Specialist Doctors for Hemorrhoids: Gastroenterologist vs Proctologist – Expert Guide
Who should you see for hemorrhoid treatment. What is the difference between a gastroenterologist and a proctologist. How to choose the right specialist for your hemorrhoid concerns. When to seek medical attention for hemorrhoids.
Understanding Hemorrhoids: A Common Yet Often Misunderstood Condition
Hemorrhoids are a widespread medical condition affecting millions of people worldwide. These swollen blood vessels in the rectal area can cause discomfort, pain, and bleeding, significantly impacting one’s quality of life. Despite their prevalence, many individuals remain uncertain about the most appropriate medical professional to consult for hemorrhoid treatment.
Are hemorrhoids a serious medical condition? While often not life-threatening, hemorrhoids can cause significant discomfort and may lead to complications if left untreated. They occur when the veins around the anus or lower rectum become swollen and inflamed, often due to increased pressure in the area.
Types of Hemorrhoids
- Internal hemorrhoids: Located inside the rectum
- External hemorrhoids: Develop under the skin around the anus
- Thrombosed hemorrhoids: External hemorrhoids that have formed a blood clot
Understanding the type and severity of your hemorrhoids is crucial in determining the most appropriate treatment approach and specialist to consult.
Gastroenterologist vs. Proctologist: Decoding the Differences
When seeking medical attention for hemorrhoids, patients often find themselves choosing between a gastroenterologist and a proctologist. Both specialists are qualified to treat hemorrhoids, but their areas of expertise differ slightly.
What distinguishes a gastroenterologist from a proctologist? A gastroenterologist specializes in the entire digestive system, including the esophagus, stomach, small intestine, colon, and rectum. In contrast, a proctologist, also known as a colorectal surgeon, focuses specifically on disorders of the colon, rectum, and anus.
Gastroenterologist: The Digestive System Expert
Gastroenterologists are medical doctors who specialize in diagnosing and treating disorders of the gastrointestinal (GI) tract. Their expertise extends beyond hemorrhoids to include conditions such as:
- Inflammatory bowel diseases (Crohn’s disease and ulcerative colitis)
- Gastroesophageal reflux disease (GERD)
- Peptic ulcers
- Colorectal cancer
- Liver diseases
Can a gastroenterologist treat hemorrhoids effectively? Yes, gastroenterologists are trained to diagnose and treat hemorrhoids, especially when they are related to other digestive issues. They can perform procedures such as colonoscopies, which may be necessary to rule out other conditions that could be causing symptoms similar to hemorrhoids.
Proctologist: The Colorectal Specialist
Proctologists, or colorectal surgeons, are experts in conditions affecting the lower part of the digestive system, particularly the colon, rectum, and anus. Their specialized focus makes them particularly adept at treating:
- Hemorrhoids
- Anal fissures
- Colorectal cancer
- Fecal incontinence
- Rectal prolapse
Why might a proctologist be preferred for hemorrhoid treatment? Proctologists have extensive experience in surgical procedures related to the anorectal area. For severe or persistent hemorrhoids that require surgical intervention, a proctologist may be the most suitable choice.
Choosing the Right Specialist for Your Hemorrhoid Concerns
Selecting the appropriate specialist for your hemorrhoid treatment depends on several factors, including the severity of your condition, associated symptoms, and your overall health.
How do you determine which specialist to see for hemorrhoids? Consider the following guidelines:
- Severity of symptoms: For mild to moderate hemorrhoids, start with your primary care physician or a gastroenterologist.
- Persistent or severe symptoms: If symptoms persist or are severe, a referral to a proctologist may be necessary.
- Associated digestive issues: If you have other digestive concerns, a gastroenterologist might be more appropriate.
- Need for surgery: For hemorrhoids requiring surgical intervention, a proctologist is typically the best choice.
Remember, your primary care physician can provide initial guidance and refer you to the most appropriate specialist based on your specific situation.
Diagnostic Procedures and Treatment Options for Hemorrhoids
Both gastroenterologists and proctologists employ various diagnostic procedures and treatment options for hemorrhoids. Understanding these can help you prepare for your medical consultation.
Common Diagnostic Procedures
- Visual examination
- Digital rectal examination
- Anoscopy
- Sigmoidoscopy
- Colonoscopy (if other conditions are suspected)
What can you expect during a hemorrhoid examination? The doctor will typically start with a visual inspection of the anal area, followed by a gentle digital examination to assess internal hemorrhoids. More advanced procedures like anoscopy or sigmoidoscopy may be used for a more detailed view of the rectal area.
Treatment Options
Treatment for hemorrhoids ranges from conservative measures to surgical interventions, depending on the severity of the condition:
- Conservative treatments:
- Dietary changes
- Increased fiber intake
- Topical creams and ointments
- Sitz baths
- Minimally invasive procedures:
- Rubber band ligation
- Sclerotherapy
- Infrared coagulation
- Surgical options:
- Hemorrhoidectomy
- Stapled hemorrhoidopexy
- Doppler-guided hemorrhoid artery ligation
Which treatment is most effective for hemorrhoids? The most effective treatment depends on the individual case. Many patients find relief with conservative measures, while others may require minimally invasive procedures or surgery for long-term relief.
When to Seek Immediate Medical Attention for Hemorrhoids
While hemorrhoids are often manageable with home remedies and over-the-counter treatments, certain symptoms warrant immediate medical attention.
When should you see a doctor for hemorrhoids? Seek medical care if you experience:
- Persistent bleeding during bowel movements
- Severe pain or discomfort
- Hard, painful lumps near the anus
- Inability to have a bowel movement
- Fever accompanying hemorrhoid symptoms
These symptoms may indicate complications or more serious conditions that require prompt evaluation by a healthcare professional.
Preventing Hemorrhoids: Lifestyle Changes and Best Practices
Prevention is often the best approach when it comes to hemorrhoids. By adopting certain lifestyle changes and best practices, you can significantly reduce your risk of developing this uncomfortable condition.
How can you prevent hemorrhoids effectively? Consider implementing these strategies:
- Increase fiber intake: Consume more fruits, vegetables, and whole grains to soften stools and reduce straining.
- Stay hydrated: Drink plenty of water to keep stools soft and prevent constipation.
- Exercise regularly: Physical activity promotes healthy bowel function and reduces pressure on veins.
- Avoid prolonged sitting: Take breaks and move around, especially if your job involves long periods of sitting.
- Don’t strain during bowel movements: Relax and allow nature to take its course without forcing.
- Respond promptly to bowel urges: Delaying bowel movements can lead to harder stools and increased straining.
By incorporating these habits into your daily routine, you can significantly reduce your risk of developing hemorrhoids and maintain overall digestive health.
The Role of Texas Colon & Rectal Specialists in Hemorrhoid Care
Texas Colon & Rectal Specialists stands out as a premier healthcare provider for colorectal issues, including hemorrhoids. With a team of over 35 single-specialty colon and rectal surgeons, they offer comprehensive care for patients across Texas.
What makes Texas Colon & Rectal Specialists unique in hemorrhoid treatment? Their specialized focus on colorectal health ensures that patients receive expert care from physicians who are highly experienced in treating hemorrhoids and related conditions. With 38 convenient locations across Austin, Dallas/Fort Worth, Houston, and San Antonio areas, they provide accessible, high-quality care to a wide range of patients.
Comprehensive Services Offered
- Hemorrhoid treatment
- Cancer screening
- Pelvic health services
- Advanced diagnostic procedures
- Minimally invasive surgical options
The practice prides itself on exceeding national benchmarks for clinical outcomes, emphasizing their commitment to excellence in patient care.
Navigating Your Hemorrhoid Treatment Journey: Next Steps
Dealing with hemorrhoids can be challenging, but with the right guidance and care, effective treatment is within reach. Whether you choose to consult a gastroenterologist or a proctologist, the key is to seek professional medical advice for proper diagnosis and treatment.
How should you proceed if you suspect you have hemorrhoids? Start by scheduling an appointment with your primary care physician or a specialist at a reputable practice like Texas Colon & Rectal Specialists. Be prepared to discuss your symptoms, medical history, and any concerns you may have about your condition.
Remember, hemorrhoids are a common condition that affects many individuals. With the right approach and expert care, you can find relief and improve your quality of life. Don’t hesitate to reach out to healthcare professionals who can provide the specialized attention your condition requires.
By staying informed about your options and taking proactive steps towards treatment, you’re already on the path to better health and comfort. Whether through conservative management, minimally invasive procedures, or advanced surgical techniques, there’s a solution available for your specific hemorrhoid concerns.
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Hemorrhoids | Penn State Health
Enlarged Veins Inside and Outside of the Anal Canal
Hemorrhoids are a common medical problem that no one likes to talk about. With millions of people experiencing discomfort from hemorrhoids every year, it’s also one that doctors are very familiar with. Fortunately, there are straightforward ways to get relief.
Though people often use the term hemorrhoids to describe a medical condition, everyone has these veins inside the anal canal. They help support the sphincter muscles and maintain your ability to control bowel movements, which is called continence. When these veins become enlarged and the tissues that support them weaken, people develop the condition of the same name.
Is it really a hemorrhoid?
Don’t always assume that the rectal bleeding and/or pain you experience is due to hemorrhoids.
Two conditions in particular are often confused with hemorrhoids:
- An anal fissure is a tear in the anal canal, similar to getting a paper cut on a finger. The fissure may burn or cause bleeding when having a bowel movement. It can often heal on its own, but any straining will slow down the process.
A topical agent like lidocaine ointment may ease the burning sensation, but treatment with increased dietary fiber will usually result in healing.
- A more serious condition, though less common, is a colorectal polyp or cancer. People who are age 45 or older and those with a family history of colorectal cancer should see their health care provider and have a colonoscopy before assuming bleeding is from hemorrhoids.
Symptoms, Diagnosis and Outlook
There are two types of hemorrhoids: internal and external.
Internal hemorrhoids originate in the anal canal. You may only find out they’re there from a colonoscopy report. You may experience symptoms in the following cases:
- The most common symptom is bleeding, usually when you move your bowels or wipe. Keep in mind that a single drop of blood can turn the whole toilet bowel red, so it’s important not to panic. However, if a hemorrhoid gets larger and starts to bleed more, you should not ignore it.
- An internal hemorrhoid can grow and develop a stalk that gets longer until it actually protrudes from the anus. This is called a prolapsed hemorrhoid and can cause discomfort or pain or itching.
External hemorrhoids occur outside the rectum. You can generally see them with a mirror. They can be irritated and/or painful if the area is inflamed and swollen.
- Typically, there isn’t much bleeding, but an external hemorrhoid can swell suddenly to the size of a walnut.
- This condition is called thrombosis, which can lead to pain and swelling, and needs to be evaluated by your health care provider.
Besides being a natural consequence of aging, hemorrhoids can develop from everyday habits that increase pressure in the anal canal. These habits can include:
- Constipation – most commonly because of a low-fiber diet
- Straining to pass stool, called pelvic floor dysfunction
- Sitting for long periods on the toilet
- Not getting enough exercise
- Being overweight
- Straining from work that requires heavy lifting
What you can do
Some people swear by topical over-the-counter products, like phenylephrine (Preparation H) or witch hazel. While they may provide temporary relief, they are usually not a good long-term solution. To address the underlying problem, follow some simple guidelines:
- Increase fiber. Getting more fiber in your diet with fruits, vegetable and whole grains helps soften stool, increase its bulk and reduce constipation, which in turn prevents the straining that leads to hemorrhoids. As a bonus, fiber also has other tremendous health benefits, including weight loss and reduced risk of diabetes, stroke, heart attack and high blood pressure. The recommended daily fiber intake is between 25 to 35 grams depending on body size. This amount can be difficult to get from your diet and usually requires taking over-the-counter fiber supplements that contain psyllium, which is the best way of getting large amounts with the least effort.
- Drink plenty of fluids. Aim for the often-suggested eight glasses of water to help keep stool soft and help fiber supplements do their job.
- Rethink bathroom habits. Stop scrolling on your phone and doing other types of reading on the toilet. This extra sitting time leads to extra straining and more intra-anal pressure. It’s also important to go to the bathroom as soon as you feel the need to go. If you delay, stool can actually harden and become difficult to pass.
- Lose weight, if needed. Extra pounds put a strain on anal veins. In addition to changes in diet, try to move more. Sitting all day isn’t good for health or hemorrhoids, and regular exercise also helps your bowel movements stay regular.
When to seek treatment
When conservative measures do not improve symptoms, talk to your health care provider. Don’t let any feeling of embarrassment stand in your way. Doctors who treat hemorrhoids are called colorectal specialists, and they see this condition frequently. The specialist will examine your hemorrhoids and determine what treatment is needed. For 90% of patients, hemorrhoid treatment is focused on preventing progression, encouraging regular bowel movements and avoiding straining.
When lifestyle changes don’t relieve hemorrhoid discomfort, the next step is an in-office procedure, such as:
- Rubber-band ligation, which involves tying the hemorrhoid off
- Sclerotherapy, where a liquid agent is injected into the hemorrhoid
Both usually involve several office visits. These procedures carry a small risk of a local infection, usually in the first few days, and your doctor will tell you what signs to watch for, such as severe pain, fever and the inability to urinate.
Sometimes a more invasive surgical procedure is needed. A hemorrhoidectomy can reach the very base of the hemorrhoid and remove it. Improvements in surgical techniques have come a long way in reducing the pain associated with this surgery, but it may take up to four weeks for pain and bleeding to stop. Nonsteroidal anti-inflammatory drugs are the first-line medication for managing pain. Doctors try to avoid prescribing opioids, not only because of the risk of addiction, but because constipation is a major side effect. That’s the last thing you want when recovering from anal surgery. Soaking in a tub and applying warm compresses help some people, while others find relief with a cold pack.
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What does a proctologist treat and how to prepare for an examination
Contents
1. Introduction
2. Diseases for which you need to see a specialist
3. Training is required to conduct these surveys
A coloproctologist is a highly specialized medical specialist who deals with the diagnosis and treatment of various diseases of the rectum, colon and anal canal. In everyday life, more often from people who are not related to medicine, you can hear “proctologist”, “proctologist”. All these names are similar and mean the same medical specialty of a doctor.
Let us consider in more detail the diseases that a coloproctologist deals with in his practice:
- hemorrhoids,
- anal fissures (acute and chronic),
- rectal and anal polyps,
- various neoplasms of the rectum and anal canal (benign and malignant),
- chronic colitis,
- ulcerative colitis,
- Crohn’s disease,
- diverticula,
- paraproctitis,
- rectal fistulas,
- rectal prolapse,
- foreign bodies of the rectum,
- rectal injury.
As we can see, the list of diseases that a coloproctologist has to deal with in his practice is quite extensive, and not just “hemorrhoids”, and therefore, when symptoms of an intestinal disease appear, for accurate diagnosis and diagnosis, it is important to immediately contact a specialist, and not self-medicate .
Diseases requiring medical attention
Itching, burning, discomfort and discomfort in the anus, pain in the rectum or anal canal, a feeling of volumetric education or false urge to defecate, bleeding, mucus or pus from the rectum. It is very important to turn to a highly specialized coloproctologist, because sometimes only this specialist can conduct a high-quality examination and make the correct diagnosis. Sometimes? turning to the polyclinic to the surgeon, patients receive a diagnosis of “Hemorrhoids” even without examination and as a prescription for any rectal suppositories. This is because the surgeon does not always have equipment for diagnosing the rectum.
At the appointment with a coloproctologist, the patient is always examined for a diagnosis. A coloproctologist examines the anal canal with a special device – an anascope, and the rectum – with a rectoscope (video rectoscope).
Preparation required for these examinations
Currently, the preparation is simple and convenient for the patient. The patient purchases microclysters at the pharmacy and, 1 hour before leaving home for an appointment with a specialist, injects two microclysters into the rectum one after the other without interruption, squeezing their contents into the intestine. After 5-10 minutes after that, the urge to act of defecation appears and the intestines should be emptied. For some time the patient is at home and at the appointed time leaves for an appointment with a specialist.
Questions and Answers
If the patient is not disturbed by anything and there is no genetic predisposition to vascular diseases in the anamnesis, then at least once in 5 years. In the presence of any discomfort or pronounced symptoms of diseases of the anus, you should immediately see a doctor.
No. Modern medicine is aimed at maximum patient comfort. Therefore, the procedures are done on modern equipment, which allows the diagnosis to be made as painlessly as possible. In some cases, pain is the reason for postponing the procedure for a period of remission.
Peristalsis (contraction) moves the feces throughout the intestines. In the process, water and nutrients are absorbed by the walls. If the peristalsis is insufficient, the feces get stuck in one area. With intensive absorption of moisture by the walls of the intestine, the feces become hard. Therefore, without the normalization of intestinal motility, the amount of water drunk does not matter.
Coloproctologist is the modern designation for the position of proctologist. According to the new standards, in addition to diseases of the rectum and anus, the coloproctologist deals with the diagnosis and treatment of problems of the large intestine.
The service includes:
- visual examination of the anus and adjacent tissues;
- rectal-finger examination of the sphincter and rectum;
- anoscopy;
- rectoscopy.
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Proctology.
Proctologist appointment
Diseases
- Anal fissures
- Hemorrhoids
- Constipation
Diagnosis
- Colonoscopy
Proctology Department of the Neva multidisciplinary clinic invites residents of the city and region for examination and treatment.
One of the best proctologists in Tolyatti, doctors with a great work experience, conducts the appointment. Our clinic uses the most advanced methods of treating diseases of the rectum, including the treatment of hemorrhoids HAL RAR in Togliatti. And thanks to the latest diagnostic and therapeutic equipment of the Neva clinic, we can provide our patients with fast, comfortable and painless treatment of anal fissures and hemorrhoids in Togliatti under anesthesia at the highest European level.
Delicate illnesses are not an annoying nuisance, but a serious problem!
Proctology is one of the most important areas of modern medicine. If earlier delicate diseases of the colon and anus were considered quite rare, now about 50-70% of the adult population suffers from them. Hemorrhoids and anal fissures are constant companions of our developed civilization. Representatives of “sedentary” professions, adherents of strength sports, lovers of fast food and dry snacks, supporters of an active lifestyle and healthy eating, who inherited a tendency to vascular pathologies, people with low immunity, often in a state of stress, suffer from them. Moreover, if at the initial stages conservative treatment of hemorrhoids (diet, ointments, suppositories) is possible, then at II-IV it will be necessary to decide on minimally invasive methods. We offer the treatment of hemorrhoids HAL RAR in Togliatti – a procedure that allows you to carry out desarterization of the nodes without a traumatic operation. The proctologist chooses a treatment method depending on the stage of the disease, the location of the nodes, and their number. In addition to desarterization of CAL RAP, we use sclerotherapy, infrared coagulation, ligation and operative surgery, depending on the indications.
An anal fissure is also far from being a hangnail on a finger or an abrasion on a knee. It will cause pain and spasms, become inflamed, bleed, at best scar with the formation of rough and inelastic scars and reappear. And an open wound in the anus is a hospitably open gate for infection. The consequences of infection can be the saddest. Therefore, the treatment of anal fissures in Togliatti should be considered an absolutely natural and mandatory process. Do not condemn yourself to torment! Delicate diseases are a serious problem. A good proctologist in Tolyatti will help you get rid of them once and for all.
Appointment with a proctologist in Togliatti
Biased attitude towards a doctor of this direction is a banal prejudice, which is long overdue. You will see that going to a proctologist in Togliatti causes much more positive emotions than visiting a dentist. The doctor at the Neva clinic conducts an examination in a comfortable environment, without pain. During a confidential conversation, patients do not feel embarrassed, but easily tell the proctologist in Togliatti about everything that is called sore.
Outpatient treatment of hemorrhoids according to the HAL RAR method in Togliatti
For a long time, the expansion of cavernous veins with the formation of hemorrhoids was eliminated by primitive traumatic methods. And only relatively recently a new technology has appeared – node dezarterization under the control of dopplerometry. We invite all residents of the region to the treatment of hemorrhoids HAL RAR in Togliatti. This is a minimally invasive method that allows the patient to return to normal life in a couple of days and forget about pain, prolapsed nodes and bleeding from the rectum and anus forever.
Treatment of hemorrhoids HAL RAR in Togliatti is a painless mini-surgery to remove pathologically altered vessels at the II-III stage of the disease. In severe cases, at stage III-IV, desarterization is performed in combination with a rectoanal lift. HAL RAR in Togliatti allows you to remove up to 10 or more vessels at a time. The nodes are removed without incisions, so the surrounding tissues are not injured. The operation is performed using a miniature anoscope with a Doppler sensor. An ultrasound sensor scans tissues and fixes pathologically altered vessels. After detection, the proctologist ligates the feeding artery, through which the enlarged hemorrhoid was filled with blood. After ligation, the node dries out without rough scarring. Treatment of hemorrhoids HAL RAR in Tolyatti takes from 15 to 40 minutes (depending on the number of nodes) and is performed under anesthesia.
Treatment of anal fissures and hemorrhoids under anesthesia
We perform any unpleasant procedures with local anesthesia or anesthesia (with intravenous sedation). After the introduction of the drug, the patient of the proctologist “falls asleep” with drug-induced sleep for the duration of the manipulations. At the end of the treatment of hemorrhoids or anal fissures under anesthesia in Togliatti, the patient wakes up, already without his painful problems and can go home after a short rest. Examination, treatment of hemorrhoids and anal fissures under anesthesia is a simple and effective solution that has long been practiced all over the world.