Hemorrhoids: Who Should I See For This?

charles coleman
Written by Charles Coleman, MD on April 28, 2022

If you're experiencing bleeding from your hemorrhoids, you may be wondering, "Who should I see for this?"

There are many options. You can go to the doctor, over-the-counter remedies such as Venapro, or even have a rubber band ligation.

Read this article to find out more.

If none of these treatments work, you can try the following:

Dr. Paonessa

If you're looking for a doctor to treat your hemorrhoids, consider a board-certified general surgeon and proctologist, Nina J. Paonessa. She is the only female colorectal surgeon in Ocean and Monmouth counties. Hemorrhoids are common problems that affect both the rectum and anus. While many people have a simple treatment for hemorrhoids, more advanced treatment may be necessary if the condition is recurrent or if it requires surgery.

Board-certified general surgeon and proctologist, Dr. Paonessa specializes in colorectal and colon surgery. She completed her residency at Wyckoff Heights Medical Center. She has years of experience and a special interest in colorectal surgery. She accepts Medicare and is affiliated with CentraState Healthcare System. She is a member of American College of Osteopathic Surgeons and the New Jersey Medical Society. She has also completed a fellowship in colon and rectal surgery at Lehigh Valley Hospital.

Over-the-counter remedies

There are several over-the-counter hemorrhoid remedies you can use to treat your symptoms at home. The best overall treatment for hemorrhoids is Doctor Butler's Hemorrhoid & Fissure Ointment, which numbs and soothes the affected area. Another option is Thena Sitz Bath Soak, which is soothing and pregnancy-safe.

These over-the-counter hemorrhoid remedies may contain different types of ingredients. These products may be designed to provide different kinds of relief, so the most effective product will not be dependent on a single ingredient. Depending on what you're looking for, you can use several products at the same time. While most hemorrhoid treatments may include different ingredients, the best treatment will mix these ingredients for the most effective result.

Over-the-counter hemorrhoid remedies can also contain medication. These medications typically come in the form of topical creams. These creams will numb the affected area and relieve pain and inflammation. These creams and lotions can be purchased at your local pharmacy. Many stores also carry pre-moistened towelettes. Be careful, however, because some of these may irritate hemorrhoids.

Colonoscopy

While a colonoscopy for hemorrhoids is rarely required, it can be helpful to diagnose the condition. It can also stage it to determine the extent of the problem and rule out more serious conditions. The procedure is performed using a long, flexible tube that contains a camera. During this procedure, the doctor can see polyps and other suspicious growths, including cancer.

A physician may perform a digital exam to identify internal hemorrhoids. In the case of internal hemorrhoids, a doctor inserts a gloved finger into the rectum and feels for abnormal growths. The rectum connects the colon to the anus and controls bowel movements. Patients can also take a laxative to loosen stool before the procedure. These medications are available in tablet, powder, or solution form. During preprocedure, family members are welcome to accompany the patient.

Although it is rare for hemorrhoids to extend outside of the anus, the condition may require surgery. Hemorrhoids may be removed through surgery, and the surgery requires an anesthesia. The risk of a complication is minimal. However, the procedure itself can cause serious complications, such as permanent damage to the sphincter, which controls bowel movements. Afterwards, the patient is usually given pain medications and stool softeners.

Rubber band ligation

The outpatient treatment for internal hemorrhoids, known as rubber band ligation, uses a metal band to bind the affected area. The procedure can be performed with a number of devices, including a traditional metal band, endoscopic banding, or the CRH O'Regan System. During this procedure, the doctor may place the band around the hemorrhoid and then tie it off.

After the procedure, hemorrhoids will often dry up and fall off on their own. It may take several days before they disappear completely, but most cases will go away after one or two weeks. Some people may experience pain and a sensation of fullness in the lower belly, as well as the need to go to the bathroom frequently. Bleeding may also occur. After the procedure, however, it will subside on its own after a couple of days.

Rubber band ligation is a common treatment for internal hemorrhoids. It can be performed by an experienced surgeon using a lighted tube to insert the ligator. The rubber bands are then pulled up, cutting off the hemorrhoid's blood supply and causing the hemorrhoid to fall off. Many patients can return to their normal activities right away, but some people may require several days off work and bowel movements.