Hemorrhoids Specialist

Gabriel Akopian, MD -  - General and Colorectal Surgeon

Gabriel Akopian, MD

General and Colorectal Surgeon located in Pasadena, CA

Hemorrhoids are an uncomfortable condition that develops when blood vessels swell up in and around the anus and lower rectum. While hemorrhoids usually improve on their own with home remedies and care, sometimes they are severe enough to need medical intervention. Gabriel Akopian, MD, performs all the common surgical treatments for hemorrhoids at his Pasadena, California, office, including a variety of painless, minimally invasive options. To schedule an appointment, use the online scheduling tool or call the office today.

Hemorrhoids Q & A

What are hemorrhoids?

Hemorrhoids, sometimes called piles, are swollen blood vessels in the anus and lower rectum. Sometimes this is the result of straining on the toilet, or from the pressure created by pregnancy, but many people have hemorrhoids for no clear reason. Hemorrhoids are very common and can be uncomfortable, but fortunately, there are multiple effective options for treating them.

What are the symptoms of hemorrhoids?

Hemorrhoid symptoms are different depending on their location, but general signs you have hemorrhoids include:

  • Bright red blood in your stool
  • Itching or irritation around the anus
  • Pain, discomfort and swelling around the anus

Internal hemorrhoids occur inside the rectum, and therefore people rarely see or feel them. However, continuing to strain with an internal hemorrhoid can cause it to prolapse, or protrude from the anus, which can be very painful.

External hemorrhoids are under the skin around the anus and may bleed when irritated. In some cases, a complication called a thrombosed hemorrhoid can cause a painful lump to appear near your anus.

How do I treat my hemorrhoids?

While hemorrhoids can be painful and unpleasant, you have an array of effective treatment options. Most people can treat their hemorrhoids with simple home remedies like:

  • Topical treatments, over-the-counter hemorrhoid creams
  • Hydrocortisone suppositories
  • High-fiber foods, like vegetables and whole grains
  • Refraining from straining on the toilet
  • Soaking in a warm bath for 10 to 15 minutes at a time
  • Oral pain relievers like ibuprofen
  • Avoiding dry toilet paper in favor of wet toilettes

If your hemorrhoids are more recurrent or severe, Dr. Akopian may recommend one of several treatments to relieve them. One of the more common techniques he uses is called rubber band ligation, or hemorrhoid banding, where a band is used to ease symptoms by stopping blood flow to the hemorrhoid.

In addition to the traditional surgery used, a hemorrhoidectomy, Dr. Akopian performs hemorrhoid energy therapy (HET) and transanal hemorrhoidal dearterialization (THD). HET and THD are state-of-the-art, minimally invasive procedures that cause the least pain of any surgical option to remove hemorrhoids.

If your hemorrhoids are too severe for home remedies, call Dr. Akopian’s office today or make an appointment online.