Description
Dilated veins, similar to varicose veins, that are found in the anal canal (internal hemorrhoids), or at the anal opening (external hemorrhoids). They are often chronic and become a problem when they bleed, become painful, develop a blood clot or enlarge. Hemorrhoids may be more likely to develop if you have been pregnant or tend to sit for prolonged periods, or have constipation, liver disease (cirrhosis), or infections of the anal canal. In general, internal hemorrhoids bleed but are not painful. External hemorrhoids are painful but usually do not bleed as much as internal hemorrhoids.
Symptoms
Rectal pain, rectal bleeding, fullness in rectum, constipation.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed. A sigmoidoscopy or colonoscopy may be recommended to confirm that the source of bleeding is from hemorrhoids.
Tests:
Anoscopy
Specialists:
General Surgery, Gastroenterology, Internal Medicine, Pediatrics, Pediatric Surgery, Family Practice, Colon and Rectal Surgery
Workup:
A history and physical exam will be performed. A sigmoidoscopy or colonoscopy may be recommended to confirm that the source of bleeding is from hemorrhoids.
Tests:
Anoscopy
Specialists:
General Surgery, Gastroenterology, Internal Medicine, Pediatrics, Pediatric Surgery, Family Practice, Colon and Rectal Surgery
Treatment
Treatment includes: Sitz baths (sitting in warm water), anti-inflammatory suppositories, increased fiber in the diet, stool softeners, and, in severe cases, surgical resection. The surgeon may band the hemorrhoid or remove them.