This distinction is important, because of the possible symptoms and treatment alternatives. There are two types of hemorrhoids: internal and external.
Although hemorrhoids can be painful, they are usually not serious. Hemorrhoids are swollen blood vessels in the anorectal area. Our team is available for second opinion consultations for anyone who wishes to confirm a diagnosis or discuss treatment options. However, your physician will speak with you and outline alternatives in evaluation and treatment. If your internal hemorrhoidal symptoms are more complex, or are associated with external hemorrhoidal symptoms as well, office procedures or surgical removal of the hemorrhoids may be warranted. If medical management is optimal, that is, you have soft bowel movements without straining and have been compliant about observing recommendations to avoid constipation, your physician may offer several therapies to you. Therefore colonoscopy or other visualization techniques may first be recommended to exclude such a possibility. First and foremost, other possible explanations must be excluded, including malignancy. Treatment of hemorrhoidal disease is based on symptoms. Our surgeons have expertise in both office and outpatient operating room procedures for the management of hemorrhoids such as injection and coagulation, rubber band ligation, stapled hemorrhoidopexy and excisional hemorrhoidectomy.
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