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External Hemorrhoids

External hemorrhoids can cause uncomfortable symptoms like pain, itching and bleeding. In Houston, Dr. Bharat Pothuri offers gentle, effective treatments-from lifestyle guidance and topical therapies to minimally invasive procedures-ensuring fast relief and long-term prevention. Discover personalized, compassionate, comprehensive care today.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Common Causes and Risk Factors

  • Straining during bowel movements
  • Chronic diarrhea or frequent bathroom trips
  • Pregnancy and increased pelvic pressure
  • Being overweight or obese
  • Sitting for long periods, especially on hard surfaces
  • Frequent heavy lifting

Signs and Symptoms

  • Painful swelling or small lumps around the anus
  • Itching or burning sensation in the anal area
  • Bright red bleeding on toilet paper or in the bowl
  • Discomfort when sitting or during bowel movements
  • Mucus discharge after passing stool

Expert Treatment for External Hemorrhoids by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Symptom Review

He asks detailed questions about your bowel habits, pain, bleeding, itching, and any precipitating factors (like pregnancy or heavy lifting).

Physical Examination

A gentle inspection of the anal canal and perianal skin to identify swollen veins, lumps, skin tags, or inflammation.

Anoscopic Evaluation

Using a small, lighted anoscope, he visualizes the anal canal to confirm the presence and grade of hemorrhoids, and to rule out internal lesions.

Digital Rectal Exam

A lubricated gloved finger exam assesses sphincter tone, checks for masses, and evaluates tenderness.

Additional Testing (if indicated)

In rare cases, a colonoscopy or flexible sigmoidoscopy may be recommended to exclude other causes of bleeding or pain.

Dr. Bharat Pothuri Examining Patient
Treatment

Our Team offers a full range of care for external hemorrhoids.

1. Lifestyle and Diet Tips

  • Increase fiber intake - fruits, vegetables, whole grains
  • Stay hydrated - aim for 6-8 glasses of water daily
  • Avoid straining - take your time during bowel movements
  • Get regular exercise to improve circulation
  • Take frequent breaks if you sit for long periods

2. Medications and Home Care

  • Topical creams and ointments - relieve swelling and itching
  • Sitz baths - warm water soaks to ease pain
  • Over-the-counter pain relievers - Tylenol or ibuprofen

3. In-Office Procedures

  • Rubber band ligation - cuts off blood flow to the hemorrhoid
  • Infrared coagulation - uses heat to shrink the vein
  • Hemorrhoidectomy - surgical removal for large or persistent cases
  • Doppler-guided ligation - sound-wave guidance to tie off vessels
871

Patients Treated

Dr. Pothuri has treated more than 871 patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What's the fastest way to treat external hemorrhoids?

Rubber band ligation and infrared coagulation often provide relief within a few days.

Can a GI doctor treat hemorrhoids?

Yes. Dr. Pothuri is trained to diagnose and treat hemorrhoids using non-surgical and surgical methods.

When should I see a doctor for hemorrhoid symptoms?

If you experience pain, bleeding, or persistent bumps for more than a week, schedule an evaluation.

Do you accept patients from Sugar Land?

Yes. Our Houston clinic serves patients from Sugar Land and the surrounding areas.

Are external hemorrhoids dangerous?

They're generally not serious but can cause ongoing discomfort or bleeding if left untreated.

Can diet changes help with hemorrhoids?

Yes! Increasing fiber and hydration often reduces symptoms, though larger hemorrhoids may need procedures.

How long is recovery after rubber band ligation?

Most patients feel better within 24 to 48 hours; mild discomfort may persist for a few days.

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