Hemorrhoids

Hemorrhoid Diagnosis & Treatment in Ephrata, PA

Hemorrhoids can be painful and are often the symptom of a more severe medical issue. William L Ives MD FACS. in Ephrata, Pennsylvania, offers hemorrhoid diagnosis and treatment.

External Hemorrhoids

Rectal pain occurs mainly with external hemorrhoids. Blood may pool under the skin, forming a hard, painful lump. This is called a thrombosed, or clotted hemorrhoid. You might also notice streaks of blood on the toilet paper after straining to pass a stool.
Doctor writing - Hemorrhoid Diagnosis & Treatment in Ephrata, PA

Internal Hemorrhoids

The most common symptom of internal hemorrhoids is rectal bleeding. You may find bright, red streaks of blood on the toilet paper or bright, red blood in the toilet bowl after having a normal bowel movement. Blood also may be visible on the surface of the stool.
Other symptoms of internal hemorrhoids may include:

Itching

This is a frequent complaint, because internal hemorrhoids often seep mucus. This can irritate the anal skin and cause itching.

discomfort

You may still feel the urge to pass stool right after having a bowel movement. This uncomfortable feeling is caused by the bulging of the hemorrhoid in the end portion of the large intestine (anal canal).
In general, the larger the hemorrhoid, the greater the discomfort.

Pain

Most internal hemorrhoids are not painful. But large hemorrhoids that bulge from the anus may become painful if they swell and are squeezed by the muscles that control the anus.
Severe pain may be a sign that the blood supply to the hemorrhoid is being cut off (strangulated hemorrhoid). Emergency treatment is needed for this type of hemorrhoid.

Skin Irritation

Large hemorrhoids that bulge from the anus may secrete mucus and cause mild irritation.

Other Symptoms & Conditions

Rectal bleeding, pain, and recent changes in bowel habits are also symptoms of colon, rectal, or anal cancer.

People who have these symptoms, especially those of age 50 or older or those with a family history of colon cancer, need to talk to their doctors.

Other conditions with symptoms similar to hemorrhoids include anal fissures and fistulas, colon polyps, rectal prolapse, and inflammatory bowel disease (IBD).

Treatment

If your internal hemorrhoids are severe, you may need other treatment. The doctor may tie off the hemorrhoids with rubber bands or scar the tissue around the hemorrhoids.
These treatments reduce the blood supply to the hemorrhoids so they shrink or go away. Surgery to remove hemorrhoids may be an option if other treatments don't work.
Contact us in Ephrata, Pennsylvania, to schedule an appointment with our general surgeon.
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