How to Tell If It’s Hemorrhoids or Colorectal Cancer

Hemorrhoids, those uncomfortable and often embarrassing lumps around your anus, are a common concern for many. But what happens when symptoms overlap with something more serious, like colorectal cancer? March is Colorectal Cancer Awareness Month, an important time to understand the differences and similarities between these two conditions.  Some may attribute their symptoms to ‘just hemorrhoids’, potentially delaying a proper diagnosis until their symptoms become more severe. 

With colorectal cancer affecting approximately one in 24 people and becoming increasingly prevalent in younger adults, it’s important to recognize the signs and when to seek medical advice.1   

Hemorrhoids, which are swollen blood vessels in or around the anus, are not a sign of colorectal cancer (also known as colon cancer). However, symptoms of hemorrhoids, such as rectal bleeding, can indicate cancer when paired with other symptoms. This is where confusion often arises, and why it’s important to stay vigilant about your colorectal health. If your symptoms are related to internal hemorrhoids, USA Hemorrhoid Centers can help. 

Learn When to Seek Medical Attention for Hemorrhoids

Hemorrhoid symptoms can sometimes overlap with colorectal cancer symptoms

Understanding Hemorrhoid Symptoms

Hemorrhoids are uncomfortable swollen veins around the anus, and it’s estimated that about one in 10 people experience them. Hemorrhoids can affect people of any age, but they are most common in people between the ages of 45 and 65. 

Hemorrhoids come into two forms: internal and external. External hemorrhoids are located around the anus and are more noticeable. They also tend to be more painful than internal hemorrhoids because of their location, which has more nerve endings. 

No matter whether they are internal or external, hemorrhoids can cause a range of painful symptoms including: 

  • Bleeding 
  • Itching around the anus 
  • Mucus discharge  
  • Feelings of fullness after defecating 
  • Uncomfortable bowel movements 

Hemorrhoid symptoms often improve within a few days to a week and are generally benign. It’s important to be aware, however, that internal hemorrhoids can take longer to heal and may get progressively worse. When internal hemorrhoids are left untreated, they can start to protrude out of the anus, a condition known as prolapse. Prolapsed hemorrhoids can cause significant pain and may need medical interventions to treat them, such as hemorrhoid artery embolization (HAE). 

Learn About the Benefits of HAE

Symptoms of colorectal cancer are often confused with hemorrhoid symptoms
These ribbons represent the fight against cancer, and each color represents a specific type. Colorectal cancer’s ribbon is dark blue.

Colorectal Cancer: What You Need to Know

Colorectal cancer is a polyp that forms inside the colon or rectum. Most polyps are benign but have the potential to turn into cancer. Out of the 150 thousand people diagnosed with colon cancer each year, a third of them will not survive.  

Colorectal cancer mainly affects adults over the age of 50, but genetics can also play a role in cancer risk. Your risk can also increase if you: 

  • Eat a diet high in red meat or low in fiber. 
  • Smoke or used to smoke. 
  • Are overweight or obese.
  • Have inflammatory bowel disease (IBD). 

Some of these risk factors, such as eating a low-fiber diet and having IBD, are also risk factors for hemorrhoids. 

Early-stage colon cancer doesn’t usually present symptoms. However, some symptoms of colorectal cancer, such as rectal bleeding, can also overlap with hemorrhoid symptoms, including: 

  • Chronic abdominal pain, cramps, or gas 
  • Changes in bowel habits (diarrhea, constipation, very thin stools, or bloating) 
  • Incomplete bowel movements due to blockage 
  • Fatigue 
  • Unintentional weight loss 

In this case, a gastroenterologist or oncologist may be the best option in finding care for colorectal cancer. 

How to tell the difference between hemorrhoids and colorectal cancer

Hemorrhoids vs Cancer: How to Tell the Difference 

Hemorrhoids and colorectal cancer can share similar symptoms, but these symptoms can present differently. The table below illustrates the difference. 

Symptoms Hemorrhoids Colorectal Cancer
Rectal Bleeding Bright red blood, often painless Dark red blood mixed with stool, persistent bleeding
Bowel Habit Changes Temporary changes, often linked to diet Persistent changes with unexplained constipation or diarrhea
Pain and Discomfort In prolapsed hemorrhoids, pain localizes in the anus, often while sitting down Polyps can cause abdominal or back pain

Even if you experience most of these symptoms, it’s important not to self-diagnose. Gastrointestinal conditions like irritable bowel disease (IBD), irritable bowel syndrome (IBS), Crohn’s disease, and ulcerative colitis can have similar symptoms. 

A hemorrhoid specialist may be able to determine what’s causing your symptoms and recommend the best course of action. USA Hemorrhoid Centers can discuss non-surgical treatment options if your symptoms are synonymous with hemorrhoids. 

Get an Expert Opinion By Scheduling Online

Colorectal Cancer Awareness Month emphasizes that early detection and treatment improves survival rate

Why Colorectal Cancer Screenings Matter 

Early detection and treatment of colorectal cancer significantly improve survival rates, with stage I at a 91 percent survival rate compared to only 15 percent for stage IV. It’s recommended to start colon cancer screenings after 45, and younger if you have a family history. Some diagnostic tests to identify hemorrhoids, such as colonoscopy, can be used to detect colorectal cancer.  

When Hemorrhoid Treatment is Required 

Some hemorrhoids are not able to go away after a week despite using natural remedies. If you are experiencing hemorrhoid symptoms for more than a week, you may need medical treatment. Additionally, you should seek help from a hemorrhoid specialist if you have: 

  • Persistent or severe bleeding 
  • Worsening pain and swelling 
  • Internal hemorrhoid bulging outside the anus (prolapsed hemorrhoid) 

If a hemorrhoid is left intreated, you increase your risk of blood clots in the affected area, known as thrombosed hemorrhoids. You are also at an increased risk of developing anemia, anal fissures, or an infection. The earlier hemorrhoids are treated, the risk of complications decreases.  

 Treatment at USA Hemorrhoid Centers 

If your symptoms are caused by hemorrhoids, USA Hemorrhoid Centers specializes in treating hemorrhoids with hemorrhoid artery embolization (HAE). 

 HAE is an innovative, minimally-invasive procedure that’s designed to reduce blood flow to the hemorrhoid and alleviate symptoms for lasting relief. No incisions are made, and the procedure doesn’t come with a week-long, residual pain like rubber band ligation does. 

If your symptoms are more consistent with hemorrhoids, such as painless rectal bleeding, itching, or mucus discharge, contact us by calling or scheduling an appointment online.

Frequently Asked Questions 

Can hemorrhoids cause cancer?

Hemorrhoids do not cause cancer, but symptoms of colorectal cancer can sometimes overlap with hemorrhoids and can happen simultaneously.

Do hemorrhoids increase colorectal cancer risk?

Hemorrhoids do not increase colorectal cancer risk, but both conditions share similar risk factors such as diet, age, smoking status, and inflammatory bowel disease (IBD).

Can colorectal cancer be mistaken for hemorrhoids?

Colorectal cancer can be misdiagnosed as hemorrhoids, especially in younger people. This can lead to delayed treatment and increase mortality risk.

What are the top two signs of colorectal cancer?

Major indicators of colorectal cancer include persistent diarrhea or constipation in addition to dark, red blood in the stool.

Sources

  1. Colorectal cancer facts and statistics 

Hemorrhoids Vs. Piles: Understanding the Difference and Treatment Options

Hemorrhoids and piles are simply two names for the same condition: swollen veins in the anus and rectum. Many people use these words interchangeably, and perhaps with a touch of embarrassment assuming they’re two different ailments. 

While the topic might be a little uncomfortable to discuss, it’s incredibly common. Millions of people experience hemorrhoids at some point in their lives. Understanding hemorrhoids or piles and treatment options is the first step to finding relief and improving your quality of life. 

USA Hemorrhoid Centers is an expert in non-surgical hemorrhoid treatment. If you are concerned about pain and discomfort that could be associated with hemorrhoids, consult a hemorrhoid specialist for an evaluation.

Schedule A Hemorrhoid Consultation

What are Hemorrhoids?

Hemorrhoids are swollen veins in the anus and rectum.  While these veins are a normal part of our anatomy, they become problematic when inflamed or enlarged. Think of them like varicose veins, but instead of in your legs, they’re in your lower digestive tract.

Types of Hemorrhoids (Piles)

Hemorrhoids can be divided into two categories, internal and external, but in some cases, they can also develop together, known as mixed hemorrhoids. 

Internal hemorrhoids occur inside the rectum, often causing painless bleeding, and are graded from 1-4 based on their location and severity. Internal prolapsed hemorrhoids, which can be felt and sometimes seen externally, appear as soft lumps of tissue protruding from the anus.

External hemorrhoids develop under the skin around the anus, typically causing pain, itching, and swelling; a thrombosed external hemorrhoid occurs when a blood clot forms within it. 

Mixed hemorrhoids are both internal and external hemorrhoids occurring at the same time, producing a combination of symptoms.

Types of  Hemorrhoids

Difference Between Hemorrhoids and Piles

“Piles” is just another term used for hemorrhoids in different parts of the world, like the United Kingdom and India, while in the United States, the word “hemorrhoids” is more prevalent.

The confusion arises because people often use “piles” or “hemorrhoids” to describe the symptoms of enlarged or problematic hemorrhoids rather than the anatomical structures themselves.

Causes of Hemorrhoids (Piles): Why Do They Develop?

Risk Factors Leading to Hemorrhoids (Piles)

Several factors can contribute to the discomfort and inflammation of hemorrhoids (or piles).

Straining or putting pressure during bowel movements, usually a consequence of chronic constipation or diarrhea, exerts considerable force on the delicate veins lining the rectum and anus, resulting in swelling and pain.

Pregnant women are also prone to experiencing increased pressure in the rectal area, a result of hormonal fluctuations that slow digestion and the added weight of the developing uterus.

Excess weight, particularly from obesity, increases pressure on the rectal veins, exacerbating existing hemorrhoids. Prolonged sitting also hinders proper blood circulation, potentially worsening pre-existing hemorrhoid issues. Additionally, aging weakens the supportive veins in the rectal area, making them more susceptible to swelling. Finally, a genetic predisposition can play a role, meaning some individuals inherit a higher risk of developing hemorrhoids.

Hemorrhoids (Piles) Symptoms: What to Look For

 

Read More About Symptoms

Hemorrhoids (Piles) Prevention: Reducing Your Risk

Since hemorrhoids or piles are swollen veins near the rectum and anus, they can cause pain, discomfort, and bleeding. While some people are more likely to get them, many cases are linked to how you go about your everyday life. You can lower your risk by eating a good diet and having healthy bathroom habits, which helps keep blood flowing properly and reduces pressure.

To prevent hemorrhoids from developing or worsening, consider the following lifestyle suggestions:

  • Eat a high-fiber diet (fruits, vegetables, whole grains).
  • Drink plenty of fluids (to keep stools soft).
  • Avoid straining during bowel movements.
  • Maintain a healthy weight.
  • Exercise regularly (to improve circulation).
  • Avoid prolonged sitting, especially on the toilet.

Living with Hemorrhoids (Piles): Tips for Comfort

While hemorrhoids can be a persistent problem, there are ways to manage the discomfort and improve your quality of life. Below are some everyday tips and techniques to deal with hemorrhoid pain, improve your well-being, and easily navigate daily routines.

  • Use soft, unscented toilet paper.
  • Avoid prolonged sitting.
  • Use a cushion for sitting if necessary.
  • Practice good hygiene (gentle cleaning after bowel movements).

When to See a Doctor:

While many hemorrhoid issues in the early stages may resolve on their own with home care, it’s important to see a hemorrhoid specialist if you experience severe symptoms such as significant rectal bleeding, particularly if it’s accompanied by dizziness or lightheadedness. 

Persistent pain that doesn’t respond to over-the-counter treatments is another reason to consult a physician. Changes in your bowel habits, such as alterations in stool consistency or an increase in the frequency of bowel movements, should also be evaluated. Finally, the presence of blood in your stool, even if it seems minimal, requires prompt medical attention as it could be a sign of a more serious underlying condition.

If any of the above symptoms are something you can relate to and are causing discomfort, schedule a consultation with one of our specialists at USA Hemorrhoid Centers to check for hemorrhoids.

Connect With Our Hemorrhoids Specialists

Hemorrhoids (Piles) Treatment: Finding Relief

Treatment for hemorrhoids depends on the grade level of hemorrhoids, location, size, and severity of the symptoms. The following methods can be tried to alleviate painful symptoms and become pain-free:

  • Lifestyle changes: Simple adjustments such as increasing fiber intake, drinking plenty of fluids, and avoiding activities that involve straining, such as heavy lifting or prolonged toilet sitting, can be beneficial.
  • Over-the-counter medications: Creams, pain relievers, ointments, and suppositories can temporarily relieve symptoms.
  • Sitz baths: Soaking the anal area in warm water can soothe swollen tissue.
  • Medical procedures: Options include hemorrhoid artery embolization (HAE), sclerotherapy, rubber band ligation, or surgery in more severe cases.

Hemorrhoid Artery Embolization (HAE)

What is HAE?

Hemorrhoid artery embolization (HAE) is a minimally invasive approach to treating hemorrhoids by reducing their blood supply. This reduction in blood flow causes the hemorrhoids to shrink, providing significant relief from symptoms like pain and bleeding.

The HAE Procedure: How It Works

  • Access and Imaging: A catheter is inserted into the wrist or groin to access the blood vessels after numbing. Real-time X-ray imaging (fluoroscopy) is used to guide the procedure.
  • Locating the Target: The interventional radiologist carefully locates the arteries feeding blood to the hemorrhoids.
  • Blocking Blood Flow: Tiny particles or coils are inserted into these arteries, effectively blocking the blood supply and causing the hemorrhoids to shrink.

Learn More About HAE

Why Choose Hemorrhoid Artery Embolization?

With its multiple benefits, hemorrhoid artery embolization (HAE) offers a compelling alternative to traditional hemorrhoid treatments. Being minimally invasive, HAE requires no large incisions, resulting in less scarring and a quicker recovery. 

The procedure is typically performed at an outpatient clinic, allowing most patients to return home the same day. Compared to more invasive methods like surgery or banding, HAE is less painful. Recovery is also swift, with many individuals able to resume their normal routines within just a few days. 

HAE proves particularly effective for complex cases, offering a viable solution for those experiencing persistent bleeding or dealing with large hemorrhoids that haven’t responded to other treatment options.

Hear From Our Patients

USA Hemorrhoid Centers: Expert Care for Hemorrhoids

For patients seeking a less invasive way to deal with persistent internal hemorrhoids,  hemorrhoid artery embolization (HAE) offers a promising alternative. Interventional radiologists at USA Hemorrhoid Centers use this leading-edge technique to provide significant pain relief, particularly to those suffering from chronic or severe hemorrhoid symptoms who want to avoid surgery. If other treatments have been ineffective, consulting with an interventional radiologist about HAE might be the first step to long-term comfort and a better quality of life. 

Interested in learning more about HAE or scheduling a consultation? Contact USA Hemorrhoid Centers at 855-805-4247 or visit www.usahemorrhoidcenters.com  to explore your options and find a location near you.

Find a Hemorrhoid Clinic Near You

Hemorrhoid Warning Signs: When to Seek Medical Attention

Hemorrhoids are a common occurrence in adults—almost half of them experience hemorrhoids at least once in their lifetime. Hemorrhoids are a group of veins, muscles, and connective tissues near the anus that become inflamed and swollen. They can form either around the anus (external) or inside the rectum (internal).  

Patients with hemorrhoids may experience symptoms such as itching, bleeding, and pain or discomfort near the anus. Many over-the-counter medications can ease symptoms, and these symptoms may resolve on their own. However, some symptoms may persist, indicating a more serious issue that needs medical attention. 

 This blog explains hemorrhoids and when to seek medical attention. For minimally invasive, long-lasting relief, consider USA Hemorrhoid Centers. We offer minimally invasive treatment that can provide long-lasting relief.  

Relief Starts with a Click

Symptoms of Hemorrhoids

Symptoms of Hemorrhoids 

Hemorrhoids can cause various symptoms that can impact a person’s well-being. Common symptoms of hemorrhoids include: 

  • Pain and discomfort while sitting down on a hard surface, pooping, or wiping. 
  • Itching and irritation in the affected area, which can be made worse by excess moisture, mucus membranes from the hemorrhoids, and friction from wiping. 
  • Swelling of the veins in the anus. Internal hemorrhoid swelling may feel as if something is pushing against the sphincter (opening of the anus).  
  • Bleeding that occurs after straining while pooping. You may notice bright red blood on the toilet paper after wiping. 
  • Lumps outside the anus, which indicate external hemorrhoids. 

Some hemorrhoids can secrete mucus when they are inflamed. In severe cases, a small amount of stool may leak out if the hemorrhoids prevent the anus from fully closing. Depending on how big the hemorrhoid is, you may also feel fullness even after a bowel movement.  

Learn About Internal vs External Hemorrhoids

Mild Hemorrhoid Symptoms  

Some patients may only have mild symptoms of hemorrhoids that resolve on their own within a week. Hemorrhoids like these are usually no cause for concern and can be treated with the following at-home remedies: 

  • Eating more fiber 
  • Drinking plenty of water 
  • Using topical creams or ointments such as witch hazel or phenylephrine (Preparation H) 
  • Sitting in warm water (sitz bath) 

If natural remedies don’t work, it may be time to schedule a consultation. 

Serious Hemorrhoid Symptoms

Serious Hemorrhoid Symptoms 

You may need help from a medical professional if you are experiencing signs of severe hemorrhoids. These signs include: 

  • Persistent or heavy bleeding
  • Worsening pain and swelling
  • Internal hemorrhoid bulges outside the anus (prolapsed hemorrhoid)
  • Symptoms last longer than a couple of weeks despite using at-home remedies

In these cases, you may benefit from seeing a hemorrhoid specialist. USA Hemorrhoid Centers’ interventional radiologists are experienced in treating hemorrhoids and can help you find relief that hasn’t been achieved by at-home treatments. 

Find a Hemorrhoid Specialist Near You

Untreated Hemorrhoids: Potential Complications 

When hemorrhoids are left untreated, they can lead to the following complications: 

Prolapsed Hemorrhoid

A prolapsed hemorrhoid happens when an internal hemorrhoid starts bulging out of the anus. They can feel like soft lumps of tissue, but they can be painful. If prolapsed hemorrhoids aren’t treated, they can become permanent and cause further discomfort. 

Thrombosed Hemorrhoid

A thrombosed hemorrhoid is when a blood clot forms in the hemorrhoid, causing severe pain and swelling. This works similarly to deep vein thrombosis (DVT), a blood clot in the deep veins of the leg. Unlike DVT, a thrombosed hemorrhoid can eventually burst, leading to intense bleeding, nausea, dizziness, and abdominal pain.  

Anemia

The longer hemorrhoids bleed, the higher your chance is of developing anemia. Anemia is when you don’t have enough red blood cells to carry oxygen from the heart to the rest of your body. This can lead to feelings of weakness and fatigue. 

Anal fissures

Hemorrhoids don’t directly cause anal fissures, but the irritation from friction can eventually lead to tears inside the linings of the anus.  

Infection

Hemorrhoids increase a person’s risk of infection due to bleeding.  

Early detection and treatment of hemorrhoids that don’t resolve on their own can reduce your risk of complications.

When to See a Doctor for Hemorrhoids

When to See a Doctor for Hemorrhoids 

Hemorrhoid symptoms may overlap with other health conditions, including inflammatory bowel disease or colorectal cancer. You should consider seeing a doctor if you also experience: 

  • Dark red blood in your stool 
  • Stool has a tar-like consistency 
  • Frequent diarrhea or constipation 
  • Unexplained abdominal pain or bloating 
  • Unexplained weight loss or fatigue 

Additionally, if you are experiencing symptoms of an infection such as nausea, chills, fever, or an increased heart rate, you should head to an urgent care for proper treatment.  

Diagnosing and Treating Hemorrhoids 

External hemorrhoids are typically easy to diagnose and treat on your own. However, internal hemorrhoids that don’t resolve on their own may need a diagnosis and treatment from a hemorrhoid specialist, such as a colorectal surgeon, gastroenterologist, or interventional radiologist. Hemorrhoids can be diagnosed using the following methods: 

  • Digital rectal exam: The specialist uses gloves and lubricant to insert a finger inside the rectum and check for hemorrhoids.  
  • Anoscopy: The specialist uses an anoscope—a hollow, lighted tube—to examine the anal canal and rectum, which can be more effective than a digital rectal exam. 
  • Proctoscopy: This procedure can help identify hemorrhoids that are further up the rectum.  
  • Colonoscopy: This involves a longer, flexible tube with a camera to examine the rectum and colon.  

USA Hemorrhoid Centers’ team of interventional radiologists offer a minimally invasive treatment known as hemorrhoid artery embolization (HAE). Rather than removing hemorrhoids through surgery, staples, or rubber bands, HAE involves tiny particles through a catheter that block blood flow to the hemorrhoid.  

Learn More About HAE Here

The Benefits of HAE Minimally Invasive Treatment for Hemorrhoids 

HAE can be beneficial to patients in a few ways. It’s less painful than other procedures for hemorrhoids such as rubber band ligation, stapled hemorrhoidopexy (using staples to cut off blood flow), or hemorrhoidectomy (surgically removing hemorrhoids). Additionally, HAE can treat higher grade hemorrhoids than other procedures such as infrared coagulation, which involves infrared light to break down hemorrhoidal tissues. 

HAE also comes with fewer risks than other procedures. The Journal of Vascular and Interventional Radiology published a study in 2023 evaluating the safety of HAE. The study concluded HAE has a success rate of 93 percent, without adverse side effects. Patients who chose rubber band ligation as a treatment experienced significant pain one week after treatment. Hemorrhoidectomy comes with a higher risk of infection, bleeding, and longer recovery times. 

A benefit of HAE treatment is that patients go home shortly after the procedure and quickly resume most activities. There is significant symptom improvement within a week, and the risk of further hemorrhoid complications is greatly decreased. 

Contact USA Hemorrhoid Centers for Hemorrhoid Treatment 

Don’t let hemorrhoids make bathroom breaks miserable. The experts at USA Hemorrhoid Centers, a national network of AAAHC-accredited radiologists can help you find lasting relief from internal hemorrhoid pain. Call 855.805.4247 or schedule an appointment online. Our Care Team will verify your insurance coverage. 

Schedule Online

What Type of Doctor Treats Hemorrhoids?

Discover how interventional radiologists treat hemorrhoids using hemorrhoid artery embolization (HAE), a minimally invasive and effective procedure.

Exploring Interventional Radiologists and Hemorrhoid Artery Embolization

Hemorrhoids, though common, can be a source of significant discomfort and embarrassment for many. They can manifest as internal or external swellings in the rectal or anal area due to inflamed or swollen veins. While general practitioners, gastroenterologists, and proctologists are commonly sought for their treatment, a lesser-known but highly effective option involves interventional radiologists and a procedure called hemorrhoid artery embolization (HAE). This blog dives into the role of interventional radiologists, the advantages of HAE, and how this innovative treatment is reshaping the landscape of hemorrhoid care.

Understanding Hemorrhoids and Their Treatment Needs

Hemorrhoids occur when the blood vessels in the rectum or anus become swollen due to factors like straining during bowel movements, chronic constipation, or pregnancy. While mild cases can often be managed with dietary changes or topical treatments, more severe cases, such as prolapsed or bleeding hemorrhoids, require specialized medical intervention. Traditionally, treatments such as rubber band ligation, sclerotherapy, or surgical procedures like hemorrhoidectomy were the go-to solutions. However, these methods can involve considerable discomfort and longer recovery times. This is where interventional radiology shines, offering a less invasive and highly targeted treatment option.

Who Are Interventional Radiologists?

Interventional radiologists are medical specialists who use imaging technology like X-rays, CT scans, and ultrasound to perform minimally invasive procedures. Their expertise lies in treating various conditions by targeting affected blood vessels or tissues with precision. In the context of hemorrhoid treatment, interventional radiologists perform hemorrhoid artery embolization (HAE), an advanced procedure that addresses the root cause of the problem—excessive blood flow to the hemorrhoidal vessels.

MEET WITH A HEMORRHOID DOCTOR

What Is Hemorrhoid Artery Embolization (HAE)?

Hemorrhoid artery embolization is a minimally invasive technique designed to reduce the blood supply to the hemorrhoids. By cutting off this blood flow, the hemorrhoids shrink and symptoms like bleeding and pain are significantly alleviated.

How HAE Works:

  1. Imaging and Access: The procedure begins with a tiny incision, usually in the groin or wrist, to access the blood vessels.
  2. Targeting the Hemorrhoidal Arteries: Using fluoroscopy (real-time X-ray guidance), the interventional radiologist identifies the arteries supplying blood to the hemorrhoids.
  3. Embolization: Tiny particles or coils are delivered into the arteries to block the blood flow. This reduces the size of the hemorrhoids and alleviates symptoms.

Advantages of Hemorrhoid Artery Embolization

HAE offers several benefits over traditional hemorrhoid treatments:

  • Minimally Invasive: Unlike surgery, HAE involves no large incisions, resulting in minimal scarring and quicker recovery.
  • Outpatient Procedure: Most patients can return home the same day.
  • Reduced Pain: The procedure is relatively painless compared to hemorrhoidectomy or band ligation.
  • Short Recovery Time: Many individuals resume normal activities within a few days.
  • Effective for Severe Cases: HAE is particularly beneficial for those with chronic bleeding or severe hemorrhoids resistant to other treatments.

When Should You Consider Seeing an Interventional Radiologist?

You should consider consulting an interventional radiologist if:

  • You have persistent symptoms despite traditional treatments.
  • You are seeking a minimally invasive option.
  • Surgical treatments are contraindicated or undesirable for you.
  • You experience chronic bleeding or prolapsed hemorrhoids that severely affect your quality of life.

Collaborative Care with Other Specialists

Interventional radiologists often work in collaboration with gastroenterologists and proctologists. These specialists may initially diagnose and manage your hemorrhoids and refer you to an interventional radiologist for HAE when appropriate. This multidisciplinary approach ensures comprehensive care tailored to your condition.

What to Expect During the HAE Procedure?

Patients undergoing HAE can expect the following steps:

  1. Pre-Procedure Assessment: Your interventional radiologist will review your medical history and imaging results to confirm that you’re a good candidate for HAE.
  2. Procedure Day: The procedure typically lasts 30–60 minutes under local anesthesia and sedation.
  3. Post-Procedure Recovery: Most patients experience mild discomfort for a day or two and can return to normal activities shortly after.

SCHEDULE A CONSULTATION TODAY

FAQs About Interventional Radiologists and Hemorrhoid Treatment

What is the success rate of HAE for hemorrhoids?
Studies indicate a high success rate, with symptom improvement in 80–90% of patients.

Is HAE painful?
Most patients report minimal discomfort during and after the procedure.

Are there risks associated with HAE?
As with any medical procedure, there are risks, but complications like infection or vessel injury are rare when performed by skilled specialists.

Can HAE treat all types of hemorrhoids?
HAE is most effective for internal hemorrhoids, especially those associated with chronic bleeding.

Do I need a referral to see an interventional radiologist?
In most cases, you may need a referral from a primary care physician, gastroenterologist, or proctologist.

How long do the effects of HAE last?
The results of HAE are long-lasting, especially when combined with lifestyle changes to prevent recurrence.

Connect with USA Hemorrhoid Centers

Interventional radiologists and the innovative hemorrhoid artery embolization procedure represent a transformative approach to treating internal hemorrhoids. Offering a minimally invasive, effective, and pain-reducing option, HAE is ideal for patients seeking relief from chronic or severe symptoms without undergoing surgery. If traditional treatments have failed, consulting an interventional radiologist could be your pathway to lasting comfort and improved quality of life. Would you like to know more about HAE or schedule a consultation? Reach out to USA Hemorrhoid Centers to learn more and see our locations near you.

How Do I Know What Stage Hemorrhoid I Have?

Most adults aren’t strangers to hemorrhoids, which are ‘piles’ of veins and connective tissue around the anus that have become swollen and inflamed. Roughly 20% of the US population has been diagnosed with them.1 Depending on the hemorrhoids’ stage, some people may experience no symptoms while others may suffer from chronic pain and discomfort.

Knowing which stage of hemorrhoids you have can help determine when and how they should be treated.

Doctors use a grading system to categorize hemorrhoids by their severity. These hemorrhoid stages, also known as hemorrhoid grades, are used to determine whether medical treatment is necessary and what type of procedure to use to treat them. 

You can’t necessarily confirm the hemorrhoid grading you have at home. A hemorrhoid doctor will need to give you a diagnosis after an exam.

However, you can get a good idea of how serious your hemorrhoids are by understanding the stages of hemorrhoids and what symptoms to expect with each one. 

What Is the Hemorrhoid Grading System?

The hemorrhoid grading system assigns a grade to internal hemorrhoids based on their severity. This system does not categorize external hemorrhoids. 

It’s important to first learn about the dentate line to better understand hemorrhoid grading and the difference between internal and external hemorrhoids.

The dentate line is where the rectum becomes the anal canal.2 It’s a zig-zagging line that separates the two regions. The upper section — the rectum — is supplied by different nerve cells and has a different type of tissue lining than the lower section — the anal canal. 

  • Internal hemorrhoids develop in the rectum or above the dentate line. 
  • External hemorrhoids form under the skin along the anal canal or below the dentate line. 

The different grades of hemorrhoids relate to whether an internal hemorrhoid slips below the dentate line and protrudes outside of the anus and how difficult it is to move it inside again. This level of prolapse or slippage dictates what type of hemorrhoid treatment will be effective for alleviating symptoms and treating the hemorrhoid. 

SCHEDULE A CONSULTATION TODAY

Understanding the 4 Grades of Hemorrhoids

Internal Hemorrhoid Grades

Internal hemorrhoids are classified into four grades, also referred to as stages. 

Here’s an overview of the symptoms of each stage and possible treatment options based on the grading. 

Grade 1 Hemorrhoid

A grade 1 hemorrhoid is an enlarged hemorrhoid that isn’t visible outside of the anus. They can fall below the dentate line into the anal canal, but they don’t protrude outside of the anus. These hemorrhoids aren’t usually painful but can cause uncomfortable symptoms, such as bleeding and anal itching. 

Treatment for grade 1 hemorrhoids can include adding fiber to the diet and over-the-counter hemorrhoid creams to relieve the swelling, itching, and irritation. 

If a grade 1 hemorrhoid causes persistent symptoms after making lifestyle changes, your doctor might recommend a minimally invasive procedure to treat the hemorrhoids, such as hemorrhoid artery embolization (HAE). This treatment is a painless procedure that is effective for grades 1 through 3. 

Grade 2 Hemorrhoid

A grade 2 hemorrhoid will prolapse or come out of the anus during straining from passing a stool or exercise. It then retracts to its original position on its own. 

This type of hemorrhoid can cause the same symptoms as a stage 1 hemorrhoid, including blood in the stool and itching or burning. It can also cause pain and discomfort when bulging outside of the anus, although this discomfort is temporary.

Treatment options for stage 2 hemorrhoids include non-surgical procedures, such as HAE, infrared coagulation, rubber band ligation, and sclerotherapy.

Your doctor might also recommend conservative treatment to start, such as using stool softeners, eating more fiber, or taking over-the-counter or prescription-strength hemorrhoid creams. The recommended treatment depends on the size of the hemorrhoid and the severity of symptoms, which is why it is suggested to consult a specialist

Grade 3 Hemorrhoid

A grade 3 hemorrhoid slips out of the anus due to straining, but it has to be manually returned to its position. It won’t go back inside the anal canal unless it’s pushed back inside. 

A stage 3 hemorrhoid can cause similar symptoms as stage 1 and 2 hemorrhoids, but it’s also more likely to be painful, especially when sitting down. 

Hemorrhoid treatment options include the same non-surgical procedures that are effective for grade 2 hemorrhoids. A doctor will assess your size to recommend the best treatment for you and see if you are a candidate for HAE.

Grade 4 Hemorrhoid

This type of hemorrhoid is permanently prolapsed. It’s always outside of the anus, which can cause severe pain, discomfort, and stress. A large grade 4 hemorrhoid can make even something as simple as sitting down difficult. 

A grade 4 hemorrhoid is more challenging to treat and typically requires a hemorrhoidectomy. This surgical option can be the most effective in serious cases — the recurrence rate after a hemorrhoidectomy is between 5 and 10%.3 However, it can cause complications, such as severe pain and loss of continence. Consulting a medical doctor is the best way to receive an accurate diagnosis for your hemorrhoid grade and to determine the best course of action for treating Stage 4 hemorrhoids.

MORE QUESTIONS? TALK TO A HEMORRHOID SPECIALIST

How to Determine Your Hemorrhoid Stage

Recognizing the typical symptoms of each stage can help you determine the grade of your hemorrhoids, while a doctor will be able to confirm and provide a treatment plan.

  • Grade 1 hemorrhoids often cause bleeding, and they can cause anal itching.
  • Grade 2 hemorrhoids will slip out of the anal canal, usually during a bowel movement. At that point, they might cause pain in addition to other internal hemorrhoid symptoms.
  • Grade 3 hemorrhoids require manual replacement. If an internal hemorrhoid has fallen out of the anal canal and you can push it back in, it’s likely a grade 3. 
  • Grade 4 hemorrhoids are always outside of the anus and can be very painful. 

When to Seek Treatment for Hemorrhoids

When to Seek Treatment for Hemorrhoids

If you have symptoms of internal hemorrhoids, including blood in the stool, itching, and pressure when passing a stool, schedule a consultation with a hemorrhoid doctor near you. For symptoms that don’t go away after a few days of lifestyle changes to relieve hemorrhoids, consulting a doctor is recommended.

At USA Hemorrhoid Centers, our doctors will evaluate your symptoms and develop a personalized treatment plan to help relieve hemorrhoid symptoms. We offer hemorrhoid artery embolization (HAE), which is a safe and effective treatment for grade 1, 2, and 3 hemorrhoids. Leaving hemorrhoids untreated can increase the risk of further progression and more intensive treatment, so it’s important to address hemorrhoids in the early stages. 

FIND A CENTER NEAR YOU

Frequently Asked Questions

How can you tell the difference between a prolapsed internal hemorrhoid and an external hemorrhoid?

A prolapsed internal hemorrhoid will feel like a soft lump that’s visibly hanging outside of the anus. An external hemorrhoid develops under the skin in the anal canal and feels like a hard lump.

Do hemorrhoids get progressively worse?

Hemorrhoids that are left untreated can get progressively worse, causing more severe symptoms. They’re also less likely to respond to conservative treatments, such as changing your diet to include more fiber and stool softeners. 

At what stage should hemorrhoids be treated?

It’s best to treat hemorrhoids early on because they’re more responsive to treatment when they are at one of the earlier hemorrhoid stages. Schedule a consultation with a hemorrhoid doctor if you have symptoms of stage 1 or 2 hemorrhoids for more than a few days to prevent more severe symptoms from developing. 

Sources

  1. Sandler, R. S., & Peery, A. F. (2019). Rethinking What We Know About Hemorrhoids. Clinical gastroenterology and hepatology: the official clinical practice journal of the American Gastroenterological Association, 17(1), 8–15. 
  2. Lawrence A, McLaren ER. External Hemorrhoid. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. 
  3. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Overview: Enlarged hemorrhoids. [Updated 2021 Dec 9]. 

Can Hemorrhoids Stop You from Defecating?

Hemorrhoids are swollen veins in the rectal or anal area, often caused by straining during bowel movements, chronic constipation, or increased pressure in the lower rectum due to factors like pregnancy. While they are usually associated with discomfort, pain, or bleeding, one question commonly arises: Can hemorrhoids actually stop you from defecating?

The short answer is that hemorrhoids themselves do not physically block the process of defecation. However, their symptoms can indirectly lead to challenges with bowel movements. Let’s delve into the relationship between hemorrhoids and defecation and explore how to manage related difficulties.

How Hemorrhoids Affect Bowel Movements

While hemorrhoids can cause bowel discomfort, their symptoms can create physical and psychological barriers that make defecation difficult or painful.

Pain and Discomfort
Pain is a primary symptom of hemorrhoids, especially external ones or prolapsed internal hemorrhoids. When bowel movements are painful, individuals may consciously or subconsciously delay defecation to avoid discomfort. This delay can lead to harder stools and worsen the condition.

Rectal Pressure and Fullness
Internal hemorrhoids, particularly when prolapsed, can create a sensation of fullness in the rectum, making it feel as though the bowels are not completely emptied. This sensation can confuse individuals about whether they need to defecate or are experiencing a blockage.

Bleeding and Fear of Worsening Symptoms
The sight of blood during bowel movements can be alarming and cause individuals to avoid going to the bathroom. However, this avoidance often exacerbates the condition, as hard stools from delayed defecation can worsen hemorrhoids.

Can Hemorrhoids Physically Block the Anus?

In rare cases of severe prolapsed hemorrhoids, where internal hemorrhoids protrude outside the anus and cannot be pushed back, there can be temporary physical obstruction. This condition may make it difficult for stool to pass comfortably.

Additionally, large thrombosed external hemorrhoids (blood clots within hemorrhoids) can cause significant swelling around the anal opening, leading to difficulty initiating or completing a bowel movement.

Distinguishing Between Hemorrhoids and Other Causes of Obstruction

While hemorrhoids can make defecation uncomfortable, true physical obstruction is usually caused by other medical conditions, such as:

  • Fecal impaction: Hardened stool stuck in the rectum.
  • Rectal or anal strictures: Narrowing of the anal canal due to scar tissue or inflammation.
  • Tumors or polyps: Abnormal growths in the rectum or anus.

If you experience persistent difficulty in passing stool or feel blocked, it’s essential to consult a healthcare provider to rule out these conditions.

How to Manage Bowel Movements with Hemorrhoids

Soften Stools
Softening stools reduces the strain during bowel movements and minimizes irritation to hemorrhoids.

  • Increase dietary fiber intake with fruits, vegetables, whole grains, and supplements.
  • Stay hydrated by drinking plenty of water throughout the day.
  • Consider over-the-counter stool softeners if recommended by a doctor.

Relieve Hemorrhoid Symptoms

  • Use sitz baths (warm water baths for the anal area) to reduce swelling and pain.
  • Apply over-the-counter hemorrhoid creams or suppositories for temporary relief.
  • Avoid using dry toilet paper; instead, use moistened wipes or rinse with water.

Avoid Straining

  • Respond to the urge to defecate promptly.
  • Use proper posture by leaning forward slightly with feet elevated on a stool.
  • Take your time to avoid unnecessary pressure on the rectal area.

Seek Medical Help
If hemorrhoid symptoms persist or worsen, consult a doctor. Treatments like rubber band ligation, sclerotherapy, or minimally invasive procedures such as hemorrhoid artery embolization can provide long-term relief.

When to See a Doctor

If you experience any of the following, consult a healthcare professional immediately:

  • Persistent difficulty in passing stool.
  • Severe pain or swelling in the anal area.
  • Large amounts of blood during bowel movements.
  • A feeling of complete obstruction or prolapsed hemorrhoids that won’t go back in.

SCHEDULE A CONSULTATION TODAY

FAQs About Hemorrhoids and Defecation

Can hemorrhoids cause constipation?
Hemorrhoids don’t cause constipation directly, but pain and fear of discomfort can lead to delaying bowel movements, contributing to constipation.

Why does it feel like I can’t completely empty my bowels with hemorrhoids?
Prolapsed internal hemorrhoids can create a sensation of fullness, making it feel as though stool is still present even after defecation.

Should I avoid defecating if it’s painful with hemorrhoids?
No. Avoiding defecation can lead to harder stools and worsen hemorrhoids. Use treatments to manage pain and soften stools instead.

What’s the best position for defecation with hemorrhoids?
Squatting or leaning forward with knees elevated (using a stool) helps reduce strain on the rectum.

When is surgery needed for hemorrhoids?
Surgery may be necessary for severe, prolapsed, or thrombosed hemorrhoids that don’t respond to other treatments.

Can hemorrhoids go away on their own?
Mild hemorrhoids may improve with dietary changes and symptom management, but more severe cases often require medical treatment.

What Happens When Hemorrhoids Are Left Untreated?

Most people will develop hemorrhoids at some point in their lives. They’re the fourth most diagnosed issue affecting the gastrointestinal system, and they can affect almost anyone — men, women, the young, and old. In many of those cases, hemorrhoids will go away without treatment. In the United States, roughly 10 million people have hemorrhoids, yet only 60% of those are even symptomatic.1

However, that doesn’t mean hemorrhoid symptoms should be overlooked. Leaving hemorrhoids untreated or delaying treatment can lead to worsening symptoms and potentially serious complications. Untreated hemorrhoids can also cause emotional stress and affect your quality of life. 

If you have hemorrhoids, it’s important to understand what can happen when they go untreated and when to see a doctor.

SCHEDULE A CONSULTATION ONLINE

What Are the Short-Term Effects of Untreated Hemorrhoids?

In the short term, untreated hemorrhoids can cause increased discomfort and pain. The inflammation and swelling can get worse, making the hemorrhoids larger and more uncomfortable.

It might also become more and more challenging to do everyday activities, like sitting down to work, eat a meal, or use the bathroom. Even walking around can become uncomfortable if a large external hemorrhoid exists or an internal hemorrhoid becomes prolapsed (falls out of the anus). 

What Are the Long-term Risks of Leaving Hemorrhoids Untreated?

What Are the Long-term Risks of Leaving Hemorrhoids Untreated

In the long term, untreated hemorrhoids can also put a person at risk for complications. 

Anal Fissures

An anal fissure is a tear in the tissue lining the anal canal. Hemorrhoids don’t directly cause anal fissures, but the chronic irritation to anal tissue from an untreated hemorrhoid can lead to a tear. This complication can cause sharp pain and bleeding, making dealing with hemorrhoids even more challenging. 

Thrombosis

A thrombosed hemorrhoid is a hemorrhoid with a blood clot. Thrombosed hemorrhoids can cause excruciating pain and become very swollen. If it keeps filling with blood and other fluids, it can burst and lead to intense bleeding. A burst hemorrhoid can also cause nausea, dizziness, and abdominal pain. 

Anemia

The main symptom of internal hemorrhoids is blood in the stool. Over time, this blood loss can become more frequent and severe, increasing the risk of anemia. 

With anemia, there aren’t enough healthy red blood cells to transport oxygen to the body’s tissues. This can cause weakness and fatigue. 

Infection

Another major risk of untreated hemorrhoids is an infection. Hemorrhoids that persist for years can develop open sores and become infected. Thrombosed hemorrhoids can also become infected if the blood supply is cut off. An infection caused by hemorrhoids might require antibiotics or other medical treatment. 

Leaving a hemorrhoid untreated can also cause psychological distress. Having a large, swollen lump near the anus can make someone feel self-conscious. The persistent pain and discomfort can be stressful, and the feeling of embarrassment can lead to social withdrawal. 

It’s important to know that hemorrhoids aren’t something to be ashamed of. With today’s medical technology, there are safe, effective, non-surgical ways to treat hemorrhoids, allowing people to get relief without having to remove rectal tissue or undergo a painful surgical procedure.

At USA Hemorrhoid Centers, we offer hemorrhoid artery embolization (HAE), a non-surgical procedure with a short recovery time and low risk of complications. 

When to See a Hemorrhoid Doctor

When to See a Hemorrhoid Doctor

If symptoms like itching, bleeding, and pain from hemorrhoids don’t decrease after one week, it’s a good idea to schedule a consultation with a specialist. Hemorrhoids can last for months or even years, and they can affect your health and your self-esteem. They can also be more challenging to treat as they become more severe, so getting treatment early is recommended. 

USA Hemorrhoid Centers is a leading network of hemorrhoid centers specializing in internal hemorrhoid treatment. Our team of expert doctors takes the time to determine the best treatment for each individual and develops a personalized treatment plan to help them experience symptom relief and prevent future hemorrhoids. 

We have locations nationwide. Find a clinic near you today and schedule a consultation, or call 855.805.4247. Our treatment centers accept most types of insurance.

FIND A CENTER NEAR YOU

Frequently Asked Questions

How long do hemorrhoids last if untreated?

Minor hemorrhoids can take a few days to heal and respond well to at-home remedies like increasing fiber intake, drinking more water, and topical creams or ointments. Moderate to severe hemorrhoids can persist for weeks, months, or longer. Once they’ve become enlarged and more severe, they’re less likely to go away without medical treatment.

Are untreated hemorrhoids dangerous?

In minor cases, untreated hemorrhoids aren’t dangerous. However, serious health issues resulting from hemorrhoids do happen — they are responsible for 3.3 million ambulatory visits in the US each year.2

These swollen veins, if ignored for too long, can lead to potentially dangerous complications and cause serious symptoms, including severe pain, discomfort, and blood loss.

Do untreated hemorrhoids cause colon cancer?

Hemorrhoids don’t cause colon cancer. However, there are studies suggesting that people with hemorrhoids are at a higher risk for colon cancer.3

Are untreated hemorrhoids likely to reoccur?

Hemorrhoids can reoccur if there’s more pressure on the veins near the anus and rectum. Straining during bowel movements, pregnancy, and pressure from being overweight can also contribute to the development of new hemorrhoids.

MORE QUESTIONS? CALL US TODAY

Sources

  1. Sun, Z., & Migaly, J. (2016). Review of Hemorrhoid Disease: Presentation and Management. Clinics in colon and rectal surgery, 29(1), 22–29. 
  2. Kibret, A. A., Oumer, M., & Moges, A. M. (2021). Prevalence and associated factors of hemorrhoids among adult patients visiting the surgical outpatient department, in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. PloS one, 16(4), e0249736. 
  3. Wu, E. B., Sung, F. C., Lin, C. L., Wu, K. L., & Chen, K. B. (2021). Colorectal Cancer Risk in Patients with Hemorrhoids: A 10-Year Population-Based Retrospective Cohort Study. International journal of environmental research and public health, 18(16), 8655.

Difference Between Hemorrhoids & Anal Fissures

Bleeding during a bowel movement and anal discomfort are symptoms of two common and seemingly similar conditions: hemorrhoids and anal fissures. 

It’s easy to confuse the two if you look at symptoms alone. Often, a medical exam is the only way to determine for sure if anal bleeding, irritation, and other issues are caused by anal fissures or hemorrhoids. Knowing the difference can determine what treatment will offer relief and what prevention strategies will help you avoid future problems. 

USA Hemorrhoid Centers is an expert in non-surgical hemorrhoid treatment. This guide explains the difference between hemorrhoids and anal fissures and what to do if you think you have symptoms caused by one of these conditions.

What’s the Difference Between Hemorrhoids and Anal Fissures?

The difference between hemorrhoids and anal fissures is that hemorrhoids impact veins in or near the anus, and anal fissures are tears in the anal tissue. 

Hemorrhoids are swollen veins in the anus or lower part of the rectum

What’s the Difference Between Hemorrhoids and Anal Fissures

The veins in this region expand and widen as the tissue in the rectum and anus stretches and contracts to hold and eliminate stool. Excessive stretching of these blood vessels due to pressure and straining can weaken the vein walls, causing them to become swollen and inflamed. 

Common causes of hemorrhoids include:

  • Straining during a bowel movement
  • Straining from heavy lifting
  • Excess weight
  • Pressure from a growing uterus during pregnancy

These swollen piles of veins can cause serious discomfort or bleeding. They can occur internally or externally.

Anal fissures are tiny cuts on the inner lining of the anus.

Like hemorrhoids, they can occur after straining from constipation or while passing a large or hard stool. Other possible causes include:

  • Tight sphincter muscles
  • Straining while giving birth
  • Anal intercourse
  • Chronic diarrhea

Hemorrhoid Symptoms vs. Anal Fissure Symptoms

Some hemorrhoid symptoms overlap with the symptoms of an anal fissure. Both conditions can cause the following:

  • Bright red blood in the stool, on the toilet paper, or in the toilet bowl after pooping
  • Anal pain

The main difference between anal fissures and hemorrhoids is when that pain occurs. 

Anal fissures cause pain during a bowel movement. The pain can be severe, especially while pushing, and it can linger for minutes or hours after using the bathroom. 

Hemorrhoid pain only occurs with an external hemorrhoid or an internal hemorrhoid that is prolapsed (a prolapsed hemorrhoid has fallen outside of the rectum). The pain occurs while sitting, whether on the toilet to have a bowel movement or in a chair. 

With the types of hemorrhoids that cause pain (external and prolapsed hemorrhoids), it’s usually possible to feel a lump near the anus. An external hemorrhoid will feel like a hard lump. A prolapsed hemorrhoid is a soft lump that protrudes from the anus.

Pain during a bowel movement without a lump is more likely to be an anal fissure.

A non-prolapsed internal hemorrhoid may bleed, but it won’t create a lump you can feel or cause the intense pain associated with an anal fissure. 

Another way to spot the difference is to look for other symptoms. Hemorrhoids can also cause irritation and itching around the anus and a feeling of pressure in the lower rectum. 

Is It Possible to Have a Hemorrhoid and an Anal Fissure at the Same Time?

Is It Possible to Have a Hemorrhoid and an Anal Fissure at the Same Time

It is possible to have both at once, making it even more confusing to recognize if hemorrhoids or anal fissures are the cause of symptoms. 

Straining and pressure can lead to swollen veins and tears in the lining of the anus. These conditions can also both be exacerbated by poor blood flow to the anal area.

The tearing from an anal fissure can cause intense pain, causing the muscles in this area to spasm, which decreases blood flow. 

Studies show that people with chronic constipation and hemorrhoids are also more likely to have chronic venous insufficiency, a condition that causes varicose veins and poor blood flow.1

Poor circulation slows down the movement of oxygen and nutrients to tissue throughout the body, inhibiting the healing process.2

That’s one reason why a proper diagnosis, treatment, and lifestyle changes to prevent future problems are so important. If either one of these anal issues becomes chronic, healing can take longer, and recurrences are more likely, which means more bleeding, pain, and discomfort. 

Hemorrhoid vs. Anal Fissure Treatment and Prevention Strategies

Many cases of hemorrhoids or anal fissures resolve after a few days without medical treatment. Although the causes are different between hemorrhoids and anal fissures, they both can improve from some of the same strategies. Usually, lifestyle changes help speed healing and prevent future issues. 

  • Eating a high-fiber diet and drinking more water can soften the stool and prevent constipation, resulting in less straining. 
  • Getting regular exercise increases circulation, helping to heal a tear or a swollen vein. Exercise also prevents constipation. 
  • Soaking in warm baths can also increase blood flow to the anal region, helping to relieve discomfort, speed healing, and prevent hemorrhoids and anal fissures. 

Sometimes, internal hemorrhoids don’t go away on their own and require medical treatment. They can last for weeks or longer. 

Generally, hemorrhoid symptoms that don’t go away after a week should be checked out by a doctor. They can determine if someone has hemorrhoids, anal fissures, or other conditions that can cause rectal bleeding and anal discomfort, like irritable bowel syndrome (IBS) or ulcerative colitis. A hemorrhoid doctor can also recommend the best treatment for the individual.

While colorectal surgeons and gastroenterologists are more commonly associated with treating hemorrhoids, Interventional Radiologists (IR) can offer effective treatments for these conditions. 

IRs use minimally invasive imaging techniques to guide procedures, often providing a less invasive and faster recovery time than traditional surgical approaches.

If you’re considering treatment for hemorrhoids, it’s a good idea to discuss your options with both an IR and a colorectal surgeon or gastroenterologist to determine the best approach for your specific situation.

Hemorrhoid treatment can relieve bleeding, swelling, and other symptoms. USA Hemorrhoid Centers offers a non-surgical treatment called hemorrhoid artery embolization (HAE). This minimally invasive procedure is less painful and has a lower risk of complications than other treatments like hemorrhoid surgery and rubber band ligation, making it a good option for most people who need treatment. 

Anal fissures usually go away with a high-fiber diet and drinking more water. Over-the-counter stool-softening products and fiber supplements can also help. When anal fissures are chronic, they can be treated with a sphincterotomy, a procedure that relaxes the muscles around the anus. 

How to Tell if You Have Hemorrhoids or Anal Fissures?

If you’re dealing with bleeding, pain, and discomfort during or after a bowel movement, it could be hemorrhoids or anal fissures. Knowing the differences between the symptoms can help you understand what type of anorectal issue you’re dealing with. However, a proper diagnosis is the only way to know for sure and to get access to treatment for problems that won’t go away.

Why Choose USA Hemorrhoid Centers

Our doctors are experienced IR hemorrhoid specialists who can evaluate your symptoms, determine the cause, and how to treat them. We offer hemorrhoid consultations and treatment to help our patients return to living hemorrhoid-free.

If you suspect you have hemorrhoids and your symptoms don’t clear up in a few days, schedule a consultation at a location near you. We have clinics nationwide, and all of our locations accept a wide range of insurance

Schedule a consultation with one of our expert hemorrhoid doctors and get a personalized treatment plan to help you get relief.

Sources

  1. Ekici, U., Kartal, A., & Ferhatoglu, M. F. (2019). Association Between Hemorrhoids and Lower Extremity Chronic Venous Insufficiency. Cureus, 11(4), e4502. 
  2. InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Overview: Chronic wounds. [Updated 2022 Aug 8].