What are hemorrhoids?
Hemorrhoids are swollen veins in the lower rectum or anus caused by increased pressure. They develop more commonly in association with constipation and straining, pregnancy or as a result of heavy lifting. Hemorrhoids can protrude outward or cause pain, itching or bleeding. They are very common and affect about half of Americans by age 50. Unfortunately, hemorrhoids often persist or recur and can worsen with time.

How are hemorrhoids classified?
Internal hemorrhoids occur inside the rectum and cannot be seen in most cases. They typically produce painless bleeding. They are further graded on a scale of 1 to 4 depending on size and degree of protrusion or prolapse into the anal canal.

External hemorrhoids occur as lumps or bulges around the anus, and may be felt while wiping. They are more sensitive and may therefore cause pain, itching or bleeding. Severe pain can occur if a blood clot (otherwise known as thrombosis) forms inside the hemorrhoidal tissue.

How are hemorrhoids treated?
Maximizing daily water and fiber intake is important for general hemorrhoidal treatment in order to reduce constipation and straining. External hemorrhoid symptoms may be treated with a variety of creams and ointments that are available over-the-counter. Sitz (warm water) baths may be helpful to relieve pain. Occasionally, surgery is needed for severe external hemorrhoid disease. Internal hemorrhoids may be treated with steroid suppositories, but the recurrences are common. Permanent elimination of hemorrhoids may be accomplished by performing surgical or nonsurgical procedures that ligate (tie off) or excise (remove) the hemorrhoidal tissue.

We can help you achieve permanent relief from hemorrhoids without surgery.
“Band ligation,” or cutting off a hemorrhoid’s blood supply using tiny rubber bands, is the most common and effective hemorrhoidal treatment method used today. At GIA, we have taken nonsurgical band ligation to a new level of excellence. We utilize the CRH-O’Reagan Hemorrhoid Banding System, which offers several advantages when compared to surgery.

Outpatient procedure that takes just minutes to perform
Does not require sedation or anesthesia
Far greater patient comfort – nearly all patients have no pain
Disposable equipment

The hemorrhoid typically falls off within a day or so, and nearly all patients experience complete relief of hemorrhoidal symptoms after three banding sessions are completed.