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Description:Sclerotherapy involves injecting a chemical solution to reduce the blood supply to the hemorrhoids. It is written by a team of health care professionals, scientists and editors, and reviewed by external experts. Am Fam Physician ; 84 2: Doctors typically first feel for anything unusual. Further information Some treatments and surgical procedures can only be done in a hospital, such as those for enlarged hemorrhoids. For instance, sclerotherapy might be considered for the treatment of grade 1 and grade 2 hemorrhoids, and rubber band ligation might be considered for grade 2 and grade 3 hemorrhoids.