What are Hemorrhoids?
Our trained hemorrhoid doctors offer several minimally invasive and effective treatment options including infrared coagulation and hemorrhoid banding
What are the treatments we offer at Manhattan Gastroenterology?
What are the symptoms of hemorrhoids?
The signs and symptoms of hemorrhoids depend on the type, but the most common sign is rectal bleeding when you pass feces. Usually the blood is not mixed in with the stool, but instead will coat the outer surface or is visible on toilet paper. The blood tends to be bright red and is also sometimes visible in the toilet. Rectal bleeding however should always be evaluated by a physician as it can be a symptom of a serious underlying condition including cancer. Other symptoms of hemorrhoids include: itching around the anus, blood on your tissue after having a bowel movement, itchy or painful lump or swelling near your anus, painful bowel movements, irritation and pain around the anus, rectum pain while sitting and many other symptoms.
What are the causes of hemorrhoids?
When people need to sit on the toilet for a prolonged length of time, it can interfere with the blood flow to and from the area. Sitting on the toilet for an extended length of time can cause the blood to pool, enlarging the blood vessels.
You can get hemorrhoids inside your anal canal, where they’re called internal hemorrhoids or under the skin around your anus, where they’re called external hemorrhoids
How do you diagnose and classify hemorrhoids?
Our gastroenterologists are hemorrhoids specialists and will perform a complete physical examination, including a rectal exam and anoscopy at our NYC offices as part of your evaluation. An anoscopy is a procedure where a device called an anoscope and which has a light, is gently inserted into the anus, allowing your physician to visualize the tissues in your anorectal area more clearly. Our GI doctors may also suggest a colonoscopy for full visualization of your colon and to rule out other more serious causes of your symptoms. Colonoscopy is the gold standard for visualization of the entirety of the colon for a proper diagnosis. Hemorrhoids are divided into three categories: internal (above the dentate line), external (below the dentate line), or mixed (above and below the dentate line).
Colonoscopy may be suggested for full visualization of your colon and to rule out other more serious causes of your symptoms
Internal hemorrhoids are inside the rectum and usually cannot be felt or seen. Symptoms of internal hemorrhoids may include bleeding when passing a stool or seeing bright red blood on toilet paper or in the toilet. Straining can cause a hemorrhoid to push through the anal opening, where the hemorrhoid becomes prolapsed or protrudes, and this can result in irritation and pain. If the veins in your lower rectum or anus swells and creates an outward bulge, it’s called a prolapsed hemorrhoid.
Internal hemorrhoids are further categorized — and treated — according to their degree of prolapse:
- Grade I: These are non-prolapsing hemorrhoids.
- Grade II: These are hemorrhoids that prolapse on straining, but which reduce naturally.
- Grade III: These are prolapsing hemorrhoids which require manual reduction.
- Grade IV: These are prolapsing, non-reducible hemorrhoids and which includes incarcerated hemorrhoids and acutely thrombosed hemorrhoids (incarcerated hemorrhoids are prolapsed hemorrhoids that are unable to be reduced into the anal canal).
Your symptoms should always be evaluated by a physician for an accurate diagnosis and treatment plan and to exclude a serious illness or condition such as colon or anal cancer
These are hemorrhoids that develop under the skin around the anus and which can become thrombosed.
You may notice signs and symptoms that include pain and bleeding. The area around your anus may be swollen. You could have irritation or itching in the anal region. If external hemorrhoids become acutely thrombosed, conservative therapies are suggested. In certain cases, these patients are referred for excision by a colorectal surgeon.
Hemorrhoid Treatment Options
At Manhattan Gastroenterology, our doctors are top rated NYC gastroenterologists as well hemorrhoid specialists and offer varying hemorrhoid treatments according to their severity. In mild cases conservative therapy is offered which may include sitz baths, laxatives, OTC or prescription medications. In other cases, IRC (Infrared Coagulation), hemorrhoid banding or rarely, surgery can be performed to remove the hemorrhoids. A complete evaluation and early diagnosis by your doctor is very important for an accurate diagnosis and treatment plan.Our renowned NYC gastroenterologists are amongst the best hemorrhoid doctors and specialize in treatment and prevention of conditions related to swollen and inflamed veins in the rectum referred to as hemorrhoids. You can finally stop your search for a “hemorrhoid specialist near me” and call the best rated team of gastroenterologists, leading hemorrhoid treatment doctors in NYC for an appointment. A board certified “hemorrhoid doctor near me” specialists who will not only help you with your pain but also employs the latest cutting-edge hemorrhoid treatments.
Our gastroenterologists in New York might recommend one of the minimally invasive procedures including hemorrhoid banding and IRC (Infrared Coagulation).
What Is Infrared Coagulation?
Infrared coagulation, a minimally invasive, state-of-the-art office-based option that uses infrared light or heat to treat your hemorrhoids. Infrared Coagulation (IRC) has quickly become one of the most widely used office treatment for hemorrhoids. The IRC or Infrared coagulator has a light source at its tip which applies heat to the base of the hemorrhoid column. This procedure causes scar tissue to form at the site and can lead to shrinking or disappearance of the hemorrhoid column. This procedure is usually very well tolerated with minimal side effects. Each treatment will only take a few minutes, and you may need several separate treatments to ensure all areas are covered. Patients can often return to work and their regular activities soon after treatment.
What is Recovery like after IRC (infrared coagulation)?
After each treatment, it is normal to feel the urge to have a bowel movement and to experience slight rectal bleeding. It is usually well tolerated but it can be helpful to use a stool softener to ease bowel movements during healing. Warm shallow baths such as a sitz bath can help to aid the healing process. You should discuss any concerning symptoms after your procedure with your doctor.
Treatment with IRC (infrared coagulation) is usually very well tolerated with minimal side effects
Hemorrhoid banding or rubber band ligation is where one or two tiny rubber bands are placed around the base of an internal hemorrhoid with a specialized instrument called a syringe ligator. This procedure can also be performed with a banding kit accessory on the tip of a standard colonoscope which is our practice.
The rubber bands are applied proximal to the hemorrhoidal column thus decreasing their blood supply and causes hemorrhoids to shrink. Usually, treatment will only take a few minutes, but the process may be longer if you have multiple hemorrhoids. Rubber band ligation is widely used and is effective for removing medium-sized internal hemorrhoids.
What is the recovery after hemorrhoid banding?
Sometimes treatment may feel uncomfortable and can cause bleeding, but side effects are usually minor. Your physician may recommend laxatives to help prevent constipation or that you use a stool softener. Once the hemorrhoids have dried and withered, the bands are usually passed with bowel movements. You should discuss any concerning symptoms after your procedure with your doctor.
Surgical Options for Hemorrhoid Treatment. Do I need Surgery?
Hemorrhoid surgery is only needed by a small percentage of people and will most likely only be recommended after other less invasive procedures have been unsuccessful. In these cases, a referral to a colorectal surgeon that we work closely with is made. We can discuss the case with the surgeon as well to come up with an effective treatment plan for your case. Hemorrhoidectomy is a type of surgery to remove internal or external hemorrhoids that are extensive or severe. Surgical hemorrhoidectomy is an effective treatment for hemorrhoids, though it is associated with the greatest rate of complications. Questions regarding further surgical options and recovery should be discussed with your surgeon directly. Surgery is usually recommended after less invasive procedures have been unsuccessful or if they are thought to be unlikely to be successful.
Hemorrhoid surgery is only needed by a small percentage of people and will most likely only be recommended after other less invasive procedures have been unsuccessful.
FAQS ABOUT HEMORRHOIDS
Why do hemorrhoids bleed?
Are hemorrhoids bad?
How do hemorrhoids look and feel?
Is it an anal fissure or a hemorrhoid?
Are hemorrhoids contagious?
Can you pop a hemorrhoid?
What about diarrhea and hemorrhoids?
How can I tell if it is hemorrhoids or cancer?
Can anal sex cause hemorrhoids?
Can you push a hemorrhoid back in?
Can alcohol cause hemorrhoids?
What are alternative names for hemorrhoids?
Are there any specific diets or alternative therapies for hemorrhoids?
The most common advice for hemorrhoids includes eating more fiber and making sure you remain well hydrated. However, putting this advice into practice is not always so straight forward. Usually, you will need to aim for between 25 and 30 g of fiber each day. This is more than twice the amount found in the average American diet. You should ideally aim to drink between six and eight glasses of water and other liquids each day, not including alcohol and coffee, which are diuretics.Many alternative hemorrhoid treatments include lifestyle remedies. Listed below are a few tips to help reduce the symptoms of hemorrhoids. Your treatment should be discussed with your gastroenterologist to make sure it is the right next step for you.
- Avoid straining when trying to pass a stool as this creates greater pressure on the veins in your lower rectum.
- If you feel the urge to pass a bowel movement, try to go as soon as you can.
- Exercise helps to prevent constipation
Although these lifestyle remedies can be useful, it is still essential to see a gastroenterologist for an accurate diagnosis and treatment plan for your condition. We look forward to meeting you.