What are the key differences between gastroenterologists and proctologists for hemorrhoid treatment. How to choose the right specialist for your hemorrhoid condition. What factors should you consider when selecting a doctor for hemorrhoid care.

Understanding Hemorrhoids: Types and Symptoms

Hemorrhoids are swollen veins in the lower rectum and anus. They can be internal or external and are classified into four grades based on severity:

• Grade 1: Internal hemorrhoids that may bleed but don’t protrude
• Grade 2: Internal hemorrhoids that may prolapse during straining but retract on their own
• Grade 3: Protruding hemorrhoids that require manual repositioning
• Grade 4: Permanently prolapsed hemorrhoids that cannot be pushed back in

Common symptoms of hemorrhoids include:

• Discomfort or pain while sitting or using the bathroom
• Bleeding during bowel movements
• Swelling and pain around the rectum
• Itching and irritation in the anal area

Gastroenterologist vs. Proctologist: Understanding the Differences

When seeking treatment for hemorrhoids, patients often wonder whether they should consult a gastroenterologist or a proctologist. Both specialists can treat hemorrhoids, but they have different areas of expertise:

Gastroenterologist

A gastroenterologist is a physician specializing in the digestive system, including the esophagus, stomach, small intestine, colon, and rectum. They can diagnose and treat hemorrhoids, especially when they’re related to other digestive issues.

Proctologist

Also known as a colorectal surgeon, a proctologist focuses specifically on disorders of the colon, rectum, and anus. They have extensive training in surgical procedures for treating hemorrhoids and other anorectal conditions.

How do you decide which specialist to see for your hemorrhoid treatment? Consider the following factors:

• Severity of your condition
• Presence of other digestive issues
• Need for surgical intervention
• Referral from your primary care physician

Treatment Options for Hemorrhoids

Both gastroenterologists and proctologists can offer various treatment options for hemorrhoids, depending on the severity of your condition:

Non-surgical Treatments

• Dietary changes and increased fiber intake
• Topical creams and ointments
• Sitz baths
• Rubber band ligation
• Infrared coagulation
• Sclerotherapy

Surgical Treatments

• Hemorrhoidectomy
• Stapled hemorrhoidopexy
• Doppler-guided hemorrhoid artery ligation

Are surgical treatments always necessary for hemorrhoids? Not always. Many cases can be resolved with conservative treatments and lifestyle changes. However, severe or recurring hemorrhoids may require surgical intervention.

Choosing the Right Specialist for Your Hemorrhoid Treatment

When selecting a doctor for your hemorrhoid treatment, consider these factors:

• Experience and expertise in treating hemorrhoids
• Board certification in their specialty
• Patient reviews and testimonials
• Availability of advanced treatment options
• Insurance coverage and cost of treatment

Is it essential to choose a specialist who offers the latest treatment technologies? While newer technologies can offer benefits, the most important factor is the doctor’s experience and skill in treating hemorrhoids effectively.

The Importance of Proper Diagnosis

Accurate diagnosis is crucial for effective hemorrhoid treatment. Both gastroenterologists and proctologists use various diagnostic tools:

• Digital rectal examination
• Anoscopy
• Flexible sigmoidoscopy
• Colonoscopy (in some cases)

Why is a thorough diagnostic process important? It helps rule out other conditions that may mimic hemorrhoid symptoms, such as anal fissures, rectal cancer, or inflammatory bowel disease.

Recovery and Follow-up Care

Regardless of whether you choose a gastroenterologist or proctologist, proper follow-up care is essential for successful hemorrhoid treatment:

• Adhering to post-treatment instructions
• Attending follow-up appointments
• Implementing lifestyle changes to prevent recurrence
• Monitoring for any complications or recurring symptoms

How long does recovery typically take after hemorrhoid treatment? Recovery time varies depending on the treatment method and severity of the condition. Non-surgical treatments usually have minimal downtime, while surgical procedures may require a few weeks of recovery.

Preventing Hemorrhoid Recurrence

Both gastroenterologists and proctologists emphasize the importance of prevention in hemorrhoid care. Key preventive measures include:

• Maintaining a high-fiber diet
• Staying hydrated
• Regular exercise
• Avoiding prolonged sitting or straining during bowel movements
• Practicing good bathroom habits

Can lifestyle changes alone prevent hemorrhoids from recurring? In many cases, yes. However, some individuals may be more prone to hemorrhoids due to genetic factors or underlying health conditions, necessitating ongoing management and care.

When to Seek Immediate Medical Attention

While hemorrhoids are often not serious, certain symptoms warrant immediate medical attention:

• Severe rectal pain
• Persistent bleeding
• Fever or chills
• Difficulty urinating
• Significant swelling or inflammation

Should you go to the emergency room for hemorrhoid symptoms? In most cases, hemorrhoids can be managed by scheduling an appointment with a specialist. However, if you experience severe pain, heavy bleeding, or signs of infection, seek immediate medical care.

Choosing between a gastroenterologist and a proctologist for hemorrhoid treatment depends on various factors, including the severity of your condition and the presence of other digestive issues. Both specialists can provide effective care, but proctologists may have more extensive experience with surgical treatments for severe cases. Regardless of your choice, ensure that you select a board-certified physician with experience in treating hemorrhoids and a track record of positive patient outcomes.

Remember, early intervention and proper care can significantly improve your quality of life and prevent complications associated with hemorrhoids. Don’t hesitate to seek professional medical advice if you’re experiencing symptoms of hemorrhoids. With the right treatment approach and lifestyle modifications, you can effectively manage this common condition and enjoy improved comfort and well-being.

Hemorrhoid Clinic | Hemorrhoid Specialist Doctor

Grade 4

The most severe type, Grade 4 hemorrhoids cause discharge and bleeding. They can also lead to tissue damage.

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Grade 1

Grade 1 hemorrhoids might bleed, but they remain internal.

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Grade 2

Grade 2 hemorrhoids may begin to extend out of the anus (also known as prolapse).

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Grade 3

Prolapse is possible if there is straining. Typically, Grade 3 hemorrhoids result in discomfort and bleeding.

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Are these symptoms familiar?

Discomfort

You might experience pain or discomfort while sitting or while using the bathroom.

Bleeding

You may notice blood on toilet paper when you wipe, or in your stool.

Pain

Swelling, along with pain, may be experienced around the rectum.

Treatment Options

Heat Energy Therapy

Heat energy therapy is a cutting-edge treatment.

It minimizes blood flow to the affected area with the use of low-energy heat.

THD Treatment

With THD treatment, inflammation is reduced through the use of a doppler, which stops blood flow.

Rubber Band Ligation

A common treatment, rubber band ligation involves cutting off the blood flow to the hemorrhoid.

Dr. Gene Syn is a general surgery specialist in California. He obtained his medical degree at the University of California School of Medicine, Los Angeles. He specializes in colorectal surgery.

Providing state-of-the-art therapies and procedures in Orange County, CA, our goal is to help you schedule an appointment with our hemorrhoid clinic as soon as possible. With our dedicated team and knowledgeable hemorrhoid surgeon, we can help you find comfort so that you can return to daily life. Contact our hemorrhoid specialist doctor today.

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Book an Appointment

At your appointment at our hemorrhoid clinic, you’ll receive compassion and a treatment plan tailored to you by an experienced hemorrhoid specialist doctor. At our Orange County, CA center, we seek to make sure that all patients receive fast and thorough care in order to experience relief and minimize the risks of developing hemorrhoids again. With the care of a hemorrhoid surgeon at our clinic, we can get you back to daily activities pain-free.

See What Our Patients Are Saying

Dr. Syn guided me through the most painful and also the most psychologically challenging part of my life that I ever had to endure. He is truly a talented and gifted doctor. And just as importantly, he takes the time to explain all of your options and truly cares about your medical situation and all of the things that you are going through. I am so thankful for Dr. Syn and the guidance and support he gave to me over the course of my treatment. I would highly recommend him.

Eric

Thank You Dr. Syn for your excellent care w/ my surgery. Everyone was so helpful and made me feel at ease. Especially U! It is a true gift to be able to help people like u do. Thank You times 1,000,000! Now it is up to me to rest and get better! And, again can’t tell u how much I appreciate u and the staff!

Robert H.

Lot of trust, really took his time to explain things. I felt better after I left. All is good now

Carl G.

Went to Dr. Syn’s office in Laguna Hills for my hemorrhoid issues. Professional, good communicator, addresses questions, and works efficiently. Banding procedures were effective. I highly recommend Dr. Syn because he has helped me to live more comfortably.

RM

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Hemorrhoids Treatment in Orange County, CA

When you have hemorrhoids, you may live with uncomfortable symptoms like burning, itching, and bleeding when you have bowel movements. From his practice in Orange County California, double board-certified colorectal surgeon Albert Chung, MD can help with in-office treatments to remove your hemorrhoids. When needed, D. Chung is an expert at surgical procedures such as excision and ultrasound-guided ligation of the hemorrhoids. You don’t have to deal with hemorrhoids. Call (714) 988-8690 to schedule an appointment today for effective hemorrhoid removal procedures.

What are Hemorrhoids?

Hemorrhoids are swollen veins that exist in and around the lower rectum and anus. These enlarged veins often cause a significant amount of pain, though are entirely treatable using at-home remedies and therapies. Individuals who experience frequent recurrence of hemorrhoids, or hemorrhoids that are especially painful, should seek medical attention from their doctor. Depending on the severity of their diagnosis, it may be prudent for them to ask their doctor for a referral to Dr. Albert Chung for surgery.

What Causes Hemorrhoids?

Hemorrhoids can be either internal or external, meaning they may or may not be visible protrusions outside of the anus. Although not every case of hemorrhoids will have an exact cause, individuals are more likely to experience this condition if they:

• Have a family history of hemorrhoids
• Are obese
• Frequently strain during bowel movements or when lifting heavy objects
• Are pregnant
• Are between the ages of 45 and 65
• Remain sitting for long periods of time
• Frequently experience constipation or diarrhea

What are the Symptoms of Hemorrhoids?

In addition to pain in the anal area, according to WebMD patients with hemorrhoids often report other common symptoms such as itching, swelling, irritation, and even painless bleeding of the rectal region. Any sort of unexplained bleeding will require Dr. Chung’s attention in order to accurately determine its cause and whether or not that cause poses an immediate threat to your health.

It is also possible for blood to pool in an external hemorrhoid, which may lead to the formation of a clot. This is known as a thrombosed hemorrhoid, which will lead to more severe pain as well as the development of a hardened lump near the anus.

How Are Hemorrhoids Treated?

National Institute of Diabetes and Digestive and Kidney Diseases stated that there are many simple techniques and preventative measures you can take if you have recently discovered a hemorrhoid and are looking for ways to intervene before your symptoms worsen, including:

• Over-the-counter products: There are many convenient options close by at your local pharmacy to help you find relief from hemorrhoids. Topical creams like Preparation H are specially designed to relieve inflammation and irritation caused by hemorrhoids, though this will of course only be suitable for external hemorrhoids since you will be unable to apply the cream to an internal hemorrhoid. It is recommended that individuals only use these topical solutions for up to one week.
• Listen to your body: Many people encounter hemorrhoids as a result of prolonged constipation. Delaying a bowel movement can have the same effect, which is why you should instead opt for a trip to the restroom as soon as your body signals an urge to go.
• Add more fiber to your diet: Fiber is an excellent way to help move the digestive system along and allow for less straining during bowel movements that may cause hemorrhoids. Individuals may find additional fiber in various foods, or they can also select from a variety of fiber supplements.
• Try a sitz bath: Sitz baths are a very simple way to relieve swelling and inflammation of the anal area. Patients need only soak the affected area in a basin of plain, warm water for approximately 15 minutes. It is recommended that individuals repeat this process 2 to 3 times a day for optimal effect.
• Use oral anti-inflammatories and pain relievers: Another option for over-the-counter products, medicines like ibuprofen, Tylenol, or Advil can all reduce the discomfort caused by inflamed hemorrhoids. This is useful for both internal and external hemorrhoid types.

How Do You Treat Severe Hemorrhoids?

If all at-home remedies prove ineffective, or you begin to experience more alarming symptoms caused by hemorrhoids such as bleeding from the rectum or anus, please speak with your doctor about a referral to Santa Ana hemorrhoid specialist Dr. Albert Chung right away for proper treatment. Dr. Chung is an expert in the following surgical procedures for the treatment of Hemorrhoids:

Rubber Band Ligation

This simple procedure uses tiny rubber bands that are placed around the hemorrhoid. Over the next few days, the rubber bands will continue to cut off blood flow to the hemorrhoid, which will eventually lead it to shrivel and fall away.

Coagulation

Another minimally invasive treatment that is especially helpful for individuals with internal hemorrhoids is coagulation. This procedure utilizes specially designed lasers that heat the hemorrhoid until the tissue hardens and is destroyed.

Sclerotherapy

Because hemorrhoids are simply enlarged veins, they can be treated in the same way as other common venous conditions like varicose veins or spider veins. One such treatment is called sclerotherapy, which involves injecting a special solution into the affected vein to shrink it, seal it off, and prevent it from becoming enlarged again in the future.

External Hemorrhoid Thrombectomy

Individuals suffering from a thrombosed hemorrhoid require a unique procedure called an external hemorrhoid thrombectomy. The process is not nearly as intimidating as it may sound, as it is performed while the patient is under general anesthesia. During this treatment, Dr. Chung will remove the blood clot that has formed within the external hemorrhoid to effectively relieve the patient’s symptoms.

Hemorrhoid Stapling

Stapling is often used for those with internal hemorrhoids. This surgical treatment option involves cutting off the blood supply of the hemorrhoid by stapling the internal tissue. Patients who undergo this procedure are often able to return to regular activities quickly after their treatment.

Hemorrhoidectomy

The surgical removal of a hemorrhoid, called a hemorrhoidectomy, has been a standard practice for many years. During surgery, Dr. Chung will remove the hemorrhoid and excise the affected tissue while the patient remains sedated and completely comfortable. This provides long-lasting relief from hemorrhoids that are known to chronically occur in one particular area.

Schedule a Hemorrhoid Consultation in Santa Ana, CA

If you are concerned about or experiencing issues related to severe hemorrhoids, it’s important to seek the advice of a medical professional. Contact Dr. Albert Chung at (714) 988-8690 today to set up an appointment.

How are hemorrhoids treated? Modern methods of treatment and prevention of hemorrhoids

About half of the population of our country have certain diseases associated with the rectum, among which hemorrhoids ranks first. A lot of medical institutions are engaged in the treatment of this disease today. How to navigate the market of the services offered, which clinic to choose and which method of treatment to use, tells the surgeon – proctologist of the Medkvadrat clinic, Alexey Gennadievich Pak.

How common is hemorrhoids?

Every person in his life, sooner or later, experiences problems associated with diseases of the anal canal or rectum. According to existing statistics, hemorrhoids and diseases of the anal canal account for up to 80% of cases of all proctological diseases.

Hemorrhoids are very closely related to heredity, and if one of the parents suffered from them, you automatically fall into the risk group. At the same time, both men and women are equally affected by hemorrhoids.

How can hemorrhoids be cured? Are there many methods?

Hemorrhoids can be cured once and for all, but depending on the stage of the disease, different methods of treatment are used. They can be divided into three main groups: conservative, minimally invasive and radical surgical methods. With the help of conservative therapy, it is not possible to cure hemorrhoids; it is used to treat the acute stage and complications associated with hemorrhoids.

Minimally invasive (low-traumatic) methods are used at all initial stages of the disease (stages 1-2-4) – these are sclerotherapy, infrared coagulation, latex doping of hemorrhoids, desarterization of hemorrhoids, laser vaporization, etc. At stages 3 and 4, surgical radical methods of treatment are already used, such as the Milligan-Morgan operation and the Longo operation.

In our clinic, we try to use the most modern, effective and reliable, to date, methods for the treatment of advanced forms of hemorrhoids, when the operation takes place without a single incision at all and lasts no more than 40 minutes. These are methods such as deserterization with lifting and pexia, laser vaporization, lifting, pixia.

What is the best treatment?

The best and most effective treatment for hemorrhoids is the one that suits the individual patient. But which one – can only be determined by an experienced proctologist. The sooner the patient turns to a specialist, the faster and easier the treatment.

Is modern Russian proctology inferior to the leading countries of the world?

Absolutely not inferior. I am a member of the Russian and European Associations of Proctologists, I communicate quite closely with Western colleagues, I often observe how they perform operations. Believe me, our specialists are in no way inferior to European ones. Moreover, the principle of organizing the process of treating hemorrhoids in Russia is much more modern and effective than in the West.

In Europe, for example, hemorrhoids of the 1st and 2nd degree are treated not by proctologists, but by gastroenterologists, and only conservative methods are used, which cannot cure hemorrhoids at all. Neither minimally invasive treatment nor surgery is used in Europe at these stages. A patient is referred to a specialist proctologist only at the third stage of the disease, when a person experiences severe pain and an extremely uncomfortable condition. This is a European concept for the treatment of hemorrhoids.

In Russia, the approach is different: if the corpora cavernosa has formed, because you will smear it with ointments or insert candles, the hemorrhoid will not disappear and will not resolve itself. Yes, you can remove acute inflammation, reduce vein thrombosis, remove light bleeding, but the disease itself will not go anywhere, it will only progress. Therefore, a proctologist immediately begins to deal with our patient, and we completely cure hemorrhoids at the earliest stages, without waiting for the development of severe forms.

Now many medical centers undertake to treat hemorrhoids. How to navigate in this sea of ​​advertising?

The first thing a person should pay attention to is who is taking it: a proctologist or an ordinary surgeon? There are not so many proctologists in Russia, let alone practitioners. Therefore, in many clinics, very often patients with proctological diseases are seen by a surgeon. He may be a brilliant specialist, but there are many features in proctology, without knowing which, it is impossible to cure the patient correctly. Just having surgery is not enough. The rehabilitation period is important, it is necessary not only to observe the patient, but also to understand everything that happens to him after the operation. The second is the equipment of the clinic where the person goes. There are still very few centers in Russia that have modern equipment that can be used to apply such treatment methods as desarterization, laser vaporization, Long Milligan-Morgan operations, etc., simply because these are very expensive devices, which can only be purchased by large, multifunctional medical centers. Our clinic has such equipment. As a result, the patient becomes a hostage only to those methods of treatment for which the equipment of a particular clinic is designed, which was often created in the last century. And the third is the attending physician. If at the first visit the patient has a feeling of trust in this specialist, he can be treated, if not, you need to look for another doctor. Without the trust of the patient, a full-fledged treatment is impossible.

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