Hemorrhoids are swollen veins in the lower rectum or anus, similar to varicose veins. There are a few types depending on location:
Internal hemorrhoids – inside the rectum (usually painless, may bleed)
External hemorrhoids – under the skin around the anus (can be painful, itchy), you may feel a little lump.
Thrombosed hemorrhoids – a clot forms, very painful, swelling, hurts to sit.
What causes hemorrhoids?
Hemorrhoids are caused by increased pressure in the rectal veins. This pressure can come from straining during bowel movements, chronic constipation or diarrhea, or sitting too long on the toilet or during long car rides. Lifestyle factors such as not enough fiber in the diet, pregnancy, obesity, and heavy lifting can also contribute. In addition, aging can weaken vein walls over time, making hemorrhoids more likely to develop.
What can I do at home?
Many hemorrhoid symptoms can be managed at home with simple changes. Increasing fiber intake through fruits, vegetables, psyllium, and whole grains can help improve bowel movements. Be sure to drink plenty of water and avoid straining or delaying bowel movements. Regular exercise can also support digestive health. For symptom relief, warm sitz baths for 10 to 15 minutes a few times per day can be helpful, along with over-the-counter creams or suppositories for internal hemorrhoids. You can also use ice packs for swelling and pain relievers as needed.
How can Dr Brandt help?
Dr. Brandt provides evaluation and treatment options for hemorrhoids based on the severity of your symptoms and how long they have been present. Many cases can be managed with conservative care, but when symptoms persist or worsen, procedural or surgical treatment may be recommended. This can include in-office procedures or surgical excision to remove problematic hemorrhoids and relieve pain, bleeding, or discomfort. The goal is to address the issue effectively while helping you return to normal daily activities with improved comfort and quality of life.
When to see Dr Brandt
You should consider seeing Dr. Brandt if you experience persistent or heavy bleeding, ongoing pain, or symptoms that do not improve after about a week of at-home treatment. It is also important to seek evaluation if you are unsure whether your symptoms are caused by hemorrhoids, as other conditions can present similarly and should be ruled out. Even though internal hemorrhoids are often painless, bleeding is not something to ignore. A proper assessment, which may include an in-office exam or colonoscopy if needed, can ensure an accurate diagnosis and the right treatment plan moving forward.
What happens after surgery?
Recovery varies for everyone. Often, the site of surgery is very tender. Unlike other surgeries, we can not ask you not to use this area for days to weeks at a time. Site baths, pain medication, really are key.
