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Advanced General Surgery

Hemorrhoids

Hemorrhoids or piles are common irritations that can be extremely painful. Schedule Your Appointment Today.

Hemorrhoids

Hemorrhoids are inflamed veins in the anus and the lower part of the rectum; their appearance is similar to that of varicose veins. 


Hemorrhoids can form inside the rectum or under the skin around the anus. 


There are several factors that hemorrhoids can create; for every four adults, almost three will suffer from hemorrhoids. 


There are several effective methods for treating hemorrhoids. Many people manage to control this condition through a healthy lifestyle and home treatments.



Causes


The veins around the anus tend to stretch due to pressure and can become inflamed. Hemorrhoids can be formed by increased pressure in the lower rectum, caused by:


  • Carry heavy things frequently

  • Be pregnant

  • Eat a low-fiber diet

  • Obesity

  • Making an effort when emptying the intestines

  • Sitting for a long time

  • Have chronic diarrhea or constipation

  • Having anal sex



Symptoms 


The signs of hemorrhoids differ depending on the type of hemorrhoid. 


External hemorrhoids, located under the skin around the anus:


  • Sore pain in the anal area 

  • Swelling around the anus 

  • Bleeding 


Internal hemorrhoids, located inside the rectum:

 

  • Bleeding during bowel movements 

  • Pain and irritation 


Thrombosed hemorrhoids occur when blood accumulates in external hemorrhoids, forming a clot:


  • Intense pain 

  • Inflammation 

  • A hard lump near the anus



Risk factors


  • Age, as you get older, the probability of suffering from Hemorrhoids increases

  • Pregnancy, as the weight of the baby, puts pressure on the anal area



Diagnosis of Hemorrhoids


The Proctologist will perform a physical exam, check your abdomen, and ask questions about your symptoms, lifestyle, and medical history.


Following are some of the possible tests to perform:


  • Anoscopy, check the anal canal and rectum

  • A digital exam, a gloved finger, and lubrication will be inserted into the rectum to detect something unusual

  • Visual inspection, using an anoscope, proctoscope, or sigmoidoscope, the Proctologist will examine the lower part of the colon


A Colonoscopy may be done if the doctor notices any risk of colorectal cancer or if your signs and symptoms show that you may have another digestive system condition.



Treatment of Hemorrhoids 


Following are some home remedies, in case the pain caused by the hemorrhoid is mild. 


  • Eat foods high in fiber 

  • Apply over-the-counter hemorrhoid creams, ointments 

  • Over-the-counter pads 

  • Take a soak in a tub  of  a sitz bath of warm water for 10-15 minutes two or three times a day 

  • Take pain relievers by mouth 


Hemorrhoid symptoms usually go away after a week. In case the symptoms persist, or you are bleeding, see your Proctologist. 



Procedures for Thrombosed Hemorrhoids 


The Proctologist can remove hemorrhoids, under local anesthesia, the procedure is usually more efficient if it is done within 72 hours after a clot has appeared. 


Minimally invasive procedures 


In case the bleeding continues, and you have pain or discomfort, the Proctologist may use one of the following methods: 


  • Elastic band ligation

  • Injection (sclerotherapy) 

  • Coagulation (infrared, laser or bipolar) 


Surgical procedures 


In case the other methods described above have not been successful, your Proctologist may recommend one of the following: 


  • Removal of hemorrhoids (hemorrhoidectomy) 

  • Stapling hemorrhoids



¿When do you have to see a doctor?


Make your appointment with the Proctologist to present any of the mentioned symptoms or to detect another abnormal sign. 


When consulting your Proctologist, try to keep a record of your pain with a detailed description of the symptoms, duration, and what you think triggered them. Also, mention any medications you are taking.