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What kind of doctor hemorrhoids: What If Treating Hemorrhoids at Home Doesn’t Work?


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:

Learn about general surgery services
What are the signs of a hernia?
Ouch! What’s that pain in my side?


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.


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.

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.


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

Hemorrhoids Treatment, Symptoms, Causes, Prevention


What are hemorrhoids?

Hemorrhoids are swollen, enlarged veins that form inside and outside the anus and rectum. They can be painful, uncomfortable and cause rectal bleeding. Hemorrhoids are also called piles. We’re all born with hemorrhoids, but at baseline, they don’t bother us. It’s only when they become swollen and enlarged that they produce irritating symptoms.

How common are hemorrhoids?

An estimated 1 in 20 Americans have symptomatic hemorrhoids. They affect people of all ages, genders, races and ethnicities. They’re more common as you age, affecting more than half of people over age 50.

Who might get hemorrhoids?

Anyone can get symptomatic hemorrhoids, even teenagers. (Because hemorrhoids take a while to develop, they’re uncommon in children.) You may be more at risk if you:

  • Are overweight or obese.
  • Are pregnant.
  • Eat a low-fiber diet.
  • Have chronic constipation or diarrhea.
  • Regularly lift heavy objects.
  • Spend a lot of time sitting on the toilet.
  • Strain while having bowel movements.

What are the types of hemorrhoids?

Hemorrhoids can happen inside or outside the rectum. The type depends on where the swollen vein develops. Types include:

  • External: Swollen veins form underneath the skin around the anus. Your anus is the canal where poop comes out. External hemorrhoids can be itchy and painful. Occasionally, they bleed. Sometimes they fill with blood that can clot. This is not dangerous, but can result in pain and swelling.
  • Internal: Swollen veins form inside the rectum. Your rectum is the part of the digestive system that connects the colon (large intestine) to the anus. Internal hemorrhoids may bleed, but they usually aren’t painful.
  • Prolapsed: Both internal and external hemorrhoids can prolapse, meaning they stretch and bulge outside of the anus. These hemorrhoids may bleed or cause pain.

What’s the difference between hemorrhoids and anal fissures?

Hemorrhoids and anal fissures cause similar symptoms, such as itching, pain and bleeding. While swollen veins cause hemorrhoids, a tear in the lining of the anus causes an anal fissure. Your healthcare provide will do a physical exam and may order tests to find what’s causing your symptoms.

Symptoms and Causes

What causes hemorrhoids?

Straining puts pressure on veins in the anus or rectum, causing hemorrhoids. You might think of them as varicose veins that affect your bottom.

Any sort of straining that increases pressure on your belly or lower extremities can cause anal and rectal veins to become swollen and inflamed. Hemorrhoids may develop due to:

  • Pelvic pressure from weight gain, especially during pregnancy.
  • Pushing hard to have a bowel movement (poop) because of constipation.
  • Straining to lift heavy objects or weightlifting.

What are the symptoms of hemorrhoids?

Internal hemorrhoids rarely cause pain (and typically can’t be felt) unless they prolapse. Many people with internal hemorrhoids don’t know they have them because they don’t have symptoms.

If you have symptoms of internal hemorrhoids, you might see blood on toilet paper, in stool or the toilet bowl. These are signs of rectal bleeding.

Signs of external hemorrhoids include:

  • Itchy anus.
  • Hard lumps near the anus that feel sore or tender.
  • Pain or ache in the anus, especially when you sit.
  • Rectal bleeding.

Prolapsed hemorrhoids can be painful and uncomfortable. You may be able to feel them bulging outside the anus and gently push them back inside.

What other conditions cause hemorrhoid-type symptoms?

Different gastrointestinal disorders can cause rectal bleeding and other symptoms similar to hemorrhoids. Some of these disorders are life-threatening. For this reason, it’s important to let your healthcare provider know when you’re having symptoms.

Bowel diseases that can cause bleeding include:

Diagnosis and Tests

How are hemorrhoids diagnosed?

Your healthcare provider diagnoses hemorrhoids based on symptoms and a physical exam. You may also have:

  • Digital rectal exam: Your provider inserts a gloved, lubricated finger into the rectum to feel for swollen veins.
  • Anoscopy: Your provider uses an anoscope (lighted tube) to view the lining of the anus and rectum.
  • Sigmoidoscopy: Your provider uses a sigmoidoscope (lighted tube with a camera) to view inside the lower (sigmoid) part of the colon and rectum. Procedure types include flexible sigmoidoscopy and rigid sigmoidoscopy (proctoscopy).

These tests may be uncomfortable but aren’t painful. They typically take place in a doctor’s office or outpatient center without anesthesia. You go home the same day.

Your provider may perform a colonoscopy to confirm findings from other tests or check for signs of colon cancer. This outpatient procedure requires anesthesia.

Management and Treatment

What are the complications of hemorrhoids?

Hemorrhoids can be uncomfortable and painful, but they don’t tend to cause serious problems. Rarely, people with hemorrhoids develop:

  • Anemia.
  • Blood clots in external hemorrhoids.
  • Infection.
  • Skin tags (flap of tissue that hangs off skin).
  • Strangulated hemorrhoids (muscles in the anus cut off blood flow to a prolapsed internal hemorrhoid).

How can I treat hemorrhoids at home?

Hemorrhoids often go away on their own without treatment. Symptoms like pain and bleeding may last one week or slightly longer. In the meantime, you can take these steps to ease symptoms:

  • Apply over-the-counter medications containing lidocaine, witch hazel or hydrocortisone to the affected area.
  • Drink more water.
  • Increase fiber intake through diet and supplements. Try to obtain at least 20-35 grams of daily fiber intake
  • Soak in a warm bath (sitz bath) for 10 to 20 minutes a day.
  • Soften stool by taking laxatives.
  • Take nonsteroidal anti-inflammatory drugs (NSAIDs) for pain and inflammation.
  • Use toilet paper with lotion or flushable wet wipes to gently pat and clean your bottom after pooping. You can also use a tissue or washcloth moistened with water. (Discard wipes in the trash, not by flushing. Launder washcloths separately in hot water to avoid spreading infections often found in poop.)

How do healthcare providers treat hemorrhoids?

You should see your healthcare provider if symptoms get worse or interfere with your daily life or sleep. Also seek help if signs don’t improve after a week of at-home treatments. Your provider may treat hemorrhoids with:

  • Rubber band ligation: A small rubber band placed around the base of a hemorrhoid cuts off blood supply to the vein.
  • Electrocoagulation: An electric current stops blood flow to a hemorrhoid.
  • Infrared coagulation: A small probe inserted into the rectum transmits heat to get rid of the hemorrhoid.
  • Sclerotherapy: A chemical injected into the swollen vein destroys hemorrhoid tissue.

Surgical treatments include:

  • Hemorrhoidectomy: Surgery removes large external hemorrhoids or prolapsed internal ones.
  • Hemorrhoid stapling: A stapling instrument removes an internal hemorrhoid. Or it pulls a prolapsed internal hemorrhoid back inside the anus and holds it there.


How can I prevent hemorrhoids?

Hemorrhoids are common as you get older. These steps can help prevent hard stools and constipation that can lead to hemorrhoids:

  • Don’t sit too long or push too hard on the toilet.
  • Go the toilet when the urge hits — don’t delay bowel movements.
  • Drink plenty of water throughout the day.
  • Eat more high-fiber foods (fresh fruits, vegetables and whole grains) or take supplements. Generally, women should aim for 25 grams of fiber per day, while men should get 35 grams of fiber.
  • Stay physically active. Being on the move keeps bowels moving.
  • Take laxatives or use enemas only as recommended by your healthcare provider. Too many laxatives or enemas can make it hard for your body to regulate how you poop.

Outlook / Prognosis

What is the prognosis (outlook) for people who have hemorrhoids?

Most hemorrhoid symptoms improve within a week with at-home treatments. If hemorrhoids cause extreme pain and discomfort, a medical procedure or even surgery may help.

Living With

When should I call the doctor?

You should call your healthcare provider if you suspect hemorrhoids and experience:

What questions should I ask my doctor?

You may want to ask your healthcare provider:

  • Why did I get hemorrhoids?
  • What is the best treatment for me?
  • What lifestyle changes can I make to keep from getting hemorrhoids again?
  • When will symptoms improve?
  • Should I look out for signs of complications?

A note from Cleveland Clinic

An estimated 15 million Americans have sought treatments for hemorrhoids at some point in their lives. But many more suffer needlessly. Don’t be too embarrassed to talk to your healthcare provider about your symptoms. If hemorrhoids cause pain or discomfort, your provider has treatments that can help. You can also take steps to keep hemorrhoids from coming back.

When Do Hemorrhoids Require Medical Intervention?: John M Rivas, M.D.: Gastroenterology and Endoscopy

Your hemorrhoids can be an embarrassing topic to discuss with anyone, even your doctor. But hemorrhoids are common and affect 5% of adults in the United States every year, according to the National Institute of Diabetes and Digestive and Kidney Diseases. It’s estimated, in fact, that as many as three in four adults will experience problems with hemorrhoids at some point in their lives.

Though you can find many treatments for hemorrhoids at your local pharmacy, home remedies don’t help everyone. At Rivas Digestive Center, located in Hollywood, Florida, our expert gastroenterologist, Dr. John Rivas, wants you to know when it’s time to get medical help for your hemorrhoids.  

Hemorrhoids explained

Hemorrhoids are swollen, bulging veins that occur in your anorectal region, which includes your lower rectum and anus. Your hemorrhoids may be:

Internal hemorrhoids

Internal hemorrhoids develop inside the tissue the lines your anus and lower rectum. You may not experience any pain or discomfort with internal hemorrhoids. However, they can bleed causing bright red blood to appear in the toilet bowl after a bowel movement. 

External hemorrhoids

External hemorrhoids form under the sensitive skin around your anus. With external hemorrhoids you may experience itching, pain, and bleeding. 

Though hemorrhoid symptoms may vary, they can be severe for some people. Especially if you develop a thrombosed hemorrhoid, or hemorrhoid clot. Getting early treatment for your hemorrhoids may prevent some of the pain and discomfort.

When should I seek medical help for hemorrhoids

At-home treatments help many people get relief from their hemorrhoids.

But you may wonder at what point hemorrhoids require medical intervention. This depends on your symptoms. 

Hemorrhoid symptoms that benefit from medical intervention include:

Rectal bleeding

You should never ignore rectal bleeding. Though hemorrhoids are a common cause of bloody bowel movements, your rectal bleeding may also be a sign of a more serious gastrointestinal condition such as colon cancer or inflammatory bowel disease. 

Prolapsed hemorrhoid

Internal hemorrhoids can prolapse or fall outside of the anal opening during a bowel movement. Though your hemorrhoids may retract back inside on their own, or with a little help from you, prolapsed hemorrhoids tend to worsen over time. 

When left untreated, your internal prolapsed hemorrhoid may get trapped outside the anus and cause significant irritation, itching, bleeding, and pain. 

Change in bowel habits

With a prolapsed internal hemorrhoid you may develop the sensation that you can’t fully evacuate your bowels. You may also notice a mucous discharge or difficulty cleaning yourself following a bowel movement because of displaced toilet tissue. 

These symptoms can be uncomfortable but easily treated with medical intervention. 

Pain that disrupts your daily life

If your hemorrhoids are making it hard for you to sit or have a bowel movement, it’s time to give us a call so we can help. There’s no reason you should suffer in silence when we can provide interventions that improve your hemorrhoids and alleviate your discomfort.

Medical treatment for your hemorrhoids

Dr. Rivas develops personalized hemorrhoid treatment plans after completing a thorough examination. The treatments we recommend may depend on the type of hemorrhoids, as well as your symptoms. Initially, we may suggest lifestyle changes to ease your pain, such as increasing your intake of fiber and water to improve bowel movements and sitz baths to alleviate pain and discomfort. 

However, when at-home treatments fail, Dr. Rivas may suggest a procedure to destroy or remove your hemorrhoids, such as:

  • Rubber band ligation
  • Sclerotherapy
  • Infrared, laser, or bipolar coagulation
  • Thrombectomy
  • Hemorrhoidectomy
  • Stapled hemorrhoidectomy

We review all your treatment options and together decide the solution that best fits your needs.

Hemorrhoids may improve with at-home care, but if you don’t experience a change in your hemorrhoids within seven days of implementing your home remedies, contact us by phone or online to schedule an evaluation. 

Gastroenterologist’s Diary- The Evaluation & Treatment of Hemorrhoids – Colon Surgeons of Charleston

Hemorrhoids- only the sufferers can feel the pain that this agonizing medical condition can cause.  Itchiness, inflammation, pain at the bottom are all the conditions that we need to blame for hemorrhoids. In fact, for all of our anorectal problems we just end up complaining about Hemorrhoids. Well, that’s just obvious to complain too because most of the notable gastroenterologist believe that approximately 75% of people will have hemorrhoid at some or the other point of their life.

Basically, these hemorrhoids are the swollen blood vessels present in the lower rectum area of our body. They are among the most prevalent causes of anal pathology; customarily to which we are not much vigilant about. But we do need to stay cautious about them because sometimes this medical condition can develop into a severe issue. Take a sigh of relief. Help is arriving. Luckily!! You need not worry about because today there are ample treatment options available. Moreover, it is amazing to know that hemorrhoids are part of our anatomy as usual. We have both inner and external hemorrhoids, respectively situated within the anal canal and around the anal opening. In most instances, you can get your hemorrhoid treated by a general practitioner or family physician. However, if complications are severe you can be referred to a specialist, such as a gastroenterologist or a proctologist.

Well, what’s that leads to this infection and how can it be treated well in time and how can we predict whether we are suffering from hemorrhoids or not. To explore answers to all our aforementioned queries let’s read below:

What Causes Hemorrhoids?

A precise cause is unknown; however, most of the specialists believe that people’s upright posture leading to exert a lot of pressure on the rectal veins, sometimes causes them to bulge. Other variables that contribute to this medical complication include:

  • Aging.
  • Pregnancy.
  • Heredity.
  • Chronic or diarrhoeal constipation.
  • Straining during intestinal movements.
  • Deficient intestine function owing to excessive use of laxatives or enemas.
  • Spending a longer duration in the toilet.

Diagnosis of Hemorrhoids

Fortunately,hemorrhoids can be treated. A rectal and anal examination can generally diagnose hemorrhoids. To look for swollen blood vessels that show hemorrhoids, the gastroenterologist will examine the anus and rectum. Sometimes, to look for hemorrhoids, the doctor will perform one of the following examinations:

Colonoscopy– In this procedure, a gastroenterologist inserts a colonoscope – an instrument with a light and a flexible tube – into the anus and rectum to visually perceive the inside of these areas, as well as the rest of the large intestine, which is called the colon.

Sigmoidoscopy– This procedure is akin to a colonoscopy, except the sigmoidoscope is shorter. It allows the practitioner to observe optically inside the rectum and sigmoid colon, which is the lower intestine that joins with the rectum.

What are the Symptoms of Hemorrhoidal Disease?

How can you get certain with your condition of hemorrhoidal infection? To make it sure here are the symptoms associated with it.

  • Internal hemorrhoidal infection symptoms include the rectal bleeding, generally bright red, between bowel movements during and occasionally.
  • Anal pain during or after bowel movements in particular.
  • Burning sensation in anal.
  • Difficulty in washing the anal area.
  • Intra-hemorrhoid bulging (prolapse) during bowel movements. The hemorrhoids may penetrate inside either on their own or may be pushed back by hand into the anus.

Remedies to Ease Hemorrhoids

Help is here!! Certainly, with these remedies, you can get relieved. You don’t require to visually perceive a medico for expeditious ways to facilitate your itching and pain, or for perpetual fine-tunes to keep the discomfort from getting worse.

Often things done at home can be the best treatment for hemorrhoids. A few such remedies are mentioned below:-

Soak for about 15 minutes at a moment in the bath filled with a few inches of hot water. Do it twice or thrice a day after each motion of the intestines. Use unscented soap and don’t scrub hard even if you desire to wash the region it leads to worsening the situation.

  • Assuage with a bit of rubbing

Wipes or creams with witch hazel over-the-counter can alleviate pain and itch without side effects. Unless your doctor claims it’s okay, do not use one with hydrocortisone for more than a week.

Put a tiny cold pack several times a day at the trouble place. It can dull pain for a while and bring down the inflammation.

An over-the-counter medicine, such as acetaminophen, aspirin, or ibuprofen, may help with soreness.

  • Try for some squat positions

When you go to the bathroom, put a brief bench or a stack of telephone books under your feet. As you sit on the toilet, raising your knees changes the position of your internal functioning and may facilitate easy bowel movements.

Stay well hydrated to maintain soft stools for easier passage. The best option is water. Drink plenty of it all day long. Prune juice is a natural laxative that can assist you to get away with it.

Obviation of Hemorrhoids

Some steps can be taken to prevent hemorrhoids. These include:-

  • Eschew high-fat and saccharine foods that can cause constipation, such as cheese, ice cream, doughnuts, and cakes.
  • Get enough exercise.
  • Drink plenty of fluids, including eight glasses of water per day.
  • Increase fiber intakes, such as fresh vegetables and fruits and whole-grain foods.

Hemorrhoid Treatment

Most minuscule hemorrhoids can be treated by making transmutations in lifestyle and food habits. Painful hemorrhoids often stop hurting without treatment in one to a fortnight. Equipollently, to have customary bowel forms of kineticism with mundane stool, drink eight glasses of dihydrogen monoxide a day, eat more fruits and vegetables to get dietary fiber and make exercising a habit. Furthermore, other medical procedures that can be used to treat hemorrhoids include:-

  • Rubber band litigation– In this, a gastroenterologist will place a unique rubber band around the base of hemorrhoid. Further, the rubber band will cut off hemorrhoid’s blood supply to shrink it.
  • Infrared coagulation – In this procedure physician resorts using heating methods to reduce hemorrhoid.
  • Hemorrhoidectomy –Under this treatment procedure surgery is performed to remove large or severe hemorrhoids internally or externally.
  • Sclerotherapy – This medical procedure utilizes a chemical solution to shrink the hemorrhoid tissues. The said chemical is injected into or around the blood vessel. However, this procedure isn’t used anymore.

So if you are one of those guys struggling with the pain of hemorrhoids for long then look no further than Colon Surgeons of Charleston. They are a group of renowned Gastroenterology specialists experienced in performing all the latest surgical procedures. Under their expertise, you are sure to recover faster and sooner. I wish you luck with your faster recovery!! To discuss your health concerns or to know about our colonoscopy services, contact us here or give a call at 843-853-7730.

Skilled Hemorrhoids Doctor | General and Vascular Surgery

Do hemorrhoids require surgery? Actually, only a small fraction of people require hemorrhoids surgery to relieve symptoms. Are topical treatments effective? How do you know what type of treatment is right for you?

At General Vascular and Surgery, we answer these questions and more. And, we have a dedicated hemorrhoids treatment process, with experienced surgeons in colon and anorectal treatment and surgery. If you are experiencing the pain of hemorrhoid symptoms, one of the best things you can do is schedule a consultation with a skilled hemorrhoids doctor.

When to See a Doctor for Hemorrhoids

Many people (naturally) cringe when it comes to hemorrhoids—both in discussing them and experiencing the symptoms they cause. Yet, it’s important to understand that hemorrhoids are common. In fact, everyone has hemorrhoidal tissue in their body within the anal canal and perianal area. A hemorrhoid simply refers to when this tissue becomes enlarged and displaced.

There are several causes of symptomatic hemorrhoids, which include:

  • Constipation
  • Straining during bowel movements
  • Diarrhea
  • Pregnancy
  • Age (those between the ages of 45-65 years are more prone to experiencing hemorrhoids)
  • Dietary issues (low fiber, excessive alcohol, spicy foods)

There are two types of hemorrhoids:

Often, internal hemorrhoids can be felt on the outside of the anus and may be accompanied by bleeding. This type of hemorrhoid can independently retract or be manually pushed back. Doctors grade this type of tissue prolapse on a scale to four, with one being no prolapse, to four being a prolapse that cannot be pushed back in. Additional symptoms may include itching and mucus around the anus. 

External hemorrhoids manifest as a small lump, with a blue tint that appears outside the anus. They can range from being painful to severely painful. In addition to pain, external hemorrhoids can cause swelling and bleeding.

While you can find hemorrhoid treatment methods over-the-counter at many pharmacies and stores—usually in topical form— it’s best to consult with a skilled hemorrhoids doctor. A specialist will ensure that you receive the correct solution for your particular diagnosis.

When is Surgery Required?

Most hemorrhoids can be addressed non-operatively. However, if conservative methods such as topical or oral medication, dietary changes, rubber-band ligation, and sclerotherapy fail to relieve symptoms, surgical intervention may be recommended.

At GVS, our surgeons perform a number of surgical solutions for hemorrhoids, including hemorrhoidectomy (removal of the hemorrhoid). We provide compassionate, patient-focused care. No matter what your diagnosis or treatment plan entails, you will be provided with the highest quality of care and educational resources for optimum recovery.

If you have been searching for a hemorrhoid doctor near me, we encourage you to consult with our physicians now! Or, call us now for questions at 574-236-1888—it’s time!

How Hemorrhoids Are Diagnosed

Hemorrhoids may feel embarrassing to address, which is why many people try to diagnose themselves and avoid seeing a healthcare provider. However, it’s important to see a healthcare provider to get a proper diagnosis and treatment. Hemorrhoids can have symptoms similar to other, more serious conditions, and those should be ruled out before assuming symptoms are from hemorrhoid. In most cases, hemorrhoids can be easily diagnosed with a history and a physical exam.

© Verywell, 2018 

Self-Checks/At-Home Testing

There are two types of hemorrhoids: internal and external. Internal hemorrhoids are located in the rectum and can’t be seen by looking at the area unless they prolapse (slip out outside of the anus). External hemorrhoids are around the anus and can be seen or felt.

Unless hemorrhoids have been a problem in the past, most people may find it difficult to identify hemorrhoids by sight or feel alone.

Physical Tests

In many cases, a hemorrhoid is going to be diagnosed with a physical exam that includes either a look at the outside of the anus or a rectal exam. There may be certain circumstances, however, where seeing inside the anal canal is needed to diagnose internal hemorrhoids.

Rectal Exam

A rectal exam is a typical way to diagnose hemorrhoids, although many people may be worried about having this test because of potential embarrassment. However, healthcare providers perform these tests routinely and will work to ensure that patients feel as comfortable as possible.

For this test, patients are asked to remove their clothing from the waist down and change into a hospital gown or are given a paper drape sheet to cover up with until the exam begins. With gloved hands, the healthcare provider will examine the anus and the perianal area, which is the skin around the anus.

A rectal exam is performed quickly and shouldn’t cause any significant pain.

It may also be necessary to insert a finger inside the anus. This is done to feel the structures inside and determine if there are any internal hemorrhoids. However, it may not always be possible to feel internal hemorrhoids with a finger, so a rectal is not always definite. In addition, a healthcare provider will be able to see if any blood or mucus comes away on the glove, which will help in making a diagnosis.


In some cases, a healthcare provider may use a device called an anoscope to look inside the rectum. An anoscope is a short, narrow tube with a light on it that can be inserted into the rectum. By using this device, a healthcare provider can have a more complete look at the structures inside and see if hemorrhoids are present or if there is another explanation for the symptoms.

An anoscopy may cause brief discomfort, but not pain, and it is over in a minute or two.

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Differential Diagnoses

When hemorrhoids cause pain and bleeding, it might be necessary to rule out other conditions that may cause similar symptoms.

Polyps in the colon and colorectal cancer may also cause rectal pain and bleeding, especially in people over the age of 50.

Anal Fissure

An anal fissure is a tear in the lining of the anal canal. It causes pain, especially during a bowel movement, and bleeding. Most anal fissures heal on their own with home treatment.

Anal Fistula

An anal fistula is an abnormal connection between the bowel and the perianal skin. It can be painful and usually starts as an abscess, which is a collection of pus under the skin. During a rectal exam, a healthcare provider will be able to see if there’s an anal fistula present.


Polyps are more common in the colon for people over the age of 50 years, but they can occur in younger people as well. Polyps usually cause no symptoms and are only discovered during a colonoscopy, but they may also cause bleeding.

Your healthcare provider may want to do other tests, like a colonoscopy or a sigmoidoscopy, to confirm rectal bleeding is being caused by hemorrhoids and not a colorectal polyp.

Inflammatory Bowel Disease (IBD)

IBD, Crohn’s disease, ulcerative colitis, and indeterminate colitis may also cause bleeding in the digestive tract and could additionally be associated with hemorrhoids.

If there are other symptoms present with the bleeding, such as diarrhea or abdominal pain, a healthcare provider may decide to do other tests to rule out IBD as a secondary cause of the bleeding.

Frequently Asked Questions

  • How are hemorrhoids diagnosed?

    Hemorrhoids can often be diagnosed by a physical examination of the anus along with a review of your medical history and symptoms. The healthcare provider may also perform a digital rectal exam in which a gloved and lubricated finger is inserted into the rectum.

  • What kind of healthcare provider diagnoses hemorrhoids?

    Your primary care healthcare provider is usually able to diagnose hemorrhoids. However, if the hemorrhoid is internal, you may be referred to a gastroenterologist who can use an anoscope or proctoscope to examine the lining of the lower rectum and colon. This can also help the healthcare provider see if you have any lower digestive tract problems or bowel disease.

  • What is involved in the diagnosis of internal hemorrhoids?

    Anoscopic and proctoscopic exams are both performed on an outpatient basis, usually without anesthesia. Bowel preparation is generally not required for an anoscope, but an enema may be needed the night before a proctoscopic exam. Both exams may cause minor discomfort but usually only take a few minutes to complete.

  • Can you self-diagnose hemorrhoids?

    Sometimes. External hemorrhoids can usually be recognized by symptoms such as pain, swelling, itching, and bleeding. Internal hemorrhoids may be harder to self-diagnose as they are typically painless. In some cases, rectal bleeding may be the only sign of an internal hemorrhoid. At other times, an internal hemorrhoid may bulge (prolapse) outside of the anus.

  • What can be mistaken for hemorrhoids?

    There are many conditions that mimic hemorrhoids, some of which may be serious. This is why it’s important to see a healthcare provider if the symptoms do not resolve with conservative treatment. Among the conditions commonly mistaken for hemorrhoids are:

90,000 Hemorrhoids and its symptoms. Which doctor to contact

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 area 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 their 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.

Symptoms of hemorrhoids

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 it.

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.

Diagnostics of hemorrhoids

Symptoms of hemorrhoids can 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 symptoms of exacerbation 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 can be used:

  • 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 lumen of the vessel 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 Which doctor should I go to for hemorrhoids

Moscow proctologists – latest reviews

Everything went perfectly! Grigory Grigorievich communicated with me freely, with a share of jokes.We discussed my problem, and the doctor suggested several options for solving it. I will definitely make an appointment for a second appointment and will advise this specialist to everyone else!


September 20, 2021

I liked the doctor.The doctor told me everything sensibly and with consistency. The specialist described all the options and consequences. Fizuli Abumuslimovich gave complete and extensive information. At the appointment, the doctor examined me. A professional specialist in his field. I will apply again if necessary. I recommend it to my friends.


September 18, 2021

The reception went well.The doctor is polite, disposed to herself, she explained everything well, understandably. The doctor conducted an examination, explained what was happening and what should be done. She also ordered to pass the necessary tests. I am waiting for the results and will do the operation. The doctor is a professional in his field, neat.


September 17, 2021

The reception went well.The doctor provided me with qualified assistance, consulted and told me in detail about the upcoming treatment. The doctor is a professional in his field and is attentive to patients. I recommend a specialist.


September 17, 2021

At the appointment, the doctor conducted an examination, gave his recommendations and prescribed medications.The doctor is attentive, explains everything clearly and easily. I can recommend this specialist to my friends, if necessary, and if necessary, I can apply again. I was satisfied with the quality of the reception.


September 15, 2021

At the reception, the doctor examined, made an accurate diagnosis, helped me, gave his advice and recommendations.The doctor is attentive, calm, patient, serious, knowledgeable, competent, honest, explains everything clearly and easily, a professional in his field. I can recommend this specialist to my friends, if necessary, and if necessary, I can apply again. I was satisfied with the quality of the reception.


September 15, 2021

An attentive, friendly doctor.The doctor listened to my problem and advised how to solve it, issued a referral for a follow-up examination. I was pleased with the reception and recommended a doctor to my friends, if necessary.


September 11, 2021

The doctor examined, diagnosed and prescribed the necessary treatment.The doctor is a professional in his field, he was attentive to me. He explained everything clearly, answered all my questions. Overall I am satisfied with the reception.


08 September 2021

I chose this specialist by rating and it is obvious that he justified himself.Competent physician. The doctor diagnosed and prescribed the necessary treatment. I was pleased with the reception. I have no questions left.


August 29, 2021

Vyacheslav Aleksandrovich is a very competent, responsive and attentive doctor.He did everything that was necessary, gave advice, clarified everything and performed an operation on my mother. The doctor also performed a dressing. We are satisfied and recommended this specialist!


02 June 2021

Show 10 reviews from 10079

✅ which doctor treats hemorrhoids

✅ which doctor treats hemorrhoids

Reviews which doctor treats hemorrhoids

Buy Proctolex cream in a pharmacy in Moscow, St. Petersburg, Nizhny Novgorod or even in Ukraine is unlikely to work.The company Proctolex LLC is located in Moscow, but all sales are carried out through its official website, because very often the drug is counterfeited, people order Proctolex, they receive a fake and they leave negative reviews on the company’s website (and such cases are not rare). In the same place, on the official website, you can then check the product’s authenticity code, be sure to use it! Reviews about which doctor treats hemorrhoids

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 the HemoGosCenter. 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.
heparin ointment after hemorrhoid surgery Proctolex does not contain synthetic substances that can adversely affect health. The basis of the preparation is herbal ingredients.

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.

Where else can I see which doctor treats hemorrhoids: After forty years, this unpleasant disease of hemorrhoids began to pester me, probably because of work at a construction site. He used various methods of treatment (suppositories, ointments, etc.). Accidentally got on the Internet at the Proctolex Complex, decided to test it and did not regret it! Naturally, I did not get a quick result, but after more than two months of treatment I received a positive result of repeated symptoms so far, thank God, no! Proctolex ointment perfectly relieves the symptoms of hemorrhoids and is suitable for complex treatment.Doctors prescribe pills of the same name along with the ointment. To achieve maximum results, you need to accurately follow the dosage and course of treatment. calendula ointment for hemorrhoids reviews. Chinese musk ointment for hemorrhoids reviews. hemorrhoids treatment with sports. hemorrhoids cones alternative treatment
Throughout my pregnancy, I suffered from constipation, and after the birth of a child, my health problems only intensified. To the difficult emptying of the intestines were added unpleasant symptoms in the form of pain and burning in the anus, there was a sensation of a foreign body.A doctor who professionally treats hemorrhoids is called a proctologist, or coloproctologist. Since that time, it is customary to call the science and the field of medicine, which deals with the study and treatment of diseases of the colon, anal canal and pararectal zone, namely proctology. Hemorrhoids inflammation is treated by a proctologist, coloproctologist, coloproctologist surgeon. Shyness makes it difficult to go to the clinic, interferes with the desire to find out which doctor is treating hemorrhoids, and how to make an appointment with him outside of working hours.Exacerbations are associated. The doctor-proctologist deals with the treatment of pathologies and the entire large intestine – inflammatory processes of the mucous membrane. Important! Trying to find out which doctor treats hemorrhoids in men and women, you may be faced with a situation, what is it. So which doctor should you go to for hemorrhoids? As soon as unpleasant signs appear in the anal canal, you should consult a doctor treating hemorrhoids. It can be a proctologist or colonoproctologist. Hemorrhoids: which doctor treats? Hemorrhoids are enlargement of the veins in the lower part of the intestine – the rectum or anus, with the formation of nodes.A doctor who deals with diseases of the rectum, anus is a proctologist. About 20 years ago the name of the specialty was proctology. Which doctor treats hemorrhoids? The doctor treating hemorrhoids should do it. A doctor who deals with hemorrhoids is called a proctologist. And if you find u. A coloproctologist uses both conservative and surgical methods to treat his patients. We can say that the doctor is this one. What kind of doctor treats hemorrhoids. When unpleasant symptoms characteristic of hemorrhoids appear, women try how.In order not to start the situation with the disease, pondering which doctor treats hemorrhoids in women, if the clinic does not have a proctologist, it is recommended to visit doctors of the following specialties for. Hemorrhoids – some people do not know a lot about this extremely unpleasant disease, they have a wrong idea about its symptoms, about a doctor who treats hemorrhoids. Often, the clinical manifestations of the expansion of hemorrhoids are confused with other pathologies, and therefore they are prescribed. Hemorrhoids is a dangerous disease that, if not treated promptly, causes negative consequences.Pain, difficulty with defecation are a small part of the unpleasant symptoms. The drug is completely harmless to humans and does not cause allergies and negative side effects, because it is exclusively natural. During the research, various types of garden and garden plants were fertilized, which began to grow rapidly and also give a large yield. An improved taste was also noted, and the ability to resist harmful insects and various diseases. Research has also shown that Biogrow is able to greatly accelerate maturation and cause crops to emerge earlier than usual.In the experiments on three beds, different types of fertilizers were used, of which, of course, Biogrow was used. This growth promoter has shown the most striking results, far behind the competition. http://otzyvy-vrachej.com/preparat-unitox-protiv-parazitov-instruktsiya-i-otzyvy-o-yunitokse.php They get there through unwashed hands, uncooked meat and in other ways. Parasites can live in the human body for years without giving themselves away. But all this time the worms devour him, take away strength, energy, poison the organs with toxins.The Unitox remedy for parasites effectively fights against their reproduction, prevents re-infection. Reviews of doctors and other buyers. By the way, we advise you to read the reviews of famous doctors and real people that we have collected for you. the best remedy for hemorrhoids of internal which doctor treats hemorrhoids
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A doctor who professionally treats hemorrhoids is called a proctologist, or coloproctologist. Since that time, it is customary to call the science and the field of medicine, which deals with the study and treatment of diseases of the colon, anal canal and pararectal zone, namely proctology. Hemorrhoids inflammation is treated by a proctologist, coloproctologist, coloproctologist surgeon. Shyness makes it difficult to go to the clinic, interferes with the desire to find out which doctor is treating hemorrhoids, and how to make an appointment with him outside of working hours.Exacerbations are associated. The doctor-proctologist deals with the treatment of pathologies and the entire large intestine – inflammatory processes of the mucous membrane. Important! Trying to find out which doctor treats hemorrhoids in men and women, you may be faced with a situation, what is it. So which doctor should you go to for hemorrhoids? As soon as unpleasant signs appear in the anal canal, you should consult a doctor treating hemorrhoids. It can be a proctologist or colonoproctologist. Hemorrhoids: which doctor treats? Hemorrhoids are enlargement of the veins in the lower part of the intestine – the rectum or anus, with the formation of nodes.A doctor who deals with diseases of the rectum, anus is a proctologist. About 20 years ago the name of the specialty was proctology. Which doctor treats hemorrhoids? The doctor treating hemorrhoids should do it. A doctor who deals with hemorrhoids is called a proctologist. And if you find u. A coloproctologist uses both conservative and surgical methods to treat his patients. We can say that the doctor is this one. What kind of doctor treats hemorrhoids. When unpleasant symptoms characteristic of hemorrhoids appear, women try how.In order not to start the situation with the disease, pondering which doctor treats hemorrhoids in women, if the clinic does not have a proctologist, it is recommended to visit doctors of the following specialties for. Hemorrhoids – some people do not know a lot about this extremely unpleasant disease, they have a wrong idea about its symptoms, about a doctor who treats hemorrhoids. Often, the clinical manifestations of the expansion of hemorrhoids are confused with other pathologies, and therefore they are prescribed. Hemorrhoids is a dangerous disease that, if not treated promptly, causes negative consequences.Pain, difficulty with defecation are a small part of the unpleasant symptoms.

Official site which doctor deals with the treatment of hemorrhoids

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 city dwellers. 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 produced 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 ointment for hemorrhoids.The advantages of ointment forms – ease of use.

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

Especially if the disease is neglected. 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 who have given 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 a lot of 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 for direct business.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 fluid a 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 also 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, using special devices introduced into the lumen of the rectum and colon, a 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 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 for hemorrhoid treatment, 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 terms of 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 to which doctor to contact. Expert advice.

Hemorrhoids can be treated at home or in a doctor’s office. Often times, simple cases are treated at home with pain relief and inflammation.Warm baths in the evenings are recommended to relieve pain. The water should not be hot, somewhere around 40 degrees. It is recommended to take a bath for 10-15 minutes, you can add natural herbs such as chamomile and calendula to it. Using a cold compress can also help reduce swelling of the hemorrhoids.

Suppositories, ointments and creams based on herbal extracts and medicines help relieve pain and reduce inflammation. A variety of suppositories for the treatment of hemorrhoids can be found in all pharmacies and online stores.They are convenient to use, so that you can remove the first symptoms even while sitting at work.

Another long-term remedy for the prevention and treatment of hemorrhoids can be foods rich in fiber. You can use it neat to help improve digestion and ease the bowel movement. Psyllium is considered one of the most common dietary supplements.

If you are prone to hemorrhoids, observe special rules of hygiene. Washing your anus daily with warm water without the use of soap or other aggressive parabens will help you.Also, avoid using dry or coarse toilet paper after a bowel movement, prefer washes or soft tissue paper.

Medical intervention

In the case of advanced hemorrhoids or frequent relapses that can lead to profuse bleeding, the doctor may recommend surgery. One of the procedures for the treatment of hemorrhoids is to bandage the inflamed nodes and deprive them of blood circulation. The swelling and inflammation gradually subside and you return to normal faster.This procedure should only be performed by a qualified healthcare professional in order not to cause further harm to the body.

There are several other techniques for treating hemorrhoids, such as hemorrhoidectomy. In some of them, surgical intervention is performed using a scalpel, in others, a laser or ultrasound. When removing the tissue of hemorrhoids, the supplying vessels are either cauterized or sutured. This helps to eliminate the symptoms of the disease and prevent recurrence in the future.The procedure is performed under epidural anesthesia, which makes it as painless as possible.

“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

In 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 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 constipation has changed, constipation has appeared, or, conversely, the stool has become too frequent, if gases go badly or there are too many 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 have turned 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 undergo 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, in 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 detect the disease at an early stage of development, when minimal intervention will be enough for complete recovery. Note that in case of complaints, we recommend colonoscopy for people and younger people.

► Why can my stomach hurt?

Pain is a symptom of a problem that directly indicates the need to go to 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 bubbling in the abdomen 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 causes 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, correct 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 as 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 examine him carefully. It is important not to miss a serious illness, such as colon cancer, which can also manifest as stool disorders.

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

After defecation, especially with a dense stool, 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 is it manifested?

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 attribute long sitting, hard physical work, childbirth, constipation, alcohol, 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, correct work and rest regimen, and washing with cool water after defecation.With 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 organism, which all are subject to.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 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 colon – 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 below .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 observed. First, fruits and vegetables should be in the diet – the fiber they contain is important for the formation of feces. Secondly, should consume at least 1.5-2 liters of liquid per day. 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. It needs to be properly treated. At the initial stage, while the hemorrhoids are slightly enlarged, there will be enough conservative therapy: normalizing the stool, washing away with cool water after defecation and limiting provoking factors.As the disease progresses, more serious surgical treatment may be needed to cure.

Young people read a lot, try to take care of their health, come immediately when complaints appear. Elderly people often prefer to be treated on their own, sometimes they even go to the pharmacy and ask the pharmacist for advice on the tactics of treating their problem, take sometimes unnecessary medications for a long time and go to an appointment only when nothing helps.

Most of our patients come to the doctor with the words “doctor, I have hemorrhoids.”However, there are many diseases of the colon and anal canal, and the task of the proctologist is to understand the problem and prescribe the correct treatment. My advice is that you should not self-medicate, it is better to immediately contact a specialist.

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More on this topic:

90,000 Hemorrhoid treatment – surgical methods: doctors and prices.Hemorrhoidectomy in Moscow. Removal of hemorrhoids with Surgitron.

Hemorrhoidectomy – removal of the hemorrhoid

Hemorrhoids are abnormally enlarged hemorrhoids. In the later stages of the disease, hemorrhoids fall out of the anal canal. If they can no longer naturally retract into place, surgery is the only possible treatment.

Hemorrhoidectomy consists in excision of prolapsed hemorrhoids.This operation is quite complicated and is performed in a surgical hospital.

In the “Family Doctor” hemorrhoidectomy is performed, as a rule, with the help of a radio wave surgery apparatus “ Surgitron “. At the same time, the doctor acts in accordance with the classical technique of such operations, and the use of modern technology allows you to achieve additional benefits. First of all, during the operation, there is no need to ligate the hemorrhoidal vessels.This allows you to shorten the operation time.

With hemorrhoidectomy, only external hemorrhoids are removed. Therefore, in the complex treatment of hemorrhoids, hemorrhoidectomy is usually also accompanied by manipulations aimed at eliminating internal hemorrhoids (infrared coagulation, sclerotherapy, latex ligation – these methods can be combined with each other in various combinations).

Modern technologies make the operation less traumatic, reducing discomfort and shortening the postoperative recovery time.

The prices for the removal of hemorrhoids in JSC “Family Doctor” can be found below.