What Kind Of Doctor To See For Hemorrhoids

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If I Need Surgery To Remove Hemorrhoids What Are My Options

If your symptoms dont respond to more conservativetreatments, you have options.

Noninvasive options include:

• Electrocoagulation, a minimally invasive procedure that can treat multiple hemorrhoids at the same time. This is also called the HET procedure.
• Doppler-guided hemorrhoid arterial ligation, which uses a special attachment to pinpoint the hemorrhoidal vessels and cut off the blood supply. This procedure is performed under anesthesia.
• A hemorrhoidectomy may be necessary for very large internal and external hemorrhoids or those that are acutely inflamed or thrombosed, Dr. Zutshi says. It involves cutting out the hemorrhoid tissue, which can be painful, especially during recovery. But there are less painful options available.
• Hemorrhoid stapling, in which a surgeon uses a special stapler to cut off the blood supply to the hemorrhoid. This kind of hemorrhoidectomy is thought to be less painful.

Which treatment is best will depend on yoursymptoms and your expectations, Dr. Zutshi says, and those should be discussedwith your doctor.

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Eat A High Fiber Diet And Drink Plenty Of Fluids

Fiber is excellent for your health in many ways! Hemorrhoids are generally caused by strain on the blood vessels in the anus and rectum. Your first line of defense is to reduce the amount of pressure you put on your body while defecating. If youre not getting enough fiber in your diet, you may want to consider high-fiber supplements.

Fiber keeps your stool softas long as youre drinking enough water. If you are dehydrated, your lower intestine will remove the water it needs from your stool, leaving it compact and difficult to evacuate.

The Right Doctor For The Right Procedure

Its also important that you search your insurances website for doctors that are within your network. This will help prevent out-of-network charges and other out-of-pocket fees. When you have a list of doctors, its a good idea to meet with them to determine if they are right for you and your needs.

Its a good idea to ask friends and family if they have had experience with these doctors to get an idea of their experience as well as research the doctors license and any potential complaints against them.

Depending on the severity of the hemorrhoids, the doctor you pick depends on their specialty:

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How Do Doctors Treat Hemorrhoids

Doctors can treat hemorrhoids by prescribing medications or by performing minor surgery to major surgery. Here are several treatment options:

These usually contain an emollient . In addition, there may be an anesthetic and/or steroid . Prescription strength medications often work better than their over-the-counter cousins. But sometimes not so much.

An oral tablet called Vasculera comes with some prescription treatment kits and also helps reduce the size of hemorrhoids.

In this common treatment, the doctor applies miniature rubber bands to the internal hemorrhoids. This causes them to shrink up, stop bleeding and pull back inside. There are several different techniques for performing the procedure.

In one form, single bands are applied once a week for several weeks. This is done as an outpatient in the doctors office. Multiple bands can also be placed right after a colonoscopy or other endoscopic procedure while you are still sedated. This would be done in an outpatient surgery center or hospital procedure room. Bands can also be placed without another procedure.

Depending on the doctor and your individual situation, it could be with or without sedation. While rubber band ligation works for most patients, it doesnt work all the time. Also, there are some potential complications bleeding, pain and infection. Recovery can range from a day or 2 to 6 weeks.

The advantages include:

Ingredients In Calmovil Hemorrhoid Relief

Calmovil Hemorrhoid Relief drops is an OTC medicine

• Sulphur…………………………………………… burning and itching anus
• Paeonia officinalis…………………………… itching, burning hemorrhoids
• Collinsonia canadensis…………………… itching and aching in anus, constipation
• ………………………………………………. fullness of rectum

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What Are The Signs And Symptoms Of An External Or Thrombosed Hemorrhoid

Thrombosed external hemorrhoids are a painful condition. These occurs when a blood clot develops in a hemorrhoidal blood vessel causing swelling and inflammation.

• When a blood clot occurs in a hemorrhoid, the hemorrhoid will become even more swollen. This swelling leads to increased pain.
• The pain is usually worse with bowel movements and may increase with sitting.

A thrombosed external hemorrhoid may resolve on its own however, this condition often needs medical care. Bleeding with a bowel movement is never normal and should prompt a visit to a health-care professional. While hemorrhoids are the most common cause of bleeding with a bowel movement, there may be other reasons for bleeding including inflammatory bowel disease, infection, and tumors.

Hemorrhoids are not arteries or veins, but instead are normal blood vessels called sinusoids that are located in the walls that surround the rectum and anus. When the venous pressure within these blood vessels increases, the hemorrhoids swell and dilate, because it is more difficult for blood to empty from them. This leads to the most common symptoms of bleeding and swelling.

Common situations that increase pressure within the hemorrhoidal blood vessels and lead to abnormalities include the following.

• Straining to have a bowel movement. This may be due to constipation or diarrhea.
• Prolonged sitting, including on the toilet
• Lack of exercise

Questions To Ask Your Doctor

• Why do I have hemorrhoids?
• Are there any lifestyle changes I can do that can relieve or prevent hemorrhoids?
• I saw blood on toilet paper. Is this serious?
• Are having hemorrhoids a sign of another health condition?
• Will I always have hemorrhoids?
• Is there medicine I can take for hemorrhoids? Are there side effects?

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With These Treatments Hemorrhoid Symptoms Often Go Away Within A Week

Hemorrhoid surgery is safe and effective most of the time. If your doctor sees indications of a more complicated case of hemorrhoids or a more serious condition, they may refer you to a specialist like a gastroenterologist or a colon and rectal surgeon. During a traditional hemorrhoidectomy, a narrow incision is made around the hemorrhoids to cut out the swollen tissue. Learn the symptoms, causes, and treatments of hemorrhoids. Mary mcmahon individuals who experience recurrent hemorrhoids may find it useful to see a hemorrhoid specialist. He or she feels for anything unusual, such as growths. Additionally, you should meet with your doctor to discuss this bleeding. In most cases, your family doctor or primary care physician can help you manage hemorrhoids. You can discuss with a hemorrhoids specialist about your hemorrhoids related to severe conditions such as pain, clotting, and bleeding. If youve already popped a hemorrhoid, its important to take steps to reduce your risk of infection. General surgery 31 years experience colorectal surgeon: Removing the clot within the first 48 hours often gives the most relief, so request a timely appointment with your. Hemorrhoids are a very common problem.

When To Consider Hemorrhoid Removal Surgery

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

• You have combined internal and external hemorrhoids.

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

• You have additional anorectal conditions that require surgery.

• Youve had minimally invasive procedures or other treatments that have not corrected the problem.

• You have significant amounts of bleeding from your hemorrhoids.

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

• You have a hemorrhoid with that recur after less invasive treatments.

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Continue Learning About Hemorrhoids

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.

What Type Of Doctor Should I Go To For My Hemorrhoids And Urinary Problems

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Nonsurgical Treatment For Hemorrhoids

• Dietary planning. Your doctor may recommend that you include more water and high-fiber foods in your diet to promote good bowel habits, which can reduce your risk of developing hemorrhoids.
• Medications. For mild cases of hemorrhoids, your doctor may recommend treatment using creams, suppositories, ointments, or medicated pads.

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What Can My Doctor Do To Fix Hemorrhoids Can They Shrink Them

There are multiple ways a hemorrhoid doctor or general practitioner can treat hemorrhoids if they arent responding to an increase in fiber, fluids, exercise, and over-the-counter treatments. Your doctor can handle many of those treatments during a routine office visit. The doctor uses several different methods to cut off blood flow to the hemorrhoidal area, which stops bleeding and often reduces swelling, shrinking the hemorrhoid without cutting it off.

Methods include:

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When Should I See My Doctor

See your doctor if you start to notice pain and discomfort around your anus, especially when you sit or have a bowel movement.

Seek emergency medical attention if you notice any drastic worsening of your symptoms or any of these other symptoms, especially if theyre interfering with your daily activities:

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What Is A Hemorrhoid Specialist

A hemorrhoid specialist is a physician who specializes in treating, managing, and preventing hemorrhoids, inflammations around the anus and rectum. General practitioners, internal medicine specialists, gastroenterologists, and proctologists can all choose to pursue careers as hemorrhoid specialists. People who experience recurrent hemorrhoids may find it helpful to see a hemorrhoid specialist for more in-depth care than a regular doctor can provide.

These specialists usually handle other medical issues as well, but have received some special training in hemorrhoids and pursue continuing education to keep up with the latest advances in treatment and management. When a patient goes to a hemorrhoid specialist, the doctor will take a complete patient history, review the patients chart for more information, and conduct a physical exam. This will be used to develop a treatment plan.

Which Illnesses Do Hemorrhoid Specialists Treat

There are two different types of hemorrhoids that can exist together, namely:

• internal hemorrhoids, which will be located in the lower rectum
• external hemorrhoids, which can occur under the skin immediately around the anus itself.

The most discomforting type are the external hemorrhoids because the overlying skin in this area, which is sensitive to pain and temperature, can soon become irritated and tends to wear away. If a blood clot should then form inside an external hemorrhoid, the pain is often sudden and can be severe. There may be a lump in the anal area, which can be felt or seen. The clot then typically dissolves, leaving a skin tag which may often itch or become irritated.

Unlike the external type, internal hemorrhoids are typically painless, even if they produce bleeding. Thus, you may notice bright red blood on the toilet paper, or else blood dripping into the toilet bowl. In addition, internally forming hemorrhoids can also prolapse, and thus extend beyond the anus. This can result in a number of potential problems because a protruding hemorrhoid may then collect microscopic stool particles and small amounts of mucus. This may then cause an irritation, which is called pruritus ani, and constantly wiping in an effort to relieve the itching may simply make the problem worse.

Based on the degree of prolapse, a standard medical classification recognises the following four grades of prolapsed hemorrhoid:

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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 , 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.

What Are Possible Complications Of Hemorrhoids

Complications of hemorrhoids are rare. If they do happen, they may include:

• Strangulation. Arteries feeding fresh blood to the hemorrhoid can become blocked, preventing blood supply from reaching the hemorrhoid. This can cause extremely intense and unbearable pain.
• Anemia. If hemorrhoids bleed too much, they can deprive your red blood cells of oxygen. This can cause fatigue, shortness of breath, headaches, and dizziness as the blood supply carries less oxygen around your body.
• Prolapse. Prolapsed hemorrhoids can cause pain or discomfort when you sit or pass a bowel movement.
• Blood clots. Thrombosis is more likely to be a complication of an external hemorrhoid. Blood clots can cause increasingly unbearable pain and itching.
• Infection. Bacteria can get into hemorrhoids that are bleeding and infect the tissue. Untreated infections can sometimes cause serious complications, such as tissue death, abscesses, and fever.

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