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

Patti H.
Everyone one at this facility is very nice and makes you feel comfortable and informed. Dr. Quallach is the best!!
KAM M.
Very professional staff
Kim W.
The staff is great!! Friendly, caring and efficient. I highly recommend this place, I have been with Dr. Willy's office for almost 30 years.
Marie S.
Kind and caring staff, Dr. Nandi is the best, just outstanding. Thank you.
terry M.
Everything very efficient and everyone very nice and helpful The only thing I didn’t like was that I got way too many texts and emails, everyday, and too many not local phone calls
Mary W.
Rachel and Laurie were super nice and every step of the process at the center was quick and on schedule. Followup call a few days later was also nice just to make sure I was doing ok. Would have this done again here instead of the hospital.
Sue P.
My appointment went smoothly and everyone was friendly and helpful.
Lanny B.
Dr Qualich and his entire staff were proficient and engaging. My appointment was at 820 and I was home by 1020 having both a colonoscopy and an endoscopy. I couldn't have been more pleased with the entire experience.
Debra B.
I thought they were all really nice considerate efficient I was in taking care of and out
d B.
Susan was beyond kind, helpful, understanding and a pleasure to talk to. She understood my concerns and I feel my care from here out will be a wonderful experience.
Karla R.
My experience from the initial interview to the discharge was pleasant and everyone made an effort to be informative and provide any need I might express.
Kathie G.
Video visit with Dr Quallich with all my concerns addressed in his comfortable, friendly manner.
greg D.
I have been a patient of Dr Donat for over 15 years. He and his staff have been excellent
t N.
Excellent staffing with a professional, yet personal attitude toward patients! Dr. McGough makes me feel comfortable and is reassuring to me. He has great knowledge which he will share, always making it easier to understand. Thank you for being there!
John K.
Dr.Nandi and his team were fantastic. Thank You for taking great care of me!
Mary S.
I’ve been a patient at Center for Digestive Health for over 25years and have had nothing but exceptional care with Dr Nandi and the Nurse Practitioners Nicolette and other NPs in the practice. Front staff and medical staff are all professional and friendly. My questions are answered and I don’t feel rushed when the NP or physician are with me during an office visit. All have very good communicative skills with patients which is a huge plus.
Donna D.
Excellent experience. Fast, efficient, clean. Friendly nurses. Dr Willie is the best. My second colonoscopy with him over 10 years. Highly recommend him and the center as a whole!
Paul N.
Quality patient care at its finest! From start to finish there was kindness, conscientiousness, prudence and superb care from everyone in the office!
PJ J.
Great attentive consultation. Felt very comfortable.
giuseppe S.
Very professional staff
Gwen S.
All went smoothly, appointment was on time, staff cordial, office clean
joann B.
The appointment was made in a timely manner. Nickoli the PA was exceptionally attentive to my husband, Tom, who was the patient. She spoke clearly and faced her when speaking ti him. She even wrote down all the instructions for him to follow. She certainly is an asset to the practice.
Toni B.
A great experience. I was given all the information I needed. Thank you.
Brad G.
From Dr. Bologna, to the staff all very knowledgeable, professional and nice people. I felt very comfortable and cared for. See ya in five years!
Janet M.
Wonderful medical office. Everything went smoothly. Everyone was so kind.i felt well cared for
Carol L.
I have seen Dr Nandi for many years, he has always provided excellent care and his staff has always been great with scheduling an appt for me when needed
Schianti
Awesome service from the receptionist to the doctor!
Kathleen S.
Everyone was very kind, respectful and professional.
Sarah S.
My doctor and staff did an excellent job of communicating and helping me feel comfortable during my procedure!

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

Christina N. Brown, 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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