Understanding Hemorrhoids

Hemorrhoids are inflamed and irritated skin containing blood vessels in the anus. They are a very common problem associated with constipation. One in three Americans will seek a physician in their life time for the treatment of hemorrhoids. About 10 million Americans suffer from them right now! While most people do not feel their hemorrhoids, and they are asymptomatic, many people will present with symptoms at one point of their lives.

In majority of cases, excessive straining, constipation, diarrhea, lifting heavy objects and being overweight can lead to or can exacerbate hemorrhoids. Hemorrhoids are very common in pregnant patients as well. There are two types of hemorrhoids, internal and external. Internal hemorrhoid typically present with painless bleeding in the toilet bowl or on tissue paper. At times a bulge can be felt by the patients protruding though anus, that is at times is extremely painful. External hemorrhoids typically present with pain, itching and at times severe rectal discomfort.

Hemorrhoids are easily diagnosed by examination of rectal area and are easily treated. Treatment includes medications to control pain and bleeding. In addition as majority of hemorrhoids caused by constipation, high fiber diet and adequate water intake is stressed. Non-surgical treatment modalities are highly effective, long lasting and should be tried first, as the success rate is over 90%. These include laser treatment and tying hemorrhoids with rubber bands. Both procedures take less than 3 minutes to perform and do not require any anesthesia.

Although hemorrhoids are very common, it’s usually not serious. However, many other conditions such as colitis, colon polyps, colon cancer, and anal fissure, can present in similar fashion such as rectal bleeding and discomfort and can be mistaken as hemorrhoids. This can lead to delay in diagnosis and treatment with potential for complications. A visit to an experienced specialist can typically result in a correct diagnosis and successful treatment of hemorrhoids.

Dr. Badalov successfully treats hemorrhoids with multidisciplinary approach that includes dietary, medical and nonsurgical modalities. Please feel free to contact Dr. Badalov at (718) 368-2960 or email him if you have a question about your gastrointestinal health.

Our Brooklyn office provides a multidisciplinary approach to the treatments of gastrointestinal disease. Our board-certified gastroenterologists, who have worked together for many years, provide ranging from all gastroenterology procedures to the treatment of hepatitis and Crohn’s Disease.


Nison Badalov MD, recently joined the practice after developing skills in Advanced Endoscopy, ERCP and Endoscopic Ultrasound. With a background in Liver Transplantation from Mount Sinai Medical Center, this well rounded gastroenterologist offers the ability to provide both excellence in common clinical conditions such as colorectal cancer screening and peptic ulcer disease, and more complex diseases of the gastrointestinal tract, including pancreatic-biliary disease.

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