While an embarrassing condition, hemorrhoids are rather common and will happen to the majority of us at some point during our lifetime. This condition occurs when the veins around the rectum or anus swell. Even though this problem is harmless it can be painful. There are many reasons why someone may deal with hemorrhoids. Those who lead a sedentary lifestyle are more likely to develop hemorrhoids. Those who are obese or deal with constipation regularly, as well as pregnant women are also prone to hemorrhoids.
Hemorrhoids can either develop inside the rectum (internal) or around the anus (external). You may be dealing with hemorrhoids if you experience:
- Bright red blood during bowel movements
- Anal itching and soreness
- Pain and swelling around the anus
- A tender lump around the anus
Sometimes hemorrhoids will go away on their own; however, it’s important to know when to see a gastroenterologist for treatment. After all, some of these symptoms could also be caused by other conditions. If you are dealing with rectal bleeding or pain it’s a good idea to see a GI doctor who will be able to perform the proper tests to confirm whether you have hemorrhoids and to rule out any other intestinal problems.
One way to prevent hemorrhoids is to prevent straining during bowel movements and constipation. In order to do this you must staying hydrated and eat a healthy, high-fiber diet. Staying active and losing excess weight can also improve gut health. If you sit for the majority of the day it’s important to get up and move around to take pressure off the veins of the anus.
In terms of treatment, the goal is to reduce pain, inflammation and irritation so the area can properly heal. This involves eating a high-fiber diet. You can also use an over-the-counter hemorrhoid cream, which can numb the area and reduce discomfort. Soaking for 10-15 minutes in a sitz bath can also ease symptoms. With the proper treatment and care hemorrhoids will often go away in about a week. If you don’t experience relief, or if your symptoms are severe then it’s time to see a gastroenterologist.
In some cases, surgery is necessary in order to treat complications (e.g. blood clots) of hemorrhoids or to properly address bleeding, painful, or persistent hemorrhoids. A gastroenterologist can perform these simple outpatient procedures right in their office.
If you are experiencing symptoms of hemorrhoids and not experiencing relief from over-the-counter medications and at-home care then it’s time to see a GI doctor for treatment.