Swollen veins in the lower portion of the anus and rectum known as hemorrhoids can be extremely painful.
More common in pregnant women and in individuals with chronic constipation, hemorrhoids will affect about half of all adults in the United States before age fifty. The good news is that this type of irritation is treatable and, in many cases, preventable.
But if piles aren’t going away on their own or you are experiencing painful symptoms and bleeding, it’s time to seek medical attention. Here are five reasons why you may benefit from a visit to a hemorrhoid specialist.
External hemorrhoids are the kind that are usually easy to detect from a visual examination. These are also the ones more likely to respond well to the use of topical medications. With internal hemorrhoids, a hemorrhoid specialistcan perform tests to make a positive diagnosis and rule out other possible sources of internal anal irritation, such as anal cancer, colorectal cancer, ulcerative colitis (UC), and anal fissures. Diagnosis typically involves:
A review of medical history to determine if other digestive system diseases may be a factor
Performing a digital rectal exam (DRE)
Doing a visual inspection with an anoscopy to view the internal anal area in greater detail with a special lighted instrument attached to a camera
2. Treating Bleeding External Hemorrhoids
External hemorrhoids sometimes develop blood clots (thrombosis) inside of the swollen area. Even if bleeding isn’t happening, the clot can cause persistent or severe pain. In instances like this, a hemorrhoid specialistmay perform a simple procedure called an external hemorrhoid thrombectomy. An incision is made to drain the hemorrhoid and provide relief. It’s usually best to treat hemorrhoids with blood clots within the first 72 hours of their development.
3. Performing Minimally Invasive Surgery
If you are only experiencing mild discomfort, a specialist may recommend ointments, creams, or medicated pads. Such products usually have ingredients such as lidocaine and witch hazel. OTC treatments aren’t meant to be a long-term solution for hemorrhoids. If medication isn’t effective, minimally invasive surgery may become an option.
When a rubber band ligation is performed, rubber bands are placed around the lower part of an internal hemorrhoid. Within a week or so after the procedure, the tied-off portion usually withers and falls off. Sclerotherapy is a treatment involving an injection in the swollen tissue. The solution causes the affected vain to develop scar tissue, which forces blood to reroute to healthy veins. The collapsed vein is eventually absorbed by the body.
Coagulation techniques target internal hemorrhoids by making them harden and shrivel after being treated with a laser or infrared heat. While coagulation generally doesn’t produce that much discomfort when performed, you’re less likely to experience recurrence with a rubber band ligation.
4. Removing Problematic Hemorrhoids
Larger piles or ones that aren’t responding well to other treatment attempts may be surgically removed by a specialist. This procedure is known as a hemorrhoidectomy. During the procedure, you will be given spinal or anesthesia to ease your discomfort. The incisions are made around the hemorrhoid tissues. The swollen vein within the pile is surgically tied off to keep it from bleeding during removal. The hemorrhoid is then removed with either a scalpel, a special tool that uses electricity called a cautery pencil, or a laser. Barring any complications, it’s usually an outpatient procedure. Hemorrhoid removal is considered the most effective treatment for swollen anal veins.
5. Performing a Stapling Procedure
Another type of hemorrhoid surgery that may be performed is done with a circular stapling device. The procedure is referred to as a stapled hemorrhoidectomy. There is no need to make an incision with this procedure. Instead, the hemorrhoid is lifted and stapled into another location in the anal canal without as many sensitive nerve endings. This option is less invasive. However, there is a greater chance of recurrence. Another surgical option is referred to as a Doppler-guided hemorrhoidectomy. It’s done with a special scope that’s used to find the hemorrhoidal arteries.
A hemorrhoid specialist can’t prevent hemorrhoids from becoming a problem again, even after you’ve had surgery or been successfully treated with medication. But you can reduce your odds of developing internal or external piles by upping your fiber intake, staying hydrated to promote healthy bowel movements, focusing on low-impact and moderate-intensity exercises like swimming and yoga, and being careful with your choice of laxatives. Also, be cautious with exercises that increase abdominal pressure or involve excess straining, such as abdominal crunches or weightlifting, especially if you have a history of having problems with hemorrhoids.
Worst experience I've had,Clarissa the nurse was rude. The owner( short Persian man)with devious smile was trying to push me into having physical therapy which I didn't need. Try Saddleback OSC or Laguna.
I agree the care and people are great. However, their management tricked me into an out of network surgery. After repeatedly making it clear that I wanted all aspects of the surgery to be in network with UHC, they booked my surgery on a day when the facility switches to a different business entity called Minimally Invasive Surgical Center. So, a simple hemorrhoid procedure that normally bills for under 3K within network was billexto my insurance for 62.5k. Of course they had me pay $1,400 out of pocket just before performing yhe surgery and also had me sign numerous documents right before the procedure. If I would have received these forms, particularly the one that stated that I knew it was an out of network provider, I would have never signed it. The owner of Minimally Invasive called me on the phone when I was still plannibg the surgery to try to talk me into accepting performing out of network in exchange for some cash discount. I tefused but he still set it up as out of network without my consent. I am extremely dissapointed in these people who now refuse to re-pricess the claim. Beware of what day your surgery takes place and make sure to get all forms well ahead of your procedure date. Soecially those related to payment and claim type, or you might end up with a very expensive surprise. This is the stuff of crooks.
5 stars is not good enough for how amazing these people are! Had my producer done here on 4/23/2021 with Dr. Syn. The whole process from beginning to end was pretty great (yes... the surgery process that everyone hates). The surgery center was clean and everyone had their stuff together from the moment I parked in the check-in spot, till check-out. I can never say enough about the nurses, they are the kindest people and I am so thankful to have had them there. Even though I’ve never met them before, they made me feel at ease and we’re just kind humans ❤️Definitely recommend 🤙🏼
Definitely recommend, fast easy process. They make sure your well informed on whats happening, and if your nervous they’ll talk to you about stuff that makes you happy, especially helped when i was getting my IV.
A couple of weeks ago my mother had a bad experience at this center. She overheard the nurses making rude comments about a patient.I felt very uncomfortable going threw my procedure after what I herd.Very unprofessional attitude, please avoid this place I made the mistake of coming here.
I saw Dr. Shad after my aunt recommended me to him for back pain. I had pretty bad back pain for a young adult. Upon the first appointment he felt my injury and immediately identified the area in pain and explained everything to me. My back is doing great now and I am able to go back for tissue work when needed. Never had more confidence in a doctor then I do with Dr. Shad, definitely recommend!
I just had a procedure done here this morning. The center is very clean and orderly. The nurses were so friendly and kind, it was like talking to a friend. The anesthesiologist had great bedside manner and was honestly the nicest one I’ve ever met. Dr. Jenkins is very sweet and made sure I felt comfortable and informed. She is always very bubbly and makes you feel at ease. Really great people at this place! Highly recommend if you are needing a procedure done.
I have had a number of procedures done. The staff are amazing they took such good care of me. Dr. Ding communicates on a real level.Highly recommend this crew if you ever need surgery they are equipped for
My wife had surgery at your Facility. Dr Tony Mork was the surgeon. We were very impressed with your neat little surgery center. We got very personal care.. Thinking back 10 months when she had surgery we still remember well 😊
The morning admittance gal who was friendly , knowledgeable and put my nervousness about surgery at ease helped me fill out the necessary forms for surgery. The next nurse prepped me for surgery and explained what would be happening. Again,very personable, organized, and knowledgeableAnother nurse came over and told me she would be helping the doctor in surgery and again explained what was going on. Friendly The orthopedic surgeon came in and spine to me about the surgery also kind and caring. Then surgery was over and I was again met with a kind nurse to help me adjust to waking up. This may all sound very routine to who ever reads this but surgery is Not, routine and it is damm scary to the patient and their families. To be taken care of by friendly, kind caring and knowledgeable staff is so important. My husband And I are grateful for the entire team here at Crown Valley Surgical. Thank you, Barbara and Jeff tatro