Which Specialist Should You See for External Hemorrhoids? - Gastroenterology and Hepatology

More Info

---

When dealing with external hemorrhoids, it is essential to consult the appropriate specialist to receive the best care and treatment. In your case, since you have already seen a dermatologist who diagnosed you with external hemorrhoids, the next step is to see a specialist who focuses on conditions related to the gastrointestinal tract and the rectal area.

The most suitable specialists for external hemorrhoids are:
1. Colorectal Surgeon: This is often the best choice for hemorrhoid issues. Colorectal surgeons specialize in surgical and non-surgical treatments of conditions affecting the colon, rectum, and anus. They can provide comprehensive care, including diagnosis, treatment options, and surgical interventions if necessary.

2. Gastroenterologist: While gastroenterologists primarily focus on the digestive system, they can also manage hemorrhoids, particularly if there are underlying gastrointestinal issues contributing to your symptoms. They can perform diagnostic procedures, such as colonoscopies, to rule out other conditions.

In your case, since the dermatologist suggested you see another specialist, it is likely that they were referring you to a colorectal surgeon. This specialist will be well-equipped to evaluate the severity of your external hemorrhoids and recommend appropriate treatment options, which may include lifestyle changes, medications, or surgical procedures if necessary.


Additional Information on External Hemorrhoids
External hemorrhoids are swollen veins located under the skin around the anus. They can cause discomfort, pain, itching, and bleeding, especially during bowel movements. Factors contributing to the development of hemorrhoids include:
- Straining during bowel movements: This is often due to constipation or diarrhea.

- Pregnancy: The increased pressure on the pelvic blood vessels can lead to hemorrhoids.

- Obesity: Excess weight can put additional pressure on the veins in the rectal area.

- Sedentary lifestyle: Prolonged sitting can exacerbate the condition.


Treatment Options
Treatment for external hemorrhoids can vary based on the severity of the condition:
- Lifestyle Modifications: Increasing fiber intake, staying hydrated, and exercising can help prevent constipation and reduce straining.

- Over-the-Counter Treatments: Creams, ointments, and suppositories can provide relief from itching and discomfort.

- Minimally Invasive Procedures: If conservative treatments fail, procedures such as rubber band ligation, sclerotherapy, or infrared coagulation may be recommended.

- Surgery: In severe cases, surgical options like hemorrhoidectomy may be necessary to remove the hemorrhoids.


When to Seek Medical Attention
You should seek medical attention if you experience:
- Severe pain or discomfort that does not improve with home treatment.

- Significant bleeding from the rectum.

- Symptoms that persist despite conservative measures.

In conclusion, for external hemorrhoids, a colorectal surgeon is typically the most appropriate specialist to consult. They can provide a thorough evaluation and recommend the best course of action based on your specific condition. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for guidance.