pain than when I first visit. Regarding to the pain incurred, it depends on the seriousness of your hemeroid. If you have an external hemeroid that hanging outside your anus with an obvious and hard blood vein , when doctor trying to do a physical examination, you will surely feel certain degree of pain as the hemeroid is very sensitive at the skin area. The probe itself that inserted into the rectum only feel like a slight and quick bee stink... that's it. It is not painful!!! Mostly, it is very quick, less than 1 min.

The first time was pretty painful and irritating to me when doctor trying to do the examination and only because I had a very serious blood clot vein . The 2nd time , the pain already reduced to 30 to 40%... i should say, no problem to handle!

I recommend you to try IRC...so far the result is good.. it is improving! I rather to have one time pain than forever pain. Most of all, you need to maintain 10mins sitz bath daily, good fiber food, decrease dairy product, tomatoes, alcohol, citrus food. Do not use toilet paper, just baby wipes or water. Maintain a good bowel movement daily. Rest more!

I found all these helps !

I just had my first treatment and it was pretty much pain free however for last 2 days I have had a dull ache up inside of me. Anyone else have this and if so - for how long? The doc said although this is not common it is not unusual and you can even had referred pain elsewhere.

here is a great list of herbs used to treat and eliminate hemorrhoids: taken with permission from http://www.hemroidharry.com/ingredients.html

Witch Hazel -- contains procyanadins, resin, and flavonoids, which help it work as a soothing, anti-inflammatory agent that relieves hemorrhoid pain.

White Oak Bark - the active ingredients are tannin and quercin. Quercin is similar in effect to salicin (natural aspirin) and is used along with bioflavinoids to strengthen the capillaries and veins. White oak bark also contains ample amounts of calcium, manganese, potassium and magnesium. It is particularly good for stopping internal bleeding.

Butcher's Broom Root-- has been known for 2,000 years for its healing properties, especially for its benefits to the circulatory system. Recent tests by German and French doctors indicated that butcher's broom root lessens post-operative thrombosis; and also showed definite and measurable relief for hemorrhoid and varicose vein sufferers.

Stone Root -- is used to reduce back pressure in the veins, which in turn helps prevent the formation or worsening of hemorrhoids and varicose veins.

Ginger -- extracts have been shown to have both antioxidant, anti-inflammatory and anti-tumor effects on cells. We use it for its ability to improve blood circulation and naturally cleanse the body.

Cayenne -- has been used medicinally for thousands of years. There is no other herb which increases your blood flow faster than cayenne. When you have hemorrhoids, there's often a restriction of blood flow to that area. Blood flow is what takes nutrition and the healing properties of herbs to those cells. Blood flow is also what carries out and removes waste material.

Hi...

Small internal hemorrhoids are often successfully treated with coagulation therapy. Large hemorrhoids are more likely to be treated with rubber band ligation.
- One large study comparing infrared photocoagulation therapy, rubber band ligation, and injection sclerotherapy showed that infrared photocoagulation caused fewer and less serious complications...