Metro Bariatrics - Amir Moazzez MD, FACS


How do I know if I have hemorrhoids?

Most people who see a colorectal surgeon are told or think that they have hemorrhoids. While this is the case in some patients, the majority actually have other pathology, like fissures, anal tags, pruritus ani, and other etiologies. A good rectal exam and a good history will allow the colorectal surgeon to determine what you have.

What are hemorrhoids and why are they needed?

Everyone has hemorrhoids. Everyone needs hemorrhoids. Seriously.

There are two types of hemorrhoids: internal and external.

What is an external thrombosed hemorrhoid?

This happens with the blood vessel in the external hemorrhoid is injured and develops a clot. This clot causes a hard painful lump, and can bleed.

What is the treatment for an external thrombosed hemorrhoid?

The hemorrhoid will usually resolve in 3-4 days with conservative measures, such as warm baths to the area, avoiding constipation and diarrhea, avoiding trauma to the hemorrhoid, and not straining.

If the lump and pain do not resolve in 3-4 days, the clot is removed in the office by cutting out the clot and the hemorrhoid.

What causes internal hemorrhoids to get big, cause pain, and bleed?

The main reasons are diarrhea and constipation. They can also happen with any straining, such as delivering a baby, being pregnant, old age, sitting on the toilet for a long time, lifting heavy objects, etc.

The hemorrhoids are traumatized. With diarrhea, there is a lot of liquid stool rubbing against the hemorrhoids multiple times a day, which irritates them and makes them bleed. With constipation, the hard stool rubs and scratches against the hemorrhoids, irritating them again and making them bleed.

How much can they bleed?

The blood can be on the toilet paper or it can fill up a toilet bowl.

Can I die from bleeding hemorrhoids?

While it is possible, you would need to bleed large amounts of blood to be in danger. The vast majority are not at risk.

How are internal hemorrhoids treated?

There are medical and surgical options:

What about Preparation-H and other creams?

There is no evidence that any creams or suppositories work. Therefore, their use is up to you.

Do I need a colonoscopy?

For any colonic or rectal bleeding, a colonoscopy is indicated. While the bleeding can come from the hemorrhoids, it may also come from other sources, such as a cancer. Missing a cancer can be deadly, and hence your physician has to be sure that you do not have any other reason for your bleeding.

Contact Inova Bariatric

If you would like more information on hemorrhoids and treatment options for this common condition, or if you would like to schedule a consultation with one of the experienced doctors at Inova Bariatric, please contact us today.

Disclaimer: The information presented is only for informational purposes, and is not intended to diagnose, treat, cure, or prevent any illness, disease, or condition, nor is it intended to self-diagnose and self-treat any illness, disease or condition. Please consult your physician for any medical concern, question, and ailment.