What Kind Of Doctor Should I Go To For Hemorrhoids

What Should I Eat If I Have Hemorrhoids Diet

Individuals with hemorrhoids should soften their stools by increasing the fiber in their diets.

Fiber is found in numerous foods, including

• fresh and dried fruits,
• whole grains, and
• cereals.

In general, 20 to 30 grams of fiber per day is recommended, whereas the average American diet contains less than 15 grams of fiber. Fiber supplements, like psyllium, methylcellulose, and calcium polycarbophil, also may be used to increase the intake of fiber.

Stool softeners and increased drinking of liquids also may be recommended, as well as bulk-forming laxatives. Nevertheless, the benefits of fiber, liquids, and stool softeners have not been well-tested with respect to hemorrhoidal control in scientific studies.

What Kind Of Doctor Should I See About My Hemorrhoids

If youre 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 Can My Doctor Do For Hemorrhoids

There are many ways that hemorrhoids can be handled and treated. These options vary depending on the condition, severity and location of the hemorrhoids. Below are methods that may be employed to treat your hemorrhoids.

1. Injections

Internal hemorrhoids may be injected with a solution that causes a scar to be formed and close off the hemorrhoids. This procedure will only hurt a little but is usually very effective.

2. Cauterization or Coagulation

This method is a painless method of burning off, removing and sealing the end of the hemorrhoids with an electric probe, infrared light or laser beam.

The Coagulation method allows the hemorrhoid to close and shrink and is most effective for treating prolapsed hemorrhoids.

3. Rubber band ligation

Rubber band ligations are also mostly employed in cases of prolapsed hemorrhoids as well as protruding internal hemorrhoids that have been pushed outside .

In this treatment, the doctor will put a small rubber band around the hemorrhoid to cut off blood supply to the tissues therein.

Rubber band ligations will usually cause the hemorrhoid to dry up, shrink in size and fall due to the unavailability of blood.

4. Surgery or Hemorrhoidectomy

For large internal or external hemorrhoids that keep on worsening and bring excruciating discomfort to the patient, a surgical procedure may be required to remove the hemorrhoids or a newer technique using staples may be applied.

Most of these medical treatments are effective in treating hemorrhoids.

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How Do You Treat External Hemorrhoids Diagnosis

External hemorrhoids appear as bumps and/or dark areas surrounding the anus. If the lump is tender, it suggests that the hemorrhoid is thrombosed. Any lump needs to be carefully followed, however, and should not be assumed to be a hemorrhoid since there are rare cancers of the anal area that may masquerade as hemorrhoids.

Experiencing Anal Discomfort Or Irritation

You dont have to live with hemorrhoids symptoms until the pain becomes so severe it disrupts your life. Dr. Paonessa offers several effective, nonsurgical treatments that can resolve your hemorrhoids, including:

• Rubber band ligation
• Sclerosis treatment

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

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

Dont live with hemorrhoid discomfort contact us to schedule your appointment today at Paonessa Colon & Rectal Surgery in Brielle and Manahawkin, New Jersey.

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Home Remedies For Hemorrhoids

As a first line of treatment, your doctor may recommend the following home treatments and techniques.

• Add high fiber foods to your diet.
• Take mild stool softeners or fiber supplements.
• Drink plenty of water and other clear fluids.
• Manage pain or itching with over-the-counter medications, creams, or ointments.
• Take a warm water bath or sitz bath .
• Use a warm compress to help soothe the affected area.
• Avoid spending a lot of time sitting on the toilet.
• Avoid straining/pushing with bowel movements

If your symptoms persist or worsen after one week of home treatments, visit your healthcare provider.

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.
• You have pain and discomfort in your rectum or anus.
• 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.

Talk to a general physician to understand which doctor you need for hemorrhoid management.

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Complications Of Rectal Prolapse

• Ulcers in the rectum. These can lead to bleeding.
• A prolapse that cant be pushed back into the rectum. Emergency treatment is necessary in this case because the blood supply to the prolapse will be cut off, resulting in pain.
• Damage to the muscles and nerves in the sphincter. These can worsen fecal incontinence.

When To Seek Care For Hemorrhoids

Most cases of hemorrhoids do not require immediate care, but you should visit your provider for any discomfort or worsening symptoms. Your provider will work with you to identify proper treatment and make sure your symptoms are not due to a larger health issue .

Seek care right away if you:

• experience severe pain around your anus, or during bowel movements.
• have rectal bleeding, which may indicate more severe underlying conditions that require treatment.
• have symptoms that worsen or persist after one week.
• notice any unusual changes in the tissue in or around your anus.

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Hemorrhoids Treatment: Rubber Band Ligation

The principle of rubber band ligation is to encircle the base of the hemorrhoidal clump with a tight rubber band. The tissue cut off by the rubber band dies, and is replaced by an ulcer that heals with scarring.

A similar procedure was described in 460 BC by the Greek physician Hippocrates:

And hemorrhoids you may treat by transfixing them with a needle and tying them with very thick and woolen thread, for application, and do not foment until they drop off, and always leave one behind and when the patient recovers, let him be put on a course of Hellebore.

Rubber band ligation can be used with first-, second-, and third-degree hemorrhoids, and may be more effective than sclerotherapy. Symptoms frequently recur several years later, but usually can be treated with further ligation.

The most common complication of ligation is pain. However, bleeding one or two weeks after ligation or bacterial infection in the tissues surrounding the hemorrhoids may occur.

What Else Do You Need To Make Your Decision

Check the facts

• You’re right! Try eating more fiber, drinking more fluids, using a stool softener, and using ointments to help your symptoms.
• Sorry, that’s the wrong answer. Try home treatment first: Eat more fiber, drink more fluids, use a stool softener, and use ointments to help your symptoms.
• It may help to go back and read “Key points to remember.” Home treatments work for most people: Eat more fiber, drink more fluids, use a stool softener, and use ointments to help your symptoms.

• That’s right. Surgery may help hemorrhoids that bulge from the anus or cause symptoms that don’t get better with home treatment.
• Sorry, that’s not right. Surgery may help hemorrhoids that bulge from the anus or cause symptoms that don’t get better with home treatment.
• It may help to go back and read “Get the Facts.” Surgery may help hemorrhoids that bulge from the anus or cause symptoms that don’t get better with home treatment.

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How A Doctor Can Help

Doctors can recommend medical treatments and procedures that can reduce or get rid of hemorrhoids. Some of these procedures can be done right in a doctors office and involve very little discomfort.

• Medicated creams/ointments. If an OTC hemorrhoid cream isnt enough, doctors can prescribe stronger creams and ointments.
• Minimally-invasive procedures. There are some minimally-invasive procedures that a doctor can do in their office or in an ambulatory surgery center that typically doesnt require anesthesia or long recovery times. Some of these procedures include rubber band ligation, sclerotherapy injections, and laser/infrared coagulation treatments.
• Thrombectomy. For severe cases that develop blood clots and cause a lot of pain, your doctor can perform an external hemorrhoid thrombectomy to remove the hemorrhoid. Thrombectomies are most effective when performed no more than 72 hours after severe symptoms emerge.
• Surgery. There are several surgical options available when other treatments and procedures havent worked or if you have very large hemorrhoids. If youve struggled to find relief, talk to your doctor to learn if surgery is right for you.

When To Call Your Doctor

Even if you think it’s from hemorrhoids, you should call your doctor about any rectal bleeding. It’s also a symptom of colon polyps, colitis, Crohn’s disease, diverticulitis, and colorectal cancer. Anal fissures can also cause pain and bleeding. So you’ll want to make sure you get the right diagnosis and treatment.

If your hemorrhoids are very painful or aren’t getting better after you’ve tried treating them yourself, let your doctor know.

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How Long Do Hemorrhoids Last

How long hemorrhoids last will vary from person to person.

In general, small hemorrhoids can go away on their own in a few days. Larger hemorrhoids, particularly ones that cause a lot of pain, swelling, and itchiness, cant go away on their own and may require treatment from a doctor to heal. Pregnant patients may find that hemorrhoids only go away after they give birth.

Its possible for hemorrhoids to return after theyve been treated. A gastroenterologist can help recommend solutions if you find youre struggling with hemorrhoids that dont go away or keep coming back.

What To Wear And Bring

On the day of your surgery, wear comfortable, loose-fitting clothes and avoid wearing makeup or nail polish. Leave all valuables, including jewelry, at home.

Make sure you bring your driverâs license, insurance card, and a list of your medications.

If you are staying overnight in the hospital, pack a bag the night before your surgery.

In addition to personal care items and comfort items , be sure to pack:

• Any medical devices you use
• Loose-fitting clothes to go home in, especially pants with an elastic waistband and cotton underwear

Someone will need to drive you home when you are discharged, so either plan for the person to accompany you to your surgery or to be on stand-by for your discharge.

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Severe Hemorrhoids Vs Mild Hemorrhoids: Stages

Many physicians use a grading system to categorize hemorrhoids along four stages:

• First-degree hemorrhoids: Hemorrhoids that bleed, but do not prolapse. These are slightly enlarged hemorrhoids, but they do not protrude outside the anus.
• Second-degree hemorrhoids: Hemorrhoids that prolapse and retract on their own . These may come out of the anus during certain activities like passing stool, and then return back inside the body.
• Third-degree hemorrhoids: Hemorrhoids that prolapse and must be pushed back in by a finger.
• Fourth-degree hemorrhoids: Hemorrhoids that prolapse and cannot be pushed back in the anal canal. Fourth-degree hemorrhoids also include hemorrhoids that are thrombosed or that pull much of the lining of the rectum through the anus.

What Can You Put On Hemorrhoids To Shrink Them

You can use topical medications for hemorrhoids, although these products mainly provide relief from pain and other symptoms rather than shrinking hemorrhoids. A wide range of these products are available, including ointments, pads, and creams. Oral pain relievers might also offer temporary relief. Soaking in a sitz bath or warm water can help ease the pain as well.

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Easy Ways To Prevent Hemorrhoids

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

If youre having trouble getting enough fiber in your regular diet, consider a fiber supplement.

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

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

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

Other tips for preventing hemorrhoids include:

Whom Do Hemorrhoids Affect

Although most people think hemorrhoids are abnormal, almost everyone has them. Hemorrhoids help control bowel movements. Hemorrhoids cause problems and can be considered abnormal or a disease only when the hemorrhoidal clumps of vessels enlarge.

Hemorrhoids occur in almost everyone, and an estimated 75% of people will experience enlarged hemorrhoids at some point. However only about 4% will go to a doctor because of hemorrhoid problems. Hemorrhoids that cause problems are found equally in men and women, and their prevalence peaks between 45 and 65 years of age.

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What Is The Best Doctor For Hemorrhoid Surgery

There are many reasons you may see a doctor for your hemorrhoids. But, some cases may require you seek treatment from a doctor who specializes in the treatment of conditions that affect the rectum or anus.

While a proctologist is commonly known as the specialist to handle these types of conditions, it is actually a gastroenterologist that treats hemorrhoids.

Gastroenterologists diagnose and treat conditions that affect the digestive tract. This can include the:

• Stomach

• Inflammatory bowel disease
• Bowel changes

Some gastroenterologists perform surgery under anesthesia. In more severe cases, your GI doctor may refer you to a proctologist, or colorectal surgeon.

Most patients who see a colorectal surgeon must see a GI doctor first for a referral.

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How To Get Rid Of Hemorrhoids: Diagnosis And Treatments

Most individuals who have hemorrhoids discover them by either

• feeling the lump of an external hemorrhoid when they wipe themselves after a bowel movement,
• noting drops of blood in the toilet bowl or on the toilet paper, or
• feeling a prolapsing hemorrhoid after bowel movements.

With a history of symptoms, a physician can begin diagnosis on the basis of a careful examination of the anus and anal area. Although the physician should try his or her best to identify the hemorrhoids, it is perhaps more important to exclude other causes of hemorrhoid-like symptoms that require different treatment such as

• anal fissures,

This is true whether or not hemorrhoids are found during anoscopy.