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Los Angeles Hemorrhoids Specialist

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Hemorrhoids, also known as piles, are swollen and inflamed blood vessels in the rectum and anus. They can cause discomfort, pain, and bleeding. Hemorrhoids can be internal, external, or a combination of both. Here are some key points about hemorrhoids.

Types of Hemorrhoids

  • Internal Hemorrhoids: These occur inside the rectum and are usually painless. However, they can cause bleeding during bowel movements.
  • External Hemorrhoids: These are under the skin around the anus and can be felt as a lump. They can be painful and may cause bleeding when irritated or during bowel movements.
  • Thrombosed Hemorrhoids: When blood pools in an external hemorrhoid and forms a clot, it can become extremely painful. This condition is known as thrombosed hemorrhoids.

Common Symptoms

  • Rectal bleeding during bowel movements is often seen as bright red blood on toilet paper or in the toilet bowl.
  • Itching or irritation in the anal area.
  • Pain or discomfort, especially during bowel movements.
  • A feeling of fullness or discomfort in the rectum.
  • A lump or swelling near the anus in the case of external hemorrhoids.


  • Increased pressure on the rectal and anal blood vessels, which can be caused by straining during bowel movements, chronic constipation or diarrhea, obesity, and pregnancy.
  • Aging, as the tissues supporting the blood vessels in the rectum and anus may weaken over time.

Prevention and Self-Care

  • Eating a high-fiber diet to soften stools and prevent straining during bowel movements.
  • Drinking plenty of water to stay hydrated.
  • Avoiding prolonged sitting on the toilet.
  • Engaging in regular physical activity.
  • Over-the-counter creams or ointments, warm baths, and moist towelettes can provide relief for mild symptoms.

Medical Treatment

  • A healthcare provider may recommend over-the-counter medications or prescribe topical creams or suppositories for symptom relief.
  • In some cases, procedures such as rubber band ligation, sclerotherapy, or infrared coagulation may be recommended to treat internal hemorrhoids.
  • External hemorrhoids that become thrombosed may require surgical removal.

Seeking Medical Advice

  • If you experience rectal bleeding, it’s essential to consult a healthcare provider to rule out other more serious conditions such as colorectal cancer.
  • Persistent or severe symptoms, or if you suspect you have a thrombosed hemorrhoid, should prompt a visit to a healthcare professional for evaluation and appropriate treatment.

Hemorrhoids are a common condition and can usually be managed effectively with lifestyle changes and conservative treatments. However, it’s essential to seek medical advice from a Los Angeles hemorrhoids specialist, Armen Gregorian, MD, if you have symptoms to ensure proper diagnosis and treatment.


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