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Should you see a doctor for hemorrhoids: Hemorrhoid Symptoms and Diagnosis: Internal and External Hemorrhoids

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Hemorrhoid Symptoms and Diagnosis: Internal and External Hemorrhoids

Hemorrhoids occur when veins in the skin around the anus or in the lower rectum get swollen and inflamed. It’s not exactly clear what causes people to get hemorrhoids, but there are some common, accepted risk factors and conditions that lead to their development.

Aging can decrease muscle tone in the area, weakening the tissue and causing hemorrhoids to bulge, while obesity and pregnancy can increase the risk for hemorrhoids due to increased pressure on tissue in the area. (1)

Repeated straining to make a bowel movement, as well as constipation, are also associated with hemorrhoids.

Hemorrhoids are generally not dangerous or life-threatening, but they may be painful.

Common Hemorrhoid Symptoms to Watch For

The following signs and symptoms may indicate hemorrhoids:

  • Bright red blood on toilet paper, in stool, or in the toilet bowl after a bowel movement
  • Anal itching
  • Pain around the anus, especially while sitting
  • Pain during bowel movements
  • One or more hard, painful lumps around the anus

If you have any symptoms of hemorrhoids, try to avoid excessive straining, rubbing, or cleaning around the anus.

Doing these things can make any irritation and itching worse, and can sometimes lead to bleeding.

Internal Hemorrhoids vs. External Hemorrhoids

There are two main types of hemorrhoids:

Internal Hemorrhoids These hemorrhoids develop inside the lower rectum. Internal hemorrhoids usually don’t hurt, but they often bleed painlessly, resulting in bright red blood you might notice when you go to the bathroom and wipe.

Most of the time, internal hemorrhoids are not visible to the naked eye. But in some cases, internal hemorrhoids may protrude through the anus, which is known as becoming prolapsed. When this happens, they will usually shrink back inside the rectum on their own. Protruding hemorrhoids can become irritated and itchy, and patients may find it difficult to clean themselves after a bowel movement.

Internal hemorrhoids are categorized by how prolapsed they are, which helps determine how they should be treated.

Grade 1 hemorrhoids means there is no prolapse. A prolapse that goes back in by itself is categorized as grade 2. Prolapse that needs to be pushed back in by the patient is considered grade 3. Grade 4 is when the prolapse can’t be pushed back in. (2)

External Hemorrhoids These hemorrhoids develop under the skin around the outside of the anus. They can be itchy or painful, and may feel lumpy.

External hemorrhoids are called thrombosed hemorrhoids when a blood clot develops within the hemorrhoid. The increased pressure can be very painful, especially within the first 48 hours after it develops. (1)

Thrombosed hemorrhoids tend to be bluish in color due to the clot. Sometimes the blood clot will go away on its own, but because the clot has stretched the skin, it may result in an anal skin tag — excess skin left when the blood clot in a thrombosed hemorrhoid is absorbed by the body. Skin tags do not require removal, but if it’s particularly bothersome to a patient, excision is an option. (1)

If a thrombosed hemorrhoid has been present for longer than two days, the pain has often peaked and you might try home treatments while waiting for the clot to clear up on its own. When the clot first forms, it can be very painful; if you make it to your doctor’s office during this time, an in-office surgical procedure, involving local anesthesia and excision of the hemorrhoidal tissue, may be available. (2)

RELATED: 8 Myths You’ve Been Told About Hemorrhoids

How Hemorrhoids Are Diagnosed by Your Doctor

See your doctor if you think you might have hemorrhoids, especially if you notice bleeding from your anus or rectum, or have bloody stools. Your doctor will want to rule out more serious problems that can cause bleeding from the anus or rectum, such as cancer.

Hemorrhoid symptoms may also be similar to those of other anal and rectal problems, including anal fissures, abscesses, warts, and polyps.

Your doctor will ask about your medical history and will ask you to describe your symptoms. Questions about your eating habits, toilet habits, and enema and laxative use are likely to come up. (3)

Your doctor will also perform a physical exam to look for lumps or swelling, prolapsed internal hemorrhoids, external hemorrhoids, skin irritation, skin tags, and anal fissures, which are small tears in the anus that can result in itching and bleeding. (3) This will involve a visual examination of the area.

Your doctor may also perform a rectal exam to diagnose internal hemorrhoids, check the muscle tone of your anus, and check for blood in the stool. This is done with a gloved, lubricated finger (called a digital rectal examination) and a tool called an anoscope.

An anoscope is a type of endoscope — a hollow, lighted tube that is inserted a few inches into the anus to help the doctor see any problems inside the lining of the rectum. This procedure is performed in the doctor’s office and doesn’t require anesthesia. (3)

Your doctor may also recommend additional tests to rule out other causes of bleeding, especially if you are over age 40.

These tests may include:

Colonoscopy After you’re sedated with medicine, your doctor uses a thin, flexible tube called a colonoscope to look at the inner lining of your colon.

A colonoscopy can help discover ulcers, polyps, tumors, and other areas of inflammation or bleeding.

Sigmoidoscopy This procedure is similar to a colonoscopy, but it uses a shorter tube called a sigmoidoscope to examine the lining of the rectum and the sigmoid colon (the lower part of the colon).

Barium Enema X-ray This is a special type of X-ray of the colon and rectum in which your doctor inserts a liquid solution containing barium sulfate into the rectum. The solution helps highlight specific areas in the colon for your doctor to examine in the X-ray images.

RELATED4 Signs Your Hemorrhoids Warrant a Doctor’s Visit

Additional reporting by Deborah Shapiro.

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What Is a Gastroenterologist and What Do They Treat?

Are There Different Types of Gastroenterologists?

While some gastroenterologists treat general GI diseases, others cultivate an area of expertise within their specialty. For instance, they may have specific knowledge or experience in managing:

  • Inflammatory bowel diseases
  • Pancreatic disease
  • Liver disease
  • Liver transplantation
  • GERD
  • Conditions that require complicated endoscopic procedures

A gastroenterologist may choose to become a hepatologist: a doctor who specializes in diseases of the liver, gallbladder, bile ducts, and pancreas. A hepatologist must complete a three-year fellowship in gastroenterology with an additional year of concentrated training in hepatology.

Gastroenterologists often work closely with surgeons, oncologists (doctors who specialize in cancer), and radiologists (doctors who specialize in imaging).

How Do I Find the Best Doctor for Gastroenterology?

Your primary care physician is a good place to start. Your doctor likely knows some of the best specialists in your area and can provide you with a list of gastroenterologists to consider.

Word of mouth is another way to find a gastroenterologist who fits your needs. Try asking friends or family members for recommendations.

You can also do a little research yourself. A practice’s website will often feature the doctor’s bio, which includes information like their credentials, education, areas of special interest, and more. Reading online reviews can supply you with feedback from other patients.

How Can I Find Out if a Gastroenterologist Accepts My Insurance?

Your insurance company should supply you with a hard copy or online list of gastroenterologists in your area who accept your coverage. However, it’s a good idea to call your insurance provider and confirm that the specialist you’re considering is on your policy. Physician lists are often out of date.

What Other Factors Should I Consider When Selecting a Gastroenterologist?

When choosing a gastroenterologist, you might want to consider the following factors:

  • The location of the office in relation to where you live
  • The doctor’s experience, education, and credentials
  • The doctor’s subspecialities or special interests
  • The procedures the doctor performs or doesn’t perform
  • The doctor’s personality
  • Hospitals that the doctor is affiliated with
  • Whether the practice offers telemedicine options
  • How long you’ll have to wait for an appointment
  • Whether the office accepts new patients

Some gastroenterologists offer in-person or telehealth consultations for prospective patients. This visit gives you a chance to ask questions and determine if you and the physician are well matched.

How Do I Find a Gastroenterologist Who Will Be Sensitive to My Racial or Ethnic Background and Sexual Orientation?

It’s important to feel comfortable with your doctor, but finding a gastroenterologist who is sensitive to your race, ethnicity, or sexual orientation may take a little bit of effort. If you are having trouble finding a doctor who shares your background, it could be helpful to research your prospective doctor’s memberships and affiliations. This information could help you determine if they make an active effort in educating themselves or advocating about inequities in the healthcare system.

Telemedicine visits also give you an opportunity to see a doctor of your choice who isn’t necessarily located in your area.

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articles of the Oxford Medical Center Kryvyi Rih

Hemorrhoids is a disease that is always heard, BUT many patients are not serious about its first signs. Wikipedia tells us that HEMORRHOIDS is a disease in proctology, a pathological expansion of hemorrhoidal veins, their inflammation, which contributes to the development of hemorrhoids.

Symptoms of hemorrhoids are very diverse and only a doctor can deal with them. The signs that are characteristic of this disease coincide with the manifestations of rectal cancer, and only an experienced proctologist can make a correct diagnosis and prescribe treatment. It is important to recognize the first symptoms in time and immediately consult a doctor, because hemorrhoids can lead to serious consequences:

With all the inconvenience that accompanies this disease, people do not rush to see a doctor for help, they all hope for “maybe it will go away on its own” – this is the whole reason for such a large percentage of chronic diseases.

Our proctologists at the appointment always try to explain to the patient in an accessible way that inflamed hemorrhoids will not disappear anywhere and it is necessary to immediately use the treatment in order not to bring it to the chronic stage. In the chronic stage, the disease can resume at any time with more serious symptoms and at the most inopportune moment due to the slightest misconduct: nutrition, heaviness, stress.

What are the conditions for visiting a proctologist?

  • if you are 30 years old or older and your relatives suffered from hemorrhoids (there is a predisposition to varicose veins), then you should have an annual examination by a proctologist even if you do not have symptoms. In this case, prevention is the best treatment;

  • there is discomfort in the anus – this is the first signal that can warn you about the development of hemorrhoids;

  • swelling, inflammation or displacement of the anal folds at certain times;

  • anal itching, mucus, burning already indicate prolapsed hemorrhoids;

  • discharge of blood on toilet paper, in feces is a characteristic symptom of hemorrhoids. In this case, immediately go to the doctor, because the disease progresses.

  • prolapse of hemorrhoids – already directly indicates the presence of hemorrhoids and the need for its urgent treatment.

If you understand that you have a health problem in this area, but do not know where to turn, go to a PROCTOLOGIST. You should not waste time and life on self-treatment and folk methods, you just start the disease and give it the opportunity to progress.

Hemorrhoids are a disease that can be cured, any proctologist will confirm this to you. The main thing is the timely appeal for help!

Our medical center will provide you with the most comfortable appointment with a proctologist and the most effective and fastest treatment methods.

Make an appointment with a proctologist by phone:

( 056) 409-3000, (067) 560-01-02

Published: 02/19/2020

Updated : 02/19/2020

( Rating: 4. 60, votes: 5 )

The first signs of the appearance of hemorrhoids: how to recognize the symptoms?

Contents

  • 1 How to recognize the first symptoms of hemorrhoids: a beginner’s guide
    • 1.1 The first signs of hemorrhoids: how to know when to see a doctor?
    • 1.2 Hemorrhoids: what is it and how does it occur?
    • 1.3 What factors influence the appearance of hemorrhoids?
    • 1.4 How to recognize the symptoms of hemorrhoids?
    • 1.5 Pain and itching in the anus
    • 1.6 Problems with bowel movements
      • 1.6.1 Importance of proper bowel technique
      • 1.6.2 Constipation and diarrhea as a cause of hemorrhoids
      • 1 .6.3 Eating baby life as a cause of hemorrhoids
    • 1.7 Anal bleeding
    • 1.8 Swelling and prolapse of hemorrhoids
    • 1.9 How to deal with the first symptoms of hemorrhoids?
      • 1.9.1 1. See a specialist
      • 1.9.2 2. Regulate food and drink
      • 1. 9.3 3. Increase physical activity
      • 1.9.4 4. Use local preparations

      9001 8

    • 1.10 Prevention of hemorrhoids
    • 1.11 When should I see a doctor at the first symptoms of hemorrhoids?
    • 1.12 Related videos:
    • 1.13 Q&A:
        • 1.13.0.1 What are the symptoms of hemorrhoids?
        • 1.13.0.2 What can cause hemorrhoids?
        • 1.13.0.3 What are the treatments for hemorrhoids?
        • 1.13.0.4 How can hemorrhoids be prevented?
        • 1.13.0.5 Should I seek medical attention if I have symptoms of hemorrhoids?
        • 1.13.0.6 Is it possible to get rid of hemorrhoids?

Learn about the first symptoms of hemorrhoids – associated with pain, itching and bleeding in the rectal area. Learn how to recognize them and what actions to take to prevent the development of the disease.

Hemorrhoids are a common disease faced by many people. But how to recognize it at the very beginning? What are the symptoms and signs of this disease?

The first signs of hemorrhoids can appear already at a young age, but most often they occur after 40 years. Often people do not pay attention to this, since at first hemorrhoids do not bother much. However, over time, the problem worsens, leading to pain and discomfort.

Knowing the first signs of hemorrhoids will help you to see a doctor in time and start treatment, preventing the development of the disease and improving the quality of life.

The first signs of hemorrhoids: how to understand that you need to see a doctor?

Hemorrhoids is a disease that can occur in anyone. However, many people do not notice the first symptoms and do not receive timely treatment, which can lead to more serious problems.

The first signs of hemorrhoids can manifest itself in various ways. Some patients experience an unpleasant burning or itching sensation in the anus, others a feeling of heaviness or pressure in the perineum. In addition, some people may experience bloody discharge during or after a bowel movement.

If you notice these symptoms, do not delay your visit to the doctor. He will conduct an examination and make the correct diagnosis, after which he will prescribe the necessary treatment. Moreover, the sooner the treatment of hemorrhoids begins, the greater the chance of a quick cure and the prevention of possible complications.

  • Key points:
  • Don’t ignore the first symptoms of hemorrhoids;
  • Seek medical attention at the first sign of illness;
  • Timely treatment helps to avoid complications and get rid of the problem faster.

Hemorrhoids: what is it and how does it occur?

Hemorrhoids is a disease characterized by perversion of the vein in the rectum and anus. As a rule, this happens due to strong tension at the time of defecation.

Hemorrhoids can present with various symptoms. Some of them may be hidden, and invisible in the initial stage of the disease. These symptoms include the appearance of blood during bowel movements or itching in the anus. However, in advanced stages, hemorrhoids can cause severe pain, swelling, heavy bleeding, and other discomfort.

The initial symptoms of hemorrhoids may be mild, however, it is necessary to pay attention to your health and, if possible, undergo regular medical examinations. Early detection of hemorrhoidal disease allows you to avoid its complications and treat it more effectively.

What factors influence the appearance of hemorrhoids?

Bad food. Improper diet may be one of the causes of hemorrhoids. Abuse of fatty, fried, spicy and salty foods can lead to disruption of the intestines and cause the appearance of hemorrhoids.

Sedentary lifestyle. Limited physical activity can also lead to hemorrhoids. Prolonged sitting by drivers, office workers, accountants and other computer professionals creates conditions for stasis in the circulatory system and causes the development of the disease.

Physical activity. Heavy physical labor, heavy lifting, explosive sports and prolonged standing work can disrupt hemodynamics in the rectum and lead to the development of hemorrhoids.

Pregnancy and childbirth. In women, hemorrhoids often occur during pregnancy and after childbirth. Increasing weight and impaired blood flow in the pelvis can lead to the expansion of hemorrhoidal veins and the appearance of symptoms of the disease.

Heredity. Genetic predisposition may play a role in the development of hemorrhoids. If someone from close relatives suffered from this disease, the risk of its development increases.

Please note that the following factors may also increase your risk of developing hemorrhoids: age 45 or older, alcohol and smoking.

How to recognize the symptoms of hemorrhoids?

Hemorrhoids are a disease of the rectum that can lead to discomfort and pain symptoms. To effectively treat hemorrhoids, you need to know its symptoms and first signs.

1. Pain and discomfort in the anus:

One of the first symptoms of hemorrhoids is a feeling of discomfort in the anus, as well as pain and burning. These symptoms may be aggravated by defecation, sitting, and walking.

2. Bleeding after a bowel movement:

If you start noticing bleeding marks on the toilet paper after a bowel movement, this may be one of the signs of hemorrhoids. Bleeding occurs due to damage to internal hemorrhoids.

3. Protrusion of knots:

Another sign of hemorrhoids may be the protrusion of knots from the anus. This happens when hemorrhoids increase in size and begin to come out.

  1. Other signs of hemorrhoids may include itching, incomplete bowel movements, changing stools, and inability to control urine.

If you start noticing any of these symptoms, see your doctor to assess your health and get the treatment you need. In most cases, hemorrhoids can be successfully treated, but it is important to start treatment early.

Pain and itching in the anus

One of the first symptoms that may indicate the presence of hemorrhoids is the appearance of pain and itching in the anus. Patients suffering from this disease often describe these sensations as an unpleasant burning sensation or discomfort.

If these symptoms occur, it is important to see a doctor for diagnosis and treatment. Failure to treat can lead to worsening of symptoms and complications of hemorrhoids.

Defecation problems

The importance of good bowel habits

A lot of bowel and rectal problems can arise if bowel habits are wrong. Including, the appearance of hemorrhoids is possible. For proper technique, sit on the toilet with your thighs parallel to the floor and your feet flat on the floor, hip-width apart. During bowel movements, you should not strain, but relax the muscles of the pelvic floor and simply put pressure on the abdominal wall.

Constipation and diarrhea as a cause of hemorrhoids

Persistent constipation or diarrhea can also lead to hemorrhoids. With constipation, feces linger in the intestines for too long, and this causes increased pressure on the rectum. Diarrhea can also irritate the anus. Therefore, it is important to follow regular habits to avoid bowel problems.

The use of baby life as a cause of hemorrhoids

The use of spicy and fatty foods can lead to overexcitation of the gastrointestinal tract and, as its consequences, the occurrence of hemorrhoids. It is better to prefer lighter and healthier food, which will avoid such problems.

Anal bleeding

Anal bleeding is one of the early symptoms of hemorrhoids. It can manifest itself both during the act of defecation and after it.

Often this condition is accompanied by itching and discomfort in the anus. This is due to the fact that the blood irritates the skin around the anus when it comes out.

It is important to pay attention to bleeding in the anus and consult a doctor to determine the cause of its occurrence and begin treatment.

Swelling and prolapse of hemorrhoids

Hemorrhoids are a disease associated with the expansion of veins in the rectum and anus. One of the earliest symptoms of hemorrhoids is swelling of the tissues in the anus. It may be sensitive to touch or when pulled when moving the intestinal masses.

Edema may be accompanied by prolapse of hemorrhoids. This symptom manifests itself in the fact that hemorrhoids, which are usually located inside the rectum, begin to flow out of the anus. This may cause pain or discomfort in the anus.

If swelling and prolapse of hemorrhoids do not cause concern or pain, treatment may be delayed. However, if the symptoms increase, it is worth consulting a doctor and starting treatment for hemorrhoids. In some cases, if the progressive form of hemorrhoids is not treated, surgery may be required.

  • How to counter swelling and prolapsed hemorrhoids:
  • Make sure you get enough exercise to prevent circulatory problems.
  • Drink fluids regularly to prevent constipation and improve digestive health.
  • Avoid foods that can cause constipation and aggravate the symptoms of hemorrhoids, such as alcohol, hot spices, garlic and onions.

How to deal with the first symptoms of hemorrhoids?

1. Consult a specialist

The first and most important thing to do when symptoms of hemorrhoids appear is to consult a doctor. Many people are embarrassed to talk about their problems, but going to the doctor later will be even more unpleasant. A qualified specialist will help determine the form and stage of the disease, prescribe the necessary treatment and tell you about the rules of prevention in the future.

2. Regulate food and drink

Food and drink are important in hemorrhoids. It is recommended to eat foods rich in plant fibers (vegetables, fruits, cereals) and drink at least 1.5 liters of water per day. Avoid fatty, spicy, salty and smoked foods.

3. Increase physical activity

Physical activity contributes to the normalization of blood circulation in the body, including in the rectal area. Recommended for sports, long walks, swimming. However, exercises that can harm the disease (squats, pull-ups, etc.) should be avoided.

4. Use topical preparations

Topical preparations in the form of suppositories, ointments or gels are widely used in the treatment of hemorrhoids. They have a pronounced anti-inflammatory and analgesic effect and accelerate the healing process. However, before use, you should consult a doctor, as there are contraindications and restrictions on use.

  • By following these simple rules, you can significantly alleviate the manifestations of hemorrhoids and prevent the progression of the disease.

Prevention of hemorrhoids

Hemorrhoids are a disease that can be prevented by following simple rules of prevention. Proper lifestyle and healthy food will help to avoid this unpleasant disease.

  • Proper nutrition: Eat more vegetables, fruits and green vegetables rich in fiber. Avoid spicy, fatty and heavy foods, alcohol and smoking, which can cause hemorrhoids.
  • Moderate exercise: Exercise such as walking, swimming, yoga and aerobics can help improve circulation and prevent hemorrhoids.
  • Weight maintenance: avoid being overweight, which can cause hemorrhoids and other illnesses.
  • Regular health check: See your doctor if you have signs of hemorrhoids or if you have a family history of the condition.

Following these simple rules will help prevent hemorrhoids and maintain overall health.

When should I see a doctor at the first symptoms of hemorrhoids?

Hemorrhoids is a fairly common disease that occurs in people of different ages and gender. However, not all signs of hemorrhoids are sufficient to see a doctor. When should you seek medical help?

  • If ​​you have the first symptoms of hemorrhoids (blood in the stool, itching, discomfort in the anus), do not delay going to the doctor. The sooner treatment begins, the sooner you get rid of the problem.
  • If ​​the symptoms of hemorrhoids worsen, cause severe discomfort and pain, you should immediately consult a doctor. In some cases, surgery may be required.
  • If ​​you have concomitant bowel diseases (colitis, ulcers), as well as circulatory disorders, you should contact a gastroenterologist or proctologist for complex treatment.

Do not self-medicate as this may worsen symptoms and complications. In the early stages, hemorrhoids are easily treated and do not require serious medical intervention.

Related videos:

Q&A:

What are the symptoms of hemorrhoids?

Symptoms of hemorrhoids may include bleeding, itching, soreness and swelling around the anus, balls or sacs in the rectum.

What can cause hemorrhoids?

The appearance of hemorrhoids can be caused by many factors, such as heredity, poor diet, sedentary lifestyle, frequent constipation, pregnancy and childbirth, bowel disease, alcohol abuse and smoking.

What are the treatments for hemorrhoids?

Treatment for hemorrhoids may include lifestyle changes, oral medications, topical treatments (creams, ointments, suppositories), minimally invasive procedures, and surgery in severe cases.

How can hemorrhoids be prevented?

To prevent hemorrhoids, it is recommended to follow a healthy diet, drink enough water, avoid prolonged sitting and standing, exercise regularly, avoid heavy lifting, have regular medical examinations and treat bowel diseases in a timely manner.

Should I seek medical attention if I have symptoms of hemorrhoids?

Yes, if you have symptoms of hemorrhoids, you should seek medical attention. Although hemorrhoids are usually not dangerous, they can sometimes be associated with other serious conditions, such as bowel cancer.

Is it possible to get rid of hemorrhoids?

Yes, in most cases hemorrhoids can be treated and eliminated. However, in some cases, surgery may be required.