When should you seek medical attention for hemorrhoids. What are the warning signs that indicate professional treatment is necessary. How can a doctor provide relief from hemorrhoid symptoms. What to expect during a hemorrhoid examination.

Understanding Hemorrhoids: Types, Causes, and Symptoms

Hemorrhoids are vascular cushions in the rectum that play a crucial role in bowel control. While everyone has these structures, they can become inflamed and cause discomfort. There are two main types of hemorrhoids:

• Internal hemorrhoids: Located inside the rectum, often less painful
• External hemorrhoids: Found under the skin around the anus, generally more painful

Several factors can contribute to the development of inflamed hemorrhoids:

• Low-fiber diets
• Straining during bowel movements
• Prolonged sitting
• Pregnancy
• Obesity
• Improper heavy lifting technique

Common symptoms of hemorrhoids include pain, itching, and bleeding. While many cases resolve on their own, some situations require medical intervention for faster relief and prevention of recurrence.

Bleeding During Bowel Movements: A Red Flag for Medical Attention

One of the most critical signs that you should seek medical care for hemorrhoids is the presence of blood before, during, or after bowel movements. Why is this symptom so important? Blood in your stool can indicate various conditions, ranging from hemorrhoids to more serious issues like colon or anal cancer.

How can you differentiate between hemorrhoid-related bleeding and other causes? Unfortunately, it’s challenging to make this distinction without professional evaluation. That’s why it’s crucial to consult a healthcare provider if you notice any bleeding. They can perform necessary tests to determine the exact cause and provide appropriate treatment.

What should you do if you notice blood? Don’t panic, but don’t ignore it either. Schedule an appointment with your doctor as soon as possible. They may recommend a colonoscopy or other diagnostic procedures to rule out more serious conditions and confirm the presence of hemorrhoids.

Persistent Discomfort: When Home Remedies Aren’t Enough

If you’ve been experiencing discomfort, pain, or itching from hemorrhoids for more than a week, it’s time to consult a medical professional. Why is a week-long duration significant? While some hemorrhoid symptoms may resolve spontaneously, persistent issues often require medical intervention for effective relief.

What treatments might a doctor recommend for long-lasting hemorrhoid symptoms? Depending on the severity of your condition, options may include:

• Prescription-strength topical medications
• Minimally invasive procedures like rubber band ligation
• Surgical interventions for severe cases

How can seeking medical care benefit you? A healthcare provider can offer tailored treatment plans that not only address your current symptoms but also help prevent future flare-ups. They can provide guidance on dietary changes, hydration, and improved bathroom habits to reduce the likelihood of recurrent hemorrhoids.

Worsening Symptoms: The Importance of Professional Evaluation

If your hemorrhoid symptoms are progressively getting worse despite home remedies, it’s crucial to seek medical attention. Why is professional evaluation necessary in this case? Worsening symptoms may indicate complications or misdiagnosis of another underlying condition.

What signs suggest that your symptoms are worsening? Look out for:

• Increasing pain or discomfort
• More frequent or heavier bleeding
• Development of new symptoms
• Difficulty with normal daily activities

How can a doctor help with escalating hemorrhoid issues? They can reassess your condition, adjust your treatment plan, and consider more aggressive interventions if necessary. Additionally, they may investigate other potential causes for your symptoms to ensure you’re receiving the most appropriate care.

Prolapsed Hemorrhoids: Identifying and Addressing the Bulge

A prolapsed hemorrhoid occurs when an internal hemorrhoid becomes so inflamed that it protrudes outside the anus. How can you identify a prolapsed hemorrhoid? You may notice a soft, fleshy bulge around your anal area, which may or may not be painful.

Why is early treatment important for prolapsed hemorrhoids? While some prolapsed hemorrhoids may retract on their own, others can become trapped outside the anus, leading to increased pain, bleeding, and potential complications. Prompt medical attention can help prevent these issues and provide relief.

What treatment options are available for prolapsed hemorrhoids? Depending on the severity, treatments may include:

• Manual reduction (gently pushing the hemorrhoid back inside)
• Rubber band ligation
• Surgical removal (hemorrhoidectomy) for severe cases

A healthcare provider can assess the extent of prolapse and recommend the most suitable treatment approach for your specific situation.

Uncertainty About Your Symptoms: The Value of Professional Diagnosis

If you’re experiencing anal discomfort or bleeding but aren’t sure whether hemorrhoids are the cause, it’s essential to seek medical advice. Why is professional diagnosis crucial in this scenario? Many conditions can cause similar symptoms, and some may be more serious than hemorrhoids.

What other conditions might mimic hemorrhoid symptoms? Possibilities include:

• Anal fissures
• Inflammatory bowel disease
• Colorectal cancer
• Anal cancer

How can a doctor differentiate between hemorrhoids and other conditions? They will perform a thorough physical examination, which may include a digital rectal exam or anoscopy. In some cases, they might recommend additional tests like colonoscopy to rule out more serious issues.

Why is it better to err on the side of caution? Early detection and treatment of any underlying condition can lead to better outcomes and peace of mind. Don’t let embarrassment or fear prevent you from seeking the care you need.

What to Expect During Your Hemorrhoid Examination

If you’ve decided to seek medical care for your hemorrhoid symptoms, you might be wondering what the examination process entails. Understanding what to expect can help alleviate anxiety and ensure you’re prepared for your appointment.

Medical History Review

Your doctor will begin by asking about your medical history. What kind of information should you be prepared to share?

• Duration and severity of your symptoms
• Any home remedies or over-the-counter treatments you’ve tried
• Your diet and bathroom habits
• Any family history of colorectal issues
• Other medical conditions you may have

Being thorough and honest in your responses will help your doctor make an accurate diagnosis and develop an effective treatment plan.

Symptom Discussion

Your healthcare provider will want to know specific details about your symptoms. How can you best describe your experience? Consider the following aspects:

• The type of discomfort you’re experiencing (pain, itching, burning)
• When symptoms occur (during bowel movements, throughout the day)
• Any factors that seem to worsen or improve your symptoms
• The presence and characteristics of any bleeding

Providing clear, detailed information about your symptoms can help your doctor determine the severity of your condition and guide treatment decisions.

Physical Examination

The physical examination is a crucial part of diagnosing hemorrhoids. What does this examination typically involve?

• Visual inspection of the anal area
• Digital rectal examination
• Anoscopy (insertion of a small, lighted tube to visualize the anal canal)

While these procedures may cause some discomfort, they are generally quick and provide valuable information for diagnosis and treatment planning.

Treatment Options: From Conservative Measures to Surgical Interventions

Once your doctor has diagnosed hemorrhoids, they will recommend a treatment plan based on the severity of your condition. What are the various treatment options available for hemorrhoids?

Conservative Treatments

For mild to moderate hemorrhoids, conservative measures are often the first line of treatment. What do these treatments typically include?

• Dietary modifications (increasing fiber intake)
• Improved bathroom habits (avoiding straining)
• Topical treatments (creams, ointments, suppositories)
• Sitz baths
• Over-the-counter pain relievers

These approaches can often provide relief and prevent further complications in many cases.

Office-Based Procedures

For more persistent or severe hemorrhoids, your doctor may recommend minimally invasive procedures that can be performed in their office. What are some common office-based treatments?

• Rubber band ligation
• Sclerotherapy
• Infrared coagulation

These procedures aim to reduce blood flow to the hemorrhoid, causing it to shrink and eventually fall off.

Surgical Interventions

In cases of very large, painful, or recurring hemorrhoids, surgical options may be necessary. What surgical procedures are available for hemorrhoid treatment?

• Hemorrhoidectomy (surgical removal of hemorrhoids)
• Stapled hemorrhoidopexy
• Doppler-guided hemorrhoid artery ligation

While these procedures are more invasive, they can provide long-lasting relief for severe hemorrhoid cases.

Preventing Future Hemorrhoid Flare-Ups: Lifestyle Changes and Habits

After treating your current hemorrhoid issue, it’s important to focus on prevention to reduce the likelihood of future flare-ups. What lifestyle changes can help prevent hemorrhoids?

Dietary Modifications

A fiber-rich diet is crucial for maintaining healthy bowel movements and preventing hemorrhoids. How can you increase your fiber intake?

• Eat more fruits, vegetables, and whole grains
• Consider fiber supplements if recommended by your doctor
• Stay hydrated to help fiber work effectively

Exercise and Weight Management

Regular physical activity and maintaining a healthy weight can reduce pressure on the veins in your lower rectum. What are some ways to incorporate more exercise into your routine?

• Take regular walks
• Engage in low-impact activities like swimming or cycling
• Practice pelvic floor exercises

Improved Bathroom Habits

Proper bathroom habits can significantly reduce your risk of developing hemorrhoids. What practices should you adopt?

• Avoid straining during bowel movements
• Don’t sit on the toilet for extended periods
• Respond promptly to the urge to have a bowel movement

Lifestyle Adjustments

Certain lifestyle changes can help prevent hemorrhoid flare-ups. What adjustments should you consider?

• Avoid prolonged sitting
• Use proper lifting techniques to avoid straining
• Wear loose, breathable clothing

By implementing these preventive measures, you can significantly reduce your risk of experiencing future hemorrhoid issues and maintain better overall anal health.

When to Seek Emergency Care for Hemorrhoid Complications

While most hemorrhoid cases can be managed through regular medical care, certain situations may require immediate attention. What are the signs that you should seek emergency care for hemorrhoid-related issues?

Severe Pain and Discomfort

If you experience sudden, severe pain that is not relieved by over-the-counter medications or home remedies, it may indicate a complication such as a thrombosed hemorrhoid. How can you identify this condition?

• Intense, constant pain in the anal area
• A hard lump near the anus
• Difficulty sitting or having bowel movements due to pain

Excessive Bleeding

While some bleeding is common with hemorrhoids, excessive or continuous bleeding requires immediate medical attention. What constitutes excessive bleeding?

• Large amounts of bright red blood in the toilet bowl
• Bleeding that doesn’t stop with applied pressure
• Feeling lightheaded or dizzy due to blood loss

Signs of Infection

In rare cases, hemorrhoids can become infected, leading to more serious complications. What symptoms might indicate an infection?

• Fever
• Increasing pain and swelling
• Redness or warmth in the anal area
• Pus or foul-smelling discharge

If you experience any of these symptoms, seek immediate medical care to prevent potential complications and receive appropriate treatment.

The Importance of Follow-Up Care After Hemorrhoid Treatment

After receiving treatment for hemorrhoids, follow-up care is crucial to ensure proper healing and prevent recurrence. Why is follow-up care so important?

Monitoring Healing Progress

Your healthcare provider will want to assess how well you’re healing after treatment. What might they look for during a follow-up appointment?

• Reduction in pain and discomfort
• Proper healing of any surgical sites
• Resolution of bleeding or other symptoms

Adjusting Treatment Plans

Based on your progress, your doctor may need to adjust your treatment plan. How might your treatment change during follow-up care?

• Modifying medication dosages
• Recommending additional procedures if necessary
• Suggesting lifestyle changes to prevent recurrence

Addressing Concerns and Questions

Follow-up appointments provide an opportunity to discuss any concerns or questions you may have about your recovery. What kind of questions might be helpful to ask?

• When can you expect full recovery?
• Are there any activities you should avoid during healing?
• What signs should prompt you to seek additional care?

Long-Term Prevention Strategies

Your healthcare provider can offer personalized advice on preventing future hemorrhoid issues. What long-term strategies might they recommend?

• Ongoing dietary modifications
• Regular exercise routines
• Techniques for managing chronic conditions that may contribute to hemorrhoids

By prioritizing follow-up care, you can ensure the best possible outcomes from your hemorrhoid treatment and minimize the risk of future problems.

5 Signs it’s Time to Seek Care for Hemorrhoids.

Hemorrhoids seem to have a stigma to them, but the truth is, we all have them. It’s not uncommon for them to become inflamed and cause pain, itching, or bleeding. Many times, hemorrhoids go away on their own, but sometimes a trip to the doctor is necessary for faster relief, peace of mind, and tips to prevent them from coming back.

What are hemorrhoids?

Hemorrhoids are vascular cushions in the rectum that help us to control bowel function. When increased pressure causes the veins in your lower rectum and anus to swell, they can become inflamed and painful. Often this occurs as a result of:

• Low-fiber diets
• Straining during bowel movements
• Prolonged sitting
• Pregnancy
• Obesity
• Lifting something heavy with incorrect form

There are two types of hemorrhoids:

Internal hemorrhoids, which are located inside the rectum and often less painful than external hemorrhoids.

External hemorrhoids, which are found under the skin around the anus and are generally more painful.

Learn more about hemorrhoid symptoms.

When is it time to seek medical care for hemorrhoids?

Drinking more water, eating more fiber, and taking over-the-counter medications may help hemorrhoids to resolve on their own at home. However, often a doctor can help you get effective relief faster than you might on your own. And, in some cases, your symptoms could indicate a condition more serious than hemorrhoids. That’s why it’s always better to be safe than sorry and get your hemorrhoids evaluated sooner rather than later.

If you notice bleeding before, during, or after bowel movements.

If you notice blood before, during, or after bowel movements, you should seek medical care. Bleeding during bowel movements may be associated with hemorrhoids, but it could also be a sign of something more serious, such as colon or anal cancer. Call your doctor so you can get an accurate diagnosis and rule out anything life-threatening. Your doctor can help you identify and address the cause of your bleeding. And if it’s hemorrhoids, they can offer treatment, relief, and suggestions to help you prevent hemorrhoids from recurring.

If discomfort from hemorrhoids isn’t resolved within a week.

When you’ve had persistent discomfort, pain, or itching for a week, it’s time to talk to a doctor. While some symptoms of hemorrhoids resolve on their own, others do not and can be treated by a doctor, so you don’t have to live with the daily symptoms. Your doctor can recommend treatments that range from the conservative, like dietary and behavioral changes, or in-office procedures, such as rubber band ligation, to more invasive approaches like surgery.

If your symptoms continue worsening.

While many home remedies may provide temporary relief of inflammation, pain, or discomfort caused by hemorrhoids, they don’t necessarily cure the issue. That’s why it’s important to seek medical care for hemorrhoids, especially if your symptoms get worse. On top of treating your hemorrhoids, your doctor can help you reduce the chances of another hemorrhoid flare-up by discussing things like your diet, staying hydrated, and changing your bathroom habits.

If you notice a bulge, you may have a prolapsed hemorrhoid.

If an internal hemorrhoid becomes severely inflamed, it can prolapse, or fall outside of the anus. Many times it will retract on its own but not always. If it can’t easily be pushed back in, or it causes pain or bleeding, early hemorrhoid treatment from a doctor is important.

If you’re not certain your discomfort is caused by hemorrhoids.

When you have bleeding, discomfort, or pain in the anal region, it could be a sign of an inflamed hemorrhoid. Or, it could indicate that something else is wrong. This is especially true if you don’t have a history of hemorrhoids. That’s why it’s always better to play it safe and see a doctor, as they can accurately diagnose the cause of your symptoms. It’s much better to have an expert confirm that you don’t have something more serious like cancer than to avoid a hemorrhoid treatment just because you’re uncomfortable seeking care.

We all have #Hemorrhoids, but if yours become painfully inflamed, a doctor can help. On the #LiveWellHealthy blog, colorectal surgeon Dr. Nicole Chaumont shares 5 signs that indicate you should seek care for hemorrhoids: https://bit.ly/2OQFntt.

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What to expect at your doctor’s visit.

Whether you see a primary care doctor or a colon and rectal specialist, you can expect that your medical provider will conduct a thorough evaluation that includes:

• A review of your medical history
• Discussion of your symptoms
• Physical examination

During your appointment, your doctor will ask you detailed questions about what makes your symptoms better or worse. It’s important to be honest and direct so that they can identify what’s causing your inflamed hemorrhoid.

In most cases, the physical exam will require an internal exam of your anus and rectum. If that does not clarify the cause of your symptoms, or if you are at a high risk for cancer, your doctor may need to perform a colonoscopy to make sure your pain or bleeding isn’t caused by a more complex health issue.

Regardless of what sends you to the doctor for hemorrhoid treatment, know that it’s as common as getting other routine care. Prompt treatment can alleviate unnecessary pain and discomfort so if you think you have hemorrhoids, don’t delay your care.

Do you have a hemorrhoid that’s causing you discomfort?

Request an appointment with a MedStar Health specialist today.

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What If Treating Hemorrhoids at Home Doesn’t Work?

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Posted
August 6, 2015 by
Benjamin Krevsky, MD, MPH

Hemorrhoids are swollen veins in the anal canal. Of course, everyone has veins in this area, but when they become enlarged they can bleed, itch and cause pain.

Hemorrhoids can be located internally, externally or sometimes both. While rarely a serious condition, hemorrhoids certainly cause a lot of discomfort and concern. I previously discussed treatments you can do at home to get relief. These treatments included hydration, fiber, sitz baths, soothing wipes, ointments, creams, suppositories and more. But what do you do when this does not solve the problem?

When Should You Go to the Doctor for Hemorrhoids?

Again, before assuming that your condition is hemorrhoids, it’s a good idea to see your doctor for an examination. After all, it’s difficult to take a look for yourself. If there is any bleeding, severe pain or fecal incontinence (loss of bowel control), you should definitely see the doctor. A large amount of bleeding or the sudden onset of severe pain means you should seek medical treatment immediately.

What Kind of Doctor Treats Hemorrhoids?

In most cases, you can see a primary care physician about your hemorrhoid symptoms. But if there are complications, your doctor may refer you to a specialist, such as a gastroenterologist or a proctologist (surgeon).

How Do Doctors Treat Hemorrhoids?

Doctors can treat hemorrhoids by prescribing medications or by performing minor surgery to major surgery. Here are several treatment options:

Prescription Ointments, Creams and Suppositories

These usually contain an emollient (medication to soften and soothe the skin). In addition, there may be an anesthetic (for example, pramoxine) and/or steroid (hydrocortisone). Prescription strength medications often work better than their over-the-counter cousins. But sometimes not so much.

An oral tablet called Vasculera comes with some prescription treatment kits (Analpram advanced kit) and also helps reduce the size of hemorrhoids.

Rubber Band Ligation

In this common treatment, the doctor applies miniature rubber bands to the internal hemorrhoids. This causes them to shrink up, stop bleeding and pull back inside. There are several different techniques for performing the procedure.

In one form, (CRH O’Regan) single bands are applied once a week for several weeks. This is done as an outpatient in the doctor’s office. Multiple bands can also be placed right after a colonoscopy or other endoscopic procedure while you are still sedated. This would be done in an outpatient surgery center or hospital procedure room. Bands can also be placed without another procedure.

Depending on the doctor and your individual situation, it could be with or without sedation. While rubber band ligation works for most patients, it doesn’t work all the time. Also, there are some potential complications – bleeding, pain and infection. Recovery can range from a day or 2 to 6 weeks.

Infrared Coagulation

In this procedure, hot light is applied to the base of the hemorrhoid to seal it off. This is usually done in a surgery center but can be done in the office.

The advantages include:

• High success rate in small or medium hemorrhoids
• Very rapid recovery
• Very low risk of any complications

Usually, your recovery is complete as soon as the procedure is finished. There may be a second treatment required if the first treatment does not work.

Laser Treatment

Actually, laser treatment is not done any more. It was similar in principle to infrared coagulation, but the equipment is much more complicated and expensive.

Bipolar Therapy

This uses electrical energy to cauterize the hemorrhoids. While it is effective, it can be a painful treatment.

Radiofrequency Hemorrhoid Ligation

This method uses a probe to grasp the hemorrhoid and then cauterize it using high frequency electricity (HETTM) . Experience with this technique is limited.

Doppler Ligation

In the operating room, a surgeon uses a special ultrasound probe in the rectum to find the arteries supplying the hemorrhoids. Then a suture is placed around each artery to cut off the blood flow.

This is performed in the operating room and requires special equipment not commonly available. Recovery is quick and painless for most people.

Surgical Hemorrhoidectomy

This involves cutting out the hemorrhoids with a scalpel or cutting through the wall of the rectum and stapling the area shut again. This is true surgery and has a recovery period of several weeks. It can be very painful post-operatively and infection is often a problem.

However, this treatment works for the worst hemorrhoids, works when the other treatments fail, and has the longest period before the hemorrhoids come back.

Is It Common for Hemorrhoids to Reoccur?

Yes! Sometimes it takes a year or two, sometimes longer, but they can come back again after any treatment. They can even come back after surgery, but usually not for a long time.

How Do You Decide Which Hemorrhoid Therapy Is Best for You?

Everybody’s situation is different. Discuss the options with your gastroenterologist or surgeon. If they only offer one kind of treatment, they may not be selecting the best one for your hemorrhoids.

In the meantime, if you have more questions or feel your condition is urgent, contact your Temple physician or healthcare provider.

To schedule an appointment, please call 800-TEMPLE-MED (800-836-7536) or request an appointment online.

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What does a proctologist treat and how to prepare for an examination? Indications for visiting a doctor at the MEDSI Clinic

A proctologist is a specialist who treats diseases of the rectum, large intestine and anus. You should contact this doctor immediately after the first signs of the disease are detected. MEDSI clinics employ experienced specialists who provide support to patients with a variety of proctological problems.

Proctologist specialization

A proctologist treats infectious, parasitic, congenital, inflammatory and oncological diseases of the intestine, colon and surrounding tissues. The specialist examines patients and collects anamnesis. You can also get medical advice from a professional.

Doctors have a therapeutic or surgical profile. Doctors of the first type carry out only conservative therapy, the second – surgical interventions.

What diseases does the doctor treat for women?

A proctologist treats:

• Hemorrhoids. This disease occurs due to varicose veins in the rectum and leads to the development of hemorrhoids that protrude from the anus, causing discomfort, bleeding and pain
• Anal fissures. This pathology occurs as a result of damage to the walls of the rectum
• Polyps in the colon. This pathology belongs to the category of benign formations and is hereditary in nature
• Paraproctitis. These diseases lead to inflammation of the perirectal tissues and the formation of fistulas
• Worm infestations
• Cancers

Women should consult a doctor when the first signs of any of the listed pathologies are detected.

These include:

• Constipation or fecal incontinence
• Pain in the anus
• Anal bleeding
• Discharge from anus mucus and pus
• Bloating

What diseases does it treat in men?

In men, proctologists treat the same diseases as in women.

You should consult a specialist for hemorrhoids, anal fissures, polyps, proctitis and paraproctitis. It is important to understand that only with timely diagnosis, diagnosis and treatment, one can count on the rapid elimination of not only the symptoms of diseases, but also their causes. Turning to a doctor in the early stages of the development of pathology, the patient receives adequate conservative therapy, which avoids the need for surgical intervention.

How to prepare for the examination?

Preparing for a proctologist examination is quite simple. You don’t have to go on a special diet or do cleansing enemas.

Follow these guidelines:

• It is recommended to have a bowel movement before going to the doctor. If necessary, you can take a laxative. This will allow the specialist to make a preliminary diagnosis
• One day before the appointment with the proctologist, you should exclude from the diet products that stimulate increased gas formation
• Immediately before going to the doctor, perform standard hygiene procedures (washing with soap)
• Try to calm down and not worry. There is nothing terrible and shameful in the examination by a proctologist. Doctor doing his job

How is the inspection?

An examination by a proctologist takes place in several stages:

• History taking and listening to patient complaints
• Primary examination. It is carried out by palpation. The organs are palpated by the doctor through the abdominal wall and through the anus. Such an examination allows you to assess the condition of the anal canal and closely located parts of the intestine. Diagnosis by palpation makes it possible to detect pathological formations and damage to the walls
• Anoscopy. To conduct this examination, an anoscope is used – a special device in the form of a hollow tube with a light tip and an adapter, which allows you to perform a visual examination of the walls of the rectum. For diagnosis, the patient lies on his side and pulls his legs to his stomach. The device is inserted into the anus and allows the doctor to see all the changes. In addition, during anoscopy, biopsy material is taken
• Sigmoidoscopy. This examination is carried out using a sigmoidoscope. Diagnosis is aimed at assessing the rectum and sigmoid colon, as well as the condition of the mucous membranes at a depth of up to 40 cm. The sigmoidoscope is a fiber optic tube with a lighting device. For diagnosis, the patient is asked to kneel and elbows. This ensures that the tool penetrates to the desired depth
• Colonoscopy. Such an examination belongs to the category of endoscopic and is one of the most informative. With such a diagnosis, tumors, ulcerative colitis and Crohn’s disease can be detected. The procedure can be not only diagnostic, but also therapeutic. Colonoscopy is also prescribed to stop bleeding, remove small benign tumors and remove foreign bodies from the rectum. Colonoscopy can be performed under anesthesia
• Laboratory studies. Patients often donate blood and feces

If dangerous pathologies are suspected, the following is additionally prescribed:

• Computed tomography
• Intestinal ozonation
• ultrasound
• Colon hydrotherapy

Proctologist examination of children

If your child complains of pain during bowel movements, experiences other problems of a proctological nature, you should immediately register him with a doctor. As a rule, the diagnosis of diseases in children is carried out using the palpation technique. Instrumental methods are not used because of the too small size of the rectum. Additionally, the doctor prescribes ultrasound, CT and other examinations that are non-invasive.

Who treats colitis – proctologist or gastroenterologist?

Proctologists are involved in the treatment of colitis, as well as other diseases of the lower digestive tract. They carry out both an initial examination and consultations, as well as a complete diagnosis, and further therapy. If necessary, an additional examination by a gastroenterologist is prescribed. If the situation is complex and confusing, doctors consult and decide on the treatment of pathology together.

Benefits of visiting a proctologist at MEDSI

• Use of the latest European diagnostic and treatment protocols
• Minimization of psychological uncertainty, feelings of fear and anxiety in patients
• Experienced doctors with many years of experience. Our proctologists in Moscow regularly improve their skills, undergo internships in the world’s leading clinics
• Using a range of modern diagnostic methods: laboratory tests, endoscopy of the anal canal and rectum. MRI of the pelvic and abdominal organs
• The use of minimally invasive endoscopic and surgical intervention techniques for the treatment of diseases of the large intestine, anal canal and perineum: sclerotherapy, infrared photocoagulation, node removal, laser operations
• Lack of queues and the possibility of making an appointment with a doctor at a convenient time

To make an appointment with a proctologist, just call: +7 ((495) 152-47-53.

Do not delay treatment, contact a doctor right now:

• Proctologist appointment

rapid treatment, incl. non-surgical. Proctology professors in Moscow.

Hemorrhoids: stop hiding the problem!

People don’t want to talk about hemorrhoids – this is an intimate topic. Having discovered hemorrhoids, patients are ashamed to see a doctor, preferring to patiently endure the torment. And often they don’t even know where to turn. The disease greatly complicates everyday life – constant pain, bleeding, itching and burning in the anal area. Attempts at self-treatment with various ointments, candles do not lead to recovery, but only for a short time bring relief. Then everything starts again. But modern proctology allows you to cure hemorrhoids very quickly, without pain and forever. About what hemorrhoids are and why you should not be ashamed of going to the doctor, tells the surgeon-proctologist Alexey Gennadievich Pak.

Alexey Gennadievich, what are hemorrhoids?

Hemorrhoids is a disease associated with the human venous system, which is characterized by the expansion of vascular formations (cavernous bodies) located in the anal canal. Cavernous bodies are present in the body of every person, but, under the influence of certain reasons, in some people there is an expansion of these bodies, which, in fact, is a disease of hemorrhoids.

More than 10,000 operations were performed, including 3,500 for deserterization.

What are the causes of hemorrhoids?

There are quite a lot of them, but the main reasons are passive, that is, sedentary lifestyle, too much physical activity and some bad habits, such as alcohol and smoking. Each of the listed factors separately does not cause hemorrhoids – this disease, as a rule, is the result of a complex of several, completely different, factors.

How can a person tell if he has hemorrhoids?

In the evening, the patient develops anal itching, he begins to notice traces of blood after defecation, there are discomfort and a feeling of a foreign body in the anus, mainly after stool. These are the first symptoms that make a person understand that he has some problems and needs to see a doctor. In the future, if the patient does not turn to a specialist, he begins to develop the second, third and fourth stages of hemorrhoids, when there is (depending on the stage of the disease) protrusion or prolapse of the enlarged cavernous bodies from the anal canal to the outside.

Why should hemorrhoids be treated by a doctor, can they go away on their own or as a result of self-treatment?

No, you cannot treat yourself, because such a disease as hemorrhoids will not go away by itself. Individual complications that occur with hemorrhoids can be treated with conservative methods – ointments, suppositories – but there are a lot of such drugs and only a doctor can choose the right and effective one for this or that complication. Unfortunately, very often people simply turn to a pharmacist from the nearest pharmacy, who, due to his competence, cannot make a correct diagnosis, or simply buy a drug advertised on TV. Only the attending physician can prescribe the correct conservative therapy for complications or exacerbations of the disease.

If hemorrhoids are left untreated, what complications can there be?

Serious complications such as anemia of the body (decrease in hemoglobin in the blood) can occur – it becomes difficult for a person to walk, shortness of breath, increased heartbeat. Thrombosis (blockage) of hemorrhoids may begin, in which severe pain occurs in the anal canal.

Which doctor treats hemorrhoids?

The treatment of hemorrhoids is handled by a proctologist, who conducts both therapeutic reception and, if necessary, surgical operations of various complexity, and treats the complications that arise.

What treatments are available?

In modern proctology, there are many different methods of treating hemorrhoids, they can be divided into three groups: conservative, minimally invasive and surgical methods. Conservative therapy is used to treat various exacerbations that occur with hemorrhoids, and with an uncured disease, it gives the patient only temporary relief.

Minimally invasive methods suggest the least traumatic effect on tissues, and a fairly short recovery period. In the last stages of the disease, when it is no longer possible to use minimally invasive methods, Milligan-Morgan surgery or the Longo operation are used.