Hemorrhoids Doctor NYC
At Manhattan Gastroenterology, our doctors, top rated NYC gastroenterologists, and hemorrhoid specialists offer varying hemorrhoids treatment options according to their severity. In mild cases, topical medications and an improved diet can help to relieve hemorrhoids symptoms. In other cases, IRC (Infrared Coagulation), hemorrhoid banding or rarely, surgery can be performed to physically remove the hemorrhoids.
What Are Hemorrhoids?
Hemorrhoids, also called piles, is when the network of veins located in your rectum or anus get swollen. The blood pools in these veins when they swell, which causes them to expand outward into the membranes around your anal and rectum tissue. This can cause a lot of discomfort and pain. Almost everyone gets hemorrhoids. Hemorrhoids may be embarrassing, painful and annoying, but they’re rarely deadly.
If you suspect hemorrhoids, you should always be evaluated with a thorough consultation and examination by a physician for an accurate diagnosis and treatment plan and to exclude a serious illness or condition. Hemorrhoids are just one of many causes for rectal bleeding and lesions around the anus that need to be evaluated by a gastroenterologist.
A complete evaluation and early diagnosis by your hemorrhoid doctor are very important. Rectal bleeding can be a symptom of any type of colorectal or anal cancer, a type of cancer that can be cured if detected early.
Hemorrhoids can be very painful. Visit our NYC hemorrhoids doctors, hemorrhoids specialists, for the best hemorrhoid treatment options. Emergency appointments are available at the NYC doctor’s office.
Different Types of Hemorrhoids
You can’t always visually see hemorrhoids, but when they expand, they may look like discolored or red lumps or bumps. There are four different hemorrhoid types:
Hemorrhoids that are not visible because they are located inside your rectum are called internal hemorrhoids. They are usually not serious and most times go away on their own. Most people don’t feel pain from an internal hemorrhoid and only realize they have an issue when they notice blood on toilet paper. However, if an internal hemorrhoid is causing you pain and discomfort, you should see the best hemorrhoid doctors in NYC right away.
A hemorrhoid that occurs outside the anus is called an external hemorrhoid. The symptoms of external hemorrhoids are basically the same as internal ones. However, since they are located on the surface where your bowel comes out, you may feel increased hemorrhoid pain or discomfort while having bowel movements, when you sit down or do physical activities. If your external hemorrhoid is causing you great pain or discomfort, you should consult with hemorrhoid specialists for treatment options.
These are usually external and are called a thrombosed hemorrhoid when there is a blood clot inside the hemorrhoid tissue, preventing blood flow. Essentially a complication of a hemorrhoid and not considered dangerous, thrombosed hemorrhoids are often quite painful. However, if the pain starts getting worse and you notice itchiness or inflammation, you should visit your hemorrhoid doctor right away. In such cases, a thrombosed hemorrhoid requires prompt treatment to avoid complications from the lack of blood supply to your rectal and anal tissue.
Any hemorrhoid that protrudes outward from the anus is referred to as a prolapsed hemorrhoid. They tend to be quite painful when sitting down or during bowel movements. The cause of prolapsed hemorrhoids is the weakening of the tissue that holds it in place, allowing it to become prolapsed. Repeated straining while having a bowel movement is another common cause.
What Are the Symptoms of Hemorrhoids?
By middle age, almost half of all adults in the United States have had to deal with the symptoms of hemorrhoids at one time or another. There is a range of hemorrhoids symptoms, the most common include itching, discomfort, and blood when wiping. If blood pools in an external hemorrhoid, it may form a clot, called a thrombus. This condition can result in severe pain and inflammation. Other hemorrhoid symptoms include:
- Irritation and swelling in your anal area
- Pain in the rectum
- A sensitive or painful lump near your anus
- Painless bleeding that leaves bright red blood on toilet paper or in the bowl after a bowel movement
- Leaking feces
Rectal bleeding also can be a symptom of another medical condition, including colorectal or anal cancer. You should consult a physician or hemorrhoid specialists like our doctors in NYC. Furthermore, if you noticed a change in your bowel patterns or if you’ve passed black, tarry or maroon stools, see him right away. It can be a sign of a more serious condition, including colon cancer. Finally, get immediate help if you feel lightheaded or dizzy or if you’re passing a large volume of blood, which can lead to anemia.
What Causes Hemorrhoids?
The causes of hemorrhoids vary greatly. Hemorrhoids can form when you push and strain during bowel movements. Other hemorrhoid causes include:
- Sitting on the toilet too long
- Heavy lifting
- Chronic diarrhea or constipation
- The last six months of pregnancy
- Giving birth
- Anal intercourse
- A low-fiber diet
- Liver disease
How Are Hemorrhoids Diagnosed?
Trained gastroenterologists like our doctors are familiar with the signs of hemorrhoids. A physical examination, including a rectal exam, may be enough to confirm the presence of hemorrhoids. To find any internal hemorrhoids, our doctors can use an anoscope, a short tube with a camera on the end, to examine your lower rectum and anal canal.
Our hemorrhoids doctors will use more extensive diagnostic measures and tests — like performing a colonoscopy when necessary for a full evaluation.
What Are the Treatment Options for Hemorrhoids?
Usually, you can treat hemorrhoids at home with over-the-counter topical hemorrhoid cream, a hydrocortisone suppository and/or stool softeners. You may want to consider some lifestyle changes as well. Add more fiber to your diet. Drink more water. Get some exercise. Lose weight, if necessary.
Medical treatment of severe internal hemorrhoids includes:
- Infrared coagulation, a minimally invasive, state-of-the-art office-based option that uses infrared light or heat to treat your hemorrhoids. After one treatment, your small, bleeding, internal hemorrhoids harden and shrivel. The tiny resulting scar tissue holds the other veins in place, preventing future hemorrhoids.
- Rubber band ligation, in which our doctors place little rubber bands around the base of a hemorrhoid to cut off its blood supply. It shrinks and falls off with the rubber band in a few days during a bowel movement.
- Sclerotherapy, which involves an injection of medication directly into the hemorrhoids to shrink them. While the injection causes little or no pain, it may be less effective than rubber band ligation.
- Surgery, which may be required to remove hemorrhoids in severe cases or if symptoms persist despite other treatments.
When Should I See My Hemorrhoid Doctor?
You should see a hemorrhoid specialist if you feel discomfort and pain in the rectum, especially when you sit or if you notice blood when wiping. Don’t put off seeing a doctor if you notice your hemorrhoids bleeding, symptoms get drastically worse or if they start interfering with your daily activities. Seek emergency medical care immediately if you experience a large amount of rectal bleeding that is accompanied by dizziness.
How to Prevent Hemorrhoids?
The best way to prevent hemorrhoids is to avoid straining during a bowel movement and keep your stools soft in order for them to pass more easily. Drink plenty of water to prevent your stool from hardening. Don’t sit for long periods and exercise regularly to help prevent becoming constipated. You can also minimize your risk for future hemorrhoids by consuming foods that are rich in dietary fiber. This will soften your stool and make it easier to pass.
Important Reminder: This information is only intended to provide guidance, not definitive medical advice. Please consult a doctor about your specific condition. Only trained, experienced physicians like our hemorrhoids doctors can determine an accurate diagnosis and proper treatment. To learn more about hemorrhoids please read our hemorrhoids FAQ page.
As the best gastroenterologists in NYC, our doctors provide highly personalized and comprehensive care. Their philosophies regarding the doctor/patient relationship are based on trust and have earned them some of the most respected reputations in New York.
For more information about hemorrhoid treatment options or to schedule a consultation with one of our hemorrhoid specialists, please contact our NYC gastroenterology office.