Hemorrhoid Relief—Just in Time
Gastroenterologists helping patients like you
Welcome to Hemorrhoid Center of Colorado—located at Gastroenterology of the Rockies.
We now offer Hemorrhoid Banding at our seven clinics throughout the Denver and Boulder area.
Patients get to see why our team of gastro doctors and advanced practice providers rank so highly in quality care.
Best of all. No sedation needed. This treatment lets you conveniently return to your regular day.
Book a quick hemorrhoid treatment over your lunch hour.
We understand that hemorrhoid symptoms are no fun. If you want relief, learn how this minimally
invasive hemorrhoid treatment works for so many people. Then you can decide if it’s right for you. Still have questions? Ask one of our gastroenterologists today.
internal vs external hemorrhoids
To diagnose hemorrhoids, a doctor will perform a physical exam and check the anus and rectum for any signs of swelling, bleeding, or other symptoms. In some cases, the doctor may recommend a colonoscopy or sigmoidoscopy to examine the inside of the rectum and colon. At Gastroenterology Of The Rockies, we have a thorough procedure for diagnosing piles or hemorrhoids.
Internal hemorrhoids are located inside the anal canal—and usually small in size. They may frequently bulge out of the anus. If bulging occurs while anal muscles squeeze on nearby swollen veins—it may feel more painful.
External hemorrhoids typically feel more uncomfortable or sensitive when overlying skin becomes irritated. Compared to internal hemorrhoids, patients report more discomfort when hemorrhoids bulge. Most common symptoms are itching, bleeding, swelling and pain.
Hemorrhoid Banding is not performed on external hemorrhoids.
What to look for?
Bright Red Streaks of Blood
- On toilet paper
- In toilet bowl
- On outside of stool
Symptoms & Causes
Understanding What Causes Hemorrhoids?
Too much pressure on the veins in the pelvic and rectal area causes tissue to swell and stretch. Here are some factors that cause increased pressure.
Constipation and diarrhea
Straining during a bowel movement
Pregnancy adds pressure to the pelvic area
Childbirth during labor and pushing
Hemorrhoids more common by age 50
Experiencing blood in your stool?
Do let your GI doctor know about blood because it can help them rule out other digestive conditions.
Bloody stool is commonly found with anal fissures and rectal tumors—and sometimes found in people with colitis and colon cancer.
Diagnosis & Treatment
How are hemorrhoids diagnosed?
Let your doctor know about hemorrhoid symptoms you have recently experienced. Also tell them if you use any medications or topicals for relief. To determine whether you have internal or external hemorrhoids, your doctor will use the following methods.
- Rectal exam
- Colonoscopy or sigmoidoscopy screening
- Sigmoidoscopy shows lower portion of rectum only—less invasive procedure
Treatment Options for Hemorrhoids
Find out how to get hemorrhoid relief
How are Hemorrhoids Treated?
For many people with hemorrhoids, over-the-counter ointments may relieve symptoms, like pain, swelling and itching. Medications may contain ingredients like hydrocortisone, witch hazel or numbing agents.
In addition to topical medications, oral medications such as pain relievers, stool softeners and laxatives may also help to ease symptoms and promote healing.
Also try to slowly add fiber to your diet and drink more water to ease symptoms.
Lifestyle Changes Can Help Prevent Hemorrhoids
How are hemorrhoids prevented?
When it comes to preventing hemorrhoids, adopting a few lifestyle changes can go a long way. Proper nutrition, hydration and paying attention to your natural bodily urges to use the restroom can make a difference. Here are a few more prevention tips.
- Avoid sitting on the toilet for more than five minutes
- Do not strain during a bowel movements
- Notice the urge to defecate and use the toilet right away–rather than waiting
- Drink six to eight glasses of fluid per day
- Opt for 20-30 grams of fiber per day
- Eat fiber-rich fruits, veggies and whole foods
- See high-fiber food list to compare high and low fiber sources – High Fiber Food List
- Find foods with insoluble fiber to help prevent constipation [Source: MedicalNewsToday]
Reach for beans, oats, broccoli, nuts—and soluble fiber to feel full and satiated
- When using fiber supplements—gradually add them into the diet and consume lots of fluids
What to Expect with Hemorrhoid Banding Treatments
Hemorrhoid Banding is a non-surgical treatment option for internal hemorrhoids. The procedure works by cutting off the blood supply to the hemorrhoid with a small rubber band. The effectiveness of this treatment lasts for approximately four to five years. Most patients do require more than one banding treatment to fully treat their internal hemorrhoids.
To see the best results with hemorrhoid banding, we recommend two to three office visits. That’s because the anatomy of hemorrhoids is sometimes structured in three separate columns. Each treatment targets one column at a time. It is not recommended to treat all columns simultaneously.
About two to four days after a banding treatment, the hemorrhoid will shrink and fall off with the band. Over the next two weeks, you may see small amounts of blood on toilet paper, after bowel movements—and this is normal.
Think of your first visit as an evaluation by your GI specialist to determine whether you have a treatable internal hemorrhoid—or if there’s another reason for pain or bleeding. In some cases, you can be evaluated and treated the same day, unless you have underlying conditions, like an anal fissure. In this case, your GI specialist may treat your symptoms with a topical cream and ask you schedule the procedure in a few weeks. This allows any pain and swelling to dissipate before the banding procedure.
During the banding treatment, you will be instructed to lay on your left side and your specialist will use an anoscope to look at the area internally. If an internal hemorrhoid is found, and you are an appropriate candidate, they will proceed with the banding procedure. You will be asked to stay at the clinic for approximately 10 minutes after the procedure to make sure you are not having any pain.
Second Visit and Third Visit
For the second and third office visit, these are scheduled two to three weeks apart and usually take less than 15 minutes. A significant portion of our patients feel better after the first treatment. Keep in mind. Many patients have multiple hemorrhoids, and it requires subsequent treatments.
Taking blood thinners?
If you are on any blood thinner besides Aspirin, our office cannot perform a banding procedure.
In this situation, you will need to consult a colorectal surgeon.
Procedure Cancellation Notice Requirements:
Follow up office visits are scheduled two to three weeks apart and usually take less than 15 minutes. A significant portion of our patients feel better after the first treatment. Keep in mind. Many patients have multiple hemorrhoids, and it requires subsequent treatments.
- Procedure cancellations must be made three (3) business days prior to your appointment.
- Failure to provide the required advance notice will result in a $50 Total Cancellation Fee.
INTERNAL HEMORRHOIDS ONLY
The ligator is inserted into the anus and positioned toward the front of the hemorrhoid tissue.
The purple plunger in the ligator is then pulled backward applying suction to the tissue.The hemorrhoid is then sucked up inside the ligator.
Still Have Questions about Hemorrhoids?
What are hemorrhoids?
Believe it or not everyone has hemorrhoids. We only tend to hear about them when they are causing issues. Hemorrhoidal tissue is a normal part of our body and is located about two inches inside the anal canal and extends around the outside of the anus. Hemorrhoids are blood vessels that act as seals at the end of the rectum, but at times can overfill with blood and swell, which creates problems. This causes an obstacle for stool to normally pass through the rectum and can cause symptoms like rectal itching, pain and bleeding.
What causes of hemorrhoids?
Some causes of hemorrhoids include:
- Prolonged sitting (in a chair or on the toilet)
- Chronically strained bowel movements (i.e. constipation or diarrhea)
- Heavy lifting
- Advanced age
Are there different types of hemorrhoids?
Yes. There are internal hemorrhoids and external hemorrhoids.
Internal hemorrhoids can become inflamed on the inside of the anal canal. This is normally not painful but may itch and bleed. At times, an internal hemorrhoid can become so overfilled with blood it may push its way past the anal sphincter, commonly called prolapsed hemorrhoid. This type can retract back into the anal canal on its own or be gently pushed back in.
External hemorrhoids are swollen blood vessels on the skin side of the anal canals. These hemorrhoids can itch, bleed and sometimes form a blood clot that pushes against very sensitive skin and nerves around the anus.
How do I treat my hemorrhoids?
Before your appointment, you can use over- the-counter pain medication, try warm sitz baths several times a day and take a stool softener.
For internal hemorrhoids medical therapy is an option, but the most effective treatment is called a hemorrhoid banding. This is a quick five- minute procedure that uses a rubber band litigation technique. This is an in-office procedure and done without the use of anesthesia. Many patients report little to no pain from this quick and straightforward procedure.
For external hemorrhoids, medical therapy or a minor surgical procedure may be performed, this will not be known until your GI specialist examines the area to know if further steps need to be taken.
Why is this a quick procedure?
Unlike surgical procedures, the banding treatment is minimally invasive, requires no sedation and takes less than five minutes.
How can I prevent hemorrhoids?
The most effective way to prevent hemorrhoids is to keep stools soft and to limit toilet time. See the list below for ways to help keep your stools soft:
- Drink 6-8 glasses of water/healthy fluids daily.
- East high-fiber foods or take a fiber supplement.
Other ways to prevent hemorrhoids include:
- Don’t strain when having a bowel movement.
- Avoid prolonged sitting and limit time on the toilet to <3min.
Will my hemorrhoid treatment be covered by insurance?
Most medical insurances cover hemorrhoid treatment, but we recommend checking with your individual insurance while you wait for your appointment.
Will I need anesthesia for my hemorrhoid banding treatment?
No sedation needed. Hemorrhoid banding is only performed in clinic and not performed during colonoscopy. And the good news is hemorrhoid banding treatments are fast — and many patients report very little pain — if any.