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What dr treats hemorrhoids: When to See a Doctor for Hemorrhoids Symptoms


When to See a Doctor for Hemorrhoids Symptoms

It’s not unusual to hear jokes about hemorrhoids, a condition marked by swollen veins in the anus and lower rectum. But if you’re one of the millions of people who have hemorrhoids, particularly severe hemorrhoids, you know they’re not funny. Also called piles, they affect about 1 in 20 people in the United States, and about half of people over age 50 have hemorrhoids. They can be internal (inside your anus or rectum) or external. But are hemorrhoids dangerous and how long do they last? Here is some information to help you learn more about this common infliction.

Common Causes of Hemorrhoids

Hemorrhoids are caused by pressure in the lower rectum or anus or trauma to the area. This blocks or slows down blood flow from your rectal area and causes the veins to bulge and push out. Hemorrhoids can be caused by:

  • Straining while moving your bowels

  • Chronic constipation or diarrhea

  • Pregnancy

  • Obesity

  • Sitting for extended periods

  • Eating a low-fiber diet

  • Frequent heavy lifting

  • Anal intercourse

  • Anal infections

Hemorrhoids are also more obvious as we age because the connective tissue that holds internal hemorrhoids inside the rectum may weaken, allowing the veins to bulge (prolapse) through the anus.

Hemorrhoid Treatment at Home

Hemorrhoid symptoms can be quite uncomfortable but there are several treatments you can do at home that may help relieve the pain and discomfort.

  • Take a warm bath or sitz bath for 10 to 15 minutes after each bowel movement.

  • Clean around your anal area gently each day with warm water.

  • Do not use alcohol-based or perfumed cleaning wipes around your anus. These cause drying and irritation.

  • Moisten toilet tissue before using it to clean after a bowel movement.

  • Apply cold compresses to your anus.

  • Use stool softeners.

  • Take over-the-counter pain relievers, including acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDS), such as ibuprofen or naproxen.

You may help prevent hemorrhoids from forming or from worsening with some lifestyle changes as well. They include:

  • Don’t strain while moving your bowels.

  • Limit the amount of time sitting on the toilet.

  • Increase fiber in your diet. Fiber helps give stool bulk so it can be moved through your intestines, and it also helps water remain in the stool so it doesn’t get too dry and difficult to pass.

  • Increase fluid intake. Drink 6 to 8 glasses of water and other liquids to help keep your stool soft.

  • Exercise regularly. This will help regulate and stimulate your bowels.

  • Apply topical ointments. Over-the-counter creams and suppositories can help relieve pain and reduce swelling.

When to See a Doctor for Hemorrhoids

How long do hemorrhoids last? The answer to this is variable. Treatment for small hemorrhoids may work within a few days, while larger hemorrhoids may last much longer. Most hemorrhoids can be managed at home but if the pain or bleeding is severe; you are soiling yourself with stool; the hemorrhoids keep returning; or you are experiencing pain, bleeding and itching from the hemorrhoids after a week, consider seeing your doctor for assessment and treatment.

Although not common, if you experience dizziness, fainting, or large amounts of bleeding from your rectum, this is an emergency and you should seek medical help immediately.

Who to See for Hemorrhoids

In most cases, your family doctor or primary care physician can help you manage hemorrhoids. However, if the hemorrhoids are severe, you may need to see a hemorrhoid doctor, such as a colorectal surgeon or a gastroenterologist. These providers can provide more advanced hemorrhoid treatment, such as:

  • Rubber band ligation: A surgeon places a special medical-grade rubber band round the base of the hemorrhoid to cut off blood circulation. Within a week, the end of the hemorrhoid shrivels and falls off, leaving behind scar tissue.

  • Hemorrhoidectomy: This is an out-patient surgical procedure to remove the hemorrhoids.

  • Hemorrhoid stapling: Used primarily for internal hemorrhoids, this procedure uses a stapling tool that removes tissue.

  • Sclerotherapy: This involves an injection of a chemical solution directly into the hemorrhoid to shrink it.

  • Infrared photocoagulation: Used only for internal hemorrhoids, this procedure directs an infrared light towards the hemorrhoid tissue to cause scars, which block blood flow to the hemorrhoids.

  • Electrocoagulation: Similar to infrared photocoagulation, this procedure uses electric current to cause scar tissue.

Some people may be embarrassed to speak with their doctor about hemorrhoids, but the condition is so common that your doctor won’t be surprised if you bring it up. There’s no need to live with the pain and discomfort of hemorrhoids. Prompt treatment will allow you to live your life more comfortably.

4 Signs Your Hemorrhoids Warrant a Doctor’s Visit

“If you have already been diagnosed with hemorrhoids and your symptoms are not improving with fiber supplements, an increase in water intake, over-the-counter pain relievers, or a warm bath, then schedule an appointment,” Dr. Charabaty-Pishvaian says.

In most cases, you can see a general practitioner or your family physician about your hemorrhoid symptoms. If complications arise, you may be referred to a specialist, such as a gastroenterologist or a proctologist.

Different Types of Hemorrhoids

There are two types of hemorrhoids: external and internal. External hemorrhoids arise from the anal canal, while internal hemorrhoids arise from the rectum, immediately above the anal canal. According to Cuckoo Choudhary, MD, associate professor of gastroenterology at Thomas Jefferson University in Philadelphia, one type is not worse than the other, but both can cause problems. “It all depends on the size and degree of the hemorrhoid,” Dr. Choudhary says. “Untreated internal hemorrhoids can cause bleeding. External hemorrhoids can cause thrombosis [blood clotting], which gives way to severe pain from hemorrhoidal strangulation.”

If you know you have hemorrhoids and you have acute and severe anal pain, it could be a sign of thrombosed hemorrhoids.

Know When to See Your Doctor

Though the annoyance of hemorrhoids can be reason enough to call your doctor, use this checklist to know when a visit is a must:

  • If you’re experiencing any type of rectal bleeding
  • If the hemorrhoids are causing you pain or discomfort
  • If the problems persist despite trying over-the-counter hemorrhoid creams or other remedies
  • If you’re passing stools that look maroon in color or tarry in color, a sign of bleeding

If you experience a large amount of rectal bleeding that is accompanied by dizziness or faintness, be sure to seek emergency medical care immediately.

Though hemorrhoids are thought of as a minor health problem, you shouldn’t let that notion keep you from getting them examined. The ultimate goal is hemorrhoid relief, and for many people, that means an office visit.

Read more: Hemorrhoids: What to Know

What Are Hemorrhoids? Symptoms, Causes, Diagnosis, Treatment, and Prevention

Hemorrhoid Treatment in a Doctor’s Office, With or Without Surgery

Medical procedures may be needed for hemorrhoids that don’t go away with home treatments.

Painful external hemorrhoids can be excised (cut off) during an office visit following a shot of local anesthetic to numb the area.

For internal hemorrhoids, a few office procedures may be considered. In rubber band ligation, the most common hemorrhoid procedure performed in the United States, the doctor places a small rubber band around the base of the hemorrhoid, cutting off the hemorrhoid’s blood supply. (6) The hemorrhoid typically shrinks and falls off within about a week, though several quick follow-up visits may be required to completely get rid of the hemorrhoid. (1)

Other procedures include sclerotherapy, in which a chemical injected into the hemorrhoid causes scar tissue to form, shrinking the hemorrhoid; and infrared coagulation, in which an intense beam of infrared light causes the scar tissue to form, cutting off the blood supply and shrinking the hemorrhoid. (4)

If you have a large external hemorrhoid, both internal and external hemorrhoids, or an internal hemorrhoid that’s prolapsed (popped out through the anus), a surgical operation called a hemorrhoidectomy may be necessary, though few patients require this procedure. (1)

During a hemorrhoidectomy, the hemorrhoid and surrounding tissue are removed via a small incision, which is usually closed up with stitches afterward. The procedure is performed in an operating room with either localized or general anesthesia, or a spinal block that numbs the bottom half of the body. The procedure is successful in 95 percent of cases, though patients may experience postoperative pain. (6)

Another option that aims to reduce postoperative pain is a stapled hemorrhoidopexy, in which a device pulls the hemorrhoidal tissue upward and to its normal position, stapling it in place. (The staples fall out over time.) (1)

Learn More About Treatment for Hemorrhoids: Medication, Alternative and Complementary Therapies, Surgery Options, and More

Prevention of Hemorrhoids

Preventing constipation by keeping your stool soft and having regular bowel movements is one of the best ways to help prevent hemorrhoids.

The following tips may help you prevent constipation:

Get plenty of fiber in your diet. A high-fiber diet can make stool softer and bulkier so that it passes easily. According to the Academy of Nutrition and Dietetics, adult men under age 50 should aim for at least 38 grams of fiber a day and adult women under age 50 should aim for 25 grams. For those older than 50, the recommendation is slightly lower: 30 grams for men and 21 grams for women. (8) But be careful to add fiber to your diet slowly to avoid excessive gas or bloating.

There are a number of easy, healthy ways to incorporate more fiber into your diet. Fiber-filled foods include fruits such as berries, avocados, and pears (especially when you eat the skin). Broccoli, artichokes, and Brussels sprouts are among the vegetables that can up your fiber intake. Whole grains, such as brown rice, quinoa, and oatmeal, are also an important source. Legumes, including lentils, various beans, and green peas, are a great way to get fiber. Nuts and seeds make for a great fiber-filled snack, too.

If you’re having trouble getting enough fiber in your regular diet, consider a fiber supplement. (7)

If you experience chronic constipation and suspect that may be contributing to your hemorrhoids, avoid eating too many foods that contain little or no fiber, such as cheese and fast and processed foods.

Drink plenty of water and other fluids. Recommendations for daily water intake vary and depend on the individual, but the Institute of Medicine of the National Academies has set adequate intake levels at 2.7 liters (91 ounces) for men and approximately 3.7 liters (125 ounces) for women. (9) This can come from beverages and food, but caffeinated beverages and alcohol can be dehydrating and should not be counted in reaching this intake goal.

Exercise regularly. Exercise, especially 20 to 30 minutes of moderate aerobic activity a day, can help keep bowel movements regular. (6) And regular exercise may help you lose weight, which may be contributing to the formation of hemorrhoids.

Other tips for preventing hemorrhoids include:

Don’t strain or hold your breath during bowel movements. Straining can put excess pressure on veins and lead directly to hemorrhoid development.

Go to the bathroom as soon as you feel the urge. Letting the urge subside can make your stool harder to pass.

Avoid long periods of sitting. Sitting for too long, especially on the toilet, can stress veins in the anus.

What Is Rectal Prolapse? Symptoms, Causes, Diagnosis, Treatment, and Prevention

Treatment for rectal prolapse depends on the severity of your symptoms. Sometimes prolapses resolve on their own. Initially your healthcare provider might work with you to manage the constipation that might be causing the prolapse through adding fiber to your diet and keeping hydrated. Your doctor might work with you to avoid straining during bowel movements. Kegel exercises to strengthen the pelvic muscles might also be advised.

If none of these strategies help, surgery is usually required — especially if you’re experiencing recurrent episodes.

Surgery can keep rectal prolapse from happening again. Two types of surgical procedures are typically used to treat rectal prolapse:

  • Abdominal repair Surgery to fix rectal prolapse is usually done through the belly. Abdominal surgery for rectal prolapse usually involves making a small cut in the lower abdomen. The surgeon will then pull the rectum upward and attach it to a small bone in the lower back so that it can’t slip out again.
  • Rectal repair In this type of surgery, the surgeon works through the anus rather than making an incision in the abdomen. This surgery is often performed on older patients or those with more medical problems.

The two most common rectal procedures are:

  • Altemeier procedure In this procedure, the surgeon cuts off or removes a portion of the rectum that extends outside the anus. The remaining rectum is pushed back inside the body and attached to the inside of the anus.
  • Delorme procedure In this procedure, the inner lining of the fallen rectum is removed. The outer lining is then folded and sewn back so that it no longer protrudes.

Prevention of Rectal Prolapse

To prevent rectal prolapse, avoid straining during bowel movements.

The following tips can help you avoid constipation, which leads to straining:

  • Drink plenty of water
  • Eat fruits, vegetables, and other foods that are high in fiber
  • Exercise regularly
  • Use laxatives but only as directed by your healthcare provider because of the potential risks of chronic use
  • Consider bowel training, which involves having a bowel movement at the same time each day

Treatment of Hemorrhoids | NIDDK

How can I treat my hemorrhoids?

You can most often treat your hemorrhoids at home by

  • eating foods that are high in fiber
  • taking a stool softener or a fiber supplement such as psyllium (Metamucil) or methylcellulose (Citrucel)
  • drinking water or other nonalcoholic liquids each day as recommended by your health care professional
  • not straining during bowel movements
  • not sitting on the toilet for long periods of time
  • taking over-the-counter pain relievers such as acetaminophen, ibuprofen, naproxen, or aspirin
  • sitting in a tub of warm water, called a sitz bath, several times a day to help relieve pain

Applying over-the-counter hemorrhoid creams or ointments or using suppositories—a medicine you insert into your rectum—may relieve mild pain, swelling, and itching of external hemorrhoids. Most often, doctors recommend using over-the-counter products for 1 week. You should follow up with your doctor if the products

  • do not relieve your symptoms after 1 week
  • cause side effects such dry skin around your anus or a rash

Most prolapsed internal hemorrhoids go away without at-home treatment. However, severely prolapsed or bleeding internal hemorrhoids may need medical treatment.

How do doctors treat hemorrhoids?

Doctors treat hemorrhoids with procedures during an office visit or in an outpatient center or a hospital.

Office treatments include the following:

  • Rubber band ligation. Rubber band ligation is a procedure that doctors use to treat bleeding or prolapsing internal hemorrhoids. A doctor places a special rubber band around the base of the hemorrhoid. The band cuts off the blood supply. The banded part of the hemorrhoid shrivels and falls off, most often within a week. Scar tissue forms in the remaining part of the hemorrhoid, often shrinking the hemorrhoid. Only a doctor should perform this procedure—you should never try this treatment yourself.
  • Sclerotherapy. A doctor injects a solution into an internal hemorrhoid, which causes scar tissue to form. The scar tissue cuts off the blood supply, often shrinking the hemorrhoid.
  • Infrared photocoagulation. A doctor uses a tool that directs infrared light at an internal hemorrhoid. Heat created by the infrared light causes scar tissue to form, which cuts off the blood supply, often shrinking the hemorrhoid.
  • Electrocoagulation. A doctor uses a tool that sends an electric current into an internal hemorrhoid. The electric current causes scar tissue to form, which cuts off the blood supply, often shrinking the hemorrhoid.

Outpatient center or hospital treatments include the following:

  • Hemorrhoidectomy. A doctor, most often a surgeon, may perform a hemorrhoidectomy to remove large external hemorrhoids and prolapsing internal hemorrhoids that do not respond to other treatments. Your doctor will give you anesthesia for this treatment.
  • Hemorrhoid stapling. A doctor, most often a surgeon, may use a special stapling tool to remove internal hemorrhoid tissue and pull a prolapsing internal hemorrhoid back into the anus. Your doctor will give you anesthesia for this treatment.

Sometimes complications of hemorrhoids also require treatment.

Seek care right away

You should seek medical care right away if you have severe anal pain and bleeding from your rectum, particularly with discomfort or pain in your abdomen, diarrhea, or fever.

How can I prevent hemorrhoids?

You can help prevent hemorrhoids by

  • eating foods that are high in fiber
  • drinking water or other nonalcoholic liquids each day as recommended by your health care professional
  • not straining during bowel movements
  • not sitting on the toilet for long periods of time
  • avoiding regular heavy lifting

This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.

When to see your doctor about your hemorrhoids

Most people don’t want to talk about hemorrhoids. But keeping silent could stand in the way getting relief for a condition that’s very common. And your doctor certainly doesn’t mind addressing the topic of hemorrhoids. In fact, they want to discuss your symptoms. Because what you think is a hemorrhoid could be something more serious. It’s best to get your hemorrhoids checked out early, for your peace of mind and to protect your health.

“Doctors have seen and heard everything, so you don’t have to feel embarrassed when talking about hemorrhoids — especially since nearly half of all adults experience them by age 50,” says Dr. Christopher Buzas, a colorectal surgeon at Geisinger. “However, it’s essential to get a medical diagnosis to rule out other conditions, like colon cancer or irritable bowel syndrome, and not rely on your own opinion about what’s causing the problem.”

What are hemorrhoids?

Hemorrhoids are swollen, irritated veins around your anus and the lowest part of your rectum. There are two types of hemorrhoids:

  • Internal: This type of hemorrhoid is inside the rectum, so you won’t be able to see it. They are usually painless, and the only symptom may be bright red blood on the toilet paper or in the toilet after a bowel movement.
  • External: This type of hemorrhoid is under the skin around the anus. It may look like pink or purple bumps. Because they are located in an area where there are pain-sensing nerves, they may hurt as well as bleed.

“Anything that causes an increase in pressure can make the veins in your lower rectum and anus swell, causing hemorrhoids,” says Dr. Buzas. “This can happen if you are obese, pregnant, straining to have a bowel movement or lifting something heavy.”

When is it time to see your doctor? 

“While most people think of hemorrhoids as a minor problem, they can be very painful,” explains Dr. Buzas. “Knowing when to treat conditions such as hemorrhoids on your own — and when it’s better to seek help — can help you avoid unnecessary complications.”

If you’re experiencing any of the following situations related to your hemorrhoids, make an appointment to see your doctor:

  • You experience rectal bleeding or see bright red blood on your toilet paper.
  • You have pain and discomfort in your rectum or anus.
  • You’ve tried over-the-counter remedies for more than one week without relieving your symptoms.
  • You have bowel movements that are maroon or dark like tar in color, which can be a sign of bleeding.

If your rectal bleeding won’t stop and you feel dizzy or faint, you should consider it a medical emergency that warrants a trip to the emergency room.

When you see your doctor for hemorrhoids, you’ll first discuss your symptoms. Be sure to answer any questions directly and honestly, to get the best diagnosis. Your doctor will then examine you for external hemorrhoids, internal hemorrhoids and other potential issues. 

“Getting your hemorrhoids checked out is no different than — and as important as — getting a routine colonoscopy, Pap test, mammogram or prostate exam,” Dr. Buzas notes. “There’s no reason to be reluctant or delay your care.”

He adds, “Your doctor will make sure you’re comfortable during the exam, after which you’ll quickly be on your way to experiencing relief from your hemorrhoid symptoms.”

Next steps:

Meet Christopher Buzas, DO
Learn about general surgery services
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Proctologist, Colon, and Rectal Surgeon

Talking about rectal problems like hemorrhoids can feel embarrassing. But this common problem affects an estimated 3 in 4 Americans sometime during their lifetimes — half of them by the time they turn 50. 

With hemorrhoids being such a widespread problem, it’s no surprise that local drugstores have plenty of treatments promising to help. But what if over-the-counter treatments don’t help? Can medical care solve your problem and relieve your discomfort?

At Paonessa Colon & Rectal Surgery, we say, “Yes.” And the good news? Getting medical hemorrhoid treatment doesn’t always mean you need surgery. In fact, you can rest easy knowing that most of the time, it doesn’t.

Board-certified general surgeon and proctologist Nina J. Paonessa, DO, leads our team. She’s a specialist who is well-known for her medical expertise as well as her passion for making her patients feel comfortable when addressing this sometimes embarrassing condition. Dr. Paonessa is also the only female colorectal surgeon in Ocean and Monmouth counties, New Jersey.

Recognizing hemorrhoids

Simply put, a hemorrhoid is a bulging and swollen vein in your anorectal region. Hemorrhoids are very similar to varicose veins, and you can have them anywhere from your lower rectum to the area just outside your anus. If you have internal hemorrhoids, they occur inside your body, while external hemorrhoids form underneath the skin of your anal opening.

Depending on the location of your hemorrhoids, you may experience excessive bleeding with mild discomfort, or they can become extremely painful. As with many medical conditions, seeking treatment early for your hemorrhoids can spare you needless discomfort and pain.

4 signs your hemorrhoids need medical attention

Here are four signs that Dr. Paonessa says indicate your hemorrhoids require medical intervention and why early treatment matters.

1. Bleeding when you have a bowel movement

There are many underlying causes of rectal bleeding, including hemorrhoids. If you have bleeding from internal hemorrhoids, it’s usually bright red, occurs with bowel movements, causes no pain, and ranges from mild to moderate in quantity.

But never assume rectal bleeding is due to hemorrhoids. If you’ve never been diagnosed with hemorrhoids — or you have noticed a change in the characteristics of the bleeding you’ve had with hemorrhoids in the past — see us for an accurate diagnosis.   

2. Noticing an anal bulge that retracts after passing stools

When you have internal hemorrhoids, they can prolapse (or push outside) your anal opening during a bowel movement. At first, the tissue may retract on its own, or you can easily push it back inside. But a prolapse can worsen over time and can eventually cause significant irritation, bleeding, itching, and pain as this internal tissue becomes trapped outside of your anus. 

Get early treatment to prevent a prolapse from growing worse.

3. Feeling you can’t empty your stool completely

If you have prolapsed internal hemorrhoids, they can cause the sensation that you have stool stuck at your anus. You may also have difficulty cleaning yourself or notice a mucous discharge following a bowel movement because of the displaced tissue. 

Dr. Paonessa can remedy these symptoms by treating the hemorrhoid.

4. Experiencing anal discomfort or irritation 

You don’t have to live with hemorrhoids symptoms until the pain becomes so severe it disrupts your life. Dr. Paonessa offers several effective, nonsurgical treatments that can resolve your hemorrhoids, including:

  • Rubber band ligation
  • Sclerosis treatment

During rubber band ligation, Dr. Paonessa blocks blood flow to the hemorrhoidal tissue by wrapping a rubber band around it. Within a few days, the hemorrhoid shrivels, dies, and simply drops off. With sclerosis, Dr. Paonessa injects a chemical solution into your hemorrhoid, causing the vein to collapse and wither away. 

You can rely on Dr. Paonessa to focus first on accurately diagnosing your condition. Then she recommends the most conservative and effective hemorrhoid treatment available, along with tips that help prevent hemorrhoids from recurring. 

Don’t live with hemorrhoid discomfort; contact us to schedule your appointment today at Paonessa Colon & Rectal Surgery in Brielle and Manahawkin, New Jersey.

90,000 Which doctor should I go to for the treatment of hemorrhoids?

Despite the fact that hemorrhoids are perhaps one of the most common diseases of the rectum, it is not accepted to talk about it out loud. False bashfulness and delicacy makes a person not only hide his own suffering, but also hesitate to even just find out: which doctor treats hemorrhoids? But there is no point in being ashamed. After all, the sooner you go to the doctor you need, the sooner and more surely you will get a satisfactory solution to the problem.

By the way, in most medical institutions (and, of course, our specialized international network of clinics is no exception!) This disease is treated by a coloproctologist (or, as most are more accustomed to, by a proctologist). It is to this doctor that you need to go with hemorrhoids.

When to see a doctor?

Of course, any physician will tell you that the disease is easier to cure in the earliest stages. Therefore, as soon as you begin to notice the symptoms of hemorrhoids in yourself, then you immediately need to undergo an examination.And it would be best to immediately consult a doctor who specializes in the treatment of hemorrhoids and other diseases of the rectum.

It is quite possible, by the way, that an examination by a proctologist will please you and the doctor will say that you have no hemorrhoids. And there is, for example, a simple inflammation that can be cured in just a couple of weeks.

But if, nevertheless, you are diagnosed with this unpleasant disease in every sense, then it is also important not to start the problem by starting qualified treatment as early as possible.Do not bring the disease to a chronic stage!

Acute or chronic stage of the disease

Both acute and chronic stages of the disease have a fairly similar clinical picture. The only difference is that the chronic form includes periods of relapse and prolonged remission, moreover, a patient who has been suffering from hemorrhoids for a long time knows firsthand which doctor to contact. Starting rapidly, the acute manifestation of the disease has the following symptoms:

  • Profuse bleeding after stool.
  • A pulling sensation in the anus, sometimes accompanied by the illusion of a foreign body being there.
  • Discomfort and pain when trying to defecate, sitting or walking for a long time.
  • Burning in the anal area.
  • Swelling of the mucous tissues of the anus.

Any of the signs listed above is a serious reason to seek medical help for a diagnosis.

What awaits you at the proctologist’s appointment?

The diagnostic activities that await you in the doctor’s office are hardly pleasant. However, determining hemorrhoids, what doctor can do without palpation of the anus, which helps to find the inflamed nodes?

A specialist can also get a visible picture of the disease using anoscopy – a procedure for examining the rectum using a special mirror instrument.

The most complete and informative method for diagnosing hemorrhoids for the attending physician was and remains sigmoidoscopy.A special tube with a lighting element expands the rectal opening by supplying air, then, using magnifying optics, allows you to examine the rectal mucosa.

Only after collecting the primary history and obtaining the results of the above studies, the doctor prescribes treatment for hemorrhoids, taking into account the individual characteristics of the patient’s body.

Only a doctor can cure hemorrhoids!

Admirers of self-medication, as well as those who hope that hemorrhoids will resolve on their own, should remember that without qualified therapy, the disease will continue to progress and, most likely, will become chronic.

Some patients with hemorrhoids, when deciding which doctor to go to, choose all kinds of traditional healers who can relieve painful sensations without eliminating the cause of the problem. During the time spent on pseudo-treatment, the disease reaches the last, fourth stage, in which the loss of nodes occurs at any, even the weakest, physical stress, and sharp unbearable pain becomes a constant companion of the patient.

In order to prevent this from happening, treat yourself only in high-class clinics with certified proctologists, behind whose backs a classical medical education, vast experience and colossal capabilities of modern medicine.

And in order to choose the best clinic and find which doctor will best cope with your hemorrhoids – of course, you should listen to the reviews of other patients and entrust your health only to well-established medical institutions. There is no doubt that the network of clinics “URO-PRO” is one of those!

Order a call ← Our specialists can call you back at a convenient time for you. The call is free!

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90,000 If you have hemorrhoids, which doctor will help you?

Hemorrhoids are a fairly common disease among adult men and women, especially sedentary work contributes to it.The problem is so delicate that many are embarrassed to go to the clinic with it, to find out which doctor they need to make an appointment with. However, this is a wrong behavior: if hemorrhoids are left untreated, they become chronic. An exacerbation of the disease is caused by the transfer of heavy objects, the period of pregnancy, and malnutrition. If hemorrhoids are not treated, then the problem will have to be eliminated with the help of surgical operations. Therefore, we recommend that at the initial manifestations of hemorrhoids, contact a specialist – a proctologist or coloproctologist.

Which doctor treats hemorrhoids?

Hemorrhoids are a pathology of the lowest part of digestion – the rectum. Proctologists are involved in the diagnosis and treatment of this part of the organ. According to the modern classification of specialties – coloproctologist. These specialists deal with all problems that are associated with the colon, anus and perineum. Hemorrhoids are diagnosed by an increase in the nodes, they will be detected by a gynecologist who performs a routine examination of women and a urologist when examining men.Also, the surgeon who examines them as part of the medical board at the military registration and enlistment office can inform the young men about the first signs of the disease. If symptoms are found, then the patient is referred to a narrower specialist – a coloproctologist, it is explained that a professional approach is important in treating the disease.

Most district-level hospitals have a proctologist on staff. If it is not there, then you can make an appointment with the surgeon, since proctology is one of the areas of surgery, therefore such a doctor has a sufficient knowledge base and practice in this area.A surgeon in a district hospital (polyclinic) conducts outpatient appointments free of charge. In addition, you can go to a private medical clinic, in such institutions there are enough coloproctologists. To get to a good specialist, you should inquire about the clinic’s license, find out the doctor’s experience and category, read reviews about him. When making an appointment, it is necessary to clarify what is included in the examination, the doctor may additionally prescribe an instrumental examination (sigmoidoscopy, anoscopy), which are paid separately.It is important to clarify this not only from a financial point of view, but also for proper preparation for research.

In the case when there is bleeding from the anus, the pain is very strong, then you need to call an ambulance. This complication can be caused by a pinching by a node or thrombosis. If medical assistance is not provided in a timely manner, it will lead to necrosis (tissue necrosis).

Proctologists and coloproctologists

The exact name of medical specialties is approved by the List of the Ministry of Health.In state institutions, when applying for a job, they strictly monitor that the name of the specialty exactly corresponds to the legislation. Previously, doctors who were involved in the treatment of hemorrhoids were called “proctologists”. Since 2014 they have been called “coloproctologists”. This is due to the fact that the field of study of pathology was slightly “expanded” – to the entire large intestine.

Depending on the place of work and the characteristics of the medical profile, coloproctologists can be:

  1. Therapists.In this case, the coloproctologist deals with the therapeutic (drug) treatment of the disease, as well as the treatment of Crohn’s disease, colitis, elimination of infections and parasites that have settled in the intestines.
  2. Surgeons. Coloproctologists of this direction practice minimally invasive methods of treating hemorrhoids, and also perform operations to remove tumors, hemorrhoidal cones, polyps using special endoscopic devices.

A coloproctologist-therapist for the treatment of hemorrhoids prescribes medications, prescribes drugs for oral and local use, and prescribes a diet that must be followed.Doctors of this specialization usually work in outpatient clinics and receive outpatient appointments.

A coloproctologist-surgeon is a doctor who is consulted in cases when treatment with various home methods has not yielded results, hemorrhoids have passed into an advanced stage, complications have appeared (a crack on the intestinal wall), bleeding begins, prolapse or infringement of hemorrhoids occurs. All this requires surgery.

Both types of coloproctologists have enough knowledge and experience to diagnose hemorrhoids, determine the stage of the disease, and choose an effective method of treatment.At the reception, the doctor finds out how long ago the symptoms of the disease appeared, what provoked it and led to an exacerbation. At the consultation, a specialist necessarily examines the anus, palpates the lower rectum, performs anoscopy, sigmoidoscopy. If necessary, such studies as irrigoscopy or colonoscopy are additionally prescribed.

On the basis of research, complaints and analyzes, an individual treatment regimen for the patient is selected, taking into account the age and the presence of other diseases.The therapeutic process and its effectiveness are monitored. For the I-III stages of the disease, treatment is carried out using mini-surgery (sclerotherapy for external hemorrhoids, the imposition of latex rings, ligation of blood vessels). Also, laser irradiation, cryotherapy, thermal coagulation can be used for treatment. After the procedures, the proctologist must prescribe a therapy that will prevent the development of exacerbations and maintain a positive treatment result. To do this, the doctor explains to the patient the peculiarities of nutrition, hygiene, and regimen.

Duties of a coloproctologist surgeon

A coloproctologist-surgeon not only treats hemorrhoids, but also deals with the elimination of intestinal pathologies due to injuries, congenital diseases.

The doctor provides emergency or routine care in the presence of:

  • hemorrhoids with complications;
  • rectal fissures;
  • 90,019 intestinal polyps;

  • paraproctitis;
  • cysts and tumors.

The task of the doctor is to choose an effective method of treatment, taking into account the results of diagnostics and the general health of the patient. The choice of the method of surgical intervention is based on the ratio of the risk level and predicting the development of the disease. The coloproctologist explains to the patient the methods of preparation for surgery, removes structures, removes cracks, restores intestinal functionality. After the operation, a diet, dressings, local procedures, and medication are prescribed.

The duties of a doctor of this specialization, in addition to admitting patients, include maintaining documentation, analyzing the effectiveness of his work, and improving his qualifications every 5 years. During the retraining courses, the doctor gains knowledge about new therapeutic advances and drugs, the possibilities of innovative diagnostic equipment.

Preparation for inspection

It is better to plan a trip to the coloproctologist on your day off, since you need to carefully prepare for the examination.It is advisable to cleanse the intestines before taking it.

The day before visiting the doctor, you need to exclude from the diet food that provokes gas formation:

  • milk;
  • 90,019 legumes;

  • all types of cabbage;
  • fatty fish and meat dishes;
  • 90,019 sweet products;

  • carbonated water, strong coffee and tea;
  • pickles;
  • any alcohol, including beer.

You should refrain from smoking. The night before, you need to do 2 cleansing enemas, in the morning one more. If the classic version of the enema is poorly tolerated, then rectal suppositories based on glycerin, Mikrolax microclysters are suitable. They provide bowel cleansing within 20 minutes. You should go to the doctor on an empty stomach in case he prescribes a blood test.

How painful is the examination?

The doctor performs an examination taking into account the patient’s condition, his excitement.Therefore, he talks to the patient and tries to conduct the examination slowly and accurately. The palpation procedure is quite unpleasant, but for the most part it does not cause pain. If there is a blackened hemorrhoidal node outside, then the examination is not performed, its removal is immediately assigned.

Why is it important to see a doctor?

Hemorrhoids is a disease that causes discomfort and complicates a person’s life, work due to the following signs:

  • pain during bowel movements;
  • 90,019 bleeding;

  • itching, erosion, irritation, weeping skin around the anus;
  • Sensation as if there is something foreign in the anal canal.

If you do not begin to treat hemorrhoids, then this leads to the appearance of cracks and ruptures, and inflammatory processes. Due to blood stagnation, blood clots form, which impair tissue nutrition, leading to necrosis. This provokes severe pain and general intoxication. If the thrombus is not removed in time together with the node, then bleeding occurs. It is joined by a bacterial infection that spreads to the rectal tissue. This is fraught with sepsis, damage to neighboring organs.

Due to the shyness in the diagnosis and treatment, hemorrhoids quickly turn into a neglected state with complications.The longer you do not seek medical help, the more difficult it is to treat the disease, the risk of complications increases, and the need for urgent surgery. A timely visit to the doctor allows you to stabilize the condition, prevent the transition of hemorrhoids to the painful 4th stage.

Hemorrhoids: which doctor should I go to?

Hemorrhoids are varicose enlargement of the cavernous plexus located in the anal canal. Proctologists are involved in the treatment of diseases of the colon and anus, the more correct name for doctors of this specialty is coloproctologists.

Hemorrhoids are one of the most common diseases of the rectum, but at the same time, people are reluctant to see a doctor with this problem, preferring to endure or self-medicate. However, over time, the symptoms only worsen, bringing more and more suffering to the patient, and the disease itself progresses, “overgrown” with complications. In this case, a radical cure is impossible without full-fledged proctological operations.

Why does hemorrhoids occur

In the region of the anus and the terminal rectum, there are special formations – the cavernous bodies, which are formed by a plexus of blood vessels supported by connective tissue.It is assumed that their main function is to ensure the closure of the anus and the retention of feces.

If the functioning of the connective tissue is impaired, the vessels are overfilled with blood and its outflow is disturbed, which leads to the expansion of the lumen of the vessels and their protrusion. Thus, a hemorrhoid is formed. The following reasons can provoke this condition:

  • Stool disorder – constipation and diarrhea.
  • Overweight (more details).
  • Pregnancy and childbirth (more details).
  • Liver diseases characterized by venous congestion.
  • Sedentary lifestyle.
  • Excessive physical activity, especially associated with weight lifting.

Hemorrhoid symptoms

In the initial stages of the disease, when the hemorrhoids are small, symptoms are often absent. When the nodes are injured by feces, an inflammatory reaction often occurs, which is accompanied by exudative discharge from the anus, pain, itching or burning.Gradually, the inflammation subsides, the symptoms are leveled, and patients are in no hurry to see a doctor, but the disease itself continues to progress. Hemorrhoids increase in size and prolapse (protrude) first into the lumen of the anal canal, and then beyond.

At first, the nodes protrude after a bowel movement or strong straining and gradually retracted back. Then their spontaneous reduction becomes impossible, and the patient is forced to help himself with his hands. With large knots, even manual reduction is not always successful.Against this background, a person experiences pain, sometimes unbearable, itching and burning in the anus. There may be bleeding.

Diagnosis of hemorrhoids

Symptoms of hemorrhoids may be similar to other proctological diseases, for example, anal fissures or malignant neoplasms in this area. Therefore, never self-medicate, because, firstly, it is ineffective, and secondly, you can miss a more serious life-threatening disease.

As part of the diagnosis, the doctor will examine the anorectal region, digital rectal examination and anoscopy. If necessary, additional research methods will be carried out, for example, a biopsy.

Hemorrhoid treatment

Treatment of hemorrhoids directly depends on the stage of the disease. Medical (conservative) and surgical methods are used.

Drug therapy as an independent treatment is effective only in the initial stages of hemorrhoids.In other cases, it is used to relieve exacerbation symptoms and prepare for surgical treatment. This treatment relieves pain, inflammation, thrombosis and bleeding. For example, non-steroidal anti-inflammatory drugs are used to relieve inflammation, rectal suppositories with anesthetics can be prescribed to relieve pain – they act quickly and give a fairly persistent effect. To eliminate blood clots, heparin-based ointments are used. Bleeding is stopped using hemostatic sponges based on fibrinogen or alginate.To achieve the maximum effect, combined drugs have been developed that allow you to simultaneously solve several problems at once. Radical treatment of stage 2-4 hemorrhoids, as a rule, requires the use of surgical procedures of varying degrees of complexity.

In the early stages, minimally invasive methods are possible:

  • Coagulation of hemorrhoids using a laser, radio wave or infrared radiation. In this case, local heating of the tissues is performed, as a result of which the lumen of the vessel is sealed and the node decreases in size.
  • Sclerotherapy – has a similar effect, only the vessel lumen is sealed due to a chemical burn from the introduction of a sclerosing drug.
  • Ligation with latex rings – a latex ring is applied to the base of the node, which constricts the blood vessels and disrupts its nutrition. The node is necrotic and dies off.
  • Cryodestruction – the node is exposed to low temperatures, due to which it necrotic and dies off.

At 4 stages of hemorrhoids or with frequent relapses after minimally invasive methods, hemorrhoidectomy is used – surgical excision of hemorrhoids.Depending on the degree of involvement of the surrounding tissues in the process, only the node itself or the nodes together with the mucous membrane of the anal canal or rectum can be removed. These operations are quite traumatic, and the recovery period is accompanied by severe discomfort. Therefore, we once again emphasize the need for a timely visit to a coloproctologist. Do not delay with this – it is always faster and easier to treat the disease at an early stage.

90,000 Frequently asked questions to the proctologist

What are hemorrhoids?

Hemorrhoids – expansion and overflow of blood in the cavernous (spongy) bodies of the rectum and anal canal, which are a normal anatomical formation.Accordingly, they speak of hemorrhoids only when the cavernous bodies increase and begin to make themselves felt.

What are external and internal hemorrhoids and are hemorrhoids always manifested by the presence of formations on the skin around the anus?

Hemorrhoids can be located both outside (external hemorrhoids) and inside the rectum (internal hemorrhoids), which are not visible from the outside.

How does hemorrhoids manifest?

The main manifestations of hemorrhoids are bleeding and prolapse of hemorrhoids.Pain for chronic hemorrhoids is not typical – in this case we are talking either about acute hemorrhoids, or about other diseases of the rectum. By the way, not always the release of blood from the rectum and the loss of any formations indicate hemorrhoids. This diagnosis can be reliably made only by a proctologist after examination. Hemorrhoids can mask other and often more serious diseases of the rectum.

Why does hemorrhoids occur and how to prevent the development of hemorrhoids?

One of the main factors in the development of hemorrhoids is heredity.Therefore, if your parents suffered from hemorrhoids, then with a certain degree of probability we can say that hemorrhoids can occur in you. Often, hemorrhoids are combined with varicose veins of the lower extremities and flat feet, which is a consequence of congenital weakness of the connective tissue, which is the skeleton of the veins. In addition, risk factors are food addictions (abuse of spicy food), excessive alcohol consumption, a sedentary lifestyle, a long stay in the same position (the work of a salesman, hairdresser, manager, etc.).), intense physical activity, persons suffering from constipation. Often, the first manifestations of hemorrhoids refer to the period of pregnancy. Accordingly, the elimination of risk factors for the development of hemorrhoids from your life can prevent the development of hemorrhoids.

What are the complications of hemorrhoids?

Typical complications of hemorrhoids are hemorrhoidal thrombosis with pain and hemorrhoidal bleeding. Contrary to popular belief, hemorrhoids never develop into cancer (but can mask its presence).

Can hemorrhoids go away on their own?

Hemorrhoids do not tend to shrink, but rather increases over time. Medication slows down its progression, and in the case of acute hemorrhoids, only reduces or eliminates its symptoms.

When and how should hemorrhoids be treated?

Correct and adequate treatment of hemorrhoids is prescribed only by a doctor. The symptoms of hemorrhoids are very varied and the treatment is accordingly different.In addition, the symptomatology you personally have may be due to other proctological diseases. Treatment depends on the stage and nature of the disease. In addition to medical and surgical treatment, outpatient minimally invasive techniques are currently used, such as photocoagulation, sclerotherapy, ligation (application of latex rings) of hemorrhoids. Their use allows you to achieve a cure in a short time with minimal risk of complications. Abroad, only 25% of patients with hemorrhoids undergo surgical treatment, and 75% undergo minimally invasive treatment of hemorrhoids.

Which ointments are most effective for the treatment of hemorrhoids?

The symptoms of hemorrhoids are very diverse, and the ointments used have a narrowly targeted effect on certain symptoms of hemorrhoids. Therefore, only a proctologist can choose an effective treatment for hemorrhoids. In addition, it has been proven that topical forms of drugs (suppositories and ointments) do not have a therapeutic effect on hemorrhoids, reducing only their manifestations. Therefore, the complex of treatment of hemorrhoids must include tablet forms of venotonic drugs.

Can hemorrhoids turn into cancer?

Hemorrhoids never get angry. However, this does not exclude the simultaneous existence of rectal cancer.

Is it possible to get rid of hemorrhoids without surgery?

You can. Currently, there is a wide arsenal of so-called minimally invasive non-surgical outpatient methods for treating hemorrhoids. Their advantage is simplicity, painlessness and ease of procedures for the patient.The patient remains in the usual rhythm of life. However, their use is most effective in the early stages of hemorrhoids. In advanced cases, an operation is indispensable.

Who is a coloproctologist?

In accordance with the modern nomenclature of medical specialties, the proctologist was renamed as a coloproctologist, since in addition to diseases of the rectum (in Greek – proctos), his competence also began to include diseases of the colon (in Greek – colon).

How often do you need to see a proctologist?

Naturally, the earlier a patient turns up, the easier and more effective his treatment.In addition, there are formidable diseases of the rectum, outwardly manifesting nothing. Therefore, the optimum for preventive visits to a proctologist is once a year or at least once every five years. For patients over 50 years old, patients whose parents suffered from proctological diseases, it is mandatory to visit a proctologist once a year.

What preparation is required before visiting a proctologist?

If you are concerned about intense pain in the rectum or anus, then preparation before the visit is not required.In other cases, 2 cleansing enemas are required the night before and the morning of the visit. There is an alternative option – micro enema with the ready-to-use Microlax preparation in the morning of the day of the visit. Preparation is necessary for a full examination and, if necessary, rectoscopy – examination of the rectum with an apparatus to a depth of 30 cm.

How necessary and painful is rectoscopy?

The method is absolutely necessary for most proctological patients to diagnose possible latent diseases of the rectum, the only diagnostic method of which is rectoscopy, which allows you to examine the intestine with the eye and detail the pathological process.The method is painless, moreover, the appearance of pain during the study is an indication for the termination of the procedure.

90,000 If you are ashamed to go to the doctor … All questions about hemorrhoids | Healthy life | Health

Especially if the disease is running. Unfortunately, it is at this stage that patients most often go to the doctor.

Word – to the surgeon-proctologist, candidate of medical sciences, doctor of the highest category Sergei Nychkin .

Down with false shame!

The name of this disease comes from the Greek haimorrhois – bleeding.This is one of the most common ailments. Some signs of hemorrhoids, or varicose veins of the rectum, are in 80% of adults.

At risk are pregnant women and women giving birth, people engaged in hard physical labor, or, conversely, those who lead a predominantly sedentary lifestyle. Weightlifters, motorcyclists, riders, jumpers and all athletes whose work is associated with lifting weights or with great pressure on the back of the body also risk being among the patients of the coloproctologist.Hereditary, congenital weakness of the veins is also of great importance.

Concomitant risk factors for the development of hemorrhoids are also: obesity, love of spicy, fatty and smoked foods, diseases of the pelvic organs, chronic constipation, or, conversely, frequent bouts of diarrhea. Of the bad habits that provoke hemorrhoids, we can name the habit of sitting for a long time in the “room of thoughtfulness.” Doctors-proctologists like to repeat that the toilet is not a library, so you need to go there for a short time and only on a straightforward matter.And after a bowel movement, it is useful to take an ascending warm shower every time – for hygiene and massage of this area.

The best prevention of the disease is to try to move more, exercise less, give up excess meat and spicy foods, eat more fiber-rich vegetables and fruits, drink at least 1.5–2 liters of liquid per day, and monitor the regularity of stools. And the main thing is a timely visit to a doctor. Complicated forms of hemorrhoids would be much less if people, at the first feeling of discomfort in the rectum, immediately went to the proctologist, and would not endure until the last.It is dangerous to postpone a visit to the doctor in the presence of obvious alarming symptoms, such as pain, itching, and bleeding from the anus, because the same symptoms occur in more dangerous diseases – polyps and rectal cancer.

The knot will be tied, the knot will be untied

For diagnosis, the doctor conducts an examination and digital examination of the rectum. In some cases, additional research methods are required, such as anoscopy, sigmoidoscopy or colonoscopy.In the course of these studies, with the help of special devices introduced into the lumen of the rectum and colon, the specialist examines the inner surface of the intestine. The methods are painless. With their help, you can establish the stage of the inflammatory process and choose the method of treatment: conservative or surgical.

Only uncomplicated acute and initial forms of chronic hemorrhoids are treated conservatively. If the study shows that it is possible to wait with the operation, then the treatment begins, as a rule, with the prevention of constipation and diarrhea.Diet, laxatives and drugs that affect the microflora and intestinal motility, as well as enzymes are prescribed. In the absence of a positive effect, the doctor will prescribe local and general drug therapy (ointments and suppositories). Hemorrhoid treatment is always complex. If the problem is poor bowel function, it will be necessary to restore normal colon function. If the root of evil is in a sedentary lifestyle and stress, the doctor will “prescribe” sports and soothing “herbs.”

Weekend procedures

In the early stages of chronic hemorrhoids, radical surgical methods can be dispensed with.In the absence of complicating conditions (acute thrombosis of the external hemorrhoidal plexuses, suppuration, etc.), outpatient treatment is recommended. The most common are ligation and sclerotherapy.

Ligation of hemorrhoids with latex rings. In this case, a special apparatus is used – a ligator, which is a hollow cylinder with a latex ring. With the help of an automatic vacuum pump, the hemorrhoidal node is drawn into the ligator lumen, after which a latex ring is put on the base of the node.Tightening of the tissue of the node and the vessels feeding it causes ischemia and necrosis, and after 7-10 days the node disappears. The procedure does not require anesthesia. In the rehabilitation period, some soreness may occur, so the use of analgesics is recommended. Usually doctors try to carry out this manipulation on the eve of the weekend so that the patient can stay at home for the next 1-2 days. For some time, you will have to follow a sparing diet and limit physical activity. As a rule, during ligation, the surgeon processes only 1 node, in rare exceptions – 2 (otherwise, after the procedure, the patient will have to endure severe painful sensations).If there are more nodes, several manipulations are prescribed with an interval of 2 weeks.

The essence of sclerotherapy consists in gluing the dilated vessels of hemorrhoids. This method is good if the patient is concerned only with bleeding. The same technique is used for varicose veins of the legs. Using a special syringe with a long curved needle, a sclerosing drug is injected into the center of the enlarged hemorrhoids. A decrease in blood flow leads to a thickening of the node and its death.After the procedure, slight painful sensations are possible, which are relieved by traditional analgesics. As a result of sclerotherapy, bleeding completely stops and the prolapse of nodes is eliminated, but complete cure is achieved only in 20% of cases, since in the long-term period an exacerbation of the disease often occurs, which requires repeated procedures.

The main advantage of these methods is low invasiveness. All of them are performed on an outpatient basis, without the use of anesthesia, and do not cause severe pain.But, alas, most often they allow you to achieve only a temporary result. Their action usually lasts for a year, at most – 5 years, then hemorrhoids may appear again. Ligation is most effective. But with a disease of the 3rd and 4th degree, these methods are useless.

In one fell swoop!

There are several types of surgical treatment for hemorrhoids – hemorrhoidectomy. For some techniques, the doctor uses a scalpel, for others, a laser or ultrasound machine.

Traditional hemorrhoidectomy is still the gold standard in the treatment of hemorrhoids, since the method is based on the complete removal of the tissue of hemorrhoids together with the vessels feeding them, which are either cauterized or sutured.Thanks to this, the node cannot be revived again. This allows, even at advanced stages of the process, not only to eliminate the symptoms of the disease, but also to prevent its return. Since there is the greatest number of nerve endings in the anus, and any interventions in this area are very painful, the operation takes place under spinal anesthesia – when only the lower half of the body is “turned off”. In time, the intervention takes 15–20 minutes. In reputable clinics, anesthesia does not stop after the operation.All 3-4 days that the patient spends in the hospital, he is under epidural anesthesia (the catheter constantly delivers an anesthetic drug through the spinal artery). Thanks to this, the patient manages to survive the most difficult and painful period most comfortably.

See also:

90,000 ✅ which doctor treats hemorrhoids

✅ which doctor treats hemorrhoids

Reviews which doctor treats hemorrhoids

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Real reviews about which doctor treats hemorrhoids.

Where to buy, which doctor deals with the treatment of hemorrhoids

cream for the prevention of hemorrhoids buy in Astrakhan folk remedies for the treatment of hemorrhoids with potatoes Proctolex is a drug developed in 2012 by GemoGosCenter. This is a whole complex of tools aimed at combating hemorrhoids. From the very beginning, the products sold under this name quickly became in demand. Both doctors and patients give positive feedback on the treatment.
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During pregnancy, as well as breastfeeding babies, the medication can be allowed to fight hemorrhoids, but under the strict supervision of a doctor. There is no reliable information on the occurrence of complications in the fetus due to the intake of a natural anti-hemorrhoidal drug.

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Ointments for hemorrhoids are easy to use and are suitable for the treatment of both internal hemorrhoids and external cavernous. menthol – tones up the walls of blood vessels; zinc compounds – have a drying and protective effect; horse chestnut extract – tones the walls of the veins, helps. External treatment of hemorrhoids is carried out with gels. Analogs can be similar forms of drugs – ointments and creams.Hemorrhoids are a problem faced by urban residents. Proctologists are worried: every third resident of the country has faced a problem. The patient contingent is office workers. How to choose the right ointment? For the treatment of hemorrhoids, the following therapeutic regimens are used, depending on the type and severity of the disease: To relieve pain, such pain relieving ointments for hemorrhoids, containing lidocaine and anesthesin, will be effective. List of effective ointments for hemorrhoids. Hemorrhoids is one of the pathologies.Acute pain – ointments with anesthetics and anesthetic component (anesthesin. Composition: homeopathic remedy made in Russia contains calendula, menthol, Gammamelis, zinc oxide, Esculus. Treatment of hemorrhoids and cracks, both internal and external localization implies local therapy, therefore patients are looking for an effective ointment for hemorrhoids, preferably inexpensive and safe.Ointment for external hemorrhoids should not become the basis for monotherapy.What ointment for hemorrhoids will be most suitable for a particular case.Horse chestnut extract and menthol tone up the walls of blood vessels, improve local blood circulation. Zinc compounds. Hemorrhoid ointments are intended for local use, the best result from their use is achieved in the treatment of external hemorrhoids, with the internal form of the disease, it is more convenient to use rectal suppositories. An integral part of the treatment of inflamed venous plexuses of the rectum are ointments against hemorrhoids. Thanks to the achievements of modern pharmacology, for each case of the disease there is its own hemorrhoid ointment.The advantages of ointment forms – ease of use.

“Doctor, do I have hemorrhoids?” Everything that you wanted to know from a proctologist, but hesitated to ask (and even how to poop correctly) – citydog.by

Under the heading “I’m ashamed to ask” we collect questions that Belarusians are usually ashamed to ask friends and professionals, but they often google. Today we asked a proctologist about diseases of the large intestine: from banal diarrhea and hemorrhoids to cancer.


doctor-proctologist of the highest qualification category,
Candidate of Medical Sciences

► What do proctologists treat?

– Doctors-proctologists treat diseases of the colon, anal canal and para-anal region. At the same time, our specialty is surgical, since many of the problems that we treat cannot be corrected only with medicines.

► When do I need to see a proctologist?

It is necessary to visit a proctologist when you have any complaints that were not there before: discomfort, discomfort, pain in the anus during and after bowel movements, admixture of blood, mucus in the feces.

It is also necessary to go to the doctor when there are any changes in the work of the intestines: if the usual regularity has disappeared, the consistency has changed, constipation has appeared, or, conversely, the stool has become too frequent, if gases are badly discharged or too much of them. Constant discomfort, rumbling in the abdomen, incomprehensible weight loss, chronic fatigue, weakness, abdominal pain – all these symptoms are a reason to consult a specialist.

We also recommend that people who are over 40–45 years old go to see a proctologist, even if they have no complaints, because some serious diseases of the colon, such as tumors, may not show any symptoms at first.We recommend that all people over 45 years of age have a colonoscopy to diagnose diseases of the colon (examination of the colon with an endoscope. – Rev. ).

► How is the examination of the proctologist and how to prepare for it?

The problems we are dealing with are very delicate. Often, patients mentally prepare for the examination for a long time, they are ashamed of their illness. The consultation begins with a detailed clarification of the patient’s complaints, the time when the problem arose.There is a stereotype that our examination is very painful. I assure you that this is not the case. Examination by a proctologist includes a digital examination of the anal canal and examination of the rectum and anal canal with special instruments. The examination is completely painless, the patient feels only slight discomfort when moving the instrument along the rectum. The examination is carried out in a lateral position, on a chair or in a knee-elbow position.

To prepare for the examination, you must either do a cleansing enema in 2-3 hours, or drink a special preparation the day before.

► Why is colonoscopy mandatory after age 45?

Because our body is aging, at this age, the likelihood of the appearance of benign and malignant formations – polyps and cancerous tumors increases significantly. With timely colonoscopy, we can identify the disease at an early stage of development, when minimal intervention will be enough for a complete recovery. Note that in case of complaints, we recommend colonoscopy for people of younger age.

► Why can my stomach hurt?

Pain is a symptom of a problem that directly indicates the need to see a doctor.

The main thing is not to look for the cause of abdominal pain yourself and not to self-medicate. It is important to understand that many serious illnesses generally do not manifest themselves in any way for a long time. And pain can be a sign of already running ailments. For example, colon tumors in the early stages are completely painless , but over time, when the cancer tumor invades the entire thickness of the intestinal wall, painful sensations appear in the abdomen.

By the place of pain, you can roughly understand which organ is affected. Pain in the upper abdomen may indicate problems with the stomach, duodenum, or pancreas; pain in the right or left side of the abdomen – for problems with the colon. Lower abdominal pain can be a symptom of problems of the genitourinary system or gynecological diseases in women. In any case, painful sensations in the abdomen are a reason to consult a doctor.

► Is a bubbling in the stomach also a symptom?

Yes, and it needs to be studied, because this should not be the norm.

► How do I know if my intestines are working properly?

Normal bowel function is characterized by regular bowel movements. Its regularity in people can be different: from once every 2-3 days to twice a day.

In my opinion, the indicator of the norm is stools at the same time once or twice a day . Also, the stool should be soft and not painful.

If the schedule and consistency of the stool somehow changed, there were impurities – blood, mucus, undigested food – go to the doctor.

► What can cause constipation?

It is important to separate the concepts of constipation and hard stools, my patients often put an equal sign between these concepts. Constipation characterizes the regularity when there is no stool for 3-4 days. Constipation accompanied by hard stools. Dense stools characterize consistency, it can be daily. A common cause of both constipation and hard stools is insufficient fluid intake . One of the functions of the colon is to absorb water.If you drink little, the absorption of fluid from the colon increases, the stool becomes very dense and can injure the anal canal.

Another reason for constipation and hard stools is insufficient amount of dietary fiber, fiber in the diet: it is fiber that is the substrate that forms the feces.

If you have constipation, hard stools, you need to visit a doctor, if necessary, do a colonoscopy, adjust nutrition.

► What causes diarrhea?

The cause of frequent loose stools can be many diseases, including infectious diseases. When diarrhea occurs suddenly, the patient often needs to consult an infectious disease specialist.

If a person, especially an elderly person, has disturbances in the work of the intestines, manifested by frequent loose stools, alternating with constipation, it is necessary to be examined. At least perform a colonoscopy.

► What is Irritable Bowel Syndrome?

This is a disease in which the intestines do not work as it should: in some patients it manifests itself with constipation, in others – frequent loose stools.With this pathology, organic changes in the intestine are not found. However, in order to make a patient such a diagnosis, it is necessary to carefully examine him. It is important not to miss a serious illness, such as colon cancer, which can also manifest as stool disorders.

► What if there is blood on the toilet paper after a bowel movement?

After defecation, especially with dense stools, this may be due to trauma to internal hemorrhoids or rupture of the tissues of the anal canal.The older the patient, the more thoroughly it is necessary to understand the causes of the appearance of blood. It so happens that a person stubbornly treats hemorrhoids for a long time – a diagnosis he made himself – and he has a tumor in the rectum that is bleeding.

► What is hemorrhoids and how does it manifest?

A bit of anatomy: in all people, the external and internal hemorrhoidal plexuses are circularly located in the anal canal. The tissue of the hemorrhoidal plexus is a sponge-like vascular tissue, in certain places of the anal canal there is more of this tissue, especially in the area of ​​the internal hemorrhoidal plexus.Clusters of tissue form hemorrhoids. I repeat that all people have internal hemorrhoids, this is not a pathology. Thanks to the hemorrhoidal plexuses, the blood supply to the anal canal is carried out. Internal hemorrhoids, or hemorrhoidal pads, help retain stool in the muscles surrounding the anal canal.

When, under the influence of any factors, there is a gradual increase in external or internal hemorrhoids, internal nodes begin to fall out of the anus, bleed, cause itching and discomfort – this is already a disease called chronic hemorrhoids.

There is another situation called acute hemorrhoids. With this disease, suddenly, usually after heavy physical exertion, a painful ball appears in the anus. This happens due to a sharp violation of the blood supply in the area of ​​the hemorrhoidal plexus, when the blood flow to the plexus vessels increases, their tissue is damaged and, in fact, a hematoma occurs in the area of ​​the hemorrhoidal node. Despite the fact that both diseases are called hemorrhoids, their treatment is different.

► What causes chronic hemorrhoids?

The development of chronic hemorrhoids is based on a genetic failure of the connective tissue in the structure of hemorrhoids, due to which the nodes under the influence of provoking factors begin to increase in size, fall out of the anus and cause a lot of trouble for a person. For provoking factors, we include long sitting, hard physical work, childbirth, constipation, alcohol consumption, spicy food .

► Why is hemorrhoids called “truckers’ disease”?

Because people of this profession have a very powerful provoking factor in the development of the disease at work – long sitting. This makes it difficult for blood to drain from the hemorrhoids, they begin to enlarge and disturb the patient. I would like to note that we are often approached by people whose activities involve long sitting.

► What should I do to avoid getting hemorrhoids?

In the case of both acute and chronic hemorrhoids, the best prophylaxis is a soft regular stool, a correct work and rest regimen, and washing with cool water after a bowel movement.With the help of these simple tips, you can prevent the development of the disease. We also recommend avoiding alcohol and spicy foods, which increase the blood supply to the anus.

► Can I protect myself against colon cancer?

Colon cancer is a very serious disease. However, it is quite easy to avoid the disease. A malignant tumor does not appear simply out of nowhere, most often it grows out of a polyp, an initially benign formation of the large intestine, in which a malignant cell appears at a certain stage of its development.The sooner we detect and remove a polyp, the sooner we save a person from a potentially serious illness in the future.

The best cancer prevention in this case is a timely colonoscopy. This method of examination is also very important because colon tumors, even large ones, can be completely painless. And best of all, colon cancer, even if it is diagnosed, like any disease, is treated in the early stages.

► Why do polyps appear?

This is a natural aging of the body, to which everyone is subject.There is no prevention of polyp formation. With age, the tissues in the intestine are renewed more slowly and sometimes incorrectly. In young people, polyps can also appear, but very rarely and mainly in the case of hereditary diseases. The incidence of polyps increases after age 40.

► Do colonoscopy hurt?

A good specialist most often and without anesthesia does it for a short time and painlessly, but in certain situations when a person has, for example, anatomical features, this procedure can really be painful.In many medical institutions, it is done under general anesthesia – a routine practice.

► But why colonoscopy?

The best way to examine the colon is to look inside it. Colonoscopy is the most informative method of colon examination today. However, there are sometimes situations when a colonoscopy is difficult to perform due to the age of the patient, the severity of his condition. In this case, you can use other methods of diagnosing diseases of the colon, such as irrigoscopy.With this method of examination, a special liquid is injected into the large intestine, which is clearly visible on the walls of the intestine when X-rays are taken.

► What else happens to the colon as we age?

The same as with all other organs: the muscles in the structure of the intestinal wall become more flabby, the intestine is functioning, but not as well as before. There is such an age-related change in the colon – diverticulosis. This is a situation when, due to age-related changes in the intestinal wall, its muscle frame becomes weak and the mucous membrane protrudes, forming a kind of sacs on the wall of the large intestine – diverticula.

The function of the large intestine also weakens with age: absorption of foods may deteriorate, constipation may appear.

► In popular books about the intestines they write that you need to be able to poop correctly …

Yes, this is a very important point. The rectum is not so straight in shape, it has a number of anatomical curves. And the most physiologically correct posture for defecation, when the rectum straightens as much as possible, is “thinking eagle posture” , that is, the squatting position, when the knees are higher, the anus is lower than .Of course, modern toilets do not assume this position, but it is important that the knees are higher than the hip joints when sitting.

► What should I do to make my stool normal?

In order for the intestines to function normally, certain rules must be followed. First, fruits and vegetables should be in the diet – the fiber they contain is important for the formation of feces. Secondly, per day it is necessary to consume at least 1.5-2 liters of liquid . Naturally, bad habits, such as drinking alcohol, also negatively affect the work of the intestines.

► How will rejection of meat affect bowel function?

This will hardly affect the chair. Unless, if the amount of vegetables and fruits is added to the diet, it will become softer and more frequent. For the colon to work, these are changes for the better. But one cannot ignore the effect of refusing meat on the rest of the body.

► Does anal sex harm the colon?

In general, neither the anal canal nor the rectum is intended for this.This is an easily traumatized area. Due to inaccurate actions, itching, bleeding, discomfort may appear – this is unlikely to be beneficial.

► With what and when do people most often come to see a proctologist?

About a third of all patients at the proctological appointment are treated with chronic hemorrhoids.