Rocky Mountains Colorado

Conditions and Procedures

Treatment and Surgery for Hemorrhoids and Anal Fissures

hemorrhoidsHemorrhoids are cushions just inside and outside the anus.  They have many small blood vessels which usually don’t cause problems.  However sometimes blood clots form and can cause pain.  The pain is usually worse with prolonged sitting and bowel movements.  Hemorrhoids also often cause bleeding with bowel movements.  This is most often painless, but may cause discomfort.   Both constipation and diarrhea may cause problems with hemorrhoids.  They are often problematic during pregnancy as well.

The best treatment for hemorrhoids is non-surgical.  Eating a low-fat/high-fiber diet and drinking plenty of water is often enough to cause hemorrhoids to regress.  Soaking in warm water also helps provide relief.  If lifestyle modification does not work several procedures may be used to help.  Hemorrhoids are sometimes ligated.  This means cutting off the blood supply so they become smaller and less problematic. Sometimes hemorrhoids must be surgically removed.  Hemorrhoid surgery is very successful but very painful.  We encourage patients to try non-surgical methods of treatment before pursuing surgery.

Anal fissures are tears in the skin around the anus.  This typically happens with the passage of hard stools.  These can be very painful.  Treatment of these may involve topical pain ointments, stool softeners and warm water soaks.  If this fails to provide relief, a minor surgical procedure may be performed to help.