Hemorrhoids Specialist
David Magner, MD, FACS, FASCRS
Board-Certified Colorectal Surgeon located in Beverly Hills, CA
Nearly three out of four adults experience hemorrhoid symptoms at some point in their lives. Although most cases of hemorrhoids are self-limited, David Magner, MD, FACS, FASCRS in Beverly Hills, California can help in cases when they become painful or begin to bleed. If you have anal bleeding, don’t put off seeing a doctor because you think it’s caused by hemorrhoids. It may be due to a much more severe condition, such as colorectal cancer. If you’re concerned about anal bleeding or painful hemorrhoids that don’t respond to home remedies, call Dr. Magner’s office or book online today.
Hemorrhoids Q & A
What are hemorrhoids?
Hemorrhoids are swollen veins in your anus and lower rectum. They can occur internally or externally.
Internal hemorrhoids
Internal hemorrhoids are located inside the rectum. Usually, you can’t see or feel these hemorrhoids. You might not even know they exist unless they start to bleed.
Strain or irritation during bowel movements can tear the surface of the hemorrhoids, causing spots of bright red blood to appear.
It’s possible for internal hemorrhoids to get pushed through the anus, causing pain and irritation. This is called a prolapsed hemorrhoid and straining can cause it.
External hemorrhoids
External hemorrhoids lie under the skin around the anus. It's a sensitive area with more pain-sensing nerves, so if you have external hemorrhoids, they are more likely to hurt than internal ones. They also tend to itch when irritated.
Thrombosed hemorrhoids
This happens when blood pools in an external hemorrhoid and forms a clot, causing swelling, inflammation, and a hard lump near your anus. Thrombosed hemorrhoids can be extremely painful.
What are the symptoms of hemorrhoids?
Signs that you have hemorrhoids may include:
- Seeing blood on the toilet paper or in the bowl when you go to the bathroom
- Itching or discomfort around your anal region
- Swollen bumps around the edge of your anus
- A sensitive or painful lump near your anus
What causes hemorrhoids?
As common as hemorrhoids are, what causes them are mostly unknown. Men and women might be more likely to develop hemorrhoids if their parents also had them. Other factors that might increase your chances of getting hemorrhoids include:
- Being overweight or obese
- Pregnancy
- Sitting for long periods of time
- Pushing during bowel movements
- Physical strain (ex: lifting something heavy)
Should I see a doctor for hemorrhoids?
If you’re bleeding during bowel movements, it’s important to see a doctor, even if there’s no pain. Dr. Magner can perform a physical exam or other tests that confirm your anal bleeding is due to hemorrhoids and not a more serious condition like cancer or Crohn’s disease.
You should also see a doctor if you think you have hemorrhoids due to bleeding, pain or anorectal pressure/discomfort and irritation.
Seek emergency care immediately if you’re experiencing excessive rectal bleeding that causes dizziness.