Hemorrhoids

Overview

Hemorrhoids are blood vessels in the lower rectum and around the anus. They often result from straining to have bowel movements, constipation, and increased pressure on the lower rectum. They also can result from pregnancy, aging with weakness of the tissues, and diarrhea. Hemorrhoids can be either internal or external, depending on their location.

 

Diagnosis

The most common symptoms of hemorrhoids are rectal bleeding, itching, rectal pain and swelling, thrombosis, or protrusion of hemorrhoids during bowel movements. It is important that symptoms are checked by a colon and rectal surgeon because other conditions like anal or rectal cancer can also present in a similar way.

 

Treatment

 

Non-Surgical Treatments

High fiber diet and fiber supplementation is usually recommended along with increased water intake. Avoidance of straining and hard stools or loose stool as well. Sitz baths with warm water will also be helpful. Most of the hemorrhoids will respond to topical treatments with creams and ointments and improve in a matter of days. The swelling usually will take longer to improve.

 

Surgical Treatments

 
Rubber Band Ligation

A band is placed at the base of the hemorrhoid, which will fall off 5-7 days later. The hemorrhoid will regress because of a lack of blood supply. This method is painless but some patients exhibit discomfort or pressure for 24h. This method of treatment of hemorrhoids has great success rates and very high patient satisfaction. It takes place in an office setting due to lack of pain. In general, patients can return to work the same day.

 

ASCRS: Hemorrhoids

National Digestive Diseases Information Cleaninghouse: What are hemorrhoids?

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What They Are Saying

Darcy L.
I had a tela health appointment with Dr B. I was happy that his office gather all the test results from my primary Dr. previous to the appointment My conversation with Dr B went well. And we were able to schedule my upcoming procedure. The staff is wonderful to work with.
Peggy M.
Very professional & caring staff. The prep for my procedure was a lot less harsh & easier on my system than when I do to do this before. Instructions were very detailed & easy to follow. Over all a very good experience. I would definitely recommend Troy Gastroenterology.
Kingman Y.
Staff was friendly, efficient and knowledgeable.
Michelle B.
Dr. Weber was very personable and professional. The entire process, from appointment setting to recovery, was very well orchestrated and the entire staff was incredibly kind. I'd recommend Dr. Weber and this office to anyone.
Stephanie B.
Wonderful experience. Efficient and friendly staff.
Debbie M.
Dr Donat is Amazing. Very well educated and knowledgeable about digestive issues and difficult cases. The staff is great. The only concern is that during a procedure under anesthesia the nurse made me keep my face mask on through the procedure. In my opinion the nurse needs a clear visual of the patients face, mouth, and nose for proper monitoring. That’s basic first aid 101.
성낙준
This facility is very up-to-date and the professionalism of the staff is very high. They are very kind to patients and care them as their family. I will recommend this center to my acquaintances.
Stacy C.
Great Staff, always on time and efficient! Makes you feel comfortable every step of the way!
Artt C.
The whole staff was polite and professional in handling this procedure
The Carpet P.
Top of the line care with true professionals. Highly recommended.
Carlo Z.
Dr. John Weber is the best .
Gail P.
The staff of the CDH/Troy is competent, caring and efficient. Dr. Wille is an excellent physician, thorough and empathetic.
Marie R.
It was quick and very professional. All the staff was very nice and caring. I would recommend this office to family and friends. Keep up the great work.
Laurie Alward D.
Everyone involved in my care was very nice and very efficient. I felt like I would be very well taken care of.
Mary P.
The staff were so nice and kind. And Dr. Quallich was was nice too. Thank you.
Fred S.
Doctor Weber and nursing staff are superb. Dr. Weber's knowledge and credentials are impressive. My only regret is that I didn't go to him for my previous procedures.
Barb B.
The office was very professional and on time. Dr Donat is a very knowledgeable communicator and explained everything in detail. Would highly recommend!
Robert G.
Dr. Q. And staff handle a tough job and make it comfortable for the patients.
Christine A.
From the moment I entered into the office everyone was great. They took great care of me. made sure I was feeling good after my procedure answered all my questions. I would definitely recommend them.
Veronica
Very pleased with my medical visit. Very professional and friendly.
Jason H.
Very positive experience from check in throughout the procedure.
Anne G.
I was so impressed with my visit for my procedure. From the moment I arrived all the staff I encountered were so friendly! They really put me at ease during a time that I was very nervous and didn’t know what to expect. From start to finish, everything was just great. Without a doubt I would encourage anyone to make an appointment!
Robert R.
Every person I came in contact with had a smile, was very pleasant and professional.
Julie R.
Very efficient and the staff are all so nice and friendly
Kelly M.
Everyone I encountered was very nice, thorough, and understanding.
Thomas R.
I was in and out for a biopsy of the pancreas in 1 hour, 15 minute wait time, 15 minute procedure, 30 minute recovery. Very professional !!
Don S.
Dr. Willie and his staff were great and thorough throughout my whole procedure, highly recommend
Richard M.
Everything went smoothly, in and out in a flash !
Michael C.
Dr. Weber and his team are true professionals with attention to detail and excellent bedside manner. I highly recommend this group for digestive health needs.

Our Doctors

We’re proud of our team here at Digestive Health Institute. Our health care providers include some of the very best colorectal surgeons, gastroenterologists and physician assistants. To learn more about our qualified team of specialists, please visit our providers page.

Anezi E. Bakken MD, MS

Sante D. Bologna MD, FACP

M. Emin Donat MD, FRCPC

Partha S. Nandi

Jack Tocco DO

John R. Weber MD

Richard T. Wille MD

Tusar Desai MD

Aalia Saeed, MD

FAQs

What happens during my first visit?
If you are a new patient, you can expect to have a complete physical exam. You will also be asked detailed questions about your current problems and your past medical history, your current medications, allergies, your family history and other pertinent medical information. If you are taking medications, please bring a completed medical history form with you to your appointment. Once the physician has reviewed your medical information and completed the physical examination, a plan of care will be developed. You may need to be seen again in the office, be referred back to your family physician for follow-up care, or require additional testing. If additional tests are needed, we will assist you in scheduling these tests.
What if I need to schedule an endoscopic procedure?

An endoscopic procedure allows the physician to visualize a part of your gastrointestinal tract with a special instrument called an endoscope. If your family physician has ordered testing, you will be contacted by telephone by one of our staff members. If a physician orders testing and you are in the office, the procedure can generally be scheduled during the course of your visit. You will be given a date, time, and location for the test, as well as written instructions telling you how to prepare for the test. If you have any questions about the procedure, please feel free to ask one of our staff members or the physician.

How do I get test results?

We ask that you wait 10 to 14 days before contacting us for results. Often results come from several different sources. This information needs to be compiled and reviewed by your physician before you can be appropriately advised. 

What insurances do you accept?

We accept payment from most insurance companies including Medicare, Blue Cross/Blue Shield, Blue Care Network, Physicians Health Plan, Cofinity, Sparrow Professional Health Network, Medicaid, McLaren, Health Plus, and several others. Accepted insurances are subject to change at any time without notice.

If your insurance requires an authorization from your primary care physician, you may be asked to assist us in obtaining this authorization.

All patients are responsible for all copays and deductibles at the time of service.

If you have any questions regarding your benefits or insurance coverage, please contact our Billing Department at 248-844-9710.

What if I need to contact the doctor?

To contact your doctor during business hours please call our main number 248-844-9710. If you have an urgent need to speak with the doctor after hours, you will be rerouted to our after hours answering service, and your doctor will be paged. In the case of a medical emergency please proceed directly to the nearest hospital emergency room.

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