Apr 23

Let’s Talk Hemorrhoids, Symptoms and Treatments

Let’s Talk Hemorrhoids, Symptoms and Treatments

Let’s talk about hemorrhoids. At Gastroenterology of the Rockies, we’re not shy about leaning into tough conversations — even when it’s slightly embarrassing. Our GI specialists understand that some topics might feel difficult to discuss. It’s ok to talk about how your body works—especially when something causes pain, worry or discomfort. Let’s dive into some common questions we hear about hemorrhoids so you can better understand what your body might be trying to tell you.

1. What are hemorrhoids?

Hemorrhoids are swollen veins in the rectum. This common condition is also known as piles. These enlarged veins can form inside the rectum or protrude from the anus. Hemorrhoids are a natural part of your anatomy. It’s usually when they become swollen and enlarged that people notice irritating symptoms linked to hemorrhoids.

2. What causes hemorrhoids?

Hemorrhoids are generally caused when too much pressure builds up around veins in the pelvic and rectal area. Additional pressure may cause tissue to swell and stretch. Here are some common causes of increased pressure in the rectal area.

• Frequent bouts of constipation and diarrhea
• Straining during a bowel movement
• Sitting on the toilet for too long
• Pregnancy adds pressure to the pelvic area
  1. Post-partum moms may experience hemorrhoids—read our blog for new moms and discover essential health tips about hemorrhoids after childbirth
• During childbirth, labor and pushing creates intense pressure
• People who are age 50 and up

What are common hemorrhoid symptoms?

• Swelling
• Itching
• Irritation
• Blood
• Discomfort

Visit our hemorrhoid page to learn about hemorroid symptoms and causes.

3. Can my doctor see whether I have hemorrhoids during a colonoscopy?

To answer this question, we reached out to Dr. Wesley Prichard, gastroenterologist with Gastroenterology of the Rockies. Here’s Dr. Prichard’s response about what your doctor can see during a colonoscopy.

“Yes, your doctor can tell during a colonoscopy if you have hemorrhoids. Patients can ask for treatment options if they have symptoms. We usually start with topicals like Preparation H cream, suppositories or Preparation H wipes. If that does not help, hemorrhoid banding would likely be an option.”

4. Why are hemorrhoids a taboo subject?

Discussing what goes on in the restroom and especially the quality of bowel movements easily falls into TMI territory — (too much information). And it’s more common for women to avoid these discussions around gas and bowel movements, compared to men.

People may stigmatize hemorrhoids because of misconceptions about poor hygiene as the cause — rather than a digestive health condition. Also, discussing anatomy related to the anus and rectal area can cause some people to feel embarrassed and afraid to discuss—even with their doctor.  It can bring on feelings of shame that may not be fully understood—but intensely felt. Our medical team strives to put patients at ease when discussing these topics. We do this by listening to patients, answering questions, providing thoughtful answers, and providing useful patient education materials.

Did you know?

Parcopresis—also known as “shy bowel” is defined as avoiding bowel movements in public restrooms to avoid embarrassment or public scrutiny. This condition is considered a form of social anxiety, is more prevalent in women and can lead to distress.[i]

5. How can I treat hemorrhoids at home?

• Apply over-the-counter creams—hydrocortisone-based creams can help (Preparation H)
• Switch to wet wipes instead of toilet paper
• Place witch hazel cotton pads on the area—Tucks
• Prepare a warm sitz-bath several times per week
• Place feet on low-stool to elevate feet during bowel movements—this helps reduce straining during bowel movements
• Check your fiber intake—aim for about 25 grams per day

6. Are hemorrhoids dangerous or precancerous?

If your hemorrhoids cause persistent symptoms like swelling, irritation or blood, it’s wise to become curious about what’s going on inside your body.

Here’s what Dr. Prichard says about whether hemorrhoids are considered dangerous.

“Hemorrhoids could be dangerous if they continue to bleed. Persistent bleeding can lead to anemia and iron deficiency. Hemorrhoids are not precancerous or put you at risk for cancer.”

7. Who’s at risk of developing hemorrhoids?

• People who sit for long periods of time
  • Long hours at your desk – sedentary desk work correlates with poor blood circulation in lower extremities—blood pooling in the legs
• Truck drivers and driving related jobs
• Standing for long periods—affects circulation in the legs; may notice swelling in feet and ankles, known as edema
• Manual labor—construction and warehouse workers — from excessive lifting
  • Lifting heavy weights at the gym without proper form
• New moms

Read our blog about postpartum hemorrhoids for new moms

8. Does rectal bleeding mean I have hemorrhoids?

Not always. If your rectal bleeding isn’t a hemorrhoid, here’s what it could be instead.

• Anal Fissure—small tear in the tissue lining
• Diverticular Disease-blood vessels in the colon can rupture and cause bleeding
• Sexually Transmitted Infections
• Inflammatory Bowel Disease-Ulcerative Colitis and Crohn’s Disease
  • Bloody black stool
• Colon Polyps – Rectal bleeding and bloody stool

Source: National Library of Medicine

9. What hemorrhoid treatments help with hemorrhoids?

• Hemorrhoid Banding – A small rubber band placed on internal hemorrhoid to cut off blood flow to the hemorrhoid. The procedure causes hemorrhoids to shrink and develop scar tissue.
• Infared Coagulation (IRC) – A doctor uses electric current to target the internal hemorrhoid. Scar tissue develops and cuts off blood supply to the hemorrhoid which causes it to shrink.
• Hemorrhoidectomy – A doctor or surgeon removes internal and external hemorrhoids when other treatments won’t work.

Source: National Institute of Diabetes and Digestive and Kidney Disease

10. When is it time to talk to a doctor about hemorrhoids?

For many people, occasional hemorrhoids will revolve on their own—or with over-the-counter ointments and creams. When symptoms continue and you aren’t seeing any improvement, consider talking to your doctor or GI specialist

Let your doctor know if you have these persistent symptoms

• Rectal bleeding
• Watch for signs of anemia- Increased fatigue, shortness of breath
• Ongoing or persistent pain, swelling, itching or irritation
• If symptoms affect your daily activities

Want to learn more? Check this blog post– Hemorrhoids: How to Know if You Have Them 

If you’re having persistent hemorrhoid symptoms, request a consult with our GI specialists in Denver, Boulder and surrounding towns.

Call us today.

303-604-5000

Written by Elise Oberliesen, digital marketing specialist; medically reviewed by Emily Marshall, PA-C.

[i] Springer Nature Link, published March 2021,  https://link.springer.com/article/10.1007/s12144-021-01586-x, last viewed April 23, 2026