What Else Do You Need To Make Your Decision
Check the facts
- Youre right! Try eating more fiber, drinking more fluids, using a stool softener, and using ointments to help your symptoms.
- Sorry, thats 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.
- Thats right. Surgery may help hemorrhoids that bulge from the anus or cause symptoms that dont get better with home treatment.
- Sorry, thats not right. Surgery may help hemorrhoids that bulge from the anus or cause symptoms that dont 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 dont get better with home treatment.
|What are the risks and side effects?||
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How Can I Treat My Hemorrhoids
You can most often treat your hemorrhoids at home by
- taking a stool softener or a fiber supplement such as psyllium or methylcellulose
- drinking water or other nonalcoholic liquids each day as recommended by your health care professional
- not straining during bowel movements
- not sitting on the toilet for long periods of time
- taking over-the-counter pain relievers such as acetaminophen, ibuprofen, naproxen, or aspirin
- sitting in a tub of warm water, called a sitz bath, several times a day to help relieve pain
Applying over-the-counter hemorrhoid creams or ointments or using suppositoriesa medicine you insert into your rectummay relieve mild pain, swelling, and itching of external hemorrhoids. Most often, doctors recommend using over-the-counter products for 1 week. You should follow up with your doctor if the products
- do not relieve your symptoms after 1 week
- cause side effects such dry skin around your anus or a rash
Most prolapsed internal hemorrhoids go away without at-home treatment. However, severely prolapsed or bleeding internal hemorrhoids may need medical treatment.
When Exactly Is The Right Time To Do This
It is perfectly okay to head to your hemorrhoid doctor if you experience hemorrhoids irrespective of the extent of the pain and location of the hemorrhoid.
However, due to how common hemorrhoids are, many people will often elect to try some self-medications that are usually effective in controlling and treating the condition.
External hemorrhoids can very painful especially if they become thrombosed .
If your hemorrhoids do not shrink or relief you after a few applications with everyday solutions like Tuck pads or Witch hazel pads, it just might be time to go to see your doctor.
If you experience any type of rectal bleeding, and pass stool that look maroon in color, it is a sign of continued bleeding and a Doctor should be visited in this case also.
If you initially developed an internal hemorrhoid and the lump inside the anus enlarges or becomes more painful it is best to see a doctor.
You should also consult on your hemorrhoids when a tissue from inside the anal canal bulges out. This is called a prolapsed hemorrhoid.
If it does not return or you cannot push it back in manually, you should immediately see a doctor.
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Increasing Your Fibre Intake
You can gradually increase the amount of fibre in your diet by eating foods including:
- fresh fruit and vegetables
- nuts and seeds
Commercial fibre supplements are also available and can be useful if you think you are not getting enough of the above foods in your diet.
Make sure you increase your fibre gradually so your digestive system has time to adapt.
Its also important to increase your fluid intake at the same time. This is because fibre in the stools acts like a sponge, absorbing moisture from the body. Try to drink lots of water. Cutting down on sugary drinks will also help you to cut down on calories that cause weight gain.
What Training Does A Proctologist Have
To become a proctologist, you must first become a general surgeon. This includes 5 years of surgical residency after medical school. During their training, the general surgeons learn to perform different types of surgeries, such as hernia surgery, hemorrhoidal surgery, gallbladder surgery, breast surgery, and even vascular surgery. Thereafter, they do an extra year of specialized surgical training in surgeries on the colon, rectum, and anus to practice as a proctologist.
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Do You Really Have Hemorrhoids
Many people who experience pain, irritation or anything outof the ordinary in the anal region probably assume its a hemorrhoid. But dontgo reaching for the medicated cream or pads just yet. Manyother conditions could be the culprit, including anal fissure, analwarts, an infection, anal cancer in serious cases, or even just a cut.
Work with a doctor to rule out those things and determinewhat treatment you need.
What Treatment Methods Are Used By Hemorrhoid Specialists
A visual examination by a primary care doctor is often enough to diagnose a simple case of hemorrhoids, which can then be treated by using:
- corticosteroid cream, which can help to reduce swelling and pain
- hemorrhoid cream containing lidocaine, which helps to reduce pain
- stool softeners designed to minimise straining and constipation
Other useful home treatments include:
- applying witch hazel with a cotton swab
- wearing cotton underwear
- avoiding perfumed and coloured toilet tissue
- avoiding scratching the area
- using a warm-water Sitz bath to relieve the symptoms
In more complex cases, these treatments may not be enough to cure the problem. Where surgery is a recommended option, it will usually involve one of these procedures:
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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.
Which Type Of Doctor Should I Go To For My Hemorrhoids And Urinary Problems
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How Do I Know If What I Have Is A Hemorrhoid Or Something Else
The way to be absolutely sure is to visit a gastroenterologist who can properly examine your condition. After all, its all too easy to confuse the symptoms of a hemorrhoid with that of an anal fissure or something more serious.
Overall, its worth remembering that the pain of a hemorrhoid is pretty much constant whereas the pain of an anal fissure is at its highest just after passing a stool . A hemorrhoid often involves a lot more swelling around the area. But to absolutely be certain, Id recommend getting it examined by a medical professional.
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
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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, theyll 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. Youll also recover faster and have less bleeding and itching. And there are generally fewer complications.
What Kind Of Doctor Do I Need To See For My Hemorrhoids
A number of medical practitioners and doctors are all experienced and qualified to manage your hemorrhoids.
You may speak to the following types of medical professionals or doctors for hemorrhoids:
- General Practicioner
- General Surgeon
For Pregnant mothers who are prone to experiencing hemorrhoids in their third trimester, a Gynecologist may be the best person to visit considering these hemorrhoids are most likely present due to the increased pressure of pregnancy on the rectal and anal muscles.
Hemorrhoids during pregnancy can be very difficult to deal with. If you are pregnant with hemorrhoids, worry not, our hemorrhoids during pregnancy guide will help you manage your hemorrhoids in the best possible way.
Depending on the treatment, surgery may or may not be required.
A Colorectal surgeon or Proctologist may be required in severe cases that require operating on your hemorrhoids.
Most of these procedures can be performed in the doctors office to help shrink or remove the hemorrhoids.
Laser hemorrhoid surgery is also an option for your hemorrhoids, and you will want to make sure you choose an experienced hemorrhoid doctor when opting for laser hemorrhoid surgery.
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When Should I See My Doctor
Haemorrhoids often go away without any treatment. However, if you notice blood when you have a bowel motion, it is important to get checked out by a doctor, to make sure your symptoms are not a sign of something more serious. The symptoms of haemorrhoids can be very similar to those of bowel cancer.
Tell your doctor if you have noticed:
- blood or mucus in your stools
- changes in your bowel habits or movements
- changes in the colour of your stools
- recent weight loss
How Long Is Too Long For A Hemorrhoid
There is no set duration for hemorrhoids. Small hemorrhoids may clear up without any treatment within a few days. Large, external hemorrhoids may take longer to heal and can cause significant pain and discomfort. If hemorrhoids have not resolved within a few days, it is best to see a doctor for treatment.
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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.
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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How Are Bleeding Hemorrhoids Treated
A bleeding hemorrhoid is usually a sign of irritation or damage to the wall of the hemorrhoid. This should resolve on its own over time, but there are several things you can do at home to speed up the process and soothe any discomfort.
However, if there is no clear source of bleeding or if the bleeding doesnt go away within a week, see your doctor. Experts note that hemorrhoids are often self-diagnosed, which can be dangerous. Many medical conditions, including cancer and inflammatory bowel disease , can have similar symptoms. Its important to receive a proper diagnosis from your doctor.
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What Should I Do If A Hemorrhoid Bursts
A burst hemorrhoid usually doesnt require any treatment. But you may want to take a sitz bath to soothe the area and keep it clean while it heals. A sitz bath can also help to increase blood flow to the area, which aids the healing process.
To take a sitz, bath, follow these steps:
- Fill a clean bathtub with 3 to 4 inches of warm water make sure its not too hot.
- Soak the area for 15 to 20 minutes.
- Try bending your knees or putting your legs over the edge of the tub to make sure the areas submerged.
- Gently pat dry the area with a clean towel, making sure you dont rub or scrub.
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Change Your Lifestyle To Decrease Strain On Your Bowels
When you feel the urge to defecate, dont hesitate! The longer stool remains within the body, the more your body draws water from it. However, when youre defecating, dont bear down or strain to push the stool out of your body. If youre straining to move your bowels, its time to get more fluids and fiber in your diet.d
You can also help move your bowels by getting regular exercise. A twenty-minute daily constitutional can provide all kinds of health benefits, including helping your bowels move.
If you can avoid sitting for prolonged periods, it will help keep weight and strain off your bottom!
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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:
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Are Hemorrhoids Harmful
Hemorrhoids are more uncomfortable than harmful, but if a hemorrhoid bleeds for more than 10 minutes, Id recommend getting it checked out. Very rarely, bleeding profusely from a hemorrhoid can cause anemia. And external thrombosed hemorrhoids are usually so painful that youll want to get them sorted out ASAP!
Hemorrhoids in themselves are not harmful in the traditional sense but they can be harmful to your sense of self-esteem, and your general well-being: you may begin to dread going to the toilet, but the longer you leave it, the more dried out your stools become in your rectum, making their eventual passing even more painful.
As a GI doctor, I want to reassure you that hemorrhoids are perfectly normal but at the same time I understand it may be embarrassing to use more toilet paper than youre used to, have to pick up a tube of hemorrhoid cream at the pharmacy, or feel that nagging itch in public. But theres no need to put up with the uncomfortable symptoms when you can get relief.