There Are 2 Types Of Hemorrhoids
Not all hemorrhoids are the same. You can have internal hemorrhoids which are largely painless due to their location unless straining on the toilet causes them to move through your anus to the outside. External hemorrhoids are found around the anal opening and theyre usually swollen, painful, and cause you to have difficulty pooping.
Sometimes external hemorrhoids can have their blood supply blocked by clotting, and they become incredibly painful external thrombosed hemorrhoids which have an added risk of bursting and bleeding. Internal hemorrhoids are largely symptom free, though they may cause a little bleeding. However, external hemorrhoids can involve chronic pain, a struggle to pass stools, and lumps and swellings around the anus.
When Should You Go To The Doctor For Hemorrhoids
Again, before assuming that your condition is hemorrhoids, it’s a good idea to see your doctor for an examination. After all, it’s difficult to take a look for yourself. If there is any bleeding, severe pain or fecal incontinence , you should definitely see the doctor. A large amount of bleeding or the sudden onset of severe pain means you should seek medical treatment immediately.
How Are Haemorrhoids Diagnosed
Diagnosis of haemorrhoids usually involves an examination of the anal passage to look for any swollen blood vessels. Your doctor may conduct one of the following tests.
- Digital rectal examination, where your doctor puts on gloves and places a lubricated finger inside the back passage to gently feel for any abnormalities. This is likely to be uncomfortable but will probably not be painful.
- Proctoscopy, where your doctor examines the inside of the rectum using a proctoscope to look for any swelling or other symptoms. Again, this may be uncomfortable but will probably not be painful.
There is no need to feel embarrassed about these tests haemorrhoids are a common problem and your doctor is used to diagnosing and treating them.
In some cases, your doctor may refer you to a surgeon who can assess your haemorrhoids and recommend a treatment.
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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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Diarrhea Prevention Strategies You Need To Know
To ease the discomfort caused by hemorrhoids, you can do several things on your own at home:
- Take a sitz bath. This is a warm shallow bath that specifically targets the area most drugstores sell a plastic kit that fits over your toilet.
- Use an ice pack.
- Avoid straining during bowel movements.
- Clean your anus properly and keep it clean after each bowel movement.
- Sit on cushioned surfaces rather than hard ones, to reduce swelling and prevent new hemorrhoids from forming.
- As needed, take over-the-counter pain relievers, such as ibuprofen , acetaminophen , or aspirin.
- Try over-the-counter creams, ointments, or pads containing hydrocortisone or witch hazel. These can relieve swelling, pain, and itching.
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Noticing An Anal Bulge That Retracts After Passing Stools
When you have internal hemorrhoids, they can prolapse your anal opening during a bowel movement. At first, the tissue may retract on its own, or you can easily push it back inside. But a prolapse can worsen over time and can eventually cause significant irritation, bleeding, itching, and pain as this internal tissue becomes trapped outside of your anus.
Get early treatment to prevent a prolapse from growing worse.
# 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.
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What Are Hemorrhoids Symptoms Causes Diagnosis Treatment And Prevention
Hemorrhoids are enlarged and swollen veins around the outside of the anus or in the lower rectum. The rectum is the last part of the bowel and leads to the anus, the opening at the end of the bowel where fecal matter leaves the body.
Everyone has hemorrhoidal tissue in this area thats made up of blood vessels, connective tissue, and some muscle. These cushions dont always become enlarged or distended, but as we age, this phenomenon becomes more common causing what we call hemorrhoids, also known as piles.
Hemorrhoids can be caused in a number of ways, most commonly by straining to make a bowel movement. Lifting heavy objects, along with other activities that may cause straining, can also lead to hemorrhoids. Experiencing increased pressure during pregnancy and being overweight are other contributing factors.
Hemorrhoids may be painful and particularly bothersome if they are recurrent, but they’re not dangerous or life-threatening, and symptoms usually go away within a few days. There are plenty of effective ways to treat them, as well as options for the less common types of hemorrhoids that may be more problematic.
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.
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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.
Rubber Band Ligation Procedure
For large or prolapsed internal hemorrhoids, your doctor may recommend an in-office rubber band ligation. No pain medication or anesthesia is required for this procedure.
Before we begin, we will briefly evaluate the tissue and then place a small band around the base of the hemorrhoid. Over time, the excess tissue will fall off and leave the body through a regular bowel movement. Most of our patients experience minimal side effects and can return to their regular activities within the same day.
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Prevention Of Rectal Bleeding
The best way to prevent rectal bleeding is to prevent its chief causes.
People at high risk for colorectal cancer should undergo regular screenings, primarily colonoscopy. Colorectal cancer screenings can detect precancerous polyps in the colon or rectum so that they can be removed before they turn into cancer. Screenings can also identify colorectal cancer early, when treatment is more likely to be successful.
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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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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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.
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Find A Hemorrhoid Specialist
- sitting on the toilet for extended periods of time,
- blood thinners or other medications, which may increase the risk of hemorrhoidal bleeding,
- frequently moving or lifting heavy objects without proper support, and
- pregnancy or labor.
Increased pressure in the abdominal cavity, constipation in pregnancy, and breastfeeding may lead to excess strain on the tissue around the anus and rectum.
When Should I Go To The Doctor For A Hemorrhoid
If you suffer hemorrhoids with strong pain, swelling, a blood clot , itching, inflammation and accompanied by bleeding, and you dont know how to relieve hemorrhoid pain, it is recommended to see your doctor in order to get better treatment.
It is recommended to know how long do external hemorrhoids last by specific external piles treatment. You can learn about pushing hemorrhoids back in for your prolapsed piles.
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Classification Of Internal Hemorrhoids:
- Grade 1 A hemorrhoid is present but only visualized by a doctor with ansocopy or colonoscopy. The hemorrhoid does not extend out the anus.
- Grade 2 The hemorrhoid extends out of the anus with a bowel movement or with straining. After your BM, the hemorrhoid goes back inside on its own.
- Grade 3 The hemorrhoid extends out of the anus with a bowel movement or with straining. You have to manually push the hemorrhoid back inside the anus. If you have this, you should seek medical attention, but it is not urgent.
- Grade 4 A hemorrhoid extends outside the anus and are not able to be manually pushed back inside. If you have this seek medical attention immediately. There are significant potential complications.
What Causes Hemorrhoids
Hemorrhoids are caused by increased pressure in the veins of your anus or rectum. One of the main causes is straining when youre trying to have a bowel movement. This may happen if youre constipated or if you have diarrhea. It may also happen if you sit on the toilet too long. Hemorrhoids are also caused by obesity, heavy lifting, or any other activity that causes you to strain.
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How Are They Diagnosed
Your doctor may perform one or more tests to examine the anal or rectal area for hemorrhoids:
- Looking at the anus or rectum. A doctor will likely be able to diagnose an external or prolapsed internal hemorrhoid through a visual examination.
- Doing a digital rectal exam. The doctor will insert a finger covered with a lubricated glove into the anus or rectum to feel for signs of hemorrhoids with the fingers.
- Using an imaging scope. This will help them look at the inside of your rectum to examine for internal hemorrhoids. Theyll usually insert a thin tube with the light on the end into your rectum. Tools used for this diagnosis may include an anoscope or sigmoidoscope.
Hemorrhoids have the same or similar symptoms to some other conditions. For that reason, see a healthcare professional if your symptoms continue for longer than a week.
Some conditions also cause rectal bleeding like hemorrhoids sometimes do. These include:
But blood from your digestive tract often appears black in your stool unless the bleeding occurs near your rectum and anus. If youre seeing bright red blood on the toilet paper after you wipe, its most likely due to a hemorrhoid or anal fissure.
Anal fissures and anorectal abscesses are the most likely cause of sharp pain while you have a bowel movement, but you might mistake them for a hemorrhoid.
Here are some home remedies to try if your symptoms arent too severe:
Change In Bowel Habits
With a prolapsed internal hemorrhoid you may develop the sensation that you cant fully evacuate your bowels. You may also notice a mucous discharge or difficulty cleaning yourself following a bowel movement because of displaced toilet tissue.
These symptoms can be uncomfortable but easily treated with medical intervention.
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How Hemorrhoids Are Diagnosed By Your Doctor
See your doctor if you think you might have hemorrhoids, especially if you notice bleeding from your anus or rectum, or have bloody stools. Your doctor will want to rule out more serious problems that can cause bleeding from the anus or rectum, such as cancer.
Hemorrhoid symptoms may also be similar to those of other anal and rectal problems, including anal fissures, abscesses, warts, and polyps.
Your doctor will ask about your medical history and will ask you to describe your symptoms. Questions about your eating habits, toilet habits, and enema and laxative use are likely to come up.
Your doctor will also perform a physical exam to look for lumps or swelling, prolapsed internal hemorrhoids, external hemorrhoids, skin irritation, skin tags, and anal fissures, which are small tears in the anus that can result in itching and bleeding. This will involve a visual examination of the area.
Your doctor may also perform a rectal exam to diagnose internal hemorrhoids, check the muscle tone of your anus, and check for blood in the stool. This is done with a gloved, lubricated finger and a tool called an anoscope.
An anoscope is a type of endoscope a hollow, lighted tube that is inserted a few inches into the anus to help the doctor see any problems inside the lining of the rectum. This procedure is performed in the doctors office and doesnt require anesthesia.
Your doctor may also recommend additional tests to rule out other causes of bleeding, especially if you are over age 40.
How Does A Colorectal Surgeon Treat Hemorrhoids
With the assistance of nurses and other highly-trained medical professionals, colorectal surgeons are able to treat hemorrhoids through a myriad of techniques and specialties. If these traditional hemorrhoid treatments are unsuccessful, your colorectal surgeon may perform hemorrhoidectomy or hemorrhoid laser treatment to further treat this medical issue.
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When To Go To An Urgent Care Clinic
When you have a problem, do not wait too long to get medical care. If your problem is not life threatening or risking disability, but you are concerned and you cannot see your provider soon enough, go to an urgent care clinic.
The kinds of problems an urgent care clinic can deal with include:
- Common illnesses, such as colds, the flu, earaches, sore throats, migraines, low-grade fevers, and limited rashes
- Minor injuries, such as sprains, back pain, minor cuts and burns, minor broken bones, or minor eye injuries
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