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

Matthew B.
A very positive experience. The entire team was absolutely incredible. Informative. Friendly. Detailed and patient. This was my experience fron ALL of the staff from check in, pre op and post op. Very impressed and grateful.
John L.
The process rand like clock work. All on time. Most important the staff, nurses, and doctor were so polite and made sure I understood and was comfortable.
Nicole J.
All the Doctor's, staff and assistants are nice, they listen to your concerns and help you. Yes I have being referring family and friends.
DBSPrintandMarketing
The procedure was quick and everyone was extremely professional.
Diane S.
I can't say enough good things about the staff and patient care there. They provided great patient care and were truly compassionate. I would recommend your facility and staff to anyone who needs your services.
Stacey W.
The staff were efficient and kind. The wait time was nominal. Dr. Wille was great, very clear in his explanations and the plans moving forward. Highly recommend!
Deborah H.
The staff in Troy take away all the stress and anxiety in such a professional way that the procedure is almost pleasant.
Paul S.
A great experience from start to finish. I had the best conversation with Lauren (RN) and she was amazing.
Mitch M.
Very nice people there and was only sitting for maybe 5 mins. before I was called back. Very helpful and all a bunch of friendly and comfortable. I would definitely recommend this place and will come back here for my next one …Thank you to all the nurses and tech for making this experience a little more pleasant..😊
Matt W.
I had another great experience with the medical team at the Macomb location. All nurses, specialists and Dr. Bakken were very nice and professional.
Richard S.
It was a great experience! Very friendly and professional!
Richard E.
Very professional staff that works efficiently and pleasant
Kim S.
Easy to make an appointment and get procedures done in a very timely fashion. Staff is fantastic and follows up afterwards.
Linda P.
My husband was checked in in a timely manner and the procedure completed equally as quick. Staff is very friendly and explained the procedure thoroughly. He was well taken care of in recovery and Dr. Quallich spoke to us within 10 min with the results. Very efficient all around. Definitely a 5 star experience!
Peggy F.
everyone I came in contact with was very nice, kind. wonderful bedside manner. Highly recommend.
Joe P.
This was a very simple process to follow. From check-in to recovery everyone was very thorough and professional. The nurse did a great job explaining everything adn preparing me for the procedure, very personable. The doctor and procedure staff were also very informative and professional. The procedure adn recovery went very well and again, the staff were great. I highly recommend this facility if you are in need of a colonoscopy. 5-stars, A++
Chia-Shyh C.
I had a really pleasant experience at this facility. My wait time was very short, the staffs there are all very nice and friendly, I’ll definitely recommend my friends and families to go there.
Donna B.
As always I had a great experience with my colonoscopy. Dr Donat does an excellent job!
Gina K.
Wonder staff and Dr. Donant has an amazing bedside manor. Would highly recommend.
A V.
In my experience this is a very punctual and easy to communicate with office, not easy to find these days. The staff and Doctor were very down to earth and helpful
Ralph B.
A very caring and professional facility. Everyone answered all my questions from check-in to recovery. I was given a very thorough report of my procedure with post op instructions. From having a warmed blanket covering me in pre op, being helped to my car after recovery and a follow up call to see how I was doing shows a very caring staff. Thank you!
Roseann S.
From arrival to departure ⭐️⭐️⭐️⭐️⭐️!
Marsha G.
Everyone on the team that I interacted with was pleasant, patient, and professional.
Jamie C.
Dr. Willie and the staff were great and friendly
Matt Killinger K.
Everything went on time and everyone there was very kind and organized. Thank you!!
Greg S.
Dr. Anezi Bakken has been my GI doctor for over 20 years and she has always been friendly, caring and professional throughout the many procedures I have had with her. Additionally, the highly trained staff at Troy Gastroenterology have always made me feel comfortable while checking in and getting prepared for the procedure.
Tracey S.
Dr. Quallich and his staff Were welcoming, professional, and thorough. I even got a call in the afternoon to make sure I was feeling OK and could digest food after my procedure. When you have to have a colonoscopy, this is the place to go.
Lori R.
Going into my first colonoscopy I was very nervous and everyone made me feel very comfortable. Dr. Quallich is a wonderful man who has taken care of my whole family. Thank you to him and the whole staff!
Joann K.
excellent experience with PA Noelle. very thorough andd good advice.

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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