General Surgeon & Colorectal Specialist
A general surgeon and a colorectal specialist can perform surgeries on hemorrhoids if they are severe enough in the form of a hemorrhoidectomy. Hemorrhoids may require surgery when they dont respond to non-surgical treatments or if it prolapses.
These doctors can perform hemorrhoid surgery and send you home that day after a brief observation and discussing aftercare to you and a trusted family member.
Hemorrhoid Treatments & Removal Doctors
The Hemorrhoids Centers of Los Angeles are spearheaded by Dr. Maz Ghodsian , who specializes in the evaluation and painless surgical & non-surgical management of internal hemorrhoids and external anal hemorrhoids.
The majority of both men and women will suffer from hemorrhoids at some point in their lifetime. It is, however, significantly more common in people ages 45 and 65 years and in pregnant women. External hemorrhoids occur on the skin around the anus whereas internal hemorrhoids develop in the rectum. Internal hemorrhoids may protrude out through the anus, making it very dangerous.
Dr. Maz is incredibly professional and he made me feel completely comfortable with my issue down there. The office staff was great as well. They tried to be as accommodating as possible. I felt that I was a priority to the doctor and his staff and that they were sincerely concerned that I received the results I wanted . Im extremely happy with my results and will definitely be seeing Dr. Maz again for future procedures. Best Proctologist in Beverly Hills by far! ~ YELP
Symptoms of Hemorrhoids
Surgical Treatment of Hemorrhoids
- Surgical removal becomes necessary when the hemorrhoids become exceedingly large and do not respond to conservative treatment.
For more information pertaining to hemorrhoids, please visit our Doctors Most Frequently Asked Questions About Hemorrhoids page.
300 South Beverly Dr, Suite 106Beverly Hills, CA 90212
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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.
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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:
Hemorrhoid Treatment At Home
Hemorrhoid symptoms can be quite uncomfortable but there are several treatments you can do at home that may help relieve the pain and discomfort.
Take a warm bath or sitz bath for 10 to 15 minutes after each bowel movement.
Clean around your anal area gently each day with warm water.
Do not use alcohol-based or perfumed cleaning wipes around your anus. These cause drying and irritation.
Moisten toilet tissue before using it to clean after a bowel movement.
Apply cold compresses to your anus.
Use stool softeners.
Take over-the-counter pain relievers, including acetaminophen or nonsteroidal anti-inflammatory drugs , such as ibuprofen or naproxen.
You may help prevent hemorrhoids from forming or from worsening with some lifestyle changes as well. They include:
Dont while moving your bowels.
Limit the amount of time sitting on the toilet.
Increase fiber in your diet. Fiber helps give stool bulk so it can be moved through your intestines, and it also helps water remain in the stool so it doesnt get too dry and difficult to pass.
Increase fluid intake. Drink 6 to 8 glasses of water and other liquids to help keep your stool soft.
Exercise regularly. This will help regulate and stimulate your bowels.
Apply topical ointments. Over-the-counter creams and suppositories can help relieve pain and reduce swelling.
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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.
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.
Bleeding When You Have A Bowel Movement
There are many underlying causes of rectal bleeding, including hemorrhoids. If you have bleeding from internal hemorrhoids, its usually bright red, occurs with bowel movements, causes no pain, and ranges from mild to moderate in quantity.
But never assume rectal bleeding is due to hemorrhoids. If youve never been diagnosed with hemorrhoids or you have noticed a change in the characteristics of the bleeding youve had with hemorrhoids in the past see us for an accurate diagnosis.
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How Are They Treated
For most external hemorrhoids, home treatment is all you need. This includes slowly adding fibre to your meals, drinking more water, and using over-the-counter ointments for a limited time to stop itching. You also may use stool softeners. The same home treatment can be used for most internal hemorrhoids.
If your internal hemorrhoids are severe, you may need other treatment. The doctor may tie off the hemorrhoids with rubber bands or scar the tissue around the hemorrhoids. These treatments reduce the blood supply to the hemorrhoids so that they shrink or go away.
Surgery to remove hemorrhoids may be done if other treatments don’t work.
Healthy habits can help you prevent hemorrhoids or keep them from getting worse. Eat foods that have lots of fibre, such as fruits, vegetables, and whole grains. Also, drink plenty of water, and get plenty of exercise.
Common Causes Of Hemorrhoids
Doctors are unable to pinpoint the exact cause of hemorrhoids, but numerous activities and risk factors can increase their presence in North Carolina patients. Common causes of hemorrhoids include:
- Straining during bowel movements
- Increased pressure due to obesity
- Sitting for long periods of time on the toilet
- Eating a low-fiber diet
As we age, hemorrhoids become more common. By age 50, half of older adults experience one or more common symptoms of hemorrhoids. While this condition is not usually dangerous, hemorrhoids can be a significant and painful intrusion in daily life.
December 22, 2017 by inx Medical
If you suffer from hemorrhoids, the good news is that lower grade hemorrhoids can resolve on their own with at-home treatments. But what if they get to the point where you need to see a doctor to treat them? How do you choose where to go and what doctor is right for you?
Heres what you should know about finding the right doctor for you:
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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.
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.
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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:
- Dont sit too long or push too hard on the toilet.
- Go the toilet when the urge hits dont delay bowel movements.
- Drink plenty of water throughout the day.
- Eat more high-fiber foods 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.
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When To Seek Professional Care
Again, hemorrhoids arent shy of letting you know theres a problem. However they shouldnt be a debilitating experience. And while they may trigger a phone call to your doctor, these signs will be the determining factor of your phone:
- If over-the-counter medications arent working as promised
- If youre experiencing any rectal bleeding
- If you are experiencing any kind of pain and discomfort from the hemorrhoids.
- You will experience discomfort from the swelling alone, but any other pain that is directly related to the hemorrhoid should be controlled with treatment from your doctor.
- If you have maroon or tar-colored stools, this is a sign you need to schedule an appointment with your doctor as this is also a sign of bleeding
You never want to leave hemorrhoids untreated, even if you think you have them under control. Its important to express these concerns to your doctor so you can beat hemorrhoid pain with the best treatment options. Dr. Butlers Hemorrhoid and Fissure Ointment is the best selling on the market because of its healing and soothing benefits for those who experience the discomfort and pain of hemorrhoids. Not only has his hemorrhoid cream worked for hundreds of individuals who experience hemorrhoid pain, hes one of the top-notch expert doctors with a reputation for helping his patients achieve positive results. Get in touch with him today for more information on how you can be hemorrhoid-pain free!
About Robert Cutler, D.O.
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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:
What Should I Eat With Hemorrhoids
Eating whole grains and other foods that are high in fiber can help ease symptoms of hemorrhoids, such as discomfort and swelling. These foods can also help prevent hemorrhoids from forming by making the stool bulky and softening it. This helps you avoid straining, which can lead to hemorrhoids. When you increase your fiber intake, you should do so gradually to lower your risk of having gas.
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Is It Internal Or External Hemorrhoids
If your symptoms include internal itching, anal bleeding anda bulge that comes and goes with bowel movements, an internal hemorrhoid is thelikely culprit.
However, some people are more bothered by externalhemorrhoids, which can cause swelling, itching and bleeding, and be unsightly.Visible bumps and tags are common with external hemorrhoids.
Hemorrhoidal Artery Ligation And Recto Anal Repair
Hemorrhoidal Artery Ligation and Recto Anal Repair 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, but it is not simple.
Mayo Clinic: âHemorrhoids: Diagnosis and treatment.â
Institute for Quality and Efficiency in Health Care: âEnlarged hemorrhoids: What procedures can be done?â
UCSF Center for Colorectal Surgery: âHemorrhoids.â
Albuquerque, A. World Journal of Gastrointestinal Surgery, September 2016.
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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
- Infrared, laser, or bipolar coagulation
The Side Effects Of Calmovil
Manufacturing safe products is our #1 priority. Calmovilâ¢ products contain natural ingredients from plants and herbs that are generally considered safe. Our customers have been using Calmovil products every day, and so far no adverse events have been reported. As with other dietary supplements we recommend that you don’t use Calmovil products while nursing or pregnant because the effects on fetus have not been studied. You should not use Calmovil Vein & Colon formula when suffering from a bleeding disorder or while on blood thinning medication.
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How Serious Are My Hemorrhoids
Treatment will depend on your symptoms, but typically,doctors will recommend conservativeoptions first.
Mild or occasional rectal bleeding may respond to changes in dietary habits, like upping your dietary fiber and drinking more water, Dr. Zutshi says. For periodic anal irritation caused by inflamed hemorrhoids, over-the-counter skin protective creams and warm sitz baths may help.
There are also some simple, in-office treatments for mild, on-and-off bleeding from internal hemorrhoids. Rubber band ligation is a commonly used procedure that involves placing little rubber bands above a hemorrhoid to cut off the blood supply. The hemorrhoid then shrinks and falls off.
This procedure is usually only used on smaller hemorrhoids,Dr. Zutshi explains. But larger internal hemorrhoids can still be easilytreated with minimally invasive surgery.
If the issue is large internal and external hemorrhoids, a more invasive surgery might be necessary. However, if its only skin tags, which are residual hemorrhoid tags, these are usually not treated, Dr. Zutshi says, as trimming them off is very painful, and residual bulges may still persist.
Occasionally, external hemorrhoids become very painful whenthey develop a clot in them, she explains. This is called a thrombosed hemorrhoid.If you see your doctor within a few days of onset, the clots can be removed,Dr. Zutshi says. Otherwise it takes a few weeks for the swelling and pain tosettle down.
When To See A Doctor About Hemorrhoids
Talking about rectal problems like hemorrhoids can feel embarrassing. But this common problem affects an estimated 3 in 4 Americans sometime during their lifetimes half of them by the time they turn 50.
With hemorrhoids being such a widespread problem, its no surprise that local drugstores have plenty of treatments promising to help. But what if over-the-counter treatments dont help? Can medical care solve your problem and relieve your discomfort?
At Paonessa Colon & Rectal Surgery, we say, Yes. And the good news? Getting medical hemorrhoid treatment doesnt always mean you need surgery. In fact, you can rest easy knowing that most of the time, it doesnt.
Board-certified general surgeon and proctologist Nina J. Paonessa, DO, leads our team. Shes a specialist who is well-known for her medical expertise as well as her passion for making her patients feel comfortable when addressing this sometimes embarrassing condition. Dr. Paonessa is also the only female colorectal surgeon in Ocean and Monmouth counties, New Jersey.
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