Doctor That Specializes In Hemorrhoids

Gastroenterology & Hepatology Located In Annapolis Md Kent Island Md Odenton Md Bowie Md Pasadena Md & Greenbelt Md

Dr. Peter Thomas of Laser Hemorrhoid Center in Phoenix

Its estimated that hemorrhoids affect about half of all adults by the time they reach age 50. Most people suffer from their hemorrhoids for a long time before seeking help. The gastroenterology team at Anne Arundel Gastroenterology Associates, P.A., with office locations in Annapolis, Stevensville, Odenton, Bowie, and Pasadena, Maryland, takes a patient-centered approach to care. They offer many effective treatments for hemorrhoids to reduce discomfort and prevent recurrence. To get help for your hemorrhoids, call the office nearest you or book an appointment online today.

# 10 How Hemorrhoid Banding Works

With the CRH ORegan Hemorrhoid Removal System a series of small rubber bands are placed around the blood vessels at the base of the hemorrhoids in your rectum, which cuts off the blood supply to the hemorrhoids and causes them to shrink. No anesthesia is needed, and the procedure is quick and simple taking only a few minutes!

Within a few days, the banded tissue and band falls off in your stool, but heres the clever bit: the development of scar tissue from the band cuts off the blood supply to the hemorrhoid. So the hemorrhoidal vein still exists, but because its blood supply is diminished, it doesnt swell and cause problems and pain anymore.

To learn more about the CRH ORegan Hemorrhoid Removal System, visit my hemorrhoid banding page. If you’re concerned about your chronic constipation, or would like to discuss how your digestive health is affecting your daily life with a gastroenterologist in the Dallas/Plano TX area, please fill out our appointment form or call us at 972-867-0019.

When Should I Get Medical Help For My Hemorrhoids

Hemorrhoids may resolve on their own without the need for medical intervention. However, the experts at Anne Arundel Gastroenterology Associates recommend you seek medical help for your hemorrhoids if your symptoms dont improve within a week.

They also recommend an evaluation if you have rectal bleeding. Though hemorrhoids are a common cause, rectal bleeding may also be a symptom of a more serious gastrointestinal condition, such as colon cancer or inflammatory bowel disease .

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What Kind Of Doctor Should I See About My Hemorrhoids

If you’re having some of the characteristic symptoms of hemorrhoids – swelling, bleeding, or pain – you may want to visit your regular doctor first. Often, hemorrhoids are mild and can be treated with certain lifestyle changes. 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.

What Is Recovery Like After Irc

It is normal to feel the need to urinate and experience minor rectal bleeding after each treatment. It is usually well-tolerated, but using a stool softener to help with bowel movements during healing can be helpful. Warm shallow baths, such as sitz baths, can also help in the healing process. Any concerning symptoms after your surgery should be discussed with your proctologist in NYC.

Laser treatment of hemorrhoids with IRC is usually very well tolerated with minimal side effects.

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How Does The Crh Oregan System Treat Hemorrhoids

The CRH O’Regan System is an innovative yet tried and true method for treating hemorrhoids directly, without the need for surgery or a long recovery. During the procedure, your physician at Eisenman & Eisenman, M.D., Advanced Gastro Consultants uses the CRH O’Regan System to restrict the supply of blood to your hemorrhoid. Your doctor uses a suction device to place a rubber band around the base of your hemorrhoid, which causes you no discomfort or pain.

This unique CRH O’Regan System banding treatment causes hemorrhoids to shrink in size and fall off within a few days, resolving your pain and other symptoms. Typically patients will require three treatments to resolve their symptoms entirely. The process is extremely simple and you won’t have to come back to the office for follow-up care.

Patients can expect the following results:

No more pain upon sitting down.
No more pain during bowel movements
No more soiling

Surgical Options For Hemorrhoid Treatment Do I Need Surgery

Only a small percentage of people require hemorrhoid surgery, and we will almost always prescribe it after other, less invasive procedures have failed. In certain cases, we recommend patients to a colorectal surgeon with whom we work closely. We can discuss the case with the surgeon in order to establish an effective treatment plan for your specific situation. You should discuss questions regarding further surgical options and recovery with your surgeon directly. We usually recommend surgery after less invasive procedures have been unsuccessful or are unlikely to be successful. Some of the surgical treatments that we may suggest are listed below.

Only a small percentage of people require hemorrhoid surgery, and we will most likely recommend it after other less invasive procedures have been unsuccessful.

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How Do You Treat Hemorrhoids

Simple preventive measures can reduce your risk of hemorrhoids in North Carolina. Simple home remedies include the following:

Exercise regularly. Obesity is a significant risk factor when it comes to hemorrhoid development, and regular exercise can help you stimulate your bowels. Aim to get at least 20 minutes of moderate exercise each day.

Sit on cushions. Sitting on a soft surface rather than a hard surface can help reduce swelling and reduce the pressure.

Facilitate regular bowel movements. Holding stool in can lead to increased pressure and straining during bowel movements. Scheduling time to go to the bathroom or going to the bathroom immediately can reduce hemorrhoid risk.

Nonsurgical Treatment For Hemorrhoids

Hemorrhoids: Symptoms, Diagnosis, and Treatment Options – St. Mark’s Hospital

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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Who To See For Hemorrhoids

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

Rubber band ligation: A surgeon places a special medical-grade rubber band round the base of the hemorrhoid to cut off blood circulation. Within a week, the end of the hemorrhoid shrivels and falls off, leaving behind scar tissue.
: This is an out-patient surgical procedure to remove the hemorrhoids.
Hemorrhoid stapling: Used primarily for internal hemorrhoids, this procedure uses a stapling tool that removes tissue.
Sclerotherapy: This involves an injection of a chemical solution directly into the hemorrhoid to shrink it.
Infrared photocoagulation: Used only for internal hemorrhoids, this procedure directs an infrared light towards the tissue to cause scars, which block blood flow to the hemorrhoids.
Electrocoagulation: Similar to infrared photocoagulation, this procedure uses electric current to cause scar tissue.

Some people may be embarrassed to speak with their doctor about hemorrhoids, but the condition is so common that your doctor wont be surprised if you bring it up. Theres no need to live with the pain and discomfort of hemorrhoids. Prompt treatment will allow you to live your life more comfortably.

Causes And Risk Factors Of Hemorrhoids

Several conditions and habits are thought to cause hemorrhoids.

Chronic constipation or diarrhea
Straining too hard during bowel movements
Sitting on the toilet for a long time

Straining, constipation, and prolonged sitting can all affect the blood flow in the area, causing blood to not move at its expected rate within the vessels, leading to hemorrhoids.

Factors that raise your risk of hemorrhoids:

Lack of fiber in the diet
Overweight or obesity can put pressure on the hemorrhoidal tissue.

Surgical Procedures For Hemorrhoids

Our board-certified colon and rectal surgeons use the latest surgical techniques to treat hemorrhoids. These include:

Hemorrhoidectomy. Hemorrhoidectomy is a procedure to remove your hemorrhoid. You may receive local anesthesia with sedation or general anesthesia depending on surgical technique that is used and your specific situation.
Stapled hemorrhoidopexy. This procedure cuts off blood flow to an internal hemorrhoid using staples.

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 its better to seek help can help you avoid unnecessary complications.If youre 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.
Youve 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 wont 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, youll 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. Theres no reason to be reluctant or delay your care.

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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:

What Type Of Doctor Should I See

Start with your usual general surgeon or family doctor. Because hemorrhoids are so common, most doctors will have a lot of experience discussing your symptoms and possible treatment.

If your situation calls for referral to a hemorrhoid specialist, your regular doctor will refer you to a hemorrhoid doctor, that is, a proctologist or gastroenterologist.

Essential Orgs For Hemorrhoid Information

This site provides a comprehensive review of what hemorrhoids are, what causes them, and how to treat them. In cases when pain is severe and hemorrhoids aren’t healing with at-home treatment, in-office treatment by a healthcare provider is necessary. This can involve surgical and nonsurgical options.

The Mayo Clinic offers trusted guidance on symptoms, causes, diagnosis, and treatment of hemorrhoids. You can also find answers to specific questions about home remedies and hemorrhoid treatment during pregnancy.

Related Conditions And Causes Of Hemorrhoids

3 Signs It’s Time to See Your Doctor about Hemorrhoids

Gastrointestinal problems such as constipation and diarrhea can lead to or worsen hemorrhoids. The prolonged sitting or straining that may occur when you’re dealing with these issues puts pressure on the hemorrhoidal tissue.

Hemorrhoids also often develop during pregnancy. This is similarly due to greater pressure in the area but can also be due to an increase in blood volume and as a result of hormonal changes that increase the likelihood of swelling. Constipation during pregnancy is a common cause of hemorrhoids.

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Hemorrhoid Treatment At Home

Hemorrhoid symptoms can be uncomfortable but there are several at-home remedies may help relieve the pain and discomfort. These include:

Take a warm bath or sitz bath for 10 to 15 minutes after each bowel movement.
Moisten toilet tissue before using it to clean after a bowel movement.
Use stool softeners.
Take over-the-counter pain relievers, including acetaminophen or nonsteroidal anti-inflammatory drugs , such as ibuprofen or naproxen.

Seek An Experienced Specialist

While you want a specialist who works with the most cutting-edge treatments, you also want someone who has the experience to know what will work based on the details of your specific case. According to the American Board of Surgery, this is not a general practitioner. General practitioners may only see a few cases a year, and general surgeons may only see a few hemorrhoidectomies, fistulotomies, and other similar procedures each year. Without regularly handling these conditions, the rate of misdiagnosis or improper treatment is much higher.

This again highlights the benefits of choosing a specialist, and one who has extensive colorectal surgical experience such as that required to obtain board certification. This experience improves the outcome every step of the way, from routine screenings, to prescribing the right medical treatments, to performing surgery when necessary.

Medical Procedures For Hemorrhoids That Wont Go Away

If hemorrhoids dont go away with home treatments, medical procedures may be necessary.

Doctors office procedures for internal hemorrhoids those located inside the rectum may include:

Rubber Band Ligation This is the most commonly performed hemorrhoid procedure in the United States. In this procedure, which can be used for grades 1, 2, and 3 internal hemorrhoids , the doctor places a small rubber band around the base of the hemorrhoid, which can be done when your doctor performs an anoscopy examination to better visualize the hemorrhoids. The rubber band cuts off the hemorrhoids blood supply.

The procedure typically causes the hemorrhoid to shrink and fall off within about a week, though several short visits to your doctor may be necessary to completely get rid of the hemorrhoid. Minor bleeding and a feeling of pressure may occur, but this can usually be alleviated with OTC pain relievers. This procedure is not associated with significant recovery time.

Sclerotherapy In this quick, often painless procedure, the doctor injects a chemical into the hemorrhoidal blood vessel, causing scar tissue to form in order to shrink the hemorrhoid. The principle behind this is the same as rubber band ligation, though its not always as effective. This procedure can be used in patients taking blood thinners, for whom rubber band ligation may not be recommended.

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 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 hemorrhoid with that recur after less invasive treatments.

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What Is Stapled Hemorrhoidopexy

Stapling hemorrhoids stop blood flow to the haemorrhoidal tissue and is typically used for prolapsed hemorrhoids.

Your doctor will administer general anesthetic, local anesthesia, or spinal anesthesia before the procedure. You may feel some pressure during surgery if you choose local or spinal anesthesia, but you should not experience any pain. During surgery, the specialist uses specialized circular titanium staples to staple hemorrhoids base to the rectum wall. Fibrous tissue develops around the staples during healing, which helps to anchor hemorrhoids in place, restricting blood flow to them and decreasing swelling. Eventually, the staples pass out with bowel movements.

Health Conditions Gastroenterologists Can Diagnose And Treat

Gastroenterologists are trained to have an acute knowledge of the normal movement of food through the stomach and intestine, the absorption of nutrients, how waste is removed from the body, and how the liver helps with the digestion process. This area of expertise allows them to diagnose issues such as:

The steps to becoming a gastroenterologist typically include:

a 4-year college degree
4 years of medical school
a 3-year training program, called a residency, in internal medicine, which includes work alongside experienced gastroenterologists and professional mentorship

After you complete your residency, you must complete a 2- or 3-year fellowship to receive more specialized training in this field. This includes training in endoscopy, which is a nonsurgical procedure doctors use to examine the GI tract.

Once youve completed your training, you must pass a specialty certification exam for gastroenterologists. The American Board of Internal Medicine certifies you upon successful completion of the exam.

Gastroenterologists perform a range of nonsurgical procedures. This can include:

Your primary care doctor may refer you to a gastroenterologist if you:

have unexplained blood in your stool
have unexplained difficulty swallowing
are experiencing digestion issues, such as constant constipation or diarrhea
are experiencing constant acid reflux or heartburn

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Look For Board Certification In Colon And Rectal Surgery

The American Board of Colon and Rectal Surgery holds certified surgeons to the highest standards. There are very stringent educational, experiential, and testing requirements they must meet, in addition to passing the written Qualifying examination and the oral Certifying examination from the American Board of Surgery.

A board certified specialist will have at least four years of medical school in addition to at least five years of extensive general surgery training. In addition to all that, they will also undergo an additional year or more of supervised colon and rectal specialty training in an accredited fellowship program under the supervision of a certified specialist. This translates into a much higher level of operative and treatment experience than a general practitioner.

Continue Learning About Hemorrhoids

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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.

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