You may be tempted to treat hemorrhoids on your own with over-the-counter methods or just using a wait-and-see approach, especially if you’ve had them before. But waiting can be dangerous and lead to severe consequences and more invasive treatments. Instead, visit a vein expert at the Downtown Vein & Vascular Center in NYC. Dr. Sergei Sobolevsky may direct you to OTC treatments while monitoring you for results and the need for additional treatments. Call today for an appointment.
Do I Need Treatment for Hemorrhoids?
Once hemorrhoids have formed and are causing discomfort, the best choice for fast relief is Dr. Sergei Sobolevsky at the Downtown Vein & Vascular Center. Find the most effective hemorrhoid treatment in NYC, which may include recommendations on the best over-the-counter (OTC) treatments or minimally invasive outpatient procedures in the Brooklyn office.
Enlarged veins in the rectum or anus are referred to as hemorrhoids or piles. Symptoms of pain, itching, and bleeding become apparent when these veins become swollen. Inflammation can occur internally or externally. While mild cases of hemorrhoids may resolve on their own within a week or so without intervention, worsening symptoms necessitate medical attention.
How Can I Treat Hemorrhoids at Home?
If you’re experiencing symptoms of hemorrhoids, your doctor may suggest a few home-based remedies to alleviate discomfort. First, it’s important to avoid straining during bowel movements and refrain from prolonged periods on the toilet.
Upon consultation, your doctor may recommend:
- Ice Packs: Applying ice packs to the affected area can help reduce pain.
- Maintain Cleanliness: After bowel movements, use wet wipes or a bidet for proper cleaning, followed by patting dry.
- Prevent Constipation: Consider taking fiber supplements or a stool softener to prevent constipation. Adequate water intake is also crucial.
- Sitz Bath: A sitz bath, involving soaking in shallow water with Epsom salts for about 10 minutes two or three times a day, can be beneficial.
- Exercise: Regular physical activity helps reduce pressure on anal veins.
Over-the-counter ointments and creams containing ingredients like witch hazel, anesthetics, or hydrocortisone can provide relief. Additionally, common pain relievers such as aspirin, acetaminophen, or ibuprofen can alleviate minor discomfort. Always consult with your doctor before trying any home treatment.
When Should I Consult a Doctor for Hemorrhoids?
It’s advisable to consult your doctor before attempting any home remedies, as over-the-counter medications might interact with other treatments, or there could be an underlying issue. For instance, while bleeding before, during, or after bowel movements might indicate hemorrhoids, it could also signify a more serious condition.
Signs that necessitate a doctor’s attention include:
- Severe rectal bleeding and pain
- Nausea and vomiting
- Abdominal pain
Avoid using hydrocortisone-containing medications for more than a week without consulting a hemorrhoids doctor, and seek medical advice promptly if you develop a rash. If persistent discomfort, pain, or itching persists for over seven days and your symptoms worsen, schedule a consultation with Dr. Sobolevsky. Immediate medical attention is also warranted if you detect a lump in the anus.
How Can My Doctor Address Hemorrhoids?
Hemorrhoids come in external and internal forms, with external hemorrhoids visible from outside the body, while internal ones typically remain unseen unless they prolapse, extending beyond the anus.
Various in-office treatments your doctor can administer include:
- Embolization. One of the safest and most effective means of treatment for hemorrhoids is embolization, a specialty of Dr. Sobolevsky. It’s a minimally invasive, in-office procedure performed while you’re under twilight sedation. It prevents rectal trauma and incontinence while reducing the risk of recurring hemorrhoids. Your symptoms improve almost immediately.
- Rubber Band Ligation: A common procedure involves placing a rubber band around a bleeding or prolapsed hemorrhoid, cutting off its blood supply. The hemorrhoid typically falls off within about a week.
- Electrocoagulation: An electric current is directed to an internal hemorrhoid in this procedure, inducing scar tissue formation that obstructs blood flow and causes the hemorrhoid to shrink.
- Infrared Coagulation: This method employs a directed laser to produce heat, treating internal hemorrhoids by cutting off their blood supply and reducing swollen tissues.
- Sclerotherapy: A chemical solution is injected into the hemorrhoid by your doctor to diminish swelling.
- Excision: Thrombosed external hemorrhoids can be surgically removed within the first 24 hours of experiencing pain symptoms.
The optimal treatment is determined by factors such as the type and size of the hemorrhoids and the severity of symptoms. A seasoned vein doctor will discuss the available options, outlining potential side effects. While some individuals may experience bleeding or mild pain with rubber band ligation, procedures like coagulation, sclerotherapy, or embolization typically involve little or no pain.
Why Opt for Surgery to Address Hemorrhoids?
While many cases of hemorrhoids respond well to at-home care or minimally invasive office procedures, there are instances where these approaches may fall short, necessitating surgical intervention.
Your doctor might recommend surgery if:
- Excessive Bleeding: If hemorrhoids cause significant bleeding that persists despite other treatments, surgery may be necessary.
- Large, Painful External Hemorrhoids: When external hemorrhoids are sizable and exceptionally painful, surgery might provide a more definitive solution.
- Prolapsed Internal Hemorrhoid: If an internal hemorrhoid has prolapsed, meaning it has extended beyond the anus, surgical intervention may be deemed necessary.
In cases where patients experience both internal and external hemorrhoids simultaneously, surgery may be the preferred course of action. It’s important to note that surgery is a safe and effective treatment for severe hemorrhoids, but it’s not the initial recommendation. Typically, less than one in ten individuals with hemorrhoids require surgery. Your doctor will carefully evaluate your condition and explore less invasive options before considering surgery.
What to Anticipate from a Hemorrhoidectomy?
A hemorrhoidectomy is a surgical procedure employed to eliminate large external hemorrhoids or prolapsed internal hemorrhoids that haven’t responded to alternative treatments.
When your doctor recommends a hemorrhoidectomy, here’s what you can expect:
- Administration of General Anesthesia: You’ll be under general anesthesia, ensuring you are not conscious during the procedure.
- Ligation of Hemorrhoidal Vein: The vein within the hemorrhoid is tied off to prevent bleeding.
- Surgical Removal of Enlarged Tissue: The enlarged hemorrhoidal tissue is excised, and the wound is closed using dissolvable sutures.
Following the procedure, most individuals can return home on the same day, but you’ll need arrangements for transportation and someone to stay with you for the initial 24 hours post-surgery. Your doctor may provide dietary guidelines, recommending avoidance of certain foods like fried or citrus products for a period. Expect some discomfort during the healing process, typically lasting two to four weeks. Your Brooklyn vein doctor will furnish guidance on suitable over-the-counter medications and may prescribe narcotic pain medication if needed.
What Is Hemorrhoid Stapling?
Hemorrhoid stapling, also known as hemorrhoidopexy, is an alternative surgical procedure designed to address internal hemorrhoids without the need for external incisions.
In this procedure:
- Incision-Free Approach: No external incision is made during the process.
- Circular Stapling Device: Hemorrhoidal tissue is elevated using a circular stapling device and stapled back to its original position.
- Automatic Staple Dissolution: Over time, the staples naturally fall out.
By employing this method, blood flow to the hemorrhoidal tissue is restricted. Hemorrhoid stapling typically involves less pain and a speedier recovery period compared to the traditional hemorrhoidectomy. The recovery duration for this procedure is usually around two weeks.
Why Should I Visit Downtown Vein & Vascular for Hemorrhoid Treatment?
Dealing with hemorrhoids can be both uncomfortable and painful, and many individuals may hesitate to discuss this issue. When home remedies prove ineffective and hemorrhoids impact your quality of life, consulting a knowledgeable and experienced doctor becomes crucial. At the Downtown Vein & Vascular Center, you can expect comprehensive care from experts well-versed in the latest treatments for hemorrhoids, ensuring a tailored and effective approach to address your specific needs.
Dr. Sergei Sobolevsky has decades of experience in endovascular conditions, and he provides safe, precise treatments for hemorrhoids and all other vein and artery problems. The Downtown Vein & Vascular Center is the best possible choice for compassionate, professional vein care in the Brooklyn area. Contact the office today for quick relief from pain and discomfort.
Sergei Sobolevsky, MD, is a leading specialist in endovascular medicine with experience in vascular and interventional radiology. Dr. Sobolevsky has decades of experience in the field, with over 25,000 procedures performed, accumulating extensive experience in image-guided minimally invasive medicine, diagnosing and treating a range of conditions.
Dr. Sobolevsky earned his Doctor of Medicine (MD) degree in 1997 from the University of Colorado School of Medicine. He received his specialty clinical training in vascular and interventional radiology at Harvard University. Later, he earned his MBA from the MIT Sloan School of Management. Recognized as a Castle Connolly Top Doctor and named to the Top Doctors New York Metro Area in 2020, 2021, and 2022, Dr. Sobolevsky is licensed in multiple states, has delivered presentations at numerous institutions in the US and abroad, and now acts as a clinical advisor for the biomedical industry. He also held multiple positions in the field during his career, including Chief of Vascular and Interventional Radiology at the Columbia University Medical Center in New York, NY, Senior Vice President in Clinical and Regulatory Affairs at Artann Laboratories in North Brunswick, NJ, and Medical Director at the American Endovascular and Amputation Prevention Center in Brooklyn.More About Dr. Sobolevsky
Downtown Vein Treatment Center
480 Court Street, Ste 101
Brooklyn, NY 11231