Hemorrhoid FAQs

What causes hemorrhoids?

Hemorrhoids are swollen veins in the rectum or anus, similar to varicose veins. They are most commonly caused by increased pressure during bowel movements, chronic constipation or diarrhea, straining, prolonged sitting, pregnancy, or a low-fiber diet. They are extremely common — nearly 3 in 4 adults will experience hemorrhoids at some point in their lives.

When should I see a doctor for hemorrhoids?

You should see a doctor if you experience rectal bleeding (even a small amount), pain or discomfort in the anal area, a lump or swelling, or if hemorrhoid symptoms have persisted for more than a week without improvement. Rectal bleeding should always be evaluated to rule out other causes.

What treatments are available for hemorrhoids?

Mild hemorrhoids often respond to conservative measures including increased fiber and fluid intake, sitz baths, and over-the-counter treatments. For persistent or severe hemorrhoids, office-based procedures such as rubber band ligation, sclerotherapy, or infrared coagulation may be recommended. Surgical options are available for more complex cases. Dr. Derek Feussner at Palmetto GI specializes in hemorrhoid evaluation and treatment.