Talking about rectal problems like hemorrhoids can feel embarrassing. But this common problem affects an estimated 3 in 4 Americans sometime during their lifetimes — half of them by the time they turn Can medical care solve your problem and relieve your discomfort?
Board-certified general surgeon and proctologist Nina J. Paonessa, DO , leads our team. Paonessa is also the only female colorectal surgeon in Ocean and Monmouth counties, New Jersey. Simply put, a hemorrhoid is a bulging and swollen vein in your anorectal region. Hemorrhoids are very similar to varicose veins, and you can have them anywhere from your lower rectum to the area just outside your anus.
If you have internal hemorrhoids, they occur inside your body, while external hemorrhoids form underneath the skin of your anal opening. Depending on the location of your hemorrhoids, you may experience excessive bleeding with mild discomfort, or they can become extremely painful.
As with many medical conditions, seeking treatment early for your hemorrhoids can spare you needless discomfort and pain.
Here are four signs that Dr. Paonessa says indicate your hemorrhoids require medical intervention and why early treatment matters. There are many underlying causes of rectal bleeding, including hemorrhoids. But never assume rectal bleeding is due to hemorrhoids. Following diagnosis, your doctor might recommend treating chronic hemorrhoids with lifestyle changes, including:.
Your doctor may also recommend some more involved or more medicinal steps to incorporate in self-treatment, such as using:. They can recommend a variety of treatments, ranging from diet and lifestyle changes to procedures. It can also be a symptom of other diseases, including anal cancer and colorectal cancer. Is popping a hemorrhoid like popping a pimple? Not quite. Soaking your anal area in Epsom salt may provide some relief from uncomfortable hemorrhoids.
We'll go over how to make an Epsom salt bath and paste at…. Some procedures to…. Pregnancy hemorrhoids are a common and uncomfortable problem of pregnancy. They're often caused by extra pressure from your growing baby, as a result….
Think you have a bleeding hemorrhoid? Only a small percentage of people with hemorrhoids require surgery. However, if other procedures haven't been successful or you have large hemorrhoids, your doctor might recommend one of the following:.
Hemorrhoid removal hemorrhoidectomy. Choosing one of various techniques, your surgeon removes excessive tissue that causes bleeding. The surgery can be done with local anesthesia combined with sedation, spinal anesthesia or general anesthesia.
Hemorrhoidectomy is the most effective and complete way to treat severe or recurring hemorrhoids. Complications can include temporary difficulty emptying your bladder, which can result in urinary tract infections. This complication occurs mainly after spinal anesthesia. Most people have some pain after the procedure, which medications can relieve.
Soaking in a warm bath also might help. Hemorrhoid stapling. This procedure, called stapled hemorrhoidopexy, blocks blood flow to hemorrhoidal tissue. It is typically used only for internal hemorrhoids. Stapling generally involves less pain than hemorrhoidectomy and allows for earlier return to regular activities. Compared with hemorrhoidectomy, however, stapling has been associated with a greater risk of recurrence and rectal prolapse, in which part of the rectum protrudes from the anus.
Complications can also include bleeding, urinary retention and pain, as well as, rarely, a life-threatening blood infection sepsis. Talk with your doctor about the best option for you. There is a problem with information submitted for this request. Subscribe for free and receive your in-depth guide to digestive health, plus the latest on health innovations and news. You can unsubscribe at any time.
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You may opt-out of email communications at any time by clicking on the unsubscribe link in the e-mail. Your in-depth digestive health guide will be in your inbox shortly. You will also receive emails from Mayo Clinic on the latest health news, research, and care. If you have signs and symptoms of hemorrhoids, make an appointment with your regular doctor.
If needed, your doctor might refer you to one or more specialists — including a doctor with expertise in the digestive system gastroenterologist or a colon and rectal surgeon — for evaluation and treatment. Be aware of any pre-appointment restrictions.
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