Tag Archives: Hemorrhoid Orlando

The Varied Approaches to Treating Hemorrhoids

Hemorrhoids encompass a range of conditions, including internal and external hemorrhoids, anal tags, thrombosed hemorrhoids, and mixed hemorrhoids. Internal hemorrhoids are classified from I to IV based on the degree of prolapse. In addition to causing discomfort, pain, bleeding, and prolapse, hemorrhoids can lead to complications like thrombosis, anemia, and infection. Furthermore, many hemorrhoid patients also present with comorbidities such as anal fissures, fistulas, or anal warts. Given the diversity of these conditions, it’s essential for a comprehensive hemorrhoid clinic to offer a variety of treatment modalities and options to address each patient’s unique needs and deliver thorough care.
Relying on a single treatment modality for hemorrhoids, regardless of their severity, type, or associated anorectal conditions, often results in subpar outcomes and inadequate quality of care.

The reality is that there is no one-size-fits-all solution for hemorrhoids or their associated anorectal symptoms. Specialized hemorrhoid clinics should provide multiple treatment modalities featuring state-of-the-art technologies to effectively manage hemorrhoids and related ailments.

Treatment for Internal Hemorrhoids:

  • Grade 1 Internal Hemorrhoids: very early-stage hemorrhoids can frequently be managed through dietary and lifestyle modifications. These lifestyle changes should also be incorporated into the treatment plan for more advanced cases.
  • Grade 1-2 Internal Hemorrhoids: infrared Coagulation (IRC) is a non-surgical treatment option that is rapid, well-tolerated, and remarkably low in complications. Infrared light promptly coagulates the vessels supplying blood to the hemorrhoid, causing it to shrink and recede.
  • Grade 3 Internal Hemorrhoids: rubber band ligation is a widely used treatment for more advanced (more prolapsed) internal hemorrhoids. It involves pulling the prolapsed hemorrhoidal tissue into a double-sleeved cylinder to facilitate the placement of rubber bands around the tissue. Over time, the ligated tissue degenerates. In some cases, patients may require Infrared Coagulation (IRC) treatments after Rubber band ligation.
  • Grade 4 Internal Hemorrhoids:hemorrhoidectomy is a surgical procedure that removes the tissue responsible for bleeding or protrusion. It is performed in a doctor’s office, surgical center, or hospital under anesthesia and may necessitate a period of recovery.
  • Dr. Shu has developed an effective treatment protocol for patients with the most common hemorrhoids ranging from grade 2 to 3, combining initial banding treatments for prolapsed hemorrhoidal areas with infrared coagulation for milder cases.

    Treatment of External Hemorrhoids:

  • External Hemorrhoidal Tags (Anal Tags): small and asymptomatic tags typically require no treatment. When symptomatic, anal tags can be easily removed in an office setting using a local anesthetic and a radiofrequency device.
  • Thrombosed External Hemorrhoids: these hemorrhoids are generally managed through incision to remove the clot or via external hemorrhoidectomy. Draining the clot typically provides immediate relief from pain, but it may not be as effective if multiple thromboses exist. Therefore, complete excision of the thrombosed hemorrhoids is often recommended for patients with multiple thromboses to prevent recurrence.
  • External Hemorrhoids: small and asymptomatic external hemorrhoids usually do not necessitate treatment. However, most patients may experience intermittent flare-ups. Over time, patients with large external hemorrhoids and persistent symptomatic external hemorrhoids may require surgery in the form of external hemorrhoidectomy.
  • Note: One Stop Medical Center provides the service of hemorrhoid care. We have two office locations in Edina, Minnesota, and Casselberry, Florida. If you are interested in hemorrhoid care, Please fill out the online registration first, we will call you in 2 business days, or please call us at 1-888-992-0019 if any questions.

    Hemorrhoid Recurrence: Understanding the Causes and Preventive Measures


    Hemorrhoids, also known as piles, are a common medical condition that affects millions of people worldwide. While they can be a source of discomfort and pain, many individuals find relief through treatments such as lifestyle modifications, over-the-counter medications, or medical procedures. However, one challenge that some individuals face is hemorrhoid recurrence. In this blog, we will delve into the causes of hemorrhoid recurrence and explore preventive measures to minimize the chances of it happening.

    Understanding Hemorrhoids

    Hemorrhoids are swollen blood vessels in the rectal and anal area. They can occur internally or externally and are typically caused by increased pressure in the lower rectum. Factors contributing to this pressure include straining during bowel movements, chronic constipation or diarrhea, obesity, pregnancy, and even genetic predisposition. Hemorrhoids can be uncomfortable, causing symptoms like pain, itching, bleeding, and discomfort during bowel movements.
    Causes of Hemorrhoid Recurrence

    Hemorrhoid recurrence can be frustrating, but it is not uncommon. Several factors contribute to the reappearance of hemorrhoids after successful treatment or relief:

  • Lifestyle Habits: Failure to address the underlying causes of hemorrhoids, such as chronic constipation or diarrhea, can lead to recurrence. Not maintaining a healthy diet with adequate fiber intake and hydration can contribute to this.
  • Straining during Bowel Movements: Straining during bowel movements is a significant risk factor for hemorrhoids. If this habit persists after treatment, the likelihood of recurrence increases.
  • Pregnancy and Childbirth: For women, pregnancy and childbirth can increase the risk of hemorrhoids due to the pressure exerted on the pelvic region. This risk can persist even after childbirth if not managed properly.
  • Obesity: Excess body weight can contribute to the development of hemorrhoids and make recurrence more likely if obesity is not addressed.
  • Genetic Predisposition: Some individuals have a genetic predisposition to hemorrhoids, making them more susceptible to recurrence despite making necessary lifestyle changes.
  • Sedentary Lifestyle: Lack of physical activity and prolonged periods of sitting or standing can increase pressure in the rectal area, which may lead to hemorrhoid recurrence.
  • Preventive Measures

    While hemorrhoid recurrence can be challenging, there are several preventive measures that can help reduce the likelihood of it happening:

  • Maintain a High-Fiber Diet: A diet rich in fiber helps keep stools soft and easy to pass, reducing the risk of straining during bowel movements. Include fruits, vegetables, whole grains, and legumes in your diet.
  • Stay Hydrated: Drinking plenty of water helps prevent constipation and ensures that stools remain soft and easy to pass.
  • Regular Physical Activity: Engage in regular exercise to improve circulation and prevent prolonged sitting or standing, which can increase pressure on the rectal area.
  • Proper Toilet Habits: Avoid straining during bowel movements by not pushing excessively. If needed, consider using stool softeners or fiber supplements to ease the process.
  • Manage Obesity: If you are overweight, work on achieving and maintaining a healthy weight through diet and exercise.
  • Treat Underlying Conditions: If you have chronic constipation or diarrhea, work with a healthcare provider to manage these conditions effectively.
  • Kegel Exercises: For women, Kegel exercises can help strengthen the pelvic floor muscles, reducing the risk of hemorrhoid recurrence, especially after childbirth.
  • Regular Check-Ups: Keep regular appointments with your healthcare provider, especially if you have a history of hemorrhoids, to monitor and address any potential issues promptly.
  • Conclusion

    Hemorrhoid recurrence can be a frustrating and uncomfortable experience, but with the right preventive measures and lifestyle changes, it can often be avoided or minimized. By addressing the underlying causes and adopting a healthy lifestyle, individuals can significantly reduce their risk of recurring hemorrhoids and enjoy better long-term rectal and anal health. If you experience persistent or severe symptoms, consult with a healthcare professional for guidance and treatment options.

    Note: One Stop Medical Center provides the service of hemorrhoid care. We have two office locations in Edina, Minnesota, and Casselberry, Florida. If you are interested in hemorrhoid care, Please fill out the online registration first, we will call you in 2 business days, or please call us at 1-888-992-0019 if any questions.

    Bid Farewell to Anal Tags: Exploring Removal Options

    Anal tags, also known as hemorrhoidal skin tags or piles, can be a source of discomfort and inconvenience for many individuals. These fleshy flaps of skin around the anus often accompany hemorrhoids or result from various anal conditions. If you’re dealing with anal tags and seeking relief, you’re in the right place. In this blog, we’ll delve into the world of anal tags, explore why they form, and discuss the various removal options available to you.

    Understanding Anal Tags
    Anal tags are essentially benign growths of skin and tissue that develop in the anal area. They are often shaped like small lumps or flaps and can vary in size. Anal tags usually form due to:

  • Hemorrhoids: Hemorrhoidal skin tags often occur as a consequence of existing hemorrhoids, which are swollen blood vessels in the rectum or anus. When hemorrhoids shrink or heal, they can leave behind these skin tags.
  • Anal Fissures: Anal fissures are small tears in the lining of the anus. They can lead to the development of anal tags as part of the healing process.
  • Surgery or Trauma: Surgical procedures in the anal area or trauma, such as childbirth, can also result in the formation of anal tags.
  • Symptoms and Discomfort
    While anal tags themselves are generally harmless, they can cause discomfort and inconvenience for some individuals. Common symptoms associated with anal tags include:

  • Irritation: Fecal matter can become trapped beneath the skin tags, leading to irritation and itching.
  • Pain: Anal tags may cause discomfort, especially during bowel movements or if there are underlying anal issues.
  • Removal Options for Anal Tags
    If anal tags are causing you discomfort or affecting your quality of life, there are several removal options to consider:

  • Topical Treatments: Over-the-counter creams and ointments can help reduce irritation and inflammation. These products typically contain ingredients like witch hazel or hydrocortisone.
  • Sitz Baths: Soaking in a warm Sitz bath can provide relief from anal discomfort. This method involves sitting in warm water for about 15-20 minutes.
  • Excision: Surgical removal of anal tags is a common and effective option. This procedure can be performed in a medical office setting under local anesthesia. A specialized tool, such as a radiofrequency device, is used to cut off and remove the tags. Recovery is usually relatively quick, with mild postoperative discomfort.
  • Hemorrhoidectomy: If you have both hemorrhoids and anal tags, your healthcare provider may recommend a hemorrhoidectomy, which can remove both issues simultaneously.
  • Two-Stage Surgery: In cases where anal tags are extensive, a two-stage surgery approach may be necessary to prevent complications like anal stenosis. This approach ensures the safe and thorough removal of the tags.
  • Conclusion
    Anal tags can be a source of discomfort and annoyance, but there are effective removal options available to alleviate your symptoms and improve your quality of life. If you’re experiencing discomfort due to anal tags, consult with a healthcare provider who can help you choose the most appropriate treatment option for your specific situation. With the right approach, you can bid farewell to anal tags and enjoy greater comfort and peace of mind.

    Note: One Stop Medical Center provides the service of hemorrhoid care. We have two office locations in Edina, Minnesota, and Casselberry, Florida. If you are interested in hemorrhoid care, Please fill out the online registration first, we will call you in 2 business days, or please call us at 1-888-992-0019 if any questions.

    The Gentle Relief: Exploring Infrared Coagulation for Hemorrhoids


    Hemorrhoids, a common ailment affecting countless individuals, can bring discomfort and disruption to daily life. Among the various treatments available, infrared coagulation (IRC) has emerged as a non-invasive and effective option for addressing hemorrhoidal symptoms. In this blog, we delve into the world of IRC, understanding its mechanism, benefits, procedure, and its role in providing gentle relief to those dealing with hemorrhoids.

    Understanding Hemorrhoids

    Hemorrhoids are swollen blood vessels in the rectum or anus that can cause pain, itching, bleeding, and discomfort during bowel movements. They can be internal (inside the rectum) or external (outside the anus). Lifestyle factors, constipation, pregnancy, and genetics are common contributors to their development.

    The Mechanism of Infrared Coagulation

    Infrared coagulation is a minimally invasive procedure designed to treat internal hemorrhoids. It operates on the principle of thermal energy application. During the procedure, a specialized device releases a burst of infrared light to the base of the hemorrhoid. This light is absorbed by the blood vessels, causing them to coagulate (clot) and shrink. As a result, the blood supply to the hemorrhoid is reduced, alleviating its symptoms.

    Benefits of Infrared Coagulation

  • Non-Invasive: IRC is a non-surgical treatment, making it a favorable option for those who wish to avoid the risks and recovery associated with surgery.
  • Quick Procedure: The procedure is usually quick, often taking only a few minutes. Patients can return to their normal activities shortly after.
  • Minimal Discomfort: IRC is known for its relatively low discomfort level during and after the procedure. It typically requires little to no anesthesia.
  • Reduced Downtime: Compared to surgical options, IRC involves no or minimal downtime, allowing patients to resume their regular routines quickly.
  • Outpatient Setting: Infrared coagulation is typically performed on an outpatient basis, reducing the need for hospitalization.
  • The IRC Procedure

    The IRC procedure is typically as follows:

  • Preparation: The patient is positioned comfortably, and a lubricated anoscope is gently inserted into the rectum to visualize the hemorrhoid.
  • Infrared Application: The infrared device is applied to the base of the hemorrhoid. The light energy coagulates the blood vessels, causing the hemorrhoid to shrink.
  • Multiple Sessions: Depending on the severity of the hemorrhoids, multiple sessions may be required to achieve optimal results.
  • Recovery: After the procedure, patients can usually resume their activities immediately. Some mild discomfort or bleeding might be experienced, but this usually subsides quickly.
  • Incorporating IRC in Hemorrhoid Management

    Infrared coagulation has found a significant place in the realm of hemorrhoid management. It offers a middle ground between conservative treatments (such as dietary changes and topical medications) and surgical interventions (like hemorrhoidectomy). For individuals seeking a less invasive solution with quick recovery, IRC can be a viable choice.


    Hemorrhoids need not be a source of constant discomfort and disruption in one’s life. Infrared coagulation offers a ray of hope, providing a gentle and effective way to address the symptoms of internal hemorrhoids. As medical techniques continue to evolve, IRC stands as a testament to the ability of modern medicine to provide relief without the need for invasive surgeries. If you’re dealing with hemorrhoids, consider discussing the possibility of infrared coagulation with a healthcare professional to determine if it’s the right solution for you.

    Note: One Stop Medical Center provides the service of hemorrhoid care. We have two office locations in Edina, Minnesota, and Casselberry, Florida. If you are interested in hemorrhoid care, Please fill out the online registration first, we will call you in 2 business days, or please call us at 1-888-992-0019 if any questions.

    Rubber Band Ligation for Internal Hemorrhoids: A Painless Solution


    Dealing with hemorrhoids can be uncomfortable and distressing, affecting millions of people worldwide. Fortunately, medical advancements have introduced various treatment options to alleviate the symptoms and improve the quality of life for those affected. One such effective and minimally invasive procedure is Rubber Band Ligation (RBL), commonly used to treat internal hemorrhoids. In this blog, we’ll delve into the details of RBL, its benefits, and how it can provide a painless solution for internal hemorrhoids.

    Understanding Internal Hemorrhoids and Rubber Band Ligation

    Internal hemorrhoids are swollen blood vessels located inside the rectum, often causing discomfort, pain, itching, and even bleeding during bowel movements. They can vary in severity, with some cases requiring medical intervention.

    Rubber Band Ligation (RBL) is a widely accepted medical procedure used to treat internal hemorrhoids. It is particularly effective for grade 1 and grade 2 hemorrhoids, which are characterized by bleeding and prolapse without significant pain.

    The RBL Procedure

    Rubber Band Ligation is a straightforward and outpatient procedure typically performed in the office. Here’s a step-by-step overview of the procedure:

  • Preparation: although bowel preparation is not required before the procedure, you are encouraged to have bowel movement before coming to office.
  • Positioning: You’ll be asked to lie on your left side.
  • Insertion: The doctor will insert a specialized instrument called an anoscope, which provides a clear view of the hemorrhoids.
  • Placement of Rubber Bands: Using the anoscope, a small rubber band is placed at the base of the internal hemorrhoid. The band cuts off the blood supply to the hemorrhoid, causing it to shrink and eventually fall off.
  • Repeat if Necessary: If you have multiple hemorrhoids, which the most patient do, the procedure may be repeated during subsequent visits, typically spaced a few weeks apart.
  • Benefits of Rubber Band Ligation:

  • Minimally Invasive: RBL is a non-surgical procedure, requiring no incisions or stitches. It is performed without anesthesia or with minimal local anesthesia, reducing the risks associated with general anesthesia.
  • Quick Procedure and Recovery: The procedure itself takes only a few minutes, and most patients can return to their normal activities immediately afterward.
  • Minimal Discomfort: RBL is generally painless, with minimal discomfort during and after the procedure. Some patients may experience a mild sensation of pressure or a feeling of fullness.
  • High Success Rate: Rubber Band Ligation has a high success rate in treating internal hemorrhoids, with most patients experiencing relief from symptoms after a single session.
  • Low Risk of Complications: Serious complications are rare with RBL. Mild bleeding or discomfort may occur temporarily, but these issues typically resolve on their own.
  • Conclusion

    Rubber Band Ligation offers a painless and effective solution for individuals suffering from internal hemorrhoids. Its minimally invasive nature, quick procedure, and high success rate make it a preferred choice for many patients seeking relief from hemorrhoidal symptoms. If you’re experiencing discomfort from internal hemorrhoids, consulting with a qualified healthcare professional can help determine whether Rubber Band Ligation is an appropriate treatment option for your specific case. Remember, early intervention and proper medical guidance can help you regain comfort and improve your overall quality of life.

    Note: One Stop Medical Center provides the service of hemorrhoid care. We have two office locations in Edina, Minnesota, and Casselberry, Florida. If you are interested in hemorrhoid care, Please fill out the online registration first, we will call you in 2 business days, or please call us at 1-888-992-0019 if any questions.

    A Brief Overview of the Evolution of Hemorrhoid (Piles) Treatments

    The history of hemorrhoid (Piles) treatments spans thousands of years, reflecting the enduring prevalence of this condition throughout human history. Hemorrhoids, also known as piles, are swollen and inflamed blood vessels in the rectum and anus that can cause discomfort and pain. Here is a brief overview of the evolution of hemorrhoid treatments:

    Ancient Times: Some of the earliest recorded references to hemorrhoids date back to ancient civilizations. Ancient Egyptians, around 1700 BC, described treatments for hemorrhoids in medical papyri. They used concoctions made from herbs and plants to alleviate symptoms.

    Traditional Chinese Medicine: Traditional Chinese Medicine (TCM) documented treatments for hemorrhoids more than 2,000 years ago. TCM practitioners prescribed herbal remedies, acupuncture, and other holistic approaches to manage hemorrhoidal symptoms.

    Ancient Greeks and Romans: Hippocrates, a prominent ancient Greek physician (circa 460-370 BC), advocated for dietary changes, exercise, and the use of herbal ointments to treat hemorrhoids. The Roman physician Galen (circa 130-210 AD) also recommended various herbal treatments.

    Medieval Period: During the medieval era, treatments became more diverse and included methods like using leeches to draw blood from hemorrhoids or cauterization to remove swollen tissues.
    Renaissance and Early Modern Period: In the Renaissance period, surgery began to emerge as a treatment option for severe hemorrhoids. However, these surgical procedures often led to high mortality rates due to infection and lack of anesthesia.

    19th Century: As medical knowledge advanced, less invasive treatments were introduced. Rubber band ligation was developed during this period, which involved tying a rubber band around the base of the hemorrhoid to cut off its blood supply, causing it to wither and fall off.

    20th Century: In the early 20th century, various creams, ointments, and suppositories containing local anesthetics, steroids, or vasoconstrictors were introduced to provide symptomatic relief from hemorrhoids.
    Modern Era: Advancements in medical technology and surgical techniques have significantly improved hemorrhoid treatment outcomes. Procedures like hemorrhoidectomy, which involves surgical removal of hemorrhoids, and more advanced forms of rubber band ligation, have become common treatments for severe cases.

    Minimally Invasive Techniques: In recent decades, the focus has shifted towards less invasive treatments for hemorrhoids, such as infrared coagulation, laser therapy, and sclerotherapy. These methods aim to reduce the discomfort and recovery time associated with traditional surgery.

    Throughout history, people have explored various treatments to address the discomfort and pain caused by hemorrhoids. While some traditional remedies persist to this day, medical advancements have expanded the range of treatment options available to patients, allowing for more effective and less invasive management of this common condition. As with any medical concern, it is essential to consult a healthcare professional to determine the most suitable treatment based on individual circumstances.

    Note: One Stop Medical Center has provided the complete hemorrhoid care with minimal invasive approaches in the past 20 years. We have 2 office locations, Edina office in Minneapolis, Minnesota, and Casselberry in Orlando, Florida. Please fill out the online registration first if you are interested in hemorrhoid(piles) care, we will call you in 2 business days, or call us at 1-888-992-0019 if any questions.

    What are Symptoms of Hemorrhoids | Minneapolis & Orlando

    Hemorrhoids (Piles) are swollen varicose veins located around the anus or in the lower rectum. About 50 percent of adults in Minnesota and Florida experience the symptoms of hemorrhoids by the age of 50.

    Severe pain is actually not a common symptom of internal hemorrhoids, because internal hemorrhoid happens in the area above the dentate line that is supplied by the visceral nerve, like those found within the intestines, which sense pressure and dull discomfort rather than sharp pain. Many patients have mild irritating pain in their rectum periodically, especially when it has a flare-up.

    As the venous complex of an internal hemorrhoid becomes varicose and continues to enlarge, it bulges into the anal canal and loses its normal anchoring, becoming a prolapsing internal hemorrhoid. The prolapsing hemorrhoid usually returns into the anal canal or rectum on its own, or can be pushed back inside using one’s finger, but usually prolapses again after the next bowel movement. In the anal canal, a hemorrhoid is exposed to movement caused by passing stool, particularly hard stools that can cause bleeding and sting pain. The painless rectal bleeding with bright red blood is a common symptom of internal hemorrhoids. The rectal mucosal lining that has been pulled down secretes mucus and moistens the anus and its surrounding skin, while the stool itself can also leak onto the anal skin. Itchiness often occurs as a result of this dual presence of stool and moisture.

    In general, symptoms of external hemorrhoids are different than those of internal hemorrhoids. External hemorrhoids can be felt as bulges at the anus, but rarely display any of the same symptoms seen with internal hemorrhoids. They will cause problems, however, if the varicose vein complex ruptures, as blood clots occur and build up the pressure inside the lump. This condition, known as thrombosed external hemorrhoid, causes an extremely painful bluish anal lump and often requires medical attention. The somatic nerve in the anal canal (below the dentate line) can sense pain, this is why the patients feel significant pain when they develop thrombosed external hemorrhoids. Thrombosed hemorrhoids may heal with scarring and leave a tag of skin protruding from the anus. Occasionally, the tag turns out to be quite large, which can make anal hygiene (cleaning) difficult or irritate the anus.

    So, What are Hemorrhoids? | Minneapolis & Orlando

    Believe it or not, everyone has had a normal hemorrhoidal tissue in their rectum and anus. It helps us to control bowel function. It’s only when your hemorrhoidal veins enlarge and become varicose veins that they’re considered abnormal or diseased.

    When hemorrhoids become inflamed, they can become painful, especially if they’re located externally. Other symptoms include anal itching, bleeding and prolapse. Unfortunately, over 10 million people suffer from inflamed hemorrhoids every year. How can something so small cause so much pain and discomfort?

    There are three types of hemorrhoids – internal, external, and mixed hemorrhoids that consist of both internal and external. Internal hemorrhoids occur above dentate line of the rectum and anal area. In contrast, external hemorrhoids are located on the outside of the body where the skin has very sensitive nerve endings.

    Internal hemorrhoids are graded from I to IV based on the degree of prolapse. Grade I hemorrhoids usually don’t have bulge with defecation; grade II lesions also bulge with defecation, but then recede spontaneously. Grade III hemorrhoids require digital replacement after prolapsing, while grade IV hemorrhoids cannot be replaced once prolapsed. There are many treatment options for internal hemorrhoids that vary based on the severity of each case.

    External hemorrhoids are those that occur outside the anal verge and affect bowel cleansing after one’s bowel movement, causing skin irritation and itching. A thrombosed external hemorrhoid is usually very painful due to rupture of one’s varicose veins, which causes blood clots and is often accompanied with swelling and irritation. These external hemorrhoids are typically treated with either an incision or removal of the clot, or with an external hemorrhoidectomy performed under local anesthesia.

    Procedure Clinic is the specialized clinic that focuses on office procedures in Minneapolis, Minnesota and Orlando, Florida. We provide complete care for all types of hemorrhoids and other common anorectal diseases with minimally invasive approaches. Dr. Shu has more than 20 years of experience in hemorrhoid care—regardless of how severe your hemorrhoids are, the kind of hemorrhoids you’re dealing with, or if you’re battling any anorectal diseases, we’ll help you find a solution.

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