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Internal Hemorrhoids

Our expertise specialist will offer patient-centered care and least invasive procedures in diagnosing internal hemorrhoids to treat internal hemorrhoids and guarantee quick resolution and tailored care within your local environment, without the need of language to travel long distances to seek care and comfortably resume normal activities.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What Are Internal Hemorrhoids?

Internal hemorrhoids refer to veins which are swollen, and they appear around the rectum. They tend to be painless initially and they might not even be noticed. As the progression is witnessed, there may be bleeding, the feeling of the pressure or even observing their protrusion when passing through bowel movements.

Common Symptoms

Look out for:

  • Bright red blood on toilet paper or in the toilet bowl
  • A feeling of fullness or pressure in the rectum
  • Itching or irritation around the anus
  • Mucus discharge after a bowel movement
  • A soft bulge that may prolapse (protrude) during straining

Causes

Internal hemorrhoids form when pressure increases in the lower rectum. Common contributing factors include:

  • Chronic constipation or diarrhea
  • Straining during bowel movements
  • Pregnancy and childbirth
  • Sitting for long periods-especially on the toilet
  • Heavy lifting or obesity
Treatment

Treatment Options for Internal Hemorrhoids in Katy, TX

Treatment includes lifestyle modifications, medications, and in-office procedures:

  • Change in lifestyle: Obtain more dietary fiber, maintain hydration, and avoid straining during bowel movements to relieve vein pressure.
  • Sitz baths: Soak the anal area in warm water for 10–15 minutes a few times a day to alleviate pain and itching.
  • Topical treatments: Hydrocortisone or witch hazel creams or suppositories are used to treat irritation and swelling, as recommended by your doctor.
  • Stool softeners (orally): Over-the-counter fiber products or stool softeners help maintain regular, soft bowel movements with minimal strain.
  • Rubber band ligation: An in-office treatment where a small band is placed at the hemorrhoid base, cutting off blood supply and causing it to shrink and fall off.
  • Infrared coagulation: A non-surgical procedure using infrared light to close and shrink hemorrhoids.
  • Sclerotherapy: Stage 1–2 internal hemorrhoids can be treated by injecting a chemical solution to make the hemorrhoid shrivel.
  • Minimally invasive surgery: For complicated or chronic cases, procedures like stapled hemorrhoidopexy or hemorrhoidectomy effectively relieve pain long-term.
  • Follow-up management: Regular check-ups, ongoing fiber intake, and healthy bowel habits help prevent recurrence.

Why Choose GastroDoxs?

In GastroDoxs Katy, we implement a combination of professional diagnostics and individual care in the treatment of external hemorrhoids in order to become an effective and credible instrument of healing patients. We have board-certified gastroenterologists who will create a treatment plan, such as lifestyle changes and in-office interventions all the way to the minimal use of surgery, specifically created on the basis of your needs. Do not allow hemorrhoid pain to derail you. Monthly available appointments will be booked and the first step will be made towards permanent relief and the quest of a better life.

24K

Patients Treated

We've successfully treated more than 24K 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

Four stages of internal hemorrhoids

Stage 1 is stuck within the rectum and does not protrude. Stage 2 protrudes during straining but retracts on its own. Stage 3 protrudes and can only be pushed back in manually, while Stage 4 remains prolapsed and typically requires medical assistance.

Are there internal hemorrhoids?

Yes. Internal hemorrhoids usually result in bright red blood on toilet paper, in the toilet bowl, or in the stool during or after bowel movements.

What is the duration of internal hemorrhoids?

Home-based care is usually sufficient for mild cases, lasting days to weeks. Acute or severe hemorrhoids can be long-lasting and require expert medical care.

How can one describe internal hemorrhoids?

They often start as a feeling of fullness, pressure, or mild irritation inside the rectum. Prolapsed hemorrhoids can also cause discomfort or pain, especially when sitting.

What are internal hemorrhoids?

They are pinkish, soft lumps of tissue that form along the anal canal. Internal hemorrhoids usually do not prolapse initially and may not be felt inside the rectum.

What is a Stage 1 hemorrhoid?

A Stage 1 hemorrhoid is a small internal hemorrhoid that does not protrude from the anus and generally causes little or no pain.

What is a Stage 2 hemorrhoid?

A Stage 2 hemorrhoid protrudes during straining but retracts on its own after the strain is released.

Which is the best cream to relieve symptoms?

Hydrocortisone-based creams or other soothing agents such as witch hazel may help relieve itching and pain. Always consult your doctor for personal recommendations.

Are there any pictures of internal hemorrhoids?

Yes. Patient education materials often include pictures, and reliable medical websites provide visual references for better understanding.

At what age is it possible to visit a specialist in Katy?

Make an appointment if you experience frequent bleeding, worsening pain, persistent prolapse, or if home therapy fails to relieve symptoms within two weeks.

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