Hemorrhoid Disease

Hemorrhoids are something millions of Americans suffer from, resulting in pain and discomfort for many. A common problem amongst the older popular, especially, hemorrhoids occur when the tissues become inflamed or infected. Hemorrhoids are clusters of veins that live under the skin of the anus, making regular bowel movements uncomfortable and at times painful when the area becomes inflamed. There are numerous factors that can contribute to hemorrhoids becoming enlarged, including pregnancy, prolonged sitting on the toilet, straining, long-term constipation, long-term diarrhea, and liver disease. It is important to note that everyone has hemorrhoids, but not everyone is irritated by them.

It is estimated that half of the population over 50 will experience enlarged or inflamed hemorrhoids at some point. When the veins of the rectum are pressured or become irritated, it can result in bleeding, pain, and discomfort. Thankfully, hemorrhoids are easily treatable with surgery. Your doctor may recommend hemorrhoid surgery if your symptoms persist and the tissues are not healing on their own or with the help of medications. It is important to keep in mind that treatment for hemorrhoid disease will depend on the patient, their symptoms, and the location of the hemorrhoid. The surgical team here at Surgical Associates of Mansfield has performed countless hemorrhoid procedures and are prepared to discuss your options with you and provide you with information on our minimally-invasive hemorrhoid surgery services.


Symptoms of Hemorrhoids

There are two different types of hemorrhoids: internal and external. Internal hemorrhoids often bleed when they become enlarged or inflamed, resulting a painful situation for the patient. If you notice red blood on toilet paper, in your stool, or in the toilet, you may be suffering from an inflamed internal hemorrhoid. In most cases the amount of blood is minimal, however, if you notice a large amount of blood, we recommend contacting your physician right away. Internal hemorrhoids also have the potential to grow large enough to prolapse, or make their way out of the anus with bowel movements. Your surgeon may be able to push them back in, or they may go back in on their own.

External hemorrhoids occur when skin tags become enlarged. Most people notice they have external hemorrhoids when wiping after bowel movements. In some cases an external hemorrhoid will form a blood clot beneath it, which is referred to as thrombosed. This can be extremely painful and happen suddenly. When this takes place, your surgeon will have to remove the clot as soon as possible.

It is important to keep in mind that bleeding from the rectum is not always a sign of hemorrhoids. There are far more serious conditions that have this same symptoms. We encourage you to contact your physician right away if you notice bright red blood after bowel movements.

Hemorrhoids and Other Anorectal Conditions

Internal and external hemorrhoids are the most common anorectal conditions, however, there are other conditions that affect the anus. Anal skin tags are a common, painless issue that many people who have previously had an external hemorrhoid complain of. This occurs from a blood clot as a result of an external hemorrhoid that stretches out the skin and remains that way after the blood clot has disappeared. In some cases, patients will develop anal skin tags without ever having a hemorrhoid or other similar condition. Other common anorectal conditions include:

  • Rectal prolapse
  • Rectocele
  • Anal fissure
  • Anal fistula
  • Anal cancer
  • Perirectal abscess
  • Rectal bleeding
  • Pelvic floor disorders
  • Fecal incontinence
  • Rectovaginal fistulas
  • Anal warts
  • Pilonidal cyst
Dr. Winston Chan is a fellowship trained Colon and Rectal surgeon in our group and will help manage these conditions as they present.

Hemorrhoid Solutions

Here at Surgical Associates of Mansfield, we have several different treatment options for hemorrhoids:

  • Rubber band ligation of hemorrhoids
  • Stapled hemorrhoidopexy (procedure for prolapse and hemorrhoids)
  • Excisional hemorrhoidectomy
  • Transanal hemorrhoidal dearterialization
  • Laser hemorrhoid surgery

Depending on your case, one of the above techniques will allow us to treat the hemorrhoid in a painless and effective manner. If you are suffering from internal hemorrhoids or if a blood clot has formed underneath an external hemorrhoid, please give us a call today at Surgical Associates of Mansfield.

Sudden rectal pain from a hemorrhoid or other condition can be very disabling to the point of requiring leave from work or canceling personal events. Depending on your present condition, Dr. Winston Chan will be able to perform same day or next day evaluation and treatments, including in-office procedures in our Procedure Room.

Fecal Incontinence

Fecal incontinence is the inability for one to control his or her bowels. This can range from mild symptoms such as fecal urgency to severe symptoms when one has to wear an undergarment pad. Quality of life is severely affected with any of these symptoms yet seeking treatment can sometimes be embarrassing, even though it is a common condition in both young and elder patients. Evaluation and treatment is multi-disciplinary and includes diet modification, medications, endoscopy, imaging and nerve studies, pelvic floor therapy, and surgery. Dr. Winston Chan, the group's Colon and Rectal Surgeon, will be able to individualize your treatment plan and when indicated, provide surgical options, including the new minimally invasive InterStim Therapy, also known as Sacral Nerve Stimulation. This therapy is similar to a pacemaker for the anal sphincter complex and allows your body to have improve control of your bowels and in some patients, a cure. The surgery is a same-day procedure, has a high success rate with minimal complications, and is becoming the new gold standard for surgical therapy for fecal incontinence. Contact Dr. Winston Chan at the Surgical Associates of Mansfield for more details.