Hemorrhoids

Introduction

Hemorrhoids are common but not everyone gets them.  If you are tired of suffering from hemorrhoids, keep browsing our website to learn more and decide what treatment options are best for you.  Because hemorrhoid ointments and creams don’t work for everyone, we offer painless, simple and effective hemorrhoid removal at “The Hemorrhoid Treatment Center at GI Consultants of Manhattan”.

The most common treatment choice is Hemorrhoid Banding.  You can learn more about that here- HEMORRHOID BANDING

If you suffer from hemorrhoids and are interested in learning more about  painless hemorrhoid removal, give us a call or keep reading to learn more.

What are hemorrhoids?Hemorrhoid Banding

Hemorrhoids are swollen and inflamed veins around the anus or in the lower rectum. The rectum is the last part of the large intestine leading to the anus. The anus is the opening at the end of the digestive tract where bowel contents leave the body.

External hemorrhoids are located under the skin around the anus. Internal hemorrhoids develop in the lower rectum. Internal hemorrhoids may protrude, or prolapse, through the anus. Most prolapsed hemorrhoids shrink back inside the rectum on their own. Severely prolapsed hemorrhoids may protrude permanently and require treatment.

What are the symptoms of hemorrhoids?

The most common symptom of internal hemorrhoids is bright red blood on stool, on toilet paper, or in the toilet bowl after a bowel movement. Internal hemorrhoids that are not prolapsed are usually not painful. Prolapsed hemorrhoids often cause pain, discomfort, and anal itching.

Blood clots may form in external hemorrhoids. A blood clot in a vein is called a thrombosis. Thrombosed external hemorrhoids cause bleeding, painful swelling, or a hard lump around the anus. When the blood clot dissolves, extra skin is left behind. This skin can become irritated or itch.

Excessive straining, rubbing, or cleaning around the anus may make symptoms, such as itching and irritation, worse.

Hemorrhoids are not dangerous or life threatening. Symptoms usually go away within a few days, and some people with hemorrhoids never have symptoms.

How common are hemorrhoids?

About 75 percent of people will have hemorrhoids at some point in their lives. Hemorrhoids are most common among adults ages 45 to 65.  Hemorrhoids are also common in pregnant women.

What causes hemorrhoids?

Swelling in the anal or rectal veins causes hemorrhoids. Several factors may cause this swelling, including:

  • chronic constipation or diarrhea
  •  straining during bowel movements
  •  sitting on the toilet for long periods of time
  •  a lack of fiber in the diet

Another cause of hemorrhoids is the weakening of the connective tissue in the rectum and anus that occurs with age.

Pregnancy can cause hemorrhoids by increasing pressure in the abdomen, which may enlarge the veins in the lower rectum and anus. For most women, hemorrhoids caused by pregnancy disappear after childbirth.

How are hemorrhoids diagnosed?

The doctor will examine the anus and rectum to determine whether a person has hemorrhoids. Hemorrhoid symptoms are similar to the symptoms of other anorectal problems, such as fissures, abscesses, warts, and polyps.

The doctor will perform a physical exam to look for visible hemorrhoids. A digital rectal exam with a gloved, lubricated finger and an anoscope—a hollow, lighted tube—may be performed to view the rectum.

A thorough evaluation and proper diagnosis by a doctor is important any time a person notices bleeding from the rectum or blood in the stool. Bleeding may be a symptom of other digestive diseases, including colorectal cancer.

Additional exams may be done to rule out other causes of bleeding, especially in people age 40 or older:

  • Colonoscopy. A flexible, lighted tube called a colonoscope is inserted through the anus, the rectum, and the upper part of the large intestine, called the colon. The colonoscope transmits images of the inside of the rectum and the entire colon.
  •  Sigmoidoscopy. This procedure is similar to colonoscopy, but it uses a shorter tube called a sigmoidoscope and transmits images of the rectum and the sigmoid colon, the lower portion of the colon that empties into the rectum.
  •  Barium enema x ray. A contrast material called barium is inserted into the colon to make the colon more visible in x-ray pictures.

How are hemorrhoids treated?

At-home Treatments

Simple diet and lifestyle changes often reduce the swelling of hemorrhoids and relieve hemorrhoid symptoms temporarily but in most cases the hemorrhoids will return. Eating a high-fiber diet can make stools softer and easier to pass, reducing the pressure on hemorrhoids caused by straining.

Fiber is a substance found in plants. The human body cannot digest fiber, but fiber helps improve digestion and prevent constipation. Good sources of dietary fiber are fruits, vegetables, and whole grains. On average, Americans eat about 15 grams of fiber each day. The American Dietetic Association recommends 25 grams of fiber per day for women and 38 grams of fiber per day for men.

Doctors may also suggest taking a bulk stool softener or a fiber supplement such as psyllium (Metamucil) or methylcellulose (Citrucel).

Other changes that may help relieve hemorrhoid symptoms include:

  • drinking six to eight 8-ounce glasses of water or other nonalcoholic fluids each day
  • sitting in a tub of warm water for 10 minutes several times a day
  • exercising to prevent constipation
  • not straining during bowel movements

Over-the-counter creams and suppositories may temporarily relieve the pain and itching of hemorrhoids. These treatments should only be used for a short time because long-term use can damage the skin.

Medical Treatment

If at-home treatments do not relieve symptoms, medical treatments may be needed. Outpatient treatments are usually performed in a doctor’s office or in an outpatient hospital setting. Outpatient treatments for internal hemorrhoids include the following:

  • Rubber band ligation. Your health care provider places a special rubber band around the base of the hemorrhoid. This is commonly performed in the doctor’s office and does not require any sort of bowel prep or sedation.  The procedure takes less than a minute and is virtually painless.  In most cases, a series of three bands spaced two weeks apart is necessary.  In addition, it is usually covered by your insurance.  The band cuts off circulation, causing the hemorrhoid to shrink and go away.  Learn more about HEMORRHOID BANDING  clicking here.
  • Infrared coagulation. Your health care provider uses heat to shrink the hemorrhoid tissue. This is commonly performed in the doctor’s office and does not require any sort of bowel prep or sedation.  In addition, it is usually covered by your insurance.  To learn more about this treatment, click here- Infrared Coagulation (IRC)/Laser Hemorrhoid Treatment.
  •  Sclerotherapy. The doctor injects a chemical solution into the blood vessel to shrink the hemorrhoid.

 

Large external hemorrhoids or internal hemorrhoids that do not respond to other treatments can be surgically removed.

Almost everyone gets them. They may be embarrassing, painful and annoying, but they’re rarely deadly. Hemorrhoids are veins in your anal canal and lower rectum that have become inflamed or swollen. The same condition in your legs causes varicose veins.

Almost everyone gets them. They may be embarrassing, painful and annoying, but they’re rarely deadly. Hemorrhoids are veins in your anal canal and lower rectum that have become inflamed or swollen. The same condition in your legs causes varicose veins. – See more at: http://www.manhattangastroenterology.com/hemorrhoids/hemorrhoids/#sthash.hwn1lN4p.dpuf