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Hemorrhoids
Dr. Scott at GastroDoxs in Houston provides expert hemorrhoid care, combining exams with guidance. From dietary changes and sitz baths to rubber band ligation and infrared therapy, he creates personalized treatment plans that relieve pain, curb bleeding, and prevent recurrence.
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
Ongoing constipation or diarrhea
Sitting for long hours, such as during work or travel
Pregnancy or childbirth
Heavy lifting or excess body weight
Signs and Symptoms
Bright red blood after a bowel movement
Pain, itching, or burning near the anus
A soft lump that may be tender or bleed
Mucus on the toilet paper or in the stool
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
Medical History and Exam
He reviews your health and family history, asks about fatigue, joint aches, epigastric (upper abdominal) discomfort, alcohol use and other risk factors.
Blood Tests
We draw blood to measure serum ferritin, transferrin saturation and liver enzymes (ALT/AST), confirming iron overload and ruling out other liver disorders.
Genetic Testing
If hereditary hemochromatosis is suspected, we test for HFE gene mutations (C282Y, H63D) to establish a genetic diagnosis.
Imaging Studies
MRI with liver iron quantification provides a noninvasive measure of hepatic iron concentration.
Abdominal ultrasound evaluates liver size, texture and screens for cirrhosis or other abnormalities.
Advanced Testing (if needed)
In select cases, a liver biopsy is performed to precisely quantify iron deposition and assess inflammation or fibrosis.
Treatment
Our Team offers a full range of care for hemorrhoids.
1. Lifestyle and Diet Modifications
Increase fiber intake with fruits, vegetables, and whole grains
Drink at least 8 glasses of water daily
Respond promptly to bowel‐movement urges to avoid straining
Take breaks from prolonged sitting to reduce pressure
2. Medications
Over-the-counter creams or suppositories to relieve itching and pain
Sitz baths (warm water soaks) for 10-15 minutes to soothe the area
Stool softeners to make bowel movements gentler and prevent straining
3. Minimally Invasive or Advanced Procedures
Rubber band ligation to cut off blood supply to internal hemorrhoids
Infrared coagulation therapy to shrink swollen veins quickly
Sclerotherapy injections to reduce hemorrhoid size
Surgical removal or stapling for large, recurrent, or severe cases
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
What do hemorrhoids look like?
External hemorrhoids may look like soft, swollen lumps near the anus. Internal ones are harder to see and may only be felt when they push out.
Can I get rid of hemorrhoids in two days?
Mild cases may feel better in 48 hours with sitz baths, cold packs, and over-the-counter ointments. Complete healing usually takes a few more days.
Do hemorrhoids go away without treatment?
Yes. Many mild hemorrhoids improve on their own with diet and lifestyle changes. Seeing a doctor helps ensure they don't return or cause complications.
What works fast to shrink hemorrhoids?
In-office treatments like rubber band ligation or infrared therapy can shrink internal hemorrhoids in a single visit.
When should I see a doctor?
If you have bleeding, pain, or swelling that lasts more than a week, schedule a visit to rule out complications and get tailored treatment.
Is surgery painful?
Most modern hemorrhoid procedures cause minimal discomfort. Dr. Scott uses advanced techniques and local anesthesia to keep treatment easy and recovery quick.
Can diet help prevent hemorrhoids?
Yes. A fiber-rich diet plus plenty of water keeps stools soft, lowers pressure on rectal veins, and reduces your risk of developing hemorrhoids.
