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Doctor who treat hemorrhoids: Hemorrhoids – Diagnosis and treatment


Choosing A Doctor To Treat Your Hemorrhoids

If you suffer from hemorrhoids, the good news is that lower grade hemorrhoids can resolve on their own with at-home treatments. But what if they get to the point where you need to see a doctor to treat them? How do you choose where to go and what doctor is right for you?

Here’s what you should know about finding the right doctor for you:

Ask For Referrals

To start, ask for referrals to specialists! This is an important step in choosing a doctor, as your primary care physician may not be able to treat hemorrhoids on their own. Doctors will often refer to specialists on their own, but if they don’t make sure you mention it.

In order for insurance to cover the cost of the examination and procedure at a specialist, a referral is needed.

The Right Doctor For The Right Procedure

It’s also important that you search your insurance’s website for doctors that are within your network. This will help prevent out-of-network charges and other out-of-pocket fees. When you have a list of doctors, it’s a good idea to meet with them to determine if they are right for you and your needs.

It’s a good idea to ask friends and family if they have had experience with these doctors to get an idea of their experience as well as research the doctor’s license and any potential complaints against them.

Depending on the severity of the hemorrhoids, the doctor you pick depends on their specialty:


A gastroenterologist can diagnose hemorrhoids and provide non-surgical treatments like hemorrhoid banding. If your hemorrhoid is severe enough to warrant surgery, they will refer you to a doctor that can, like a colorectal surgeon or a general surgeon.

Like a gastroenterologist, a colorectal specialist will be able to diagnose you with hemorrhoid and provide treatment options. The only difference is that a colorectal specialist is able to provide surgical treatments if deemed necessary.

General Surgeon & Colorectal Specialist

A general surgeon and a colorectal specialist (or surgeon) can perform surgeries on hemorrhoids if they are severe enough in the form of a hemorrhoidectomy. Hemorrhoids may require surgery when they don’t respond to non-surgical treatments or if it prolapses.

These doctors can perform hemorrhoid surgery and send you home that day after a brief observation and discussing aftercare to you and a trusted family member.

The Right Doctor Will Listen & Answer Your Questions

A doctor should listen to your questions and concerns and answer them in a way you understand. They will also help you understand your treatment options and feel comfortable discussing the problem.

After treatment, your doctor should thoroughly go over aftercare and how you can treat yourself at home to lessen symptoms and heal.

They Use The Right Equipment

Hemorrhoid treatment should not be painful, even if it is a non-surgical treatment like banding. That’s why you should ask your doctor what equipment they use like the Nexus System, which is a fast, safe, and non-disruptive treatment option for low-grade hemorrhoids.

Hemorrhoid Treatment NYC – Treatment & Surgery (Hemorrhoidectomy)

If you’re suffering from internal or external hemorrhoids, the first step towards relief is making an appointment with our NYC board-certified gastroenterologist and hemorrhoid doctor, Dr. Anthony Borcich. Dr. Borcich has over three decades of experience performing gastrointestinal treatment, including hemorrhoid treatment and surgery. He is known for his expertise, compassionate care, and thorough approach, with a patient rating of 4.7 on ZocDoc.

What are hemorrhoids?

Located in the lower rectum and anus, hemorrhoids are swollen and inflamed veins. There are two types of hemorrhoids:

  • Internal hemorrhoids: Internal hemorrhoids are located inside the rectum and generally can’t be seen or felt. Since they are painless, these hemorrhoids are only noticed when a person sees blood (usually bright red) on the toilet paper or in the toilet bowl after a bowel movement. Nevertheless, internal hemorrhoids can be distressing because they can protrude (“prolapse”), which may cause them to push through the anus.
  • External hemorrhoids: External hemorrhoids are noticeable, itchy, and irritating. They can usually be felt and cause pain or bleeding during a bowel movement. Sometimes blood from external hemorrhoids can pool and form a clot (called a “thrombus”). This may cause a lot of pain, swelling, and inflammation. Occasionally, leaking of bowels (feces) may occur due to external hemorrhoids.

What causes hemorrhoids?

Factors that may cause hemorrhoids include:

  • Not enough fiber in diet
  • Frequent diarrhea or constipation
  • Straining bowel movements
  • Obesity
  • Pregnancy
  • Sitting on the toilet for a long time
  • Anal intercourse
  • Old age

What are hemorrhoids symptoms?

Hemorrhoid symptoms depend upon the location and type of hemorrhoid. Symptoms of hemorrhoids may include:

  • Itching or irritation in your anal area
  • Rectal bleeding, common during bowel movements
  • Swelling around your anus
  • Painful or sensitive lump near, or around your anus
  • Feces leakage

If you’re experiencing any of these symptoms, contact our expert hemorrhoid doctors and specialists immediately for diagnosis and treatment.

What are the treatments for hemorrhoids?

The first step to hemorrhoid treatment in New York City begins with a thorough evaluation, including a review of your medical history and your symptoms. In some cases, internal and external hemorrhoid symptoms can be alleviated with simple lifestyle modifications and conservative measures, such as over-the-counter topical creams, stool softeners, adding more fiber to your diet, drinking more water and losing weight. However, in more severe cases, hemorrhoid surgery (hemorrhoidectomy) may be necessary. Whenever possible, hemorrhoid specialist Dr. Borcich emphasizes the use of non-invasive or minimally invasive hemorrhoid treatment techniques, as needed.

What are the surgical treatments for hemorrhoids?

In cases of severe internal hemorrhoids, there are a number of different minimally-invasive hemorrhoid surgery options, including:

  • Rubber band ligation which involves the use of tiny rubber bands that are placed around the base of hemorrhoids in order to cut off blood supply. This prompts hemorrhoids to shrink and fall off on their own within a few days.
  • Sclerotherapy which involves the injection of a special medication directly into hemorrhoids to painlessly shrink it.
  • Coagulation (infrared, laser, or bipolar) which involves the use of targeted infrared light or heat that causes internal hemorrhoids to harden and shrivel. This treatment option also helps to prevent future hemorrhoids from developing.

Infrared coagulation is one of the latest minimally invasive hemorrhoid treatment and the procedure can be performed in-office with minimal downtime.

In cases of serious, chronic or large hemorrhoids, a more invasive surgery may be necessary. This type of surgery is called a hemorrhoidectomy, and it’s usually performed in a surgery center where the patient is given a sedative in order to relax them during the procedure. For this surgery, Dr. Borcich will use one of three instruments: a knife, a tool that uses electricity (called a cautery pencil), or a laser. Usually, the patient is able to go home the same day.

If you’re searching for a doctor who treats hemorrhoids in NYC, visit Dr. Anthony Borcich, a Manhattan gastroenterologist and hemorrhoid doctor with more than 30 years of experience in treating patients with hemorrhoids. Known for his compassionate care and personalized approach, Dr. Borcich can diagnose and treat your hemorrhoids and get you the relief you need. Schedule an appointment with a hemorrhoid doctor today by contacting our office or filling out the schedule appointment form on this page.

Hemorrhoids | Cooper University Health Care

Diagnosing Hemorrhoids

At Cooper, your doctor can diagnose hemorrhoids based on your medical history and by performing a physical exam on site. Our experts will check the area around your anus, perform a digital rectal exam, or other necessary procedures to look inside your anus and rectum to accurately diagnose and recommend a treatment.

  • Physical exam. An exam is done to check your anus and rectum and look for swollen blood vessels.
  • Digital rectum examination (DRE). Your doctor inserts a gloved, lubricated finger into your rectum to check for any problems.
  • Anoscopy. A hollow, lighted tube is put into your anus to see internal hemorrhoids.
  • Proctoscopy. A lighted tube is put into your anus to see your rectum.
  • Sigmoidoscopy. This test checks the inside of part of your large intestine and helps to determine what may be causing diarrhea, belly pain, constipation, abnormal growths, and bleeding. A short, flexible, lighted tube (sigmoidoscope) is put into your intestine through the rectum.

Signs and Causes of Hemorrhoids

Symptoms depend on the type of hemorrhoid. External hemorrhoid symptoms include anal itching. Internal hemorrhoid symptoms include rectal bleeding. Poor toilet habits, constipation, a low-fiber diet, and aging may cause hemorrhoids.

Preventing Hemorrhoids

Eating high-fiber foods can make your stools softer and easier to pass and can help treat and prevent hemorrhoids. Drinking water and other liquids, such as fruit juices and clear soups, can help the fiber in your diet work better.

Treatment for Hemorrhoids

Your team will create a care plan for you based on:

  • Your age, overall health, and past health
  • Whether you have internal hemorrhoids, external hemorrhoids, or both
  • How well you handle certain medicines, treatments, or therapies
  • If your condition is expected to get worse
  • The treatment plan that is most comfortable for you

You can manage and treat most hemorrhoid symptoms at home by changing your diet and toilet habits. Measures you can take include:

  • eating foods that are high in fiber
  • taking a stool softener or a fiber supplement
  • drinking water or other nonalcoholic liquids
  • not straining during bowel movements
  • not sitting on the toilet for long periods of time
  • taking over-the-counter pain relievers
  • sitting in a tub of warm water, called a sitz bath, several times a day to help relieve pain

Applying over-the-counter hemorrhoid creams or ointments or using suppositories may relieve mild pain, swelling, and itching of external hemorrhoids. If these measure don’t relieve symptoms within about a week, you should see your doctor.

Most prolapsed internal hemorrhoids go away without at-home treatment. However, severely prolapsed or bleeding internal hemorrhoids may need medical treatment.

When home management proves unsuccessful, your primary care doctor can refer you to a colorectal surgeon. This type of surgeon can treat hemorrhoids with procedures during an office visit, in an outpatient surgery center, or in a hospital.

  • Rubber band ligation for bleeding or prolapsing internal hemorrhoids. A doctor places a special rubber band around the base of the hemorrhoid to cut off the blood supply. The banded part of the hemorrhoid shrivels and falls off, and scar tissue forms in the remaining part of the hemorrhoid, often shrinking it.
  • Sclerotherapy. A doctor injects a solution into an internal hemorrhoid, which causes scar tissue to form. The scar tissue cuts off the blood supply, often shrinking the hemorrhoid.
  • Infrared photocoagulation, during which a tool is used to direct infrared light at an internal hemorrhoid. Heat created by the infrared light causes scar tissue to form, which cuts off the blood supply, often shrinking the hemorrhoid.
  • Electrocoagulation, in which the doctor uses a tool that sends an electric current into an internal hemorrhoid. The electric current causes scar tissue to form, which cuts off the blood supply, often shrinking the hemorrhoid.
  • Hemorrhoidectomy, in which the doctor removes large external hemorrhoids and prolapsing internal hemorrhoids that do not respond to other treatments.
  • Hemorrhoid stapling, in which the doctor uses a special stapling tool to remove internal hemorrhoid tissue and pull a prolapsing internal hemorrhoid back into the anus.

Find Expert Care for Hemorrhoids at Cooper

To learn more about services we offer for hemorrhoids or to make an appointment, call 800. 8.COOPER (800.826.6737).

Hemorrhoids Specialist – New City, NY: Gastrointestinal Associates of Rockland: Gastroenterologist

What are hemorrhoids?

Hemorrhoids, also known as piles, are swollen, irritated veins in the lower part of your rectum and anus. The most common cause of hemorrhoids is straining during bowel movements, including chronic constipation. That usually means you don’t get enough fiber in your diet.

Hemorrhoids also develop in response to excess pressure on your lower rectum. Other risk factors for hemorrhoids include: 

  • Sitting for long periods of time
  • Heavy lifting
  • Pregnancy
  • Obesity

Hemorrhoids can affect both the inside of your rectum (internal hemorrhoids) and the skin surrounding your anus (external). 

They’re not always symptomatic (other than being noticeably swollen), but they may bleed, itch, or cause pain. External hemorrhoids are more likely to cause discomfort because the area around your anus has a lot of nerve endings.

When do I need to see my doctor for hemorrhoids?

Most hemorrhoids don’t require medical attention and go away within a couple of weeks. If your hemorrhoid is causing only minor discomfort, you may first try to manage the symptoms at home. 

You can usually relieve the pain, swelling, and inflammation with over-the-counter creams or by taking warm baths.

Hemorrhoids are rarely dangerous, but they can cause significant discomfort and may improve only with more advanced treatment. Schedule an appointment at Gastrointestinal Associates of Rockland if:

  • You see signs of rectal bleeding, including blood when you wipe
  • You’re in severe pain
  • The hemorrhoid hasn’t improved after a week with at-home treatment

Hemorrhoids aren’t the only condition that causes rectal bleeding. Your doctor examines the affected area to determine if your symptoms are the result of hemorrhoids or have another cause, such as anal fissures (tears).

What treatment options are available for hemorrhoids?

If you have a hemorrhoid that is persistent, bleeding, or large, your doctor can treat it in the office using a nonsurgical procedure. There are several proven-effective treatments for hemorrhoids. Your doctor may recommend:

  • Banding: Placing tiny rubber bands at the base of the hemorrhoid, cutting off its circulation
  • Coagulation: Aiming guided light or heat at hemorrhoids so they harden or shrivel
  • Sclerotherapy: Injecting a chemical into the hemorrhoid, causing it to shrink

In addition to treating hemorrhoids, your doctor helps you develop good habits that prevent hemorrhoids from recurring. These habits include eating high-fiber foods such as fruits, vegetables, and whole grains, and staying hydrated.

To get treatment for a hemorrhoid, call Gastrointestinal Associates of Rockland or use the online booking tool.

Hemorrhoids (Piles) | Digestive Health Gastroenterology


Hemorrhoids – also known as piles – are veins in the anus and lower rectum that become swollen. Internal hemorrhoids develop inside the rectum, while external hemorrhoids develop in the skin around the anus. Hemorrhoids are a common condition, affecting about 75% of adults. 

Hemorrhoids causes 

There are a number of causes of hemorrhoids, including:

  • Anal intercourse
  • Chronic (long-lasting) diarrhea or constipation
  • Low fiber in your diet
  • Obesity
  • Pregnancy
  • Prolonged periods of sitting on the toilet
  • Regular lifting of heavy objects, such as weights or occupational (job) lifting
  • Straining while having bowel movements

Hemorrhoids risk factors

The two main risk factors for developing hemorrhoids are increased age and being pregnant. Both can cause the tissues that support the rectum and anus veins to weaken and stretch.

Hemorrhoids symptoms

The signs and symptoms of hemorrhoids depend on the type of hemorrhoids you have. Symptoms of external hemorrhoids include:

  • Bleeding from or around the anus
  • Itching or irritation around your anus
  • Pain or discomfort
  • Swelling around the anus

Internal hemorrhoids don’t tend to cause as many symptoms, and you’ll usually only notice you have one during a bowel movement. Symptoms of internal hemorrhoids include:

  • Pain and irritation, due to a hemorrhoid that is pushed through the anus during a bowel movement
  • Painless bleeding while having a bowel movement

Hemorrhoids diagnosis

Your gastroenterologist may use one or more of the following diagnostic tools to diagnose your hemorrhoids:

Digital examination. In this test, your doctor inserts a gloved, lubricated finger into your rectum. Your doctor then uses their finger to feel for any unusual growths or abnormalities.

Visual inspection. Your specialist may use a specialized instrument with a light on the end to carefully inspect your anus for abnormalities.

Colonoscopy. If you have hemorrhoids and certain risk factors for colon cancer – such as a family history or being over age 40 – your doctor may recommend you also undergo a colonoscopy to examine your entire colon for anything unusual.

Hemorrhoids treatment

Treatment for hemorrhoids typically includes a combination of the following remedies:

Diet modification. Your specialist will encourage you to eat more fruits, vegetables and whole grain foods to help add more fiber to your diet. Extra fiber can help soften your stool so you don’t have to strain when having a bowel movement.

Topical treatments. Applying an over-the-counter hemorrhoid cream, using a suppository with hydrocortisone or applying pads with witch hazel or a numbing agent can be effective, over-the-counter treatments to give you relief while your hemorrhoids heal.

Bath soak. Your specialist may recommend soaking your anal area in plain, warm water two or three times a day for 10 minutes each time. A sitz bath can also help provide relief.

Pain medication. Taking over-the-counter pain medication, such as Tylenol, aspirin or ibuprofen, can help reduce associated pain while your hemorrhoid heals.

External hemorrhoid thrombectomy. If your external hemorrhoid has turned into a painful blood clot (thrombosis), your specialist can remove the hemorrhoid to provide you with immediate pain relief. Your specialist will perform a thrombectomy under local anesthesia, which means numbing only the affected area.

Rubber band ligation. If your hemorrhoid is very painful or bleeding, your specialist may recommend rubber band ligation. In this procedure, your doctor places one or two tiny rubber bands around the base of the hemorrhoid. Because its blood circulation is cut off, the hemorrhoid dies and falls off within a week.

Coagulation. Your specialist may use infrared, laser or bipolar coagulation directed at the hemorrhoid. This causes the hemorrhoid to harden, shrivel and fall off.

Hemorrhoidectomy. In some cases, your specialist may recommend you undergo a procedure to surgically remove the hemorrhoid.

When should I seek care?

If you experience any of these symptoms, start by voicing your concerns and symptoms to your primary care provider. From there, your doctor may suggest seeing a gastroenterologist for more specialized treatment.

Hemorrhoids Specialist – Jackson, MS: Lakeland Surgical Clinic, PLLC: General Surgery and Advanced Robotic Surgery

What are hemorrhoids?

Hemorrhoids are inflamed, swollen veins around the lower part of your rectum or anus. Internal hemorrhoids form inside your rectum, while external hemorrhoids can appear under the skin around your anus. Hemorrhoid treatment can offer you relief from pain, itching, and bleeding.

What are the symptoms of hemorrhoids?

If you have hemorrhoids, you can experience the following symptoms:

  • Irritation or itching near your anus
  • Anal swelling or bleeding
  • Pain or discomfort
  • Bleeding with bowel movements
  • Inflammation
  • Hard lump near your anus

Complications that can develop due to untreated hemorrhoids include iron-deficiency anemia, extreme pain, and blood clots.

What are the risk factors for hemorrhoids?

Hemorrhoids can happen to anybody, but certain things increase your risk of experiencing them. Examples include obesity, older age, pregnancy, and anal sexual intercourse. Other risk factors include:

  • Heavy lifting
  • Consuming a diet low in fiber
  • Chronic constipation or diarrhea
  • Straining during bowel movements.

How does my doctor diagnose hemorrhoids?

To find out if you have hemorrhoids and develop a treatment plan, your doctor discusses your symptoms and medical history. They do a digital examination and visually inspect the affected area. Your specialist might require a colonoscopy to examine your colon.

What are my treatment options for hemorrhoids?

Your hemorrhoid treatment plan will depend on the type and severity of hemorrhoids you experience. Common treatments include:

At-home care

Your doctor might suggest home remedies for hemorrhoids, like eating high-fiber foods, using hemorrhoid creams or pads, trying suppositories, soaking in a bath, or taking over-the-counter pain relievers.

Minimally invasive procedures

Simple, minimally invasive procedures that can eliminate hemorrhoids include rubber band ligation to cut off blood flow to the hemorrhoid, hemorrhoid injections, and laser treatment to reduce the size of (and eventually eliminate) hemorrhoids.

Surgical procedures

If you have painful clots or hemorrhoids requiring surgery, Lakeland Surgical Clinic, PLLC, staff can help. Under a local, spinal, or general anesthetic, your surgeon can remove hemorrhoids or staple them to eliminate unpleasant symptoms and reduce your risk of complications.

Don’t live with debilitating hemorrhoids when simple treatments are within reach at Lakeland Surgical Clinic, PLLC. Call the office for a consultation or use the online booking feature today.

Hemorrhoids: Treatment for Your Condition

If you suffer from extremely itchy and painful hemorrhoids, then you might try as many over-the-counter treatments as you can to ease your symptoms. But even with the best products available, the pain caused by your hemorrhoids can still plague you. You’ll need professional medical help to find relief from your burning pain.

Here are some possible reasons for your painful hemorrhoids and what you can do to relieve them.

Why Do You Have Hemorrhoids?

Hemorrhoids develop when the small veins in the lower portion of your rectum or around the opening of your anus become swollen and inflamed. The increased pressure in the veins presses and irritates the nerves in this area, causing discomfort. 

Hemorrhoids that develop inside the rectum are called internal hemorrhoids. Those that affect the veins around the outside of your anus are called external hemorrhoids.

Do Internal Hemorrhoids Hurt More?

Both types of hemorrhoids hurt, however, internal hemorrhoids tend to cause less pain and discomfort than external hemorrhoids.

Because external hemorrhoids sit on the outside of the body, they are more exposed to irritation and damage. External hemorrhoids can develop an intense itch, or they can hurt if you accidentally wipe or scratch them. You also have more pain-sensitive nerves in your skin than inside your rectum. 

With that being said, you may notice that internal hemorrhoids usually hurt when passing stool.

Although it isn’t completely or exactly clear as to why internal and external hemorrhoids develop, experts believe that different factors make you susceptible to hemorrhoids, including these below.

Placing Extensive Pressure on Your Veins

One of the possible causes of hemorrhoids is pressure. Veins carry blood away from your organs and back to your heart. Placing too much pressure on the veins suppresses (squeezes) them until they can’t transport blood properly. The blood eventually pools inside the veins, which causes them to swell.

Several things can cause pressure on your rectum and anus, including prolonged sitting and heavy lifting. You can remedy these issues by standing up and stretching your body throughout the day, or by using special equipment to help you move heavy objects at work.

If you do not take care of your veins, it can lead to a condition called deep vein thrombosis (DVT), where the pooled blood clots in the veins. If a blood clot forms inside of a hemorrhoid, it becomes known as a thrombosed hemorrhoid. These are particularly painful and require professional treatment.

Experiencing Chronic Constipation

Constipation occurs when your bowel movements become hard or rock-like due to dehydration or another cause. Constipation forces you to push harder and strain longer to empty your bowels. The strain placed on the blood vessels in your rectum or anus can irritate or inflame them over time.

Constipated bowel movements can also become large enough to tear the tissues of your rectum and anus. Some adults develop fissures, or open cuts, in their tissues.

Anal fissures can be very painful if they don’t heal properly. Because hemorrhoids and constipation can both cause bleeding, pain, and tenderness in the rectum and anus, it’s important to find an effective treatment for both conditions. Hernias are another problem related to chronic constipation.

Symptoms of Hemorrhoids

Although it doesn’t occur with everyone who has hemorrhoids, some people can experience itchiness and bleeding. The symptoms may be worse in people who have external hemorrhoids. One usual symptom of hemorrhoids is rectal bleeding.

Other symptoms include pain and swelling around the anus, as well as itching, or painful lumps. If you notice any of these symptoms, talk with your doctor.

What Doctor do you see for Hemorrhoids?

The answer to this question is first, see your regular doctor. Depending on the severity of your symptoms, your primary care physician will refer you to an appropriate specialist. Doctors who treat hemorrhoids typically specialize in digestive, colon, or rectal surgery. 

During your doctor’s appointment, a physician will generally question you about your diet and daily habits. Sometimes, changing your diet can help keep swollen blood vessels and constipation away. Some adults relieve their symptoms with fiber. However, a doctor will go over the best types of food to add to your diet during your appointment.

After a doctor completes your verbal exam, they’ll perform a rectal exam on you. Your rectal exam may occur visually, manually, and diagnostically. A visual exam allows a physician to examine the condition of your anus. Then, a manual exam allows a doctor to detect the precise location and size of your hemorrhoids.

The diagnostic portion of your rectal exam allows a doctor to look inside your body to see if you have any other health problems to address or treat, such as polyps and ulcers. These conditions can also cause rectal and anal bleeding in some people. Although hemorrhoids are serious problems, polyps and ulcers can be signs of cancer or disease, so it’s important to have a thorough exam.

What Treatments are there for Low-Grade Hemorrhoids?

The severity of hemorrhoids is rated in four stages. Some doctors may recommend sclerotherapy for stages one and two. Typically, sclerotherapy is a treatment that closes varicose and spider veins. 

During a sclero treatment, the doctor injects a saline-based medicine that breaks down the vein walls and causes them to disappear. Sclerotherapy can help reduce pain and swelling around the hemorrhoids, however, sclero treatments usually require multiple visits in order to be totally effective.

Another treatment is rubber band ligation. During this procedure, your surgeon will tie off the swollen veins with small rubber bands, which cause the veins to die. Any blood flow will be redirected and reabsorbed back into your body.

Rubber band ligation is better suited for early-stage hemorrhoid problems. This procedure can be used for later-stage cases, but the operation would require general anesthesia.

Finally, surgeons do offer infrared coagulation hemorrhoid treatments. For this treatment, your surgeon will use infrared light to heat and irritate the hemorrhoid and break it down. This procedure can be performed on external hemorrhoids.

How Do You Treat Severe Hemorrhoids?

Once a physician finishes your exam, they’ll begin planning your treatment. If your hemorrhoids are too severe, a doctor may surgically remove them with a hemorrhoidectomy. This type of surgery may require you to follow certain protocols, such as not eating or taking specific medications before your procedure.

Some doctors use surgery to shrink large or protruding hemorrhoids by cutting off the blood supply to them. The veins will die or shrivel up inside the rectum or around the anus. If you have questions about this procedure or another treatment option, consult with a doctor or provider immediately.

How can I treat hemorrhoids at home?

Although it’s essential that you see a doctor about your hemorrhoids and possible constipation, you can relieve your symptoms temporarily at home. For example, you can try softening up your small and large intestines by sipping on water during the day. Unsweetened tea is another option you might like.

Fiber supplements may also help soften stools and reduce pain during bowel movements. Your doctor may also prescribe using a sitz bath to relieve pain before and after surgical treatment. Alternatively, taking a warm bath and adding Epsom salt can be very healing.

How can I prevent hemorrhoids?

As we have mentioned, taking fiber, staying hydrated, and avoiding physical strain are all ways to reduce the risk of hemorrhoids. Also, the National Institute of Diabetes and Digestive and Kidney Diseases recommends that people should avoid straining during bowel movements, and spend less time sitting on the toilet. 

To learn more about this condition or to find treatment, book an appointment online today at one of our conveniently located offices. If you have problems selecting an office to visit, contact The Surgical Clinic directly. Our staff will gladly help you find the right appointment and office to visit.

Providers Who Treat Hemorrhoids

Chad M. Moss, MD, The Surgical Clinic – Mid-South Surgeons

Brian Kendrick, MD, The Surgical Clinic – Mid-South Surgeons

Mark S. Hinson, MD, FACS, The Surgical Clinic – Mid-South Surgeons

A. Brent Fruin, MD, Summit Clinic, Mt. Juliet Clinic

John A. Boskind, MD, FACS, Summit Clinic, Mt. Juliet Clinic

Craig Ternovits, MD, The Surgical Clinic – Lebanon

Gregory A. Neal, MD, FACS, Skyline Clinic

K. Tyson Thomas, MD, FACS, St. Thomas West

90,000 examination by a proctologist in Nizhny Novgorod at the clinic Tonus

Diagnostic methods in the “Tonus” MC: how the proctologist conducts the examination in the clinic

The proctologist in the clinic “Tonus” provides assistance to patients with problems of any complexity.

Special bowel preparation is not required (if necessary, the proctologist will explain during the appointment how to do it correctly). It is advisable that on the day of the proctologist consultation you have a chair.All diagnostic and therapeutic manipulations with a patient, previously dressed in special medical disposable underwear, are carried out in a supine position, which provides maximum psychological and physical comfort.

  • The first examination when examining a proctologist is a visual examination of the anal area
    Quite often, already at this stage, the causes of the patient’s problems are identified. The condition of the skin surrounding the anus, the presence of cracks, fistulous openings, skin growths (anal fimbria, polyps, condylomas), the condition of external hemorrhoids is determined;
  • The next step – digital examination of the anal canal and rectal ampulla
    Allows you to assess the condition and tone of the muscle that closes the anus (anal sphincter), the lower rectum.
  • Anoscopy
    Method of visual examination and assessment of the condition of the mucous membrane of the anal canal and lower rectum to a depth of 3-4 cm using a special optical tube in order to detect cracks, the state of internal hemorrhoids, neoplasms;
  • Rectoscopy
    Examination of the mucous membrane of the rectum and sigmoid colon, which the proctologist conducts using a special device – a rectoscope. The device is an optical tube with an eyepiece and an illuminating element at the end.The method makes it possible to explore the lower intestine to a depth of 20-25 cm from the anus;
  • Fibrocolonoscopy
    Endoscopic examination of the large intestine along the entire length (if necessary, after preliminary preparation).

Modern methods of treatment in proctology:

The motto of the treatment of proctological diseases in our clinic: “minimal invasiveness with maximum comfort and high efficiency.”

  • Minimally invasive, painless treatment of hemorrhoids:
    One of the most pressing problems in proctology is hemorrhoids (hemorrhoids).Many are afraid to start treatment because of fear of “unimaginably sick and bloody treatments.” We offer our patients the most painless and minimally invasive, accurate methods of treating hemorrhoids, which are performed on an outpatient basis (do not require hospitalization), are bloodless and at the same time very effective:
    – Sclerotherapy of internal hemorrhoids: a drug that causes “sticking” is injected into the cavity of the node walls of dilated venous vessels, resulting in sclerosis and a decrease in the size of hemorrhoids;
    – Latex alloying of internal hemorrhoids using equipment from Karl Storz (Germany) consists in installing a latex ring on the base of the hemorrhoid, after which the hemorrhoid “turned off” from the circulation dies off after 5-10 days and is rejected together with the ligature, leaving outside during bowel movements;
  • The radio wave method is used to remove perianal fringes, warts, polyps, hypertrophied anal papillae;
  • Surgical methods (carried out on the basis of the TONUS PREMIUM multidisciplinary surgical hospital):
    – Surgical treatment of hemorrhoids – removal of nodes;
    – Excision of anal fissures;
    – Surgical treatment of epithelial coccygeal passage, fistulous forms of paraproctitis;
  • Conservative treatment:

A paid admission proctologist prescribes individual conservative treatment regimens for a speedy recovery. Botulinum toxin injections are also used to treat anal fissures.

Proctologist in Nizhny Novgorod. Paid reception of the Proctologist:

A highly qualified proctologist in Nizhny Novgorod is a specialist at the Tonus MC.

Proctology in Bryansk. Proctologist at Es Klass Clinic Bryansk

Varicose veins in the colon are not only painful, but life-threatening.The disease is recognized as a precancerous condition and is especially dangerous for people over 40 years old. Its spread in recent decades is a consequence of a radical change in lifestyle, physical inactivity, malnutrition, chronic constipation.

If you notice symptoms such as itching, burning, pain and even the slightest bleeding from the anus, you should immediately contact a competent specialist. The vessels cannot recover on their own, therefore, hemorrhoids never go away without treatment.Doctors of the proctology department of “Es Class Clinic Bryansk” will help you get rid of hemorrhoids effectively, delicately, quickly and painlessly.

More details

Cracks appear due to a longitudinal rupture of the mucous membrane and skin of the anal canal. This can occur due to acute or chronic trauma to the area, such as chronic constipation. It is extremely difficult to heal cracks on their own.Modern drugs and technologies will speed up this process. Pass a full examination at the “Es Class Clinic Bryansk”, during which the doctor will determine the presence and extent of the lesion, identify the root cause of the disease.

More details

Fistula is a chronic inflammation of the anal crypt, which is accompanied by the appearance of a fistulous passage between the focus of inflammation and the perianal region. Most often it is a chronic form of paraproctitis after an acute period of the disease.An infection that penetrates through cracks and trauma to the rectum can also lead to the appearance.

Symptoms: discharge of pus, the appearance of a fistulous opening on the skin next to the anal, weakness, fever, recurrent pain in the anus. At the initial stage, the fistula is easily treatable. With a long course of the disease, the appearance of new foci of inflammation and its malignant transformation are possible.

More details

There are many reasons for this condition, ranging from intestinal parasites, and ending with neoplasms in the rectum.Itching is often a symptom of some kind of proctological disease. Therefore, it is so important to take the symptom seriously and consult a doctor for timely diagnosis and elimination of the problem. Doctor-proctologist “Es Class Clinic Bryansk” will perform all the necessary examinations and, based on the results obtained, draw up a treatment plan.

More details

They are growths on the inner surface of the rectum. Polyps often do not manifest themselves, but in some cases they can cause bleeding, pain, constipation, or diarrhea. As a rule, they are discovered by chance during the examination. Coloproctologists strongly advise to remove polyps, since they tend to degenerate into a malignant formation after a while.

The disease occurs at any age, and men are more susceptible to it. The reasons for the appearance are not fully determined, but a statistical relationship with genetic predisposition, poor ecology, malnutrition and dysbiosis has been revealed.

Thrombosis is the formation of a blood clot inside a hemorrhoid. Appears as a complication of chronic hemorrhoids after a long course of the disease. In some cases, it may occur in the absence of hemorrhoids due to a bursting vessel.

Symptoms: induration in the anus, severe pain, itching, burning, spotting. Lack of treatment can lead to the development of a purulent infection, tissue death and blood secretion.

Ryazan – proctologist in Medline, paid doctor’s appointment

Soreness during bowel movements, blood flowing out are not a normal human condition, these are the callsigns that should say that further postponement of the proctologist’s examination is already dangerous.

The main danger is that many proctological diseases tend to become malignant over time.According to studies, about 80% of polyps eventually lead to the need for treatment by an oncologist, and not by a proctologist, but not from a polyp, but from a malignant neoplasm.

The situation is similar with the bulk of other proctological diseases. Let’s add here the fact that the disease in the initial stages proceeds with hidden symptoms, and what you began to notice quite recently does not mean that the disease has just begun.

This begs the question – is it worth postponing the appointment of a proctologist until later?
Let everyone choose the answer. We can say with confidence – do not delay!

Unfortunately, our proctologist is often faced with the results of neglect of their health, when patients come close to that line – when the diagnosis becomes akin to a verdict. Our medical center works for you 7 days a week.

No queues, comfortable environment, effective methods of diagnosis and treatment allow you to cure you of proctological diseases without a sick leave, not to mention hospitalization.You can make an appointment with a proctologist directly on the website by pressing a few keys. A specialist will certainly contact you and select the most convenient time for your appointment.

So, you made an appointment with a proctologist, in order for the proctologist to be able to carry out the necessary studies to examine the rectum from the inside using a special device (rectoscope), it must be empty. There are two ways to cleanse the intestines:

1. Preparation usually begins the day before the study.
From 12 noon, the patient switches to strictly liquid food. During the day on the eve of the study, the patient should drink from 1 to 4 liters of solution Fortrans according to the dosage regimen from the annotation of the drug.

The solution must be taken within 2-5 hours (1 glass of solution every 15-20 minutes).

2. Also, you can cleanse the rectum just before the doctor’s appointment at our clinic.For a nominal fee, you will be offered to conduct it with the drug Microlax .

It is better to decide in advance as this procedure takes about 40 minutes. That is, you need to come to the proctologist’s appointment a little earlier.

Coloproctology – FLEBOCENTER

Issues of timely diagnosis and treatment of proctological pathology have always been relevant, since a third of our country suffers from these diseases.

Coloproctologist is a doctor who specializes in the diagnosis, prevention and treatment of pathology of the lower intestine and anal region.

Given the prevalence of the disease, it should be noted the high social significance of the use of new methods of treatment, which can significantly reduce the invasiveness of the intervention.

At present, the widespread use of standard surgical intervention is unjustified. Modern methods of minimally invasive treatment, improved modifications of traditional methods with the use of additional equipment have been developed and applied.

A visit to a proctologist is not an easy step for patients

Proctological diseases are an intimate problem that many are embarrassed to talk about and prefer to endure discomfort and pain. Treatment is carried out at home, guided by their own knowledge, recommendations of acquaintances, friends, pharmacists, pharmacies, only a few seek help at the initial stage of the disease. This is especially true for women. They are more patient and emotional than men. Shame and fear make you postpone the visit to the doctor, especially if the doctor is a man.

Typical symptom complex of a proctological patient:

  1. Pain during bowel movements and while sitting;
  2. Bleeding from the rectum;
  3. Presence of pathological impurities in feces: blood or mucus;
  4. Discomfort and anal itching
  5. Perianal skin edema
  6. Prolapse of hemorrhoids or part of the rectum
  7. Obstruction of bowel movement or division of the act of defecation into several stages
  8. Feeling of incomplete defecation

The most common diseases treated by a proctologist:


Hemorrhoids are the most common diseases in the practice of coloproctologists.According to the literature, its prevalence is approximately 130-145 cases per 1000 adult population. This pathology significantly reduces the quality of life of patients and can cause temporary disability in middle-aged people. The development of the disease is associated with the pathology of special cavernous veins of the rectum. As a result of stagnation of blood in the small pelvis, stretching and enlargement of hemorrhoids occurs.

The factors that provoke the development of hemorrhoids include: pregnancy, unhealthy diet, certain sports and professions, laxative abuse.

Anal fissure

A spontaneously arising rupture (defect, wound or ulcer) of the mucous membrane of the anal canal of a person, characterized by sharp pain during and after defecation, occasionally scanty blood in the feces. It is one of the most common proctological diseases after hemorrhoids.
The causes of anal fissure are: constipation, hard physical labor, foreign body of the anus, hemorrhoids, inflammatory bowel disease, difficult labor.

Pararectal fistula

Fistula, or rectal fistula, occurs as a result of inflammatory processes (proctitis or paraproctitis) in the intersphincter space, anal crypt, pararectal tissue, during which fistulous passages occur. The beginning and root cause of rectal fistula is the presence of an internal micro-hole in the anal canal at the level of anal crypts. A pararectal fistula is an extremely dangerous formation for human health and even life. The most common causes of rectal fistula formation are: acute paraproctitis, anal fissures; proctitis, Crohn’s disease and other acute and chronic inflammatory bowel diseases; rupture of the birth canal or birth injury; diverticulosis; trauma to the rectum, crypts during surgical intervention (for example, with hemorrhoids, gynecological operations).

Activity of the proctology center of KLV Flebocenter LLC

An outpatient diagnostic and treatment appointment is organized in our clinic. A full range of diagnostics of proctological patients is carried out, excluding irrigoscopy, colonoscopy and computed tomography.

The main areas of work of the clinic are:

  • Non-surgical treatment of stage I-III hemorrhoids by ultrasonic sclerotherapy using the ultrasonic surgical complex “Proxon”
  • Removal of hemorrhoids with a laser
  • Ligation of hemorrhoids with latex rings
  • Excision of fistulas of the anal canal
  • Outpatient anal fissure and perrectal fistula excision surgery

Advantages of our clinic:

  • Modern minimally invasive treatment methods
  • Modern equipment
  • Disposable instruments
  • Experienced technicians
  • A unique method of non-surgical treatment of hemorrhoids

Ultrasound sclerotherapy of hemorrhoids

One of the priority areas of our center is ultrasonic sclerotherapy of hemorrhoids. The method has no analogues and in Krasnodar is presented only in our clinic.

This is a non-surgical painless treatment of stage I-III hemorrhoids using the ultrasonic surgical complex “Proxon”.

The method was developed by Professor O. L. Solovyov. and Professor of MSTU named after Bauman Savrasov G.V.

The method, system and tool are protected by the Eurasian patent. The procedure takes 5-7 minutes, a second session is carried out in 2-3 months. The method was developed by Professor O. Solovyov.L. and Professor of the Bauman Moscow State Technical University Savrasov G.V. The method, system and tool are protected by the Eurasian patent.

Indications for ultrasound sclerotherapy are:

  • Internal hemorrhoids in the first and second, even the third stage
  • Presence of contraindications to extended surgical methods of treatment of hemorrhoids in debilitated patients with concomitant pathology
  • Symptomatic treatment of hemorrhoidal bleeding
  • As a preparation for pregnancy in order to minimize the risks of developing complications such as hemorrhoidal thrombosis

The mechanism of action consists in foaming the liquid form of the sclerosant under the influence of low-frequency ultrasound.

The advantages of the foam form of sclerosants are explained by the following factors:

  • The foam form improves the contact between the sclerosing solution and the membrane structures of the tissue, and also increases the area of ​​their contact, since the air contained in the foam “presses” the layer of sclerosing solution located on the surface of the vesicles against the vascular wall.
  • The rate of dilution of the sclerosing solution with blood significantly decreases and, accordingly, the duration of its effect on the substrate increases.This is due to the fact that the foam bubbles block the pathways of blood inflow and outflow to the injection site, significantly slowing down the dilution and leaching of the solution.
  • The procedure takes 5-7 minutes, a second session is carried out in 2-3 months. After the manipulation, the patient continues to lead a normal life. Long-term rehabilitation is not required.
  • The use of ultrasonic sclerotherapy allows: to shorten the treatment period of patients, to reduce the number of complications, to reduce the number of recurrences of proctological diseases.

Our proctology center is a friendly highly qualified staff who will help you solve your delicate problems.

Proctologist in Novosibirsk – proctology center at EuroMed clinic

Proctology is a field of medicine that studies diseases of the colon, colon, rectum, pararectal region and anus.

The manifestations of rectal diseases are quite diverse, which cannot always be detected at the initial stage of the development of the disease.Only the proctologist of the EuroMed Clinic in Novosibirsk can identify problems after a thorough examination. According to statistics, every fourth person on the planet suffers from one or another proctological ailment. The most common diseases with which people go to a proctologist are hemorrhoids and anal fissures. As a rule, these diseases give a person a lot of unpleasant sensations, thereby poisoning life.

Who is a proctologist?

A doctor is a proctologist, a specialist, a visit to which cannot be postponed indefinitely if health is in the first place. The competence of this specialist includes diseases of the colon, rectum, blind and sigmoid colon.

In the proctology department of EuroMed Clinic, each patient receives a comprehensive examination and qualified assistance. The proctologist will be able to give an answer to any question, as well as advise on health issues and methods of preventing the occurrence of diseases.

Medical and diagnostic work of a proctologist:

  • hemorrhoids

  • epithelial coccygeal passage

  • anal fissure

  • colon diverticulosis

  • rectal fistulas

  • constipation

  • malignant and benign tumors of the colon and perrectal tissue

  • anal itching

  • sphincteritis

  • acute and chronic paraproctitis

  • perianal warts

  • coccygodynia (ano-coccygeal pain syndrome)

  • cryptitis, papillitis (inflammation of the anal papillae)

  • dysbiosis of the colon

  • irritable bowel syndrome

  • Crohn’s disease

  • colon polyposis

  • proctitis, proctosigmoiditis

  • nonspecific ulcerative colitis

  • colon endometriosis

Diagnostics of diseases

To identify the symptoms of a particular ailment, the proctologist conducts an interview with each patient, which allows him to obtain information about complaints, allergic reactions or the presence of any chronic diseases. From all this, an approximate clinical picture is formed. After that, a full diagnosis is carried out in order to confirm the diagnosis.

A finger examination is performed for any bowel disease. The purpose of this procedure is to determine the condition of the rectal mucosa, nearby organs for inflammation or damage. Particular attention in this case is paid to the presence of secretions such as blood, pus, mucus.

Anoscopy allows you to examine the anal canal and lower rectum.

Diagnosis of proctological diseases is a complex activity that depends on the patient, since some procedures require careful preparation.

How does a proctologist treat?

Treatment of proctological diseases in the “EuroMed Clinic” is carried out by several methods, which include the following:

  • Conservative, that is, the use of suppositories, ointments, tablets.

  • Modern low-traumatic, including sclerotherapy of hemorrhoids, latex alloying of hemorrhoids, molecular resonance method (using the VESALIUS apparatus).

  • Traditional – removal of hemorrhoidal tissue using the “knife” method.

Non-surgical techniques are used at EuroMed Clinic, thanks to which the treatment becomes effective, painless, without restricting the usual rhythm of life.

When is it necessary to visit a proctologist?

Upon reaching the age of 40, it is recommended to visit a specialist annually. This is due to the fact that it is at this age that the likelihood of developing cancer is rapidly increasing.The fact is that manifestations such as hemorrhoids, constipation and bleeding can be noted in a number of cases of oncology. According to statistics, colon cancer has become “younger” and now the age of possible tumor formation has decreased from 65 to 40-50 years.

It is also necessary to consult a doctor when the patient has the following symptoms:

  • Pain in the rectum or perineum
  • bleeding
  • discharge in the form of mucus, pus
  • Frequent bowel movements (increased stool), constipation
  • sense of volumetric education
  • Increased gas production (flatulence).

Proctology is one of the areas of work of the EuroMed Clinic medical center, which is constantly developing and improving. If you have any problems, you should contact a proctologist in Novosibirsk for timely advice and treatment.

During the work, modern technologies are used that allow for treatment by a proctologist without the patient being in a hospital. Our doctors use minimally invasive (less traumatic, painless) techniques, thanks to which the patient can go home after 1.5-2 hours.After the treatment, each patient is under the supervision of a specialist until complete recovery. The main principle adhered to by doctors-proctologists is an individual approach to each patient during the examination and treatment of diseases of the rectum. This is possible with the help of modern diagnostic equipment, specialist qualifications, many years of experience, which makes the treatment of proctological diseases more effective and painless.

How to prevent diseases?

For prevention, you must adhere to the following recommendations:

  • Compliance with the hygiene of the perineum, perianal area. Use multi-layered toilet paper, wash more often.
  • Avoid constipation. Constipation is a major contributor to anal fissures.
  • Avoid diarrhea. In addition to irritation, with diarrhea, an infection can penetrate into the anal crypts, which will provoke the appearance of a rectal fistula, inflammation.
  • Pushing is not recommended during bowel movements. Straining is the cause of bleeding and the formation of hemorrhoids.
  • Avoid hypothermia. Violation of blood circulation provokes the appearance of hemorrhoids or its exacerbation.
  • Move more. Sedentary work is the main factor in the appearance of proctological problems.
  • Watch your diet carefully. Excessive consumption of salty, spicy food and alcohol disrupts natural blood circulation, which leads to increased bleeding and irritation of the perianal region.
  • Avoid overwork. Stress and nervous tension contribute to the development of diseases.
  • A good rest is the prevention of not only proctological ailments, but also other health problems.

Treatment of hemorrhoids in Ulyanovsk – 13 doctors

Payment for admission takes place in the clinic. Appointment to a doctor without commissions and overpayments.



Experience 12 years

Highest category

In the clinic

from 500 rubles


(8422) 50-53-59

Medical Center “Es Class Clinic”

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How does the clinic work in the context of the COVID-19 epidemic?

There are contraindications. Check with your doctor.




ultrasound doctor

13 years of experience

In the clinic

from 800₽


(8422) 50-52-80

Clinic “Neva” on the Moscow highway

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How does the clinic work in the context of the COVID-19 epidemic?



Experience 12 years

Highest category

In the clinic

from 500 rubles


(8422) 50-53-59

Medical Center “Es Class Clinic”

Make an appointment

How does the clinic work in the context of the COVID-19 epidemic?

Appointment to a doctor is not available


7 years experience

Highest category

In the clinic

from 500 rubles


(8422) 50-53-59

Medical Center “Es Class Clinic”

Make an appointment

How does the clinic work in the context of the COVID-19 epidemic?

Appointment to a doctor is not available



13 years of experience

Highest category,

to. M.Sc.

Polyclinic number 1 Kirov on Gagarina

Appointment to a doctor is not available


Experience 12 years

1st category

Center for Specialized Types of Medical Care

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Experience 25 years

Highest category,

to. M.Sc.

“Med-Profi” on Karl Marx

Center for Specialized Types of Medical Care

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Experience 29 years

Highest category,

to. M.Sc.

Clinic Berezina on Karl Marx 26

Central Medical Unit (MSU)

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Experience 22 years

Category 2

Polyclinic number 1 Kirov on Gagarina

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“Academy” on Bebel

Clinic Berezina on Karl Marx 26

Central Medical Unit (MSU)

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How does the clinic work in the context of the COVID-19 epidemic?

Appointment to a doctor is not available

How does the clinic work in the context of the COVID-19 epidemic?

Appointment to a doctor is not available

Regional Oncological Dispensary

Appointment to a doctor is not available

Proctologist in Murmansk in the network of clinics “Alfa-Health Center”.

Consultation with a coloproctologist, paid services, making an appointment via the Internet, prices.

Coloproctologist is a narrow-profile doctor who diagnoses, treats and prevents pathologies of the rectum, colon and anus. In his practice, this specialist most often encounters a disease such as hemorrhoids, which affects most of the adult population.

In addition, the competence of a coloproctologist is the treatment of diseases such as:

  • Anal fissures
  • Proctitis and paraproctitis
  • Polyps
  • Injuries and foreign bodies
  • Rectal prolapse
  • Neoplasms
  • Fistulas
  • Rectocele
  • Ulcerative colitis

Reason for contacting a coloproctologist

The coloproctologist works in close contact with the gastroenterologist, since some diseases have similar symptoms and are treated in parallel.Do not delay a visit to a coloproctologist if you have the following symptoms:

  • Presence of blood, pus or mucus streaks in feces
  • Painful sensations during bowel movements
  • Constipation and diarrhea
  • Feeling of incomplete bowel movement
  • Bleeding from the anus during bowel movements
  • Anal itching
  • Pain in the anal opening in a sitting position
  • Feeling of heaviness, abdominal discomfort, bloating

Coloproctology consultation, diagnostics

The examination begins with the collection of anamnesis: the coloproctologist listens to the patient’s complaints, and then conducts an examination, which includes palpation of the abdomen and rectal digital examination.