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.

RELATED: 4 Signs Your Hemorrhoids Warrant a Doctor’s Visit

Additional reporting by Deborah Shapiro.

Are You a Good Candidate for Hemorrhoid Removal?

The goal of hemorrhoid surgery is to remove the enlarged hemorrhoid tissue and relieve rectal pain, itching and bleeding. But surgery is not your only option. Hemorrhoid treatments include lifestyle changes, minimally invasive procedures, and surgery. Use the following information as a guide in making the decision to have hemorrhoid removal surgery.

Nonsurgical Hemorrhoid Removal

In most cases, doctors recommend lifestyle modifications to treat small hemorrhoids. These include eating more fiber, taking a fiber supplement, drinking plenty of fluids, and exercising regularly. Your doctor can also prescribe topical medicine to help with symptoms. 

Hemorrhoids on the inside of the anus are internal hemorrhoids and those on the outside of the anus are called external hemorrhoids. Internal hemorrhoids may not be painful, but they can bleed and also slip out of position. External hemorrhoids often look like purple lumps and are more likely to be painful.

Minimally invasive treatments are available to treat internal hemorrhoids. They include:

• Rubber band ligation: A very snug rubber band is placed around the base of the hemorrhoid to cut off its blood supply. The hemorrhoid painlessly shrivels up.

• Sclerotherapy: A chemical solution is injected into the hemorrhoid causing it to shrink. 

• Infared photocoagulation: Infared radiation from a special light is applied to the hemorrhoidal tissue. Heat from the light destroys the tissue and it eventually sheds off. 

Hemorrhoid Removal Surgery

Hemorrhoid removal surgery, also known as hemorrhoidectomy, treats large hemorrhoids causing significant pain or bleeding. During a traditional hemorrhoidectomy, a narrow incision is made around the hemorrhoids to cut out the swollen tissue. Your doctor closes the wound with dissolvable stitches.

A newer procedure called stapled hemorrhoidopexy may be an option for you. During stapled hemorrhoidopexy, a circular stapling device is used to lift and staple the swollen hemorrhoidal tissue back into place in the anal canal. Compared to traditional hemorrhoidectomy, recovery after stapled hemorrhoidopexy is usually easier, but hemorrhoids are more likely to return. This procedure is not a good option for large external hemorrhoids.

Ask your doctor about all of your treatment options. Consider getting a second opinion before deciding on surgery.

When to Consider Hemorrhoid Removal Surgery

Your doctor may decide that you are a good candidate for hemorrhoid removal surgery if:

• You have combined internal and external hemorrhoids.

• You have grade 3 or 4 prolapsed internal hemorrhoids. Prolapse means that the hemorrhoids are dropping, or slipping out of the anus. Grade 3 prolapse occurs with a bowel movement, but you can manually push the hemorrhoid back through your anus. A grade 4 prolapse cannot be put back.

• You have additional anorectal conditions that require surgery.

• You’ve had minimally invasive procedures or other treatments that have not corrected the problem.

• You have significant amounts of bleeding from your hemorrhoids.

• You have a strangulated internal hemorrhoid. This occurs when the anal sphincter traps the hemorrhoid and cuts off blood supply to the tissue. 

• You have a hemorrhoid with blood clots (thrombosed external hemorrhoid) that recur after less invasive treatments.

Who Is NOT a Good Candidate for Hemorrhoid Removal Surgery?

You may not be a good candidate if:

• You have small hemorrhoids.

• Lifestyle and dietary changes can alleviate your symptoms.

• You are pregnant.

• You take certain medicines, such as blood thinners, that increase your risk of bleeding.

• You have a severe illness or infection.

A general surgeon, a colon and rectal surgeon, or proctologist will perform your hemorrhoid removal surgery in a hospital or outpatient surgery center. You will have a nerve block or general anesthesia.  

Most people go home the day of surgery but you may have to stay in the hospital for one night. Recovery time varies depending on the procedure, type of anesthesia, your general health, age, and other factors. Full recovery may take 2 to 4 weeks. 

During recovery, avoid lifting, pulling, and strenuous activity. You may need help around the house for a few days following surgery. Avoid straining during bowel movements or when urinating. Eat a high-fiber diet, drink 8 to 10 glasses of liquid a day, and take stool softeners to avoid constipation, as your doctor recommends.

Types of Surgeries To Remove Hemorrhoids

For some people, a healthy diet and lifestyle and over-the-counter medicines aren’t enough to treat hemorrhoids.

There are also procedures that shrink or remove them, such as using a laser, that can be done in your doctor’s office. Although these may hurt less and have fewer complications, surgery might be a better long-term choice, especially if your hemorrhoids are large and very painful or bleeding.

Hemorrhoid surgery is safe and effective most of the time. But you’ll still need to eat a high-fiber diet, avoid constipation, and take care of your bottom to help prevent new hemorrhoid flare-ups.

Talk to your doctor to figure out what’s right for you.

Hemorrhoidectomy

Surgery to remove hemorrhoids is called hemorrhoidectomy. The doctor makes small cuts around the anus to slice them away.

You may get local anesthesia (the area being operated on is numb, and you’re awake though relaxed) or general anesthesia (you’re put to sleep). Hemorrhoidectomy is often an outpatient procedure, and you can usually go home the same day.

Continued

Because it’s highly sensitive near the cuts and you might need stitches, the area can be tender and painful afterward.

Recovery most often takes about 2 weeks, but it can take as long as 3 to 6 weeks to feel like you’re back to normal.

Procedure for Prolapse and Hemorrhoids (PPH)

PPH is also called a stapled hemorrhoidectomy. The doctor will use a stapler-like device to reposition the hemorrhoids and cut off their blood supply. Without blood, they’ll eventually shrivel and die.

It can treat hemorrhoids that have and have not prolapsed, or slipped down out of the anus.

This procedure moves the hemorrhoid to where there are fewer nerve endings, so it hurts less than a traditional hemorrhoidectomy. You’ll also recover faster and have less bleeding and itching. And there are generally fewer complications.

Hemorrhoidal Artery Ligation and Recto Anal Repair (HAL-RAR)

Hemorrhoidal Artery Ligation and Recto Anal Repair (HAL-RAR) is a new procedure in which a miniature Doppler sensor is inserted in the anus to detect the arteries supplying blood to hemorrhoids.

The surgeon can pinpoint the arteries supplying the hemorrhoids and can tie them off to cut the blood supply. The hemorrhoids are reduced almost immediately and within weeks, are no longer noticeable. The procedure is effective and virtually painless.

After Hemorrhoid Surgery

Pain is the most common complaint, especially when you’re pooping. You can take over-the-counter pain relievers, such as acetaminophen, aspirin, or ibuprofen, if your doctor says it’s OK. Soaking in a warm bath may help, too.

Stool softeners can make it easier to poop.

Risks

It’s very common and is considered safe. However, any surgery has some risks including:

• Bleeding
• Infection
• Reaction to anesthesia

You might have some trouble peeing afterward because of swelling or muscle spasms.

If your anal sphincter gets damaged during surgery, you could have accidental bowel or gas leaks, a condition called fecal incontinence.

Call your doctor right away if you:

• Are bleeding a lot
• Can’t pee or poop
• Have a fever

4 Procedures for Hemorrhoid Removal Performed By A Doctor

If you have hemorrhoids and at-home treatments to shrink them or ease the pain haven’t worked, your doctor may be able to help.

Several procedures can be done in a doctor’s office, and each has advantages and disadvantages.

Rubber-Band Ligation (Banding)

Your doctor will take a tiny rubber band (only a few millimeters wide) and put it over the base of an internal hemorrhoid to cut off the flow of blood. The hemorrhoid usually shrinks and falls off (along with the band) in about a week.

If you have several hemorrhoids, you may need to have this done every few weeks. This treatment can be painful and cause bleeding. More rarely, it also may cause blood clots or infections.

Hemorrhoids treated this way are less likely to come back than with other treatments.

Sclerotherapy

Your doctor will give you a shot that puts chemicals into the hemorrhoid tissue. These chemicals also cut off blood flow to the hemorrhoids and shrink them. You may need to have this done every few weeks until they go away completely.

You may feel mild pain or pressure after, but infections are rare. With this treatment, the hemorrhoids often come back in a few years.

Infrared Coagulation

With this treatment, your doctor focuses an infrared light on a hemorrhoid, and the heat causes scar tissue to form and blood flow to the hemorrhoid to be cut off.

Generally, coagulation treatments have few side effects and cause very little pain. However, hemorrhoids are more likely to come back with these treatments than with banding.

Electrocoagulation

This is similar to infrared coagulation, except instead of an infrared light, your doctor uses heat from an electric current to create scar tissue and cut off the hemorrhoid’s blood supply.

Hemorrhoidal Artery Ligation and Recto Anal Repair (HAL-RAR)

Hemorrhoidal Artery Ligation and Recto Anal Repair (HAL-RAR) is a new procedure in which a miniature Doppler sensor is inserted in the anus to detect the arteries supplying blood to hemorrhoids. The surgeon can pinpoint the arteries supplying the hemorrhoids and can tie them off to cut the blood supply. The hemorrhoids are reduced almost immediately and within weeks, are no longer noticeable. The procedure is effective and virtually painless, but it is not simple.

Gastroenterologist Now Treating Hemorrhoids | obp

Hemorrhoid banding is not a common gastroenterology procedure but that is changing. More and more gastroenterologists are performing anoscopy services like rubber band ligation. Why? The reasons vary, but mostly, because it makes sense. A gastroenterologist focuses on diseases that affect the gastrointestinal tract. Common sense says that hemorrhoids would be a concern along with other anorectal complaints. Consider why many gastroenterologists are adding nonsurgical anoscopic procedures like banding to their list of services.

A Little about Rubber Band Ligation

Hemorrhoid banding, or rubber band ligation, is a treatment that cuts off the blood flow to the hemorrhoid, causing it to shrink and fall away. This method of treating hemorrhoids dates back to Hippocrates who used to tie off these vascular structures at the base with thread.

Modern practitioners use a similar technique in the treatment of hemorrhoids. The practitioner inserts an anoscope to visualize the structure. Using an instrument, the doctor grasps the hemorrhoid and places a band at the base. Over time, the lack of blood flow causes the tissue to shrink and drop off. A scar forms over the spot to hold in veins and prevent further bulging.

Symptomatic Hemorrhoids

The National Center for Health Statistics reports 23 million people, or 12.8 percent of the adult population, suffers from symptomatic hemorrhoid disease. A percentage of hemorrhoids are caught during a routine colonoscopy. Reports show that 38.9 percent of colonoscopy patients have hemorrhoids at time of the screening procedure with 44.7 percent presenting with symptoms.

Patients often avoid going to doctors when they have hemorrhoids because they are embarrassed, think they can treat them with over-the-counter products or are afraid of a cancer diagnosis. They will see a gastroenterologist when they have lower GI bleeding or perianal complaints and then discover they have hemorrhoids.

The Changing Training Standards

Patients who experience GI difficulties believe that a specialist like a gastroenterologist is able to provide comprehensive care for anorectal ailments like hemorrhoids. What they don’t know is gastroenterology curriculum does not cover common procedures like hemorrhoid banding, but that standard is changing.

Anoscopy, the most accurate method for examining the anal canal and rectum, is rarely taught in GI fellowship programs. Robert A. Ganz reports in a Clinical Gastroenterology and Hepatology, that more facilities are recognizing a gap exists in gastroenterology training. GI programs are now including nonsurgical anorectal treatments in their core curriculum, giving gastroenterologists the opportunity to do procedures like hemorrhoid banding.

Since, hemorrhoids are part of the anorectal anatomy, treatment is only necessary if they become symptomatic. Painful, thrombosed hemorrhoids must be excised to ease the patient’s comfort and reduce bleeding. More gastroenterologists are learning treatment options like hemorrhoid banding to increase their revenue stream and to meet patient expectations. Patients don’t always understand why they need to see a colorectal surgeon for a nonsurgical anoscopy procedure.

Rubber band ligation is a growth opportunity for the gastroenterology industry. It offers practitioners a way to improve their services, cut medical costs for their patients by performing all treatments in one office and enhance the continuum of care. It is a win-win scenario for both the patient and the practice.

Everything You Need to Know About Hemorrhoids with Dr Michael Valente

Podcast Transcript

Scott Steele: Butts and Guts, a Cleveland Clinic podcast exploring your digestive and surgical health from end to end. Welcome back to another episode of Butts and Guts. I’m your host Scott Steele, Chairman of colorectal surgery here at Cleveland Clinic in beautiful Cleveland, Ohio. I’m very pleased to have one of my staff members here and a good friend, Dr. Michael Valente. Michael is an assistant professor of surgery at Cleveland Clinic Lerner College of Medicine. Mike’s also our program director for our illustrious fellowship in colorectal surgery. Mike welcome to Butts and Guts.

Michael Valente: Thank you, Dr. Steele it’s a pleasure to be here.

Scott Steele: So tell listeners a little bit about your background; how did it come to the point where you’re from, where you trained, that you wind up at Cleveland Clinic.

Michael Valente: So I actually grew up in Cleveland, Ohio. I’m a born and raised here.

Scott Steele: West Side? East Side?

Michael Valente: Born at Marymount Hospital; lived on the west side for most of my life and I live in Brecksville, Ohio. 

Scott Steele: Where’d you train? 

Michael Valente: I trained for general surgery at Akron City Hospital down in Akron, Ohio, and then did my colorectal fellowship down in Columbus, Ohio.

Scott Steele: So Mike, we’re going to talk today about something that is all too common. Over 1 million visits to the doctor in the United States alone every year and that’s hemorrhoids. So let’s start out at a 10,000-foot level, what’s a hemorrhoid?

Michael Valente: That’s a good question, Dr. Steele. Hemorrhoids are actually part of our normal anatomy. Every single person listening to this podcast has hemorrhoids whether you know it or not. Most of the time you don’t even know that you have them; they’re part of our normal anatomy. And really what they are is a conglomeration of blood vessels that sit in the anus, so they’re there for a normal function.

Scott Steele: And what type of function do people have that hemorrhoids would be able to do?

Michael Valente: Hemorrhoids, in their normal resting state, fill with blood and they help actually keep some continence or control of our gas, our bowel movements, under normal circumstances.

Scott Steele: So I get a lot of people that will go online and they’ll have some anal rectum complaints, and one of the very first things that come up is hemorrhoids. And one of the first things that you’ll see is external hemorrhoids versus internal hemorrhoids. What’s the difference between the two?

Michael Valente: Internal hemorrhoids are as the name states – inside. They’re internal, so those are usually cushions of blood vessels that are not able to be seen by the naked eye; they’re inside. And internal hemorrhoids usually are a cause of rectal bleeding. They can cause pain sometimes if they swell and bulge, or prolapse. External hemorrhoids are usually what we could see from the outside. Those are also referred to as sometimes skin tags, and sometimes external hemorrhoids can be quite painful if they become what we call thrombosed external hemorrhoids.

Scott Steele: So Mike, you said a little bit ago that every single person, and I know it’s going to be a lot of listeners out there that would disagree that they have hemorrhoids, but you know you brought up a good point that they serve to act as little ball valves together so that you don’t have seepage. They’re your last little line of defense in the war to preserve continence. But one of the things is that patients get them removed. So if they’re normal and everybody has them, I don’t understand this. Why would somebody need to have their hemorrhoids removed?

Michael Valente: That’s a great question and I discuss this with patients every week. When hemorrhoids become problematic or troublesome they, they become what we call hemorrhoidal disease and, and that’s when these normal hemorrhoids that do serve a function become abnormal. And what I mean by that is they overfill with blood, or they become lax or loose, and they prolapse or herniate. And really the hemorrhoids at this stage are causing more problems then they’re doing good. And what I mean by that is they may bleed, which is one of the most common problems with hemorrhoids that we see. They can cause pain with the prolapse, quite debilitating pain sometimes. They secrete mucus and they may cause trouble with keeping hygienic down there as well. So when it reaches that point where they become so troublesome, that’s when we recommend some sort of intervention.

Scott Steele: Let’s take a step back and we’ll go back up to the symptoms that patients go. You mentioned that patients can have bleeding; is the bleeding associated with hemorrhoid any different from other sources of bleeding along the G.I. tract?

Michael Valente: Yes and no. Most hemorrhoidal bleeding occurs with bowel movement or during the active defecation, and a lot of times that bleeding is a bright red in nature, and it usually may drip into the toilet, but usually associated with the act of having a bowel movement. Other causes of gastrointestinal bleeding can be more severe, more volume, if you will, and maybe associate with other conditions that are more serious.

Scott Steele: Are there some hints that you might say, hey, this is hemorrhoid bleeding versus some more benign disorders that are in the anal rectal region, that you would say this is associated with another diagnosis?

Michael Valente: When we usually talk about hemorrhoid bleeding, it’s what we would call a painless bleeding most often, as opposed to bleeding that occurs with a bowel movement that may cause severe sharp pain that would point us toward something called an anal fissure.

Scott Steele: If we’re going to talk about the symptoms that patients get, when should they go and see the doctor?

Michael Valente: That’s a great question. When the patient is having rectal bleeding, we do recommend that they do come to see us because it very well may be just hemorrhoids. But you need to have a trained professional colorectal surgeon, if you will, or even your family doctor, really investigate that, because even though the hemorrhoids do bleed, and it’s a major cause of anal or rectal bleeding, there could be other causes that we must rule out first.

Scott Steele: So if I go to the doctor, with or without hemorrhoids or suspicion of hemorrhoids, what can I expect at that doctor visit?

Michael Valente: At the colorectal surgeon’s office, for example, a very detailed history asking a lot of questions about type of bleeding, when it’s occurring. And then after a good conversation about maybe leading us towards a diagnosis, a good examination in the office is compulsory. And what I mean is usually that consists of a rectal examination and sometimes the use of what we call an anoscope, a small device that usually has a light on it to evaluate the most distal part of the rectum and anal canal.

Scott Steele: Mike, are hemorrhoids cancer or can they turn into cancer?

Michael Valente: No, hemorrhoids are not cancer. Hemorrhoids do not turn into cancer. But what I want to emphasize is many patients have been told they have hemorrhoids, or potentially just chalk up their symptoms to “hemorrhoids,” and they may be missing a more serious diagnosis like rectal cancer or anal cancer.

Scott Steele: Is that common that it be cancer or is it more common that it’s going to be hemorrhoids?

Michael Valente: It’s most common that it’s going to be hemorrhoids. But we don’t ever want to take any chances.

Scott Steele: Yeah, absolutely. So what causes hemorrhoids?

Michael Valente: Many things – multifactorial, we like to say. I tell a lot of my patients sometimes hemorrhoids are just the act of one’s ageing process, where the hemorrhoids, themselves, are getting loose, and they tend to have the effects of gravity like other body parts may as well. We do see hemorrhoids in very young people as well. And I think one of the most common causes of hemorrhoids is a lack of a good diet and exercise. What I mean by that is people who don’t have a good dietary intake of fiber tend to be constipated tend to spend a lot of time on the toilet, a lot of times straining on the toilet to get a bowel movement to come out, and those definitely precipitate hemorrhoidal disease.

Scott Steele: Let’s focus in a little bit about treatment or even first prevention of hemorrhoids.  You mentioned fiber, how much fiber is the average Western diet type person taking?

Michael Valente: Yeah, the average Western diet is extremely low in fiber. I have patients tell me all the time “I eat very well, I have salads, and I have oatmeal for breakfast, and I have lots of fruits and vegetables. And that may be true, but the average American or Western civilized countries maybe get 10 to 15 grams of fiber in the best of circumstances. What we recommend, as the Society of Colorectal Surgeons, is between 25 and 35 grams per day.  And the normal western diet really can’t achieve that goal, and that’s where we get into having supplemental fiber as part of one’s daily routine.

Scott Steele: There’s a lot of supplemental fibers out there, and it’s difficult if I’m a patient, I’m looking at this grocery store aisle full of fiber and I’m thinking where do I start? What do I choose? Where do I go?

Michael Valente: Over the last several years, I’ve made a note to try several ones out to see so I could tell my patients what works best or what works best for them and, and it’s really what works best for your individualize routine. I recommend, and most of us do, the powdered fiber supplements that tend to work the best. And the key ingredient is what we call psyllium in most of the fiber products. And the question goes back to, will it work right away? It does not. It’s a slow gradual process where you need to start with a very low dose and work your way up, and every patient is going to have their kind of sweet spot amount that they need each day or every other day to get the right effect. Because if one takes too much fiber too quickly, the patient will have some side effects of bloating, gas and potentially too much bowel movement. And we want to avoid that, so we start slow and kind of work our way up.

Scott Steele: I think it’s also important that patients understand that with any fiber product out there you need to make sure you take enough water in there because, for sure, dehydration can cause symptoms. Mike, you said something a little bit earlier about having good bowel habits and good bowel regimens, and that potentially having poor bowel regimens and bowel habits can lead over time to exacerbation of hemorrhoids. What does that mean having good bowel habits?

Michael Valente: The first thing I want every listener to do is leave your phone outside of the bathroom. Don’t take the newspaper, your book, or your iPhone, or any other device in there with you. The bathroom is meant for one reason and one reason only, and that’s to have a proper bowel movement. And what that means is if you have a proper diet with good fiber and enough water intake, your bowel movements should be a very short occurrence. You should be able to sit down on the toilet with minimal straining, if any, and within a few minutes you should be done going to the bathroom. Anything more than five to 10 minutes – I mean, five minutes really should be the maximum time you spend in the bathroom.

Scott Steele: So we talked a little bit about prevention with good bowel regimen, and fiber being the mainstay of that. Let’s focus a little bit more on a couple of myths. I take a lot of enriched bread or I take a bunch of oil flaxseed oil. Is that fiber? 

Michael Valente: No.

Scott Steele: And if I’m somebody who doesn’t want to take the pills or the gummy bears or the powders. What foods are pretty good in fiber that you can be able to take? 

Michael Valente: Certain breads definitely have a lot of fiber in them, but these are more the whole grains. White the bread has the least amount of fiber you’re going to have in there. Those are things you should avoid. Obviously, oatmeal and other refined grains are quite beneficial as well.

Scott Steele: Let’s say that they don’t have somebody that is responding to prevention, and they got hemorrhoids. They’ve gone to the doctor. Are there some therapies that can be done that are short of having an excision that patients could undergo?

Michael Valente: Absolutely. Honestly, in my practice, over 90 percent of my patients who receive some treatment do not have surgery, and we generally perform various office-based procedures that work quite well.

Scott Steele: One of the ones that I read about was banding. Tell me a little about who gets banded and how does that happen and where does it occur?

Michael Valente: Hemorrhoid rubber band ligation is a technique that’s very well tolerated and used widely throughout the world, actually. Patients who have bleeding hemorrhoids – these are for internal hemorrhoids, only the bleeding internal hemorrhoids or internal hemorrhoids that may have some prolapse where they aren’t stuck on the outside. So bleeding hemorrhoids and prolapsing hemorrhoids are very well treated with hemorrhoid banding. Hemorrhoid banding takes place after a proper office-based examination, and people always ask me, “Do I need to take off work? Is this going to be very painful?” And it’s really not painful; it’s more of a pressure sensation. And what that hemorrhoid band does is causes the hemorrhoid to lose its blood flow and allows that hemorrhoid to actually fall off several days later, in the toilet usually, you don’t even notice it. And what that does is it cuts down the size of the hemorrhoid, causes some scarring, and prevents it from bleeding or prolapsing again.

Scott Steele: So the band itself is what we use in order to take up that extra tissue. The band is placed around kind of the neck of that extra tissue and then over the next few days it’ll fall off, you won’t even know it’s there. So do you get all the hemorrhoids with just one band?

Michael Valente: We don’t. Every once in a while there may be one particular hemorrhoid area that’s causing a major problem, where that one band may do the trick. But usually this is a procedure that requires repeat banding in the office setting, which is once again very well tolerated. And I tell my patients it’s not going to potentially cure your hemorrhoids – the hemorrhoids are still there in other areas, and more of them may form in the future, especially if poor bowel movement habits are undertaken still. It’s not uncommon that I’ll have the patient go back two, three weeks after the first hemorrhoid banding to do another one. And then potentially another one after that to do the trick.

Scott Steele: Are there any side effects to the banding?

Michael Valente: Hemorrhoid banding is very safe. There are some side effects that we do talk about during the procedure. And all my patients go home with an instruction sheet to look out for. The biggest thing that can happen in our practice is that if a patient says, “I’m on a blood thinner,” we usually have them stop that. But once you resume that blood thinner, like even aspirin, there could be some severe bleeding that occurs afterwards which you need to seek medical attention.

Scott Steele: So in general, they are very well tolerated; occasionally you’re going to feel a dull ache. A lot of patients out there will get on the internet and read various things, and they may read about a severe infection that can occur with banding. But it’s important to know that this is extremely rare, and most of the physicians that use banding have maybe never even seen it associated with banding. But it is something that you might read about, but it’s important to put it in perspective.  So banding is for internal hemorrhoids only.

Michael Valente: Yes.

Scott Steele: The kind that may prolapse out and the kind that typically bleed, or the kind that you may not even know is there and just causing you to have problems. You don’t do banding on external hemorrhoids. What are some other office-based procedures that can be done for hemorrhoids?

Michael Valente: Another less popular treatment is sclerotherapy, and sclerotherapy works actually very well. Sclerotherapy is the injection of a caustic agent into the hemorrhoid pedicle itself to cause scarring of the hemorrhoid to stop it from bleeding. Sclerotherapy really works well in patients who are on some sort of anti-platelet or anticoagulation medicine where they really can’t come off of that. And we like to use sclerotherapy in those situations to help with the hemorrhoids. Some practitioners routinely use sclerotherapy with banding in combination. But I would say the vast majority of my patients will get a banding, maybe a sclerotherapy if they can’t come off their blood thinner.

Scott Steele: If you really think about hemorrhoid therapy, in broad terms, we’re either talking about trying to get rid of them or trying to fix by the anus, and that’s where the sclerotherapy works a little bit better on. So we’ll kind of skip over some of the infrared coagulation that people may have, or sclerotherapy. There are all sorts of things that people might have that are more office-based procedures, but the mainstay of therapy for internal hemorrhoids is to have them banded. But then the next thing is for those who fail the medical therapy, or are not candidates for some of the office-based type procedures, and go onto surgery. Surgery typically involves two different types of lumps – the removal of them or this ligation that I hear about. Let’s start with the ligation first.

Michael Valente: Sure.

Scott Steele: What is ligation of hemorrhoids?

Michael Valente: Ligation of hemorrhoids is a procedure where you’re essentially tying off the hemorrhoid mass with suture material, usually, and that is usually meant for patients without much external hemorrhoid disease, where they really have prolapse or bleeding hemorrhoids that are quite large or really fail banding therapy.

Scott Steele: And is that for internal or external hemorrhoids?

Michael Valente: Those are for internal hemorrhoids.

Scott Steele: If somebody’s got a large degree of external hemorrhoids, probably, they’re not going to need to have something in conjunction with the ligation of that.

Michael Valente: Correct.

Scott Steele: OK. Now in terms of the excision or cutting out of the hemorrhoids, there are also two different things in terms of that. We talk about the stapler that’s used or we also talk about the good old-fashioned excision. Mike, when do you decide to use these and what is the difference between the two?

Michael Valente: Probably in the last 15 years a newer procedure called the stapled hemorrhoidopexy, or hemorrhoid surgery, was implemented. I’ll be honest, I don’t do that procedure myself. It’s something that I think is decreasing in occurrence throughout America. I think that procedure can be performed well with certain types of hemorrhoids. But in my practice I prefer the excisional hemorrhoidectomy if we’re going to go to surgery, to do hemorrhoid surgery. The excision is the way to go.

Scott Steele: What does that involve?  I’m going to go in for hemorrhoidectomy, what can I expect and what are you actually doing in there after I go to sleep?

Michael Valente: So after you go to sleep we take the internal and external hemorrhoid and I prefer using a good old-fashioned scalpel. We cut out the hemorrhoid all the way down to its base, get all the blood vessel on the disease tissue out – that includes both the internal and the external part – and then we sew them up with suture material. And that usually is at least two, sometimes three, different columns of hemorrhoid tissue. That’s under general anesthesia or some sort of anesthetic in the operating.

Scott Steele: Do you remove all of the hemorrhoid tissue?

Michael Valente: Generally speaking we don’t. We remove the vast majority of the problematic hemorrhoid tissue, but we definitely have to leave some hemorrhoid tissue behind. It does have a function. We really can’t take out the entire circumference of the anal hemorrhoids because that would lead to certain complications.

Scott Steele: If I was a patient that is going to plan on having a hemorrhoidectomy, or is having one that’s coming up or thinking about it, what’s the postop like after the hemorrhoid surgery?

Michael Valente: It’s very painful. It’s a painful operation. I think patients, overall, tolerate it extremely well. But I think that first week, and I tell my patients you’re not going to like me very much, that first week potentially you’re going to wonder why you had this done. But really with proper pain control, multimodal pain treatment with ibuprofen, sometimes also narcotics. That first week is a very tolerable, and after a couple weeks you really start feeling really well and you’re really happy that you had it done.

Scott Steele: I appreciate your full honesty, and in reality, I try to tell the patients that again this is something that it’s a sensitive part of your body, there’s no way getting around it. We’ll do our best to control your pain through a lot of different mechanisms, and by and large most patients do very well. But it is a sensitive area. And the other important aspect is that that area of your body can swell, and it does take a couple of weeks to completely heal all the way in. So you have your hemorrhoidectomy, you get better with that in time, can hemorrhoids recur?

Michael Valente: They can.

Scott Steele: And how often does that occur?

Michael Valente: I would say in my experience not that often to the type of situation where you would need another surgery. Every once in a while if I do a good hemorrhoid surgery, a few years later I may have to put a rubber band ligation back on for another smaller area. But, generally speaking, if it’s done properly by a well-trained surgeon you should do very well.

Scott Steele: So Mike, some last take home points about hemorrhoids.

Michael Valente: Number one, everyone has them; don’t be alarmed by the fact that you have them. Number two, proper dietary factors – drinking at least two liters of water a day, about 64 ounces, is extremely important to help prevent this. Please get off the toilet as soon as possible. Any time you have symptoms of rectal bleeding, please don’t just chalk it up to saying that you have hemorrhoids without seeing a trained professional to make sure you don’t have some other condition that needs to be taken care of.

Scott Steele: So we’re going to end with the four quick hitters. Your favorite sport?

Michael Valente: American football.

Scott Steele: Favorite meal?

Michael Valente: Anything my mother makes.

Scott Steele: What’s the last book that you read?

Michael Valente: The Sun Also Rises by Ernest Hemingway.

Scott Steele: And you’re a native Clevelander. So tell me, what do you like about here in Cleveland?

Michael Valente: I love the weather, Scott.

Scott Steele: That sounds good. To learn more please download our free hemorrhoids treatment guide at clevelandclinic.org/hemorrhoids. To make an appointment with a Cleveland Clinic specialist please call 216.444.7000. Mike, thanks so much for joining us here on Butts and Guts.

Michael Valente: Thanks for having me, Scott.

Scott Steele: That wraps things up here at Cleveland Clinic. Until next time, thanks for listening to Butts and Guts.

Hemorrhoids – Gastroenterology Specialists of Frederick

Treatment

More Fiber
If the doctor finds hemorrhoids, you may be advised to change your diet to include more fiber. Eat more fresh fruits, leafy vegetables, and whole-grain breads and cereals (especially bran). Drinking six to eight glasses of fluid (not alcohol) each day will also help. Your doctor may recommend that you use a supplement that provides fiber and softens the stool or a stool softener. Softer stools make it easier to empty the bowels and lessen pressure on the veins.

Your doctor might also recommend cold packs, tub bath, warm soaks (sitz bath) or bed rest.

Good Hygiene
Good hygiene is also important. Bathe the anus gently after each bowel movement using soft, moist toilet paper (or a commercial moist pad). Avoid a lot of wiping. If necessary, you can even use a bath or shower as an alternative to wiping. After bathing, dry the anus gently with a soft cloth or towel.

To protect against irritation, cleanse the anus gently and apply zinc oxide paste (or powder) to the area. Medicated suppositories or creams are available at the drug store. Any of these home treatments may relieve the symptoms and no other treatment may be needed. If symptoms persist, see your doctor.

Procedural Treatments

In some cases, internal hemorrhoids that have fallen outside of the anus (prolapsed) or that bleed too much must be removed. Your gastroenterologist may be able to treat them during an outpatient visit to the office or to the hospital. A number of methods can be used to remove or reduce the number of hemorrhoids:

Surgical treatment: Cutting out the hemorrhoids (hemorrhoidectomy) is sometimes recommended, but carries a painful recovery.
Endoscopic: Endoscopic methods include the use of freezing, electrical or laser heat, or infrared light to destroy the hemorrhoidal tissue.
Band ligation: The gastroenterologist or surgeon may use a technique in which a rubber band is put around the base of the hemorrhoid. The band cuts off circulation, and the hemorrhoid withers away within a few days. This technique is used only for internal hemorrhoids.
Sclerotherapy: In this procedure a chemical is injected around the vein to shrink the hemorrhoid.

Prevention

• Pass your bowel movements as soon as possible after the urge occurs.
• Avoid straining.
• Be active. Move around, walk and exercise to help move the stools through your body.
• Stay regular by eating enough fiber and drinking enough fluid. Most Americans only take in 13 grams of fiber in their daily diet, half of what is recommended. Adding fiber to your diet helps to produce stools that are softer and easier to pass.

Hemorrhoids usually do not pose a danger to your health. In most cases, hemorrhoid symptoms will go away naturally within a few days. Rarely, chronic bleeding from hemorrhoids may lead to anemia.

Modified and reprinted from the American Gastroenterological Association.

90,000 price, appointment and consultation with a proctologist, house call to the “SM-Clinic”

Treatment of proctological diseases Based on the results of examination, analysis of laboratory and instrumental research data, the proctologist will diagnose and prescribe the necessary treatment – therapeutic or, if necessary, surgical.

Hemorrhoid treatment

Hemorrhoids were and remain the most common reason for visiting a proctologist. SM-Clinic uses the latest non-surgical and minimally invasive methods of treating this disease (infrared and radio wave coagulation, sclerotherapy, ligation with latex rings, ligation of hemorrhoidal arteries under the control of ultrasound dopplerometry (HAL-RAR operation).

Anal fissure treatment

Pain, itching, bleeding with anal fissures is another common reason why they turn to a proctologist. In the “CM-Clinic” complex treatment of this unpleasant disease is applied, including lifestyle correction, the use of medications, and, if necessary, surgical treatment. The high level of skill of the clinic’s doctors is a guarantee that the surgical intervention will be effective and safe.

Removal of polyps

The mucous membrane of the rectum is often exposed to the “invasion” of polyps, as well as other unwanted benign neoplasms.If they are not removed in time, they may well degenerate into cancers, so you need to part with polyps as soon as possible. SM-Clinic performs removal of rectal polyps (polypectomy), removal of genital warts, excision of anal fringes (cosmetic proctology), various plastic and reconstructive surgeries on the perineum, anal canal, rectum.

Also, the patients of “CM-Clinic” successfully undergo treatment of paraproctitis, fistulas, abscesses of the intestinal mucosa, rectal prolapse, ulcerative lesions, colitis and other diseases of the gastrointestinal tract.If necessary, treatment is carried out in a hospital clinic.

symptoms, causes, diagnosis, treatment and prevention

Hemorrhoids are a common serious disease in which the internal venous nodes of the rectal plexus become inflamed and enlarged. In addition, very often everything is accompanied by bleeding. If we pay attention to the world statistics, then literally every seventh person on our planet sooner or later begins to suffer from hemorrhoids.Not everyone will go to the hospital for help or recognize hemorrhoids on their own, because they have many signs. If we make an assumption, then it is likely that a quarter of the population of our planet suffers from hemorrhoids, so this disease must be fought by referring to professional specialists.

Diseases of the rectum seem unacceptable to people to talk about them, but this is all a stereotype that must be fought. Untreated hemorrhoids can lead to other problems as well.Then the price of the issue of hemorrhoid treatment will be much higher. Very often people turn to the clinic for help at an advanced stage. In this case, fighting the disease is much more difficult. It’s important to note that gender doesn’t matter. Both women and men can suffer from the disease, so it must be taken seriously.

Absolutely everyone can get hemorrhoids, but there are some aspects worth paying attention to. Most of the disease affects people who are mostly sedentary or have too much anal sex.Also, the daily diet of a person affects the disease. If he is fond of smoked, spicy, too salty food, then he has a much higher chance of getting hemorrhoids. But even if a person is very passionate about sports or works hard, then he can catch this type of disease and need the best treatment for hemorrhoids.

Typology of hemorrhoids

Doctors identify several of the most common types and stages in the treatment of hemorrhoids, through which all patients pass. Hemorrhoids are a serious problem that must be dealt with so that the situation does not become too neglected, but a professional clinic will help with this.You need to know what it is and about such common stages and types of hemorrhoids. The main classification of hemorrhoids:

1. Chronic. Perhaps this is the most common type. Many professionals and doctors find it is the occurrence of chronic hemorrhoids in their patients. Very often people go to the hospital with discomfort near the anus, slight itching or even bleeding complaints. It is important to note that this disease does not arise out of nowhere.It can develop for a couple of months or even a couple of years, and only then make itself felt. During the development of the disease, the patient does not experience absolutely anything, so he does not even think about contacting a specialist to get tested, the first signs of hemorrhoids are absent. When the next stage of chronic hemorrhoids comes, it already starts to hurt all the time, bleeding becomes a frequent occurrence, there is a predisposition to itching and everything is rapidly exacerbated.
2. Sharp. This is a continuation of chronic hemorrhoids, or rather its complication, which can only be accurately identified by a professional examination in the clinic.Very often at this stage, a person begins to suffer from thrombosis, very severe pain and a feeling of some kind of foreign body inside him. The body temperature also rises, but these are all common first signs, types. Only a specialist can tell you more about everything and offer an effective treatment for hemorrhoids. You can cure acute hemorrhoids if you turn to the best professionals, the cost of treating hemorrhoids is not too high.
3. Internal. Hemorrhoids can also be internal.In this case, we are talking about varicose veins of the rectum of the anus. At first, no problems in the intestines are found, so there is no thought that hemorrhoids need to be treated. If you do not seek help in time, then internal hemorrhoids can cause dangerous complications. So people can develop venous thrombosis – the first sign – due to the fact that the blood stagnates all the time during hemorrhoids. Also, nodules can constantly fall out, but this is only if the internal hemorrhoids reaches the fourth stage.In addition, the patient, due to constant bleeding, may develop anemia, a headache, and the anal valve may weaken, which will cause incontinence. To cure internal hemorrhoids, you need to go to the hospital and apply the modern best principles of treatment, the price of which is affordable.
4. Outside. External hemorrhoids are a serious problem that requires special treatment. External hemorrhoids are called and diagnosed cavity formation, which in turn is completely filled with venous blood.The dilated vessels in the anus form something very similar to a lump that develops over three stages. Very often, with an advanced form, complications also arise: the corpora cavernosa begin to become inflamed, venous thrombosis is actively developing, then an operation is necessary.

What is hemorrhoids

Many examinations show that the main type of disease is a lump. If hemorrhoids come out, then it is accompanied and characterized, firstly, by veins falling out of the anus.If we talk about color, then the cones can be of different colors, depending on what stage of the disease the patient is at. If you do not carry out an operation, or do not use any modern method of treatment, then the lump will grow more and more over time, and inflammation will also increase. A neglected form of hemorrhoids can acquire a burgundy or even bluish tint, give other types, because of which there is no need to hesitate and an urgent need to consult a doctor. Most often, in the fight against hemorrhoids, an uncomplicated professional operation is performed – this is the best effective solution.

Symptoms, signs of hemorrhoids

Professional doctors distinguish different symptoms of hemorrhoids, since there are different stages and manifestations of the disease, but there are the most common signs that you should pay attention to. So, the most obvious elements that will help determine hemorrhoids are frequent bleeding, loss of nodes. Constant itching of the anus or intolerable pain, especially if the hemorrhoids have already come out and are in the second stage. People suffering from hemorrhoids complain of constant signs of hemorrhoids – swelling of the anus and mucus that is released from it.

In most cases, hemorrhoids develop over time and do not manifest themselves overnight, so the symptoms of hemorrhoids also appear gradually. During this disease, a foreign body is felt in the anus, it seems a feeling of some heaviness – this is the first sign.

If hemorrhoids are only at the initial stage, then the main symptom of the disease can only be recognized during constipation or intestinal upset or after intense physical exertion. There are cases when the disease manifests itself quite suddenly, gives symptoms and then tests are simply necessary.If medical treatment for hemorrhoids does not work, then surgery is needed.

Learn more about the main symptoms of hemorrhoids

The most common symptoms of hemorrhoids are bleeding in the anus and prolapse of hemorrhoids. So let’s start with the first one. This symptom is clearly expressed by scarlet blood, which is released during bowel movements or after it has passed. Blood is excreted as dripping single drops that can be seen directly in the stool or on pieces of toilet paper.As for the intensity of this symptom, it can be different. So a patient with hemorrhoids can detect only a few imperceptible drops of blood or very abundant discharge.

Hemorrhoids, or rather their prolapse, is the second most common symptom of the disease. At first, they themselves are adjusted into the anal canal, and already in the later stages of hemorrhoids constantly fall out. The patient feels constant pain, discomfort, which is why it is recommended to immediately contact one of the clinics and undergo a full examination.Hemorrhoids are very often characterized by constant dull pain with a prolonged stage of development of the disease, which is supported by additional exacerbations. Pain is especially felt with acute thrombosis or anal fissure and is one of the proven symptoms.

In the anus, such a symptom of hemorrhoids is often felt, such as anal itching in any of the types. This happens because the knots are constantly falling out, the skin of the anal area is irritated, so it is recommended to go and check with a doctor to determine the types.Perianal edema is also possible, which is often characterized by acute signs of hemorrhoids and its symptoms, since chronic hemorrhoids rarely give such a symptom. But it is best to check every aspect to make sure what the patient is dealing with and how the disease progresses. This symptom proceeds as a constant feeling of discomfort, heaviness in the perineum in the anus, if there is one, you need to see a doctor. In many cases, surgery helps to get rid of hemorrhoids.

All this is associated with hemorrhoids, constant prolapse of nodes and a number of other signs, for example, mucus secretion.This is a pathology during which a kind of mucus comes out of the rectum. In this situation, professional treatment in the clinic is required, a possible operation and the delivery of the necessary tests. Another common and main symptom of hemorrhoids is thrombosis of hemorrhoids, which cannot be effectively treated on your own. In general, it is possible to treat hemorrhoids, but for this you need to make an effort, get tested, remove hemorrhoids and seek specialized help, since there are different types of diseases.To remove hemorrhoids, you need to go to the hospital.

Do you have symptoms of hemorrhoids?

Only a doctor can accurately diagnose the disease.
Do not delay the consultation – call

+7 (495) 775-73-60

Diagnostics of hemorrhoids

If the hemorrhoids come out, then it is imperative to visit a doctor, seek help in the treatment of hemorrhoids in the hospital and diagnose for the presence of diseases. In fact, the diagnosis of this disease is quite simple, but it is important to take the treatment itself very seriously.If not all the necessary tests are passed in the hospital, then it is likely that the doctor’s diagnosis will be incorrect. Failure to check the patient, skipping the analysis leads to the fact that no significant complications or pathologies are detected that may follow after the development of hemorrhoids.

During the diagnosis of hemorrhoids, the doctor examines the patient in a special gynecological chair, which allows you to determine the hemorrhoids of the anus and choose an effective treatment regimen for hemorrhoids. The doctor must definitely see what is being done in the patient’s intestines and what the anus looks like, if the hemorrhoids come out, prescribe treatment.When all the initial tests are passed by the patient, the doctor must quickly examine the feces, analysis, color and condition of the skin, the presence of a gaping in the anus. He must also track the presence of cicatricial changes, hemorrhoids, diagnose.

An analysis of the frequency of loss of nodes, diseases is mandatory, the doctor draws conclusions on the diagnosis, whether it is necessary to perform an operation, remove hemorrhoids or dispense with the method of treatment. It is possible to fight this disease if the correct approach is found during the diagnosis, but this requires a high-precision diagnosis.The medical institution uses only the most modern and innovative equipment, thanks to which effective research is carried out, quickly accurate diagnoses are made, and they are trying to cure.

Most often, it is very difficult to diagnose the correct location and size of the nodes, if you carry out the entire examination with the finger method, all this is due to the fact that during palpation the nodes become much smaller. That is why, during the study, the patient must constantly interact with doctors, take the analysis.This is the only way they diagnose the exact type of hemorrhoids, because an accurate overview of the area where the nodes are located will be given and the method of treatment will be chosen.

If a doctor diagnoses a suspicion of hemorrhoids, then he must necessarily diagnose sigmoidoscopy. In case of illness, this analysis effectively allows you to determine hemorrhoids or exclude various additional diseases, especially those related to the intestines. When hemorrhoids are diagnosed, the doctor may prescribe a gastroscopy to exclude bleeding from the digestive system, to cure it.

As practice shows, with a correct diagnostic review, doctors detect the appearance of diseases of the anal canal, which contribute to hemorrhoids. The large intestine may also be affected. Many of them cause frequent bleeding in the anus.

In some cases, doctors say that patients suffer from rectal cancer. Therefore, if there are any incomprehensible sensations in the intestines or an intestinal problem has been diagnosed for a long time, you need to become a frequent guest of medical clinics.You need to visit a doctor and find a way of treatment, effective methods, and perform an operation. Residents of the city of Moscow will help cure hemorrhoids by a clinic that will offer innovative methods of treatment.

Causes of hemorrhoids

The main reason for the appearance of hemorrhoids in a patient is the moment when the veins of the rectum are overstretched due to the fact that blood is stuck in the small pelvis. In this case, it is necessary to remove the hemorrhoids. All people are prone to such stagnation of blood, so it should be noted that the disease is widespread.Common causes of problems in the anus are high blood pressure, blood clots. This reason interferes with the free passage of feces or, on the contrary, clogs everything in the anus.

Causes of hemorrhoids:

• use of grandmother’s methods of treatment;
• menstruation;
• anal sex abuse;
• excessive hygiene of the anus;
• increased consumption of spicy, salty, fatty foods that stimulate the colon;
• Frequent horse riding, cycling;
• pregnancy;
• sedentary lifestyle.

It is important to note that problems in the anus can also be due to heredity. Then a certain scheme is used in the treatment of the disease. There are different methods of treatment, because each case has its own scheme, which is selected by the proctologist. When removing hemorrhoids, you will need to adhere to some rules, but you need to decide which scheme is effective. The cause of hemorrhoids can be congenital insufficiency of the structure of the veins. In this case, periodic prophylaxis and a special indication are recommended.There are many causes of hemorrhoids. They also often include oral contraceptives, enemas, but one of the reasons can even be riding a motorcycle, so this often cannot be done.

Hemorrhoid Treatment

In general, a specialist who bears such a name as a proctologist treats hemorrhoids. Therefore, if you urgently go to the clinic, you need to look for it. This doctor treats hemorrhoids in a comprehensive manner, according to a specially developed individual scheme. It is impossible to say exactly how much the treatment of hemorrhoids costs, since each type has its own prices for treatment to remove hemorrhoids.

A professional doctor, a proctologist, first identifies the cause of the disease. If the matter is constipation, then he tries to improve the work of the stomach, using a set of treatment methods. If the reason is a sedentary lifestyle, then the doctor will use methods of physical therapy and eradicate this cause, give his testimony. If hemorrhoids began due to stress, then the proctologist will think about how to treat the psyche, whether at least one of the methods is effective, and will give a list of contraindications. There are different methods of treatment for hemorrhoids, since they come from the reasons, the doctors of the clinic offer modern treatment for any hemorrhoid and innovative methods of treatment.Now they propose to use special equipment, a developed scheme for the treatment of hemorrhoids, methods for removing hemorrhoids, drug treatment, if the operation cannot be performed. Each hemorrhoid treatment regimen is developed individually and this is the task of the clinic’s proctologist.

Methods for the treatment of hemorrhoids

If you consult a doctor in a timely manner, you can very quickly return to your old life and forget about all the problems forever. The easiest way to heal early is to take pain relievers, anti-inflammatory drugs, and blood clots prescribed by your doctor to stop bleeding.It is important here to take a certain dose at a specially appointed time. A specialist will tell you about this and how much the treatment costs.

The disease can be cured by pathogenetic therapy, which normalizes digestion, eliminates constipation with the help of a special diet and enzyme preparations. In addition, you can try symptomatic therapy, which should improve the venous tone.

Antithrombotic therapy is also actively used in many clinics. During treatment, doctors prescribe a special heparin ointment.If an acute illness is recorded, then the doctors use combination therapy.

The most effective modern method of treating hemorrhoids is surgery, but it is used only for advanced forms of the last stages of the disease. If earlier this method was considered the main one in the treatment of hemorrhoids, now doctors are actively using the minimally invasive method and other modern options that are more sparing for patients.

Physicians treating this disease

People who suffer from hemorrhoids and are not versed in doctors often wonder which doctor is treating their disease.Professional treatment of hemorrhoids is carried out by such a specialist as a proctologist. Therefore, you should consult a doctor if hemorrhoids are actively progressing.

It treats all diseases associated with the perineum, colon, rectum and colon. The doctor diagnoses the possible development of diseases, prescribes prophylaxis, gives a list of indications, and says the approximate cost of treatment. The task of the proctologist is to cure the disease of the perineum, polyps, anal fissures. Every proctologist knows what to do with hemorrhoids.He does his job professionally and is always ready to remove hemorrhoids. This physician treats the hemorrhoids of an individual patient. That is why it is necessary to look at the list of doctors in order to determine the necessary attending professional who will cure hemorrhoids in the clinic.

Readings

When the disease manifests itself, the doctor treating hemorrhoids recommends eating right, leading an active lifestyle, trying not to smoke or drink alcohol. It is best not to lift weights, play sports and take preventive measures during an exacerbation.

Contraindications

There are a number of contraindications that absolutely all doctors put forward during the course of treatment for hemorrhoids, therefore, having applied to cure hemorrhoids in the clinic, you should pay special attention to this. It is best to take into account each contraindication in the early stages of the development of the disease. This will actively speed up the treatment and, in principle, make it easier.

Turning to a proctologist who deals with the treatment of diseases associated with the perineum, the patient will immediately receive an important contraindication.The first contraindication for hemorrhoids is refusal to lift weights. From strenuous physical exertion, pressure in the veins can rise, causing blood flow to be delayed. If the patient previously went in for sports, then he needs to switch to more gentle training, reduce the weight load, the number of exercises. Another contraindication for hemorrhoids is that it is not recommended to wear tight underwear and tight outerwear. It is not recommended to engage in equestrian sports for people who have definitely identified hemorrhoids. Another common contraindication for hemorrhoids is that in no case should you use soap, shower gels, because then the skin can become even more inflamed.In this case, you need to use only natural soap with low alkali values, otherwise the symptoms of hemorrhoids will become even higher. Doctors actively talk about what should not be done if hemorrhoids develop – it is to eat fatty foods, since obesity can also cause the development of the disease.

Cost of initial admission, research, treatment

It is impossible to say exactly how much each potential patient will cost to treat hemorrhoids. The fact is that each patient in a medical institution has its own individual approach.The cost of treatment depends on the required method, recovery therapy, and drugs used. That is why there is no fixed price for treatment, all the details must be found out directly at the clinic. Most often, all these aspects are discussed at the initial appointment.

Benefits of treatment in the clinic of JSC “Medicine”

At Medicina JSC (Academician Roitberg’s Clinic), every patient who comes to the clinic will receive friendly service from the medical staff and one of the most innovative, modern and effective treatments in the entire country.The clinic will provide proper care, treatment and recovery at the highest level. 90,000 What does a proctologist treat and how to prepare for an examination? Indications for visiting a doctor at the MEDSI Clinic

Table of Contents

A proctologist is a specialist who treats diseases of the rectum, colon and anus. You should contact this doctor immediately after detecting the first signs of the disease. Experienced specialists work in MEDSI clinics to provide support to patients with a variety of proctological problems.

Proctologist Specialization

The doctor-proctologist treats infectious, parasitic, congenital, inflammatory and oncological diseases of the intestine, colon and nearby 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 a doctor treat in women?

The proctologist treats:

• Hemorrhoids. This disease occurs due to varicose veins in the rectum and leads to the development of hemorrhoidal cones falling out of the anus, causing discomfort, bleeding and causing 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
• Paraproctitis. These diseases lead to inflammation of the peri-rectal tissues and the formation of fistulas
• Helminthic invasions
• Cancer

Women need to 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 the anus of 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 can one count on the rapid elimination of not only the symptoms of diseases, but also their causes. Turning to a doctor at the early stages of the development of pathology, the patient receives adequate conservative therapy to avoid the need for surgery.

How to prepare for the examination?

Preparation for the examination by a proctologist is quite simple.You don’t have to sit 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
• The day before the proctologist’s appointment, products that stimulate increased gas production should be excluded from the diet
• Just before going to the doctor, perform standard hygiene procedures (washing with soap)
• Try to calm down and not worry.There is nothing scary or embarrassing about being examined by a proctologist. The doctor does his job

How is the inspection going?

Examination by a proctologist takes place in several stages:

• Taking anamnesis and listening to patient complaints
• Initial examination . It is performed by palpation. The organs are felt 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 spaced bowel sections.Diagnosis by palpation provides opportunities for the detection of pathological formations and damage to the walls
• Anoscopy . To carry out this examination, an anoscope is used – a special device in the form of a hollow tube with an illuminating 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 the stomach. The device is inserted into the anus and allows the doctor to see all the changes.In addition, biopsy material is taken during anoscopy
• Sigmoidoscopy . This examination is carried out using a sigmoidoscope. Diagnostics is aimed at assessing the rectum and sigmoid colon, as well as the condition of the mucous membranes at a depth of 40 cm. The rectoromanoscope is a fiber-optic tube with a lighting device. For diagnosis, the patient is asked to kneel and elbow. This ensures the penetration of the tool to the desired depth
• Colonoscopy .This examination belongs to the endoscopic category and is one of the most informative. With this 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 for the purpose of stopping bleeding, removing small benign tumors and extracting foreign bodies from the rectum. Colonoscopy can be performed under anesthesia
• Laboratory research .Patients often donate blood and feces

If you suspect dangerous pathologies, they are additionally prescribed:

• Computed tomography
• Intestinal ozonation
• Ultrasound
• Colon hydrotherapy

Examination by a proctologist of children

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

Who treats colitis – a proctologist or a gastroenterologist?

Colitis, like other diseases of the lower digestive tract, is treated by proctologists. They carry out both initial examination and consultations, as well as complete diagnostics 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.

Advantages of contacting a proctologist at MEDSI

• Use of the most modern European diagnostic and treatment protocols
• Minimization of psychological uncertainty, feelings of fear and anxiety in patients
• Experienced doctors with many years of experience. Our doctors-proctologists in Moscow regularly improve their qualifications, 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 organs and abdominal cavity
• Application of minimally invasive endoscopic and surgical techniques for the treatment of diseases of the colon, anal canal and perineum: sclerotherapy, infrared photocoagulation, derarterization of nodes, laser operations
• Lack of queues and the ability to make an appointment with a doctor at a convenient time

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

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

About half of the population of our country have some kind of diseases associated with the rectum, among which hemorrhoids ranks first. Today, a lot of medical institutions are engaged in the treatment of this disease. How to navigate the market of the services offered, which clinic to choose and which method of treatment to use, says the surgeon – proctologist of the Medkvadrat clinic, Alexei 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 about 80% of cases of all proctological diseases.

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

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 its treatment are used. They can be divided into three main groups: conservative, minimally invasive and radical surgical methods. It is not possible to cure hemorrhoids with the help of conservative therapy; it is used to treat the acute stage and complications associated with hemorrhoids.

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

In our clinic, we try to use the most modern, effective and reliable, today, methods of treating 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 dearterization with lifting and pexy, lazar vaporization, lifting, pixia.

What is the best treatment method?

The best and most effective method of hemorrhoid treatment is the one that suits the particular patient.But which one – can only be determined by an experienced proctologist. The earlier the patient turns to a specialist, the faster and easier the treatment is.

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 1 and 2 degrees are treated not by proctologists, but by gastroenterologists, and only conservative methods are used, which cannot be cured at all. Neither minimally invasive treatment nor surgery is used in Europe at these stages. The patient is referred to a proctologist only at the third stage of the disease, when a person experiences severe pain and an extremely uncomfortable state. This is the European concept of hemorrhoid treatment.

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

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

The first thing that 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, and even more so, practicing.Therefore, in many clinics, very often a surgeon accepts patients with proctological diseases. He may be a brilliant specialist, but there are many features in proctology, without knowing which, it is impossible to cure a patient correctly. It is not enough just to have an operation. 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 applies. There are still very few centers in Russia that have modern equipment with which it is possible to apply such treatment methods as dearterization, lazar vaporization, Long Milligan-Morgan operations, etc., simply because these are very expensive devices that can only be purchased by large, multifunctional medical centers. Our clinic has such equipment. As a result, the patient becomes a hostage of only 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, during the first visit, the patient has a feeling of trust in this specialist, he can be treated, if not, he must look for another doctor. Complete treatment is impossible without the patient’s trust.

Hemorrhoid treatment in Tyumen – 8 doctors

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

Proctologist

Experience 23 years

In the clinic

from 2 500 rubles

Appointment:

(3452) 57-91-18

Medical Center “Medical On Group”

Make an appointment

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

Proctologist,

surgeon

Experience 12 years

In the clinic

from 1 300 rubles

Appointment:

(3452) 57-91-18

Medical Center “Medical On Group”

Make an appointment

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

Proctologist

Experience 21 years

In the clinic

from 1 700 rubles

Appointment:

(3452) 57-46-57

Medical center “NanoMed”

Make an appointment

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

Proctologist,

surgeon

10 years experience

Category 2

In the clinic

from 1 700 rubles

Appointment:

(3452) 57-46-57

Medical center “NanoMed”

Make an appointment

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

Appointment to a doctor is not available

Appointment to a doctor is not available

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

Proctologist,

surgeon

Experience 9 years

1st category

Medical center “UniMed” on March 8 2/9

Appointment to a doctor is not available

Appointment to a doctor is not available

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

Pediatric surgeon,

surgeon

10 years experience

Category 2

Medical Center “Family Doctor”

Appointment to a doctor is not available

Appointment to a doctor is not available

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

Regional hospital No. 2 (OKB 2)

Appointment to a doctor is not available

Doctor proctologist Make an appointment at the regional hospital in Orenburg.

Coloproctology services

Coloproctologist (proctologist) is engaged in diagnostics, treatment and prevention of diseases of the anus, colon and pararectal zone. These include such proctological diseases as:

1. hemorrhoids
2. Colitis
3. Dysbacteriosis
4. Polyps
5. Anal fissure

Diseases often have latent symptoms and appear in a chronic form.To prevent the development of undesirable consequences, it is necessary to make an appointment with a coloproctologist. It is especially important to undergo an annual examination by a coloproctologist for people 40 years of age and older. The following are the symptoms in which a visit to the proctologist cannot be postponed.

1. Diarrhea or constipation
2. Redness, pain, itching, burning in the anus
3. Mucous, purulent, bloody discharge from the anus
4. Cracks, swelling, bumps around the anus
5. Sensation of a foreign body in the anus
6. outside hemorrhoids

Early diagnosis and competent treatment prescribed by a specialist allow you to get rid of many pathologies, including those dangerous in terms of malignant transformation.

The most common causes of colon disease include:

1. Sedentary
2. Unhealthy diet: an abundance of fatty, spicy, flour foods and alcohol
3. Stress, nervous breakdowns
4. Congenital anomalies

The listed factors are dangerous in that they disrupt the composition of the intestinal microflora, injure the mucous membrane and cause inflammatory processes. In the large intestine, fluid is absorbed and feces are formed.

An appointment with a free proctologist is given by the physician of the polyclinic at the place of residence. However, a coloproctologist is a narrow-profile specialist, which is not available in every polyclinic. A paid reception of a specialist is organized in OOKB # 2. For examination of patients in the office of the coloproctologist, a special room is equipped where rectal examinations are carried out: sigmoidoscopy, ligation of hemorrhoids.

Preparation for an appointment with a proctologist

For a successful consultation with a specialist and accurate survey data, it is necessary to prepare for the appointment.To do this, follow a few simple recommendations.

3-4 days before going to the doctor, foods that cause gas formation are excluded from the diet. These are carbonated drinks, milk and dairy products, legumes, onions, grapes, pears, apples, peaches, radishes, turnips, all types of cabbage. Instead, they use cereals, lean meat, fish, soups, yeast-free bread, boiled or baked fruits and vegetables, omelets, broths, jellies. It is better to come to the proctologist on an empty stomach, but with a strong feeling of hunger, take low-fat kefir or yogurt.

Reception and Diagnostics

On the day of the call, the specialist conducts a comprehensive examination. Therefore, the patient needs to bring the test results, hospital discharge – all documents related to the disease. So the doctor will more accurately and quickly draw up a general picture of the disease.

Paid admission to a proctologist at OOKB # 2 includes an initial examination, sigmoidoscopy and consultation. According to indications, additional studies may be prescribed: ultrasound of the abdominal cavity, biopsy.

The following types of diagnostics are used in coloproctology:

1. Anoscopy
2. Coprogram
3. Tests for tumor markers
4. Sigmoidoscopy
5. Colonoscopy

To diagnose diseases during the consultation, a survey and a general examination of the patient are carried out. Using the method of digital examination, the doctor assesses the condition of the rectal mucosa, peri-intestinal tissues, hemorrhoids and lumps. The discharge of the rectum is taken for examination.

Types of research

Digital and instrumental diagnostic methods are used to detect proctological diseases. Sigmoidoscopy is the most accurate endoscopic examination of the rectum and lower sigmoid colon. The procedure allows you to examine the inner surface of the rectum at a distance of 25-30 cm from the anus.

The Rectoromanoscope is a tube with an illuminator and an air supply unit . During the examination, the device is inserted into the intestine through the anus.

1. With a rectoscope:
2. take histological material for biopsy
3. conduct electrocoagulation of neoplasms
4. remove polyps
5. eliminate foreign bodies
6. I perform coagulation of blood vessels in case of bleeding

There are no contraindications for a sigmoidoscope, however, in some conditions and diseases, the procedure is postponed. This applies to conditions such as:

1. profuse intestinal bleeding
2. narrowing of its lumen, congenital or acquired character
3. acute inflammatory diseases of the anal canal and abdominal cavity
4. sharp fissure of the anal canal

The coloproctologist of the Orenburg Regional Clinical Hospital performs sigmoidoscopy painlessly, no additional anesthesia is required.

It is necessary to prepare for sigmoidoscopy. For this, coarse fibrous foods are excluded from the diet in 3-4 days: vegetables, fruits, legumes, flour products. The day before sigmoidoscopy is allowed to eat omelet, semolina, jelly, broth. In the evening, make an enema with 1.5-2 liters of warm water. Such preparation will allow the doctor to get a complete picture of the state of the intestine, correctly diagnose and prescribe the appropriate treatment.

The procedure is performed on an empty stomach. Modern sigmoidoscopes display information on the screen, conduct photo and video recording of the examination.The patient can see what is happening on the monitor screen. After the examination, the doctor talks about the state of the intestines, answers the patient’s questions, makes a diagnosis and prescribes the most appropriate method of treatment. Photo and video recording of the procedure allows you to visually show the patient what is happening in the intestines. And the doctor is given the opportunity to track the dynamics of the disease.

Ligation of hemorrhoids with latex rings is one of the most popular methods of treatment of stage II – III hemorrhoids.For the procedure, a special device has been developed – a ligator, with the help of which a latex ring is put on the leg of the hemorrhoid. As a result of this procedure, the ring squeezes the leg. The blood flow to the node stops and it gradually dies off. After 7-12 days, the hemorrhoidal node is rejected and comes out together with the ring during bowel movements.

This method of treatment is popular among doctors and patients due to its simplicity and effectiveness. It is used, including among those patients who are contraindicated in radical surgery or other methods of eliminating hemorrhoids.

One hemorrhoid is ligated in one session. An important condition for the procedure is the presence of a pronounced border of the hemorrhoid. Complex treatment is carried out in 2-3 sessions. Repeat the procedure if necessary. Ligation is performed without general anesthesia or spinal anesthesia. This makes it available for those groups of patients for whom these types of pain relief are contraindicated.

Appointment

A paid appointment with a coloproctologist is not painful, not scary.Examination by a specialist helps to cope with diseases at an early stage. Non-surgical methods of treatment allow you to return to an active lifestyle in a short time.

Coloproctologist OOKB # 2 uses low-traumatic, non-surgical methods of treatment. All manipulations are performed on an outpatient basis, without placing the patient in a hospital. The doctor helps to choose a regimen and diet, treats inflammatory diseases of the rectum and is engaged in the prevention of malignant tumors of the gastrointestinal tract.

Coloproctologist applies modern methods of treatment, drug therapy, physiotherapy. Gives recommendations for correcting lifestyle, selects a balanced diet. To make an appointment for a paid appointment with a coloproctologist, fill out the form on the website or call.

Doctor-proctologist in Ulyanovsk | Reception of a coloproctologist at Es Class Clinics at affordable prices

Most proctological diseases are caused by a sedentary lifestyle, which is typical for life in a modern city.Sitting at the workplace, we do not even notice how time flies. In addition to “sedentary” work, malnutrition, genetic predisposition and excessive physical activity can lead to the development of diseases.

A visit to a proctologist in Ulyanovsk, like any other city, often causes embarrassment and shame in people. And completely in vain! Entrust your health to highly qualified experienced doctors, because it is better to treat any disease at an early stage.

What examinations are required for an accurate diagnosis?

At the first visit to “Es Klass Clinic Ulyanovsk”, the proctologist collects anamnesis, specifies the symptoms and the time of their appearance.Then, focusing on the identified pathology, he performs the following modern examination techniques:

• Inspection . The condition of the anus opening is assessed and palpation of the distal colon is performed.
• Anoscopy. With the help of a special hollow anoscope device, the large intestine is examined at a depth of 12 cm. The method is recommended as a basic examination method before subsequent procedures.
• Videorectoscopy.An optical rectoscope with a video transducer is used to study the epithelium at a depth of 35 cm. The device allows you to see and carefully examine the affected area on the monitor screen at multiple magnification.

All manipulations are delicate and not unpleasant. After clarifying the situation and making a diagnosis, the proctologist prescribes the optimal treatment for both women and men.

Services of our proctology center

Coloproctologists in Ulyanovsk in the medical center “Es Class Clinic” possess all modern methods of solving delicate problems.We guarantee a professional approach in the non-surgical and painless treatment of hemorrhoids and other diseases. In our center, anal fissures, polyps, anal itching and fistulas are effectively eliminated. Specialists of the medical center “Es Class Clinic” will competently and quickly heal any disease of the rectum, and return you to a full life.

In our center, we provide patients with the following types of proctologist services:

• reception, examination and consultation;
• anoscopy;
• sigmoidoscopy;
• surgical treatment of hemorrhoids;
• sclerotherapy of hemorrhoids;
• radio wave thrombectomy;
• Ligation with latex rings;
• dearterization of hemorrhoids;
• removal of neoplasms in the rectum;
• preparation for examination by a proctologist using microclysters.

At the Es Class Clinic in Ulyanovsk, we provide top-class services. The examination is carried out under conditions of anonymity in a comfortable proctologist’s office. Registration is carried out online on the website, by phone or when visiting the clinic.

You can always find out how the preparation is going by calling our medical center or coming the day before the appointment. We will answer all your questions and tell you in detail what needs to be done before visiting a proctologist.