Hemorrhoid Treatment Specialist

Hemorrhoids commonly cause pain and discomfort around the anus. While surgery is one treatment option, Dr. Maryann Prewitt at HealthWellnessMD is pleased to offer a minimally invasive laser treatment alternative for men and women in Dallas, Texas. The outpatient procedure is less painful and requires less recovery time than conventional surgery.

Hemorrhoid Treatment Q & A

by Maryann Prewitt, MD, FACOG

What are hemorrhoids?

Everyone has hemorrhoids as part of the blood supply system in the anus. When we talk about hemorrhoids, however, it’s usually because they are causing problems such as pain, discomfort, and bleeding. This happens when hemorrhoids swell; they’re essentially varicose veins in the anal canal.

What causes hemorrhoids?

Genetics, pregnancy, age, and constipation are the most common factors contributing to hemorrhoid problems. You may have inherited lax support of ligaments that hold your anal pads in place. Pregnancy can cause the anal veins to distend. Age can contribute by causing more lax anal ligaments. Constipation can irritate hemorrhoids by increasing pressure in the anal cushions.

Are there different types of hemorrhoids?

Hemorrhoids are either external or internal, depending on whether they are located inside or outside of the anal canal. Once they tear or burst open, they’re often called bleeding hemorrhoids. Thrombosed external hemorrhoids occur when a blood clot forms in the blood vessel causing painful inflammation. Prolapsed hemorrhoids occur when internal hemorrhoids swell and extend the rectum through the anus.

How are hemorrhoids treated?

Not all hemorrhoid problems require medical procedures; However, if you’re prone to continual flare-ups or experience long-lasting symptoms you may benefit from laser ablation. This is an outpatient procedure under IV sedation that uses a concentrated laser to vaporize the hemorrhoid and seal off the nerves and tiny blood vessels. It requires no stitches, causes less pain and damage to healthy tissue than surgery and heals faster than conventional surgery.

How can I prevent hemorrhoid problems?

A nutritious diet that provides about 30 grams of fiber per day, staying well hydrated, and exercising regularly can lower your risk for hemorrhoid flare-ups by preventing constipation. By avoiding straining during bowel movements and using the restroom once you have the urge, you can eliminate 2 factors that often contribute to or exacerbate hemorrhoid symptoms.

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