If you’re suffering from internal or external hemorrhoids, the first step towards relief is making an appointment with our NYC board-certified gastroenterologist and hemorrhoid doctor, Dr. Anthony Borcich. Dr. Borcich has over three decades of experience performing gastrointestinal treatment, including hemorrhoid treatment and surgery. He is known for his expertise, compassionate care, and thorough approach, with a patient rating of 4.7 on ZocDoc.
What are hemorrhoids?
Located in the lower rectum and anus, hemorrhoids are swollen and inflamed veins. There are two types of hemorrhoids:
- Internal hemorrhoids: Internal hemorrhoids are located inside the rectum and generally can’t be seen or felt. Since they are painless, these hemorrhoids are only noticed when a person sees blood (usually bright red) on the toilet paper or in the toilet bowl after a bowel movement. Nevertheless, internal hemorrhoids can be distressing because they can protrude (“prolapse”), which may cause them to push through the anus.
- External hemorrhoids: External hemorrhoids are noticeable, itchy, and irritating. They can usually be felt and cause pain or bleeding during a bowel movement. Sometimes blood from external hemorrhoids can pool and form a clot (called a “thrombus”). This may cause a lot of pain, swelling, and inflammation. Occasionally, leaking of bowels (feces) may occur due to external hemorrhoids.
What causes hemorrhoids?
Factors that may cause hemorrhoids include:
- Not enough fiber in your diet
- Frequent constipation or diarrhea
- Straining during bowel movements
- Sitting on the toilet for a long time
- Anal intercourse
- Old age
What are the symptoms of hemorrhoids?
Hemorrhoid symptoms depend upon the location and type of hemorrhoid. Symptoms of hemorrhoids may include:
- Itching or irritation in your anal area
- Rectal bleeding, common during bowel movements
- Swelling around your anus
- Painful or sensitive lump near, or around your anus
- Feces leakage
If you’re experiencing any of these symptoms, contact our expert hemorrhoid doctors and specialists immediately for diagnosis and treatment.
What are the treatments for hemorrhoids?
The first step to hemorrhoid treatment in New York City begins with a thorough evaluation, including a review of your medical history and your symptoms. In some cases, internal and external hemorrhoid symptoms can be alleviated with simple lifestyle modifications and conservative measures, such as over-the-counter topical creams, stool softeners, adding more fiber to your diet, drinking more water and losing weight. However, in more severe cases, hemorrhoid surgery (hemorrhoidectomy) may be necessary. Whenever possible, hemorrhoid specialist Dr. Borcich emphasizes the use of non-invasive or minimally invasive hemorrhoid treatment techniques, as needed.
What are the surgical treatments for hemorrhoids?
In cases of severe internal hemorrhoids, there are a number of different hemorrhoid treatment options, including:
- Rubber band ligation which involves the use of tiny rubber bands that are placed around the base of hemorrhoids in order to cut off blood supply. This prompts hemorrhoids to shrink and fall off on their own within a few days.
- Sclerotherapy which involves the injection of a special medication directly into hemorrhoids to painlessly shrink it.
- Coagulation (infrared, laser, or bipolar) which involves the use of targeted infrared light or heat that causes internal hemorrhoids to harden and shrivel. This treatment option also helps to prevent future hemorrhoids from developing.
Infrared coagulation is one of the latest minimally invasive hemorrhoid treatment and the procedure can be performed in-office with minimal downtime.
In cases of serious, chronic or large hemorrhoids, a more invasive surgery may be necessary. This type of surgery is called a hemorrhoidectomy, and it’s usually performed in a surgery center where the patient is given a sedative in order to relax them during the procedure. For this surgery, Dr. Borcich will use one of three instruments: a knife, a tool that uses electricity (called a cautery pencil), or a laser. Usually, the patient is able to go home the same day.
Dr. Anthony Borcich, M.D., is a Manhattan gastroenterologist and hemorrhoid doctor with more than 30 years of experience in treating patients with hemorrhoids. Known for his compassionate care and personalized approach, Dr. Borcich can diagnose and treat your hemorrhoids and get you the relief you need. Schedule an appointment with a hemorrhoid doctor today by contacting our office or filling out the schedule appointment form on this page.