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.
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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:
How To Tell If You Have Internal Hemorrhoids
This article was co-authored by Chris M. Matsko, MD. Dr. Chris M. Matsko is a retired physician based in Pittsburgh, Pennsylvania. With over 25 years of medical research experience, Dr. Matsko was awarded the Pittsburgh Cornell University Leadership Award for Excellence. He holds a BS in Nutritional Science from Cornell University and an MD from the Temple University School of Medicine in 2007. Dr. Matsko earned a Research Writing Certification from the American Medical Writers Association in 2016 and a Medical Writing & Editing Certification from the University of Chicago in 2017.There are 10 references cited in this article, which can be found at the bottom of the page. This article has been viewed 97,045 times.
Hemorrhoids are enlarged veins that can be found either externally or internally around the anus. They are caused by increased pressure on the pelvic and rectal veins and are related to constipation, diarrhea, and straining to pass a stool. Internal hemorrhoids can be difficult to self diagnose, but there are some signs and symptoms that you can be aware of.
Symptoms Of Prolapsed Internal Hemorrhoids
Hemorrhoids prolapse when their blood vessels swell and extend from their location in the rectum through the anus. In the anal canal, the hemorrhoid is exposed to the trauma of passing stool, particularly hard stools associated with constipation. The trauma can cause bleeding and sometimes pain when stool passes.
The presence of
- inflammation, and
- constant moisture
can lead to anal itchiness , and occasionally the constant feeling of needing to have a bowel movement. The prolapsing hemorrhoid usually returns into the anal canal or rectum on its own or can be pushed back inside with a finger, but falls out again with the next bowel movement.
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Who Removes Hemorrhoids Treatment
Treating enlarged hemorrhoids is important, because they tend to get worse over time. Hemorrhoids are treated with a variety of measures including diet, over-the-counter medicine like
- anti-inflammatory pain killers,
and various treatment options are available, like
Who Removes Hemorrhoids?
Most hemorrhoid complaints begin with a trip to a family doctor. Your doctor will then refer you to a specialist: either a gastroenterologist or a proctologist . Proctologists specialize in surgical treatments, while gastroenterologists are experts in digestive diseases.
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What Type Of Doctor Should I Go To For My Hemorrhoids And Urinary Problems
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How Are Hemorrhoids Treated
Your healthcare provider will create a care plan for you based on:
- Your age, overall health, and past health
- How serious your case is
- Whether you have internal hemorrhoids, external hemorrhoids, or both
- How well you handle certain medicines, treatments, or therapies
- If your condition is expected to get worse
- What you would like to do
The main goal of treatment is to reduce your symptoms. This may be done by:
- Sitting in plain, warm water in a bathtub several times a day
- Using ice packs to reduce swelling
- Using hemorrhoid creams or medicines inserted into your rectum
Your healthcare provider may also suggest that you add more fiber and fluids to your diet to help soften your stools. Having softer stools means you don’t have to strain during bowel movements. This reduces the pressure on your hemorrhoids.
Adding more fiber to your diet means eating more:
Tips to help you get the most from a visit to your healthcare provider:
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When To Seek Care For Hemorrhoids
Most cases of hemorrhoids do not require immediate care, but you should visit your provider for any discomfort or worsening symptoms. Your provider will work with you to identify proper treatment and make sure your symptoms are not due to a larger health issue .
Seek care right away if you:
- experience severe pain around your anus, or during bowel movements.
- have rectal bleeding, which may indicate more severe underlying conditions that require treatment.
- have symptoms that worsen or persist after one week.
- notice any unusual changes in the tissue in or around your anus.
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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When Do I Need To See A Health Care Provider For Hemorrhoids
You should see your health care provider if you:
- Still have symptoms after 1 week of at-home treatment
- Have bleeding from your rectum. Hemorrhoids are a common cause of bleeding, but other conditions can also cause bleeding. They include Crohn’s disease, ulcerative colitis, colorectal cancer, and anal cancer. So it’s important to see your provider to find the cause of the bleeding.
Comparison Of Baseline Data
All healthy participants and all patients had no particular complications related to sonography. There were no statistical differences between the three groups with regard to age and gender, or between the two patient groups with regard to persistent symptoms . All healthy participants had no special findings on sonography .2). The general characteristics of the three groups showed no significant differences .
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When Should I See A Gi Doctor For Hemorrhoids
If you suspect you have hemorrhoids because youve found blood when you wipe, or your rectum feels sore, go see a gastroenterologist for peace of mind. A diagnosis of hemorrhoids may feel embarrassing, but its far preferable to the more serious conditions linked to a bleeding anus, such as anal cancer. And GI doctors are experienced in such matters so theres no need to feel any shame in the examination room.
A diagnosis also means you can pursue the right treatment. Hemorrhoids and anal fissures are often mistaken for each other, but they need to be handled differently.
You need to seek immediate medical attention if you experience anal pain that increases in intensity or spreads, or you have anal discharge or signs of an infection: raised temperature, fever, or chills.
Schedule An Appointment Today
Hemorrhoids are incredibly common and can be successfully managed with the right treatments. If youre concerned you have hemorrhoids or if theyre not improving, schedule an appointment with Dr. Heiman in Tampa, FL, today.
Disclaimer: This blog is not intended to substitute professional medical advice. Always talk with your doctor before starting or stopping medications or treatments.
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Causes And Risk Factors Of Rectal Bleeding
Diverticulosis is the most common cause of rectal bleeding. It is the presence of tiny bulges, called diverticula, in the colon wall. Diverticula are common and typically do not cause problems, but can sometimes protrude through the walls of the bowels, leading to bleeding or infections.
Often called piles, hemorrhoids are swollen veins that appear at the bottom of the large intestine and outside the anus. They are caused by excessive straining, such as while making a bowel movement, sitting on the toilet too long, or, in women, pregnancy and giving birth. People who have persistent hemorrhoids are often constipated, overweight or obese, or eating a very low-fiber diet.
Hemorrhoids can be itchy, painful, and annoying, but they are rarely serious and often go away on their own. In certain cases, treatment may be needed.
Anal fissures, another cause of rectal bleeding, are tiny tears in the anus and anal canal commonly caused by straining with hard stools.
Colitis is the inflammation of the lining of the tissues of the colon. This inflammation can lead to rectal bleeding. Ischemic colitis occurs when blood flow to the colon is reduced, typically as a result of narrowed or blocked arteries. With infectious colitis, the swelling of the colon is caused by bacteria, viruses, or parasites.
Colon cancer is the most serious cause of rectal bleeding. Anal cancer, which is less common than colorectal cancer, can also cause rectal bleeding.
Prevention Tips & How To Find Relief
There are many different treatment options for patients looking for at-home solutions. Smaller hemorrhoids can be successfully treated at home through a combination of dietary changes and OTC medicines.
- Get more fiber in your diet. Eating more fruits, vegetables, and whole grains can help ease digestion. If you have trouble changing your diet, talk to your doctor and ask if a fiber supplement may work for you. Drinking more water can also help.
- Use over-the-counter pain relievers and hemorrhoid creams. Oral pain relievers containing acetaminophen and ibuprofen can help reduce discomfort. Topical creams can also relieve pain and itching.
- Soak in a sitz bath. A sitz bath involves sitting in a warm, shallow bath for 10 to 15 minutes to promote blood flow and keep the perianal area clean. Some manufacturers make sitz bath apparatuses that can be attached directly to a toilet seat, but you can also use a regular bathtub.
- Sit on a donut cushion. Donut-shaped cushions can help reduce the pressure on your tailbone when sitting. Cushions like these can help alleviate anal pain and discomfort, especially for patients who spend most of their day sitting at work.
- Limit your time on the toilet. Sitting on the toilet for too long can increase pressure in the veins in your anus and rectum, which can lead to hemorrhoids. Dont stay on the toilet for longer than you need toit may help to keep your phone out of the bathroom and remove any magazines or books that you keep nearby.
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Signs Its Time To Seek Care For Hemorrhoids
If you are experiencing a medical emergency, please call 911 or seek care at an emergency room.
Hemorrhoids seem to have a stigma to them, but the truth is, we all have them. Its not uncommon for them to become inflamed and cause pain, itching, or bleeding. Many times, hemorrhoids go away on their own, but sometimes a trip to the doctor is necessary for faster relief, peace of mind, and tips to prevent them from coming back.
What Can I Do To Help Prevent Hemorrhoids
Hemorrhoids are prevalent, with up to seventy-five percent of people suffering from a case in their lifetimes. You cant prevent every case of hemorrhoids! But you can take steps to reduce the chances of having hemorrhoids in the first place, and to reduce the severity if you do get them.
There are two main strategies for hemorrhoid prevention: changing your diet and changing your lifestyle.
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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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What Kind Of Doctor Should I See About My Hemorrhoids
If you’re having some of the characteristic symptoms of hemorrhoids – swelling, bleeding, or pain – you may want to visit your regular doctor first. Often, hemorrhoids are mild and can be treated with certain lifestyle changes. If your doctor sees indications of a more complicated case of hemorrhoids or a more serious condition, they may refer you to a specialist like a gastroenterologist or a colon and rectal surgeon.
What Type Of Doctor Should I See
Start with your usual general surgeon or family doctor. Because hemorrhoids are so common, most doctors will have a lot of experience discussing your symptoms and possible treatment.
If your situation calls for referral to a hemorrhoid specialist, your regular doctor will refer you to a hemorrhoid doctor, that is, a proctologist or gastroenterologist.
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What Is Rectal Prolapse Symptoms Causes Diagnosis Treatment And Prevention
Rectal prolapse occurs when part or all of the rectum slides out of place and sticks out of the anus, turning the rectum inside out.
The rectum is the final section of the large intestine before the anus .
Rectal prolapse is an uncomfortable condition that usually requires surgery to fix.