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.
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.