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Dr Usman Javaid
Dr Usman Javaid
Gastroenterologist
Lower Digestive

Hemorrhoids & Anal Disorders — treatment in Lahore

Also known as: Piles · Haemorrhoids · Anal Cushions

Hemorrhoids (piles) are swollen blood vessels in the lower rectum or anus that can bleed, prolapse, or cause pain and itching. They are common, treatable, and rarely serious — but other causes of rectal bleeding must be excluded.

Dr Usman Javaid
Medically reviewed
Dr Usman Javaid · MPH, FRSPH (UK)
Last reviewed
Evidence-based

Overview

Most patients delay this consult for the wrong reasons. The exam is brief, the treatment is usually simple, and the relief is fast.

Signs & symptoms of Hemorrhoids & Anal Disorders

If you recognize one or more of these, it may be worth a consultation:

  • Bleeding with bowel movements
  • Pain, itching, or swelling
  • A lump or fullness at the anal opening

Causes & risk factors

Several factors can contribute to Hemorrhoids & Anal Disorders. Identifying yours guides the treatment plan.

  • Chronic constipation and straining
  • Prolonged sitting on the toilet
  • Pregnancy
  • Low fibre intake
  • Heavy lifting
  • Family predisposition

How Hemorrhoids & Anal Disorders is diagnosed

We order tests selectively — only what changes the plan.

  • Clinical anal exam
  • Anoscopy
  • Colonoscopy in selected patients (to exclude other causes of bleeding)

Treatment options

Treatment for Hemorrhoids & Anal Disorders is personalized — the right plan depends on your symptoms, test results, and life situation.

  1. 1 Lifestyle and fibre optimization
  2. 2 Topical agents (anti-inflammatory, anesthetic)
  3. 3 Rubber-band ligation for internal piles
  4. 4 Sclerotherapy or infrared coagulation
  5. 5 Surgical hemorrhoidectomy for severe cases

Can Hemorrhoids & Anal Disorders be prevented?

Simple, evidence-based steps that reduce your risk.

  • 25–30 g of fibre daily
  • Adequate hydration
  • Avoid straining on the toilet
  • Don't sit on the toilet for prolonged periods

When should you see a doctor about Hemorrhoids & Anal Disorders?

Reach out without delay if you notice any of the following.

  • Bleeding that doesn't resolve within 1–2 weeks
  • Bleeding mixed with stool (not just on tissue)
  • Pain that worsens or doesn't improve
  • Age over 40 with new rectal bleeding (always evaluate)
  • Family history of colorectal cancer

Frequently asked questions about Hemorrhoids & Anal Disorders

Is bleeding always hemorrhoids? +

No. Rectal bleeding can be from fissures, polyps, IBD, infections, or colon cancer. Hemorrhoids are the most common cause but are diagnosed by exclusion — especially over age 40.

Do hemorrhoids need surgery? +

Most don't. Lifestyle changes and minor office procedures (banding, sclerotherapy) resolve the vast majority of cases. Surgery is reserved for severe or recurrent disease.

Can hemorrhoids become cancerous? +

No. Hemorrhoids do not turn into cancer. But because the bleeding patterns can be similar, evaluation of new bleeding is important.

Dr Usman Javaid
Author & medical reviewer

Dr Usman Javaid

Gastroenterology & Medicine Diplomat · DIP (Gastro) UK · DIP (Hepatology) UK · DIP (Diabetes) UK · MCPS FM-TC · MPH · FRSPH (UK) · FRCP (Colombo) · Organ Transplant Advisor · CHPE (NUMS) · Preventive Medicine Specialist · Owner of Javaid Poly Clinic.

This page was medically reviewed by Dr Usman Javaid on . Content is updated when new evidence or guidelines emerge.

Medical disclaimer: This page is for educational purposes and does not replace medical consultation. If you have symptoms of Hemorrhoids & Anal Disorders or any other condition, please book a consultation. In emergencies, call 1122 or visit your nearest emergency department.

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