Getting to the Bottom of Hemorrhoids

Let's discuss a topic that might not come up often in casual conversations: hemorrhoids. While they're rarely dangerous, hemorrhoids are more common than you might expect and can be quite uncomfortable.

Whether you're experiencing hemorrhoids or just want to learn more, Bowie Internal Medicine provides valuable insights into the issue.

What are Hemorrhoids?

Hemorrhoids are swollen cushions of veins located in the rectal and anal areas. Much like varicose veins, they result from increased pressure on these veins, causing them to swell. Bowie Internal Medicine can help with treating hemorrhoids in Maryland.

How do I Know if I Have Hemorrhoids?

Curious about how these unwelcome guests appear? Common causes include straining during bowel movements, spending too much time on the toilet (yes, scrolling on your smartphone contributes), heavy lifting, and chronic constipation.

Additional factors that increase your risk include:

• Pregnancy: The pressure from a growing baby can cause hemorrhoids.

• Age: As you age, the tissue supporting the veins in the rectum and anus weakens and stretches, making hemorrhoids more likely.

• Obesity: Extra weight can put pressure on the pelvic veins.

• Diet: Low-fiber diets can lead to straining during bowel movements due to smaller, harder stools.

Do Hemorrhoids Ever Require Surgery?

If you have a large hemorrhoid that isn't responding to treatment, your healthcare provider might recommend surgery. However, only a small percentage of people will need surgical intervention.

There are several treatments available today, some of which are more effective than others in preventing hemorrhoids from recurring. These treatments include:

• Rubber band ligation: A common office-based procedure where a small rubber band is placed around the base of the hemorrhoid, cutting off its blood supply. The hemorrhoid then falls off during normal bowel movements.

• Hemorrhoidectomy: A surgical procedure that is the most effective and complete way to remove severe and recurring hemorrhoids.

• Stapled hemorrhoidopexy: A procedure for treating bleeding or prolapsed internal hemorrhoids, where a stapling device is used to remove extra tissue and reposition the remaining tissue.

• Other treatments: These may include sclerotherapy, laser coagulation, or infrared coagulation, which can be performed during an in-office visit.

Is There a Way to Avoid Getting Hemorrhoids?

While you can't always prevent hemorrhoids, making several lifestyle changes can reduce your chances of developing them:

• Limit distractions in the bathroom: Leave your phone out of the bathroom to avoid getting distracted.

• Don’t wait to go: Use the bathroom when you feel the urge.

• Avoid pushing too hard: Try to limit your time on the toilet to 10 to 15 minutes. If you're having trouble, get up and try again later rather than sitting longer.

• Eat more fiber and drink plenty of water: Incorporate high-fiber foods and supplements into your diet, drink water, and limit alcohol and caffeine.

• Keep moving: Exercise regularly and avoid sitting for long periods. If you sit at a desk for extended periods, take frequent breaks to walk and stretch your legs.

• Watch your weight: Maintain a healthy weight through a balanced diet and regular exercise.

Treating Hemorrhoids in Maryland

While discussing hemorrhoids can be uncomfortable, they shouldn't be ignored. Early treatment and care can alleviate symptoms and prevent complications like bleeding, anemia, pain, or infection.

If you experience rectal pain, bleeding, or discomfort, please contact us at (301) 262 – 8188 to schedule an appointment.