What Are Hemorrhoids?
Hemorrhoids are swollen veins in the rectum or anus — among the most common GI conditions, affecting up to 75% of adults at some point. While often manageable, rectal bleeding should always be evaluated to rule out other causes including colorectal cancer. At Advanced Gastroenterology Group, our physicians provide thorough evaluation and evidence-based treatment.
Internal vs External Hemorrhoids
Internal hemorrhoids develop inside the rectum and typically cause painless bleeding. External hemorrhoids form under the perianal skin and can cause pain, itching, and swelling. Thrombosed external hemorrhoids — with a clot — can be acutely painful.
Symptoms
-
Bright red blood on toilet paper or in the bowl after bowel movements
-
Itching, irritation, or discomfort around the anus
-
Pain or swelling (more common with external hemorrhoids)
-
Mucus on stool or underwear
Treatment Options
Conservative management: high-fiber diet, adequate hydration, sitz baths, and topical creams. For persistent symptomatic internal hemorrhoids, infrared coagulation is an effective in-office procedure, while rubber band ligation (hemorrhoid banding) can be done under anesthesia. Our gastroenterologists can discuss which approach is appropriate for your degree of hemorrhoids.
When To See A Doctor
Any new rectal bleeding should be evaluated — even if you suspect hemorrhoids. Bleeding can also come from polyps, diverticular disease, IBD, or colorectal cancer. For patients 45 or older with rectal bleeding and no prior colonoscopy, colonoscopy is recommended.
Book a Hemorrhoid Evaluation in NJ — Call (908) 851-2770 or Schedule Online