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.
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 patient’s chart for more information, and conduct a physical exam. This will be used to develop a treatment plan.
When To Seek Medical Care For Hemorrhoids
When to call the doctor
- Bleeding from the rectum or anus is never normal and although hemorrhoids are the most common reason to have blood in the stool, it should be discussed with your primary health-care professional. Other causes ofrectal bleeding exist and can be serious. Inflammatory bowel disease and cancers of the colon can present with rectal bleeding. Blood in the stool should never be ignored.
- Medical care should be sought urgently if a person is taking anticoagulation medications such as warfarin , dabigatran , rivaroxiban , apixaban , clopidogrel , prasugrel or enoxaparin .
- Individuals who have associated symptoms such as lightheadedness and weakness may have significant blood loss and may require more urgent care.
- Hemorrhoids do not cause abdominal pain; should this pain be present with bleeding, medical care should be sought immediately.
- Prolapsed hemorrhoids that cannot be pushed back through the anus require medical care.
- Thrombosed external hemorrhoids may cause significant pain and medical care may be necessary to remove the clot.
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Are Bleeding Hemorrhoids Dangerous
For the most part, hemorrhoids are not dangerous. You may not even know you have them unless you see blood or feel a lump or stiffness around your anus.
However, do not take your hemorrhoids for granted, particularly if you have bleeding hemorrhoids. Not everything that causes blood in your stool is harmless, for example, colorectal cancer. You should see a hemorrhoid doctor or general practitioner as soon as possible.
Hemorrhoids do not cause cancer. However, cancer can cause many of the same symptoms as hemorrhoids, including bleeding.
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.
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
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.
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Procedure For Prolapse And Hemorrhoids
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.
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.
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Choosing A Doctor To Treat Your Hemorrhoids
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:
Carolina Digestive Health Associates
Carolina Digestive Health Associates is a group of gastroenterologists serving the residents of North Carolina. We have fourteen highly rated GI doctors who provide service at eight offices and five endoscopy centers. Our doctors work in all major hospitals in the Charlotte metropolitan area.
Our physicians, together with our highly trained physician assistants and nurse practitioners, cover a wide range of specialties and are skilled in diagnosis and treatment. Whether you have chronic problems with your digestive tract, a recent, acute attack or simply want a checkup, our team is here in North Carolina to help you reach your healthcare goals.
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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.
- Seek topical treatments. Many drugstores in North Carolina sell hemorrhoid creams that can help soothe pain in the anal area while hemorrhoids heal. Placing an ice pack on the affected area can also reduce swelling in the area.
- 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
- 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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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.
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
Non-surgical Treatment 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.
What Doctor Do I Go To For Hemorrhoids
When you suffer from a painful medical condition, you want relief as quickly as possible. If your medical condition is affecting extra private parts of your body, youre also going to want to visit a specific type of doctor that specializes in your condition.
But its not always obvious which doctor is the best choice for you. That goes extra if you suffer from hemorrhoids or require anal fissure treatment. In this important post, we go over the two types of doctors you should consult for hemorrhoids and anal fissure treatment, gastroenterologists and proctologists.
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The Initial Exam By A Hemroids Doctor Proctologist
A proctologist is a specific kind of specialist hemroids doctor, that works with the anorectal canal and subsequent structures. In other words, if it has to do with your hemroids, this is probably the hemroids doctor that will be looking at it first.
The hemroids doctor will want to take a look at the area, which will involve a lot of draping and quite a bit of effort to help you feel as though you and your privacy are safe and respected. The draping helps both you and the hemroids doctor to psychologically separate looking at such a private area from any loss of comfortable mental space to communicate in.
As I found in my first gynecological exam at the age of twenty two, while under normal circumstances I would be highly upset at someone I didnt know really, really well, even seeing such a part of me, hemroids doctors are well trained to make it as painless as possible.
After draping and initial external visual examination have taken place, the hemroids doctor may insert an anoscope to check for internal hemroids. This is a small, metal tube that has a port through which to see one quarter of the anal canals wall at a time. You can have it warmed up to a decent temperature first, if necessary.
After the proctologist one specialist type of hemroids doctor has taken a thorough look at the entire area to find anything that he or she needs to, a recommendation will be made from there as to further treatment.
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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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.