Hemorrhoids are swollen and inflamed veins in the anus and lower rectum from increased pressure on these veins. This may occur when straining during bowel movements or during pregnancy, among other similar circumstances. Hemorrhoids may be internal (inside the rectum) or external (under the skin around the anus).

Symptoms include itching, discomfort, and bleeding.

How are hemorrhoids diagnosed?

The doctor will perform a physical exam to look for visible hemorrhoids. Additional exams may include a colonoscopy and sigmoidoscopy to rule out other causes of bleeding.


How are hemorrhoids treated?

Hemorrhoids are common ailments, affecting about half of adults by age 50, but there are many effective treatment options:

  • High fiber diet
  • Drinking six to eight 8-ounce glasses of water or other nonalcoholic fluids each day
  • Sitting in a tub of warm water for 10 minutes several times a day
  • Exercising (prevent constipation)
  • Not straining during bowel movements
  • Over-the-counter creams and suppositories (for temporary use to relieve pain and itching, long as term-use can damage skin)

If these conservative at-home treatments do not relieve symptoms, medical treatments may be needed, such as banding or APC.

If conservative/at-home treatment options aren't effectively treating your hemorrhoids, request an appointment at San Bernardino Gastroenterology Associates.