Hemorrhoids are swollen veins in the lower rectum and anus, much like varicose veins in another part of the body. They tend to develop from straining or pressure during bowel movements, and they are very common. About 1 in 20 Americans deal with them at some point, so if you are uncomfortable, you are far from alone.
Most hemorrhoids are more of a nuisance than a danger, and many settle down with simple steps at home. Still, the symptoms can mimic other conditions, and rectal bleeding should never be brushed off. Our gastroenterologists in Akron and Massillon can confirm what is going on and help you find relief.
Symptoms
Hemorrhoids come in two main types, and the symptoms depend on which you have.
External hemorrhoids, which form under the skin around the anus, tend to cause:
- Pain or discomfort, especially when sitting
- Itching and irritation in the area
- Bleeding, often noticed on toilet paper
Internal hemorrhoids, which form inside the rectum, are often painless but can cause:
- Bleeding during bowel movements
- A protruding sensation, or tissue that pushes out through the anus
What raises your risk
Anything that adds pressure in the lower rectum can contribute. Common risk factors include obesity, pregnancy, chronic constipation or diarrhea, heavy lifting, a low-fiber diet, and getting older, since the supporting tissue tends to weaken over time.
How we diagnose it
We start with your history and a gentle exam of the area. Because bleeding can come from several sources, we want to be sure hemorrhoids are the cause and rule out anything more serious. We will also check for related issues, such as an anal fissure, so the plan fits the full picture.
How we treat it
For mild cases, over-the-counter creams, more fiber, plenty of water, and warm soaks are often enough to calm things down. When symptoms are more stubborn or keep coming back, we offer several in-office and surgical options:
- Rubber band ligation, also called hemorrhoid banding, which cuts off the blood supply so the hemorrhoid shrinks and falls away
- Sclerotherapy, an injection that shrinks the hemorrhoid
- Thrombectomy, a small procedure to remove a painful clot from an external hemorrhoid
- Hemorrhoidectomy, surgical removal for larger or persistent hemorrhoids
We start with the gentlest approach that fits your situation and move up only if you need it.
When to see us
Reach out if you have bleeding, pain, or itching that does not improve, or if hemorrhoids keep returning. It is especially important to be checked any time you notice rectal bleeding, since it can have other causes that deserve attention.
To get relief and a clear plan, request an appointment with The Gastroenterology Group or call us at (330) 869-0954. We welcome new patients in Akron and Massillon, and you do not need a referral to schedule a screening colonoscopy.