General Surgery
Hemorrhoids
George S. Gilliam M.D., FACS*
2200 E. Parrish Avenue, Bldg B
Suite203
Owensboro, KY 42303
270-691-9697 Office 270-691-0485 Fax
Hemorrhoids are enlarged, bulging blood vessels in and around the anus and lower rectum. External hemorrhoids develop near the anus and are covered by very sensitive skin. Painful swelling may occur if a blood clot develops in one. An external hemorrhoid feels like a hard, sensitive lump and bleeds only if it ruptures. Internal hemorrhoids develop within the anus beneath the lining. The most common symptom is painless bleeding and protrusion during bowel movements. However, pain may occur if the hemorrhoid protrudes from the anal opening and cannot be pushed back inside.
Treatment of mild hemorrhoids may include increasing the amount of fiber and fluids in a patient's diet. Additionally, eliminating excessive straining may help and sitting in plain, warm water for about 10 minutes may bring some relief. In more severe cases, the hemorrhoid may be surgically removed. This is done under anesthesia on an outpatient basis.