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External Hemorrhoids
Struggling with external hemorrhoids? At GastroDoxs in Houston, board-certified GI specialist Dr. Scott provides expert diagnosis and tailored treatment plans-from lifestyle changes and medications to in-office procedures. Experience fast relief, minimal downtime, and lasting comfort with compassionate, personalized modern care.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Straining during bowel movements
Chronic constipation or diarrhea
Sitting for long hours (e.g., in traffic)
Pregnancy or childbirth
Obesity or heavy lifting
Low-fiber diet
Signs and Symptoms
Pain or discomfort while sitting
Itching or burning around the anus
Bright red blood on toilet paper or in the toilet
Swollen or tender lumps at the anal opening
Inflammation or localized swelling
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History
He'll ask about your symptoms, bowel habits, diet, and any factors like straining, sitting patterns, or prior episodes.
Physical Exam
A careful visual inspection identifies any external swelling, discoloration, or tender lumps around the anal opening.
Digital Rectal Exam
With a gloved, lubricated finger, Dr. Scott assesses deeper swelling, tenderness, and the tone of the anal sphincter.
Anoscopy (if needed)
Using a small, lighted scope, he can directly view the anal canal to confirm the diagnosis and rule out internal hemorrhoids or other conditions.
Treatment
Our Team offers a full range of care for external hemorrhoids.
1. Lifestyle and Diet Modifications
Eat 25-30 grams of fiber every day from fruits, vegetables, and whole grains
Drink plenty of water (8+ glasses a day)
Don't delay bathroom visits to prevent straining
Take short walks if you sit for long periods
2. Medications
Over-the-counter creams and wipes for itching and swelling
Pain relievers like ibuprofen or acetaminophen
Stool softeners for easier, more comfortable bowel movements
3. Minimally Invasive or In-Office Procedures
Rubber band ligation to cut off blood flow and shrink the hemorrhoid
Sclerotherapy injections to collapse the swollen vein
Infrared coagulation (heat therapy) to seal and reduce the hemorrhoid
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
Do external hemorrhoids go away on their own?
Yes. Many mild cases heal with home care in about a week.
How long until I feel better?
Most people get relief within 48-72 hours with creams, softeners, and rest.
What's the ICD-10 code for external hemorrhoids?
Use K64.8 (other hemorrhoids) or K64.9 (unspecified).
Are the treatments painful?
Most are done with local numbing. Discomfort is mild and short-lived.
Can I stop them from coming back?
Yes. A high-fiber diet, good hydration, and regular bathroom habits help prevent flare-ups.
Can external hemorrhoids cause problems if untreated?
Rarely. But they can clot or get infected if ignored. Early care helps.
Is this covered by insurance?
Most insurance plans cover both medicines and procedures. We'll help verify your benefits.
