What Type Of Doctor To Go To For Hemorrhoids

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Check With Your Family Physician First

Your family physician is likely not extremely well versed when it comes to hemorrhoids or anal fissure treatment, but they can certainly help you get on the right path. Your family doctor will be familiar with gastroenterologists and proctologists in your area and will likely provide you with a referral, especially if your case is severe.

Visiting your family doctor to ask about hemorrhoids or anal fissure treatment is one thing youve probably built up a trusting report with your doctor over the years. But disclosing information to a new doctor can be a little bit daunting and goes double for medical conditions that many people find embarrassing, like hemorrhoids.

But you shouldnt worry about that. Gastroenterologists and proctologists have spent years studying and treating patients with problems just like yours.

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Do I Need A Colorectal Surgeon Or A Gastroenterologist

What is the difference between a colorectal surgeon and a gastroenterologist? This is a very common question that we receive and often patients are unsure of which field is appropriate for their needs. Although these fields overlap in some areas, the specialties are actually very different in the conditions they treat and their method of training. In order to address this issue, we have added some useful information to decide which type of physician treats your condition.

A Colorectal Surgeon, formerly known as a proctologist, is a general surgeon who has undergone further training in the diagnosis and treatment of diseases of the colon, rectum and anus. Colon and rectal surgeons are experts in the surgical and non-surgical treatment of colon and rectal problems. Colon and rectal surgeons treat benign and malignant conditions, perform routine colon screening examinations and surgically treat problems when necessary.

A colorectal surgeon will evaluate, diagnose and treat the following symptoms and conditions:

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What Are The Treatment Options Available For Hemorrhoids

There are many treatment options available for hemorrhoids, including,

Lifestyle changes can include:

• Avoid hard-to-digest foods .
• Increasing the water intake.

• Use a stool softener if there is difficulty passing stools.

Medications such as corticosteroids and nonsteroidal anti-inflammatory drugs can help reduce swelling, inflammation, and pain associated with hemorrhoids. NSAIDs may also help prevent new bleeding episodes by reducing blood flow to the swollen veins in the anus or lower rectum. Its important to remember that these medications do not cure or prevent hemorrhoid flare-upsthey only treat symptoms until the body heals itself naturally over time without any assistance from medication whatsoever!

Healing creams and lotions work by soothing and cooling the skin and providing relief from itching. Some products also contain natural ingredients that may help shrink swollen tissue to relieve discomfort.

Surgery is the most effective treatment for hemorrhoids that cause pain or discomfort. The procedure involves removing blood vessels from the anal canal and reducing swelling and inflammation. Surgery also helps promote healthy tissue growth and reduce the risk of future hemorrhoid problems.

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Scope Of The Specialty

Colorectal surgical disorders include:

• varicosities or swelling, and inflammation of veins in the rectum and anus
• unnatural cracks or tears in the anus
• abnormal connections or passageways between the rectum or other anorectal area to the skin surface
• treatment of severe colic disorders, such as Crohn’s disease
• cancer of the colon and rectum
• repositioning of the rectal area if fallen out
• any injuries to the anus
• removal of objects inserted into anus

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.

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Where Can I Go For Hemorrhoid Treatment

An essential initial step is to see your doctor for hemorrhoid treatment. You and your doctor can create a hemorrhoid treatment plan that is appropriate for you and your body.

Making an appointment with your doctor is especially critical if you are experiencing any rectal bleeding.

Bright red blood following a bowel movement is a common symptom of hemorrhoids, but it could be a sign of something more serious. Let your doctor determine if you need additional tests because after all, its better to be safe than sorry.

Many treatment options can be done in your own home. Your local drugstore carries all sorts of ointments, creams, wipes, cushions, supplements, and suppositories that are all designed for hemorrhoid relief.

These over the counter medications are effective in treating hemorrhoids, and for your convenience, can be found at nearly every type of store in your area.

If your family doctor feels it necessary, he or she will recommend or send you to a specialist. Hemorrhoids are easily treatable, but in some cases, our genetics can make this anorectal condition reluctant to respond with basic treatments, and can often produce reoccurring, life-hindering flare-ups.

Cases such as these are better to be dealt with the capable hands of a gastroenterologist or proctologist. At the first sign of hemorrhoids, however, you dont have to worry about going to see one of these specialists right away.

• Treating Hemorrhoids: From Home Remedies to Surgery

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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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.

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Choosing The Best Surgeon For Hemorrhoid Treatment

Choosing the right physician for your hemorrhoid treatment is an important decision. Not only do you need someone skilled and well-trained, but you need someone who can make you feel comfortable during exams and procedures. Most importantly, you need a doctor who can diagnose and treat your condition, taking into consideration your unique needs.

Some of the things to keep in mind when choosing a proctologist or surgeon for your hemorrhoid treatment include:

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Symptoms Of Thrombosed External Hemorrhoids

External hemorrhoids can be felt as bulges at the anus, but they usually cause few of the symptoms that are typical of internal hemorrhoids.

External hemorrhoids can cause problems, however, when blood clots inside them. This is referred to as thrombosis. Thrombosis of such a hemorrhoid causes an anal lump that is

• very painful,
• tender, and
• often requires medical attention.

The thrombosed hemorrhoid may heal with scarring, and leave a tag of skin protruding in the anus. Occasionally, the tag is large, which can make anal hygiene difficult or irritate the anus. Even after such a hemorrhoid goes away, a residual skin tag may remain, and this may need to be surgically removed.

Q: Do Minimally Invasive Hemorrhoid Treatments Cause Pain

A: Minimally invasive hemorrhoid treatments are safe, effective, and they also cause little to no pain. During the procedures, you shouldnt feel any discomfort, but minor pain and light rectal bleeding are normal as you recover. In order to keep your pain to an absolute minimum, its important to get treatment from a hemorrhoid doctor and specialist, such as Dr. Kamrava, who has many years of experience with hemorrhoid removal and treatment.

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Surgical Treatment And Diagnostic Procedures

tubulovillous adenomaminimally invasive colorectal surgery

Surgical forms of treatment for these conditions include: colectomy, ileo/colostomy, polypectomy, strictureplasty, hemorrhoidectomy , minimally invasive surgery, anoplasty, and more depending on the condition the patient has. Diagnostic procedures, such as a colonoscopy, are very important in colorectal surgery, as they can tell the physician what type of diagnosis should be given and what procedure should be done to correct the condition. Other diagnostic procedures used by colorectal surgeons include: proctoscopy, defecating proctography, sigmoidoscopy. In recent times, the laparoscopic method of surgery has seen a surge of popularity, due to its lower risks, decreased recovery time, and smaller, more precise incisions achieved by using laparoscopic instruments.

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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.

In Which Specialist Field Are Hemorrhoid Specialists Active

Hemorrhoids, which are commonly known as piles, occur as vascular structures in the area of the anal canal. When present in their usual condition as pillow-like clusters of veins, they function as cushions that facilitate stool control. However, the term “hemorrhoid” specifically describes these same structures in their diseased state when they have become swollen and inflamed a condition to which they are often prone due to their rich blood supply.

Hemorrhoid symptoms will typically be referred to a family physician or a similar general practitioner. However, if complications occur, it may be necessary to refer the case to other specialists. These may include one or more experts from the fields of cardiovascular disease, or diseases of the digestive system, including:

• a hemorrhoid specialist, whose training specifically relates to this type of disease
• a gastroenterologist, who deals with diseases of the digestive system
• a proctologist, who treats disease in the rectum, anus and colon
• a colorectal surgeon, whose specialism is surgery within the rectal area of the digestive system
• a vascular surgeon, whose focus is diseases involving blood vessels
• an oncologist, whose opinion may be sought if there is a need to investigate a possible cancer

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What Do Hemorrhoids Look Like

Hemorrhoids arent always visible. But when they expand, they can look like red or blue bumps or lumps.

Here are descriptions of the appearance of the four main types of hemorrhoids:

• Internal. These cant always be seen because theyre too deep in your anus to be visible. They are protrusions of the wall of your anal canal or rectum. Less-serious internal hemorrhoids are bumps inside, and more serious ones can form a long protrusion.
• Prolapsed. When an internal hemorrhoid swells and elongates to the point where it protrudes out of your anus. Less serious prolapsed hemorrhoids come out of the anus during straining but spontaneously retract when you relax, whereas more serious prolapsed hemorrhoids remain protruding from the anus.
• External. Appear as one or more bumps on and around the anus. You or a doctor can see these from the outside.
• Thrombosed. These are external or internal hemorrhoids in which the blood thats pooled inside has clotted, which can be painful in external hemorrhoids.

You might have just one hemorrhoid or more than one at a time.

Will My Doctor Use A Colonoscopy To Diagnose My Hemorrhoid

If your doctor feels something unusual or wants to look further to ensure accuracy in their diagnosis, they may perform a colonoscopy.

A colonoscopy gives your doctor the ability to examine your entire colon. A colonoscopy is performed at a medical treatment center or hospital under anesthesia.

During the procedure, your doctor will insert a small medical camera into the rectum to look closer at what is going on inside the rectum.

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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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What Questions Should I Ask My Doctor

You may want to ask your healthcare provider:

• Why did I get hemorrhoids?
• What is the best treatment for me?
• What lifestyle changes can I make to keep from getting hemorrhoids again?
• When will symptoms improve?
• Should I look out for signs of complications?

A note from Cleveland Clinic

An estimated 15 million Americans have sought treatments for hemorrhoids at some point in their lives. But many more suffer needlessly. Dont be too embarrassed to talk to your healthcare provider about your symptoms. If hemorrhoids cause pain or discomfort, your provider has treatments that can help. You can also take steps to keep hemorrhoids from coming back.

Last reviewed by a Cleveland Clinic medical professional on 01/18/2021.

References

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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