Hemorrhoid FAQs

Q: Are men or women more likely to get hemorrhoids?

Hemorrhoid FAQA: Both men and women are equally likely to develop hemorrhoids.

Q: What causes hemorrhoids?

A: Pressure on the rectum causes hemorrhoids to form. This pressure can come from prolonged sitting, constipation, straining, and even diarrhea. Pregnancy, obesity, and heavy lifting are also associated with hemorrhoids. During the third trimester of pregnancy — and even more so during the delivery process — the uterus comes down and pushes to make hemorrhoids worse.

Q: Who is likely to get hemorrhoids?

A: Most adults will deal with hemorrhoids at some point in their adult life. People with jobs where they sit a lot, truck drivers, weight lifters, cyclists are examples of certain demographics that are more likely to develop hemorrhoids.

Q: What are the symptoms of internal hemorrhoids?


A: Symptoms of internal hemorrhoids include pain, itching, burning, and blood in the stools. Occasionally, internal hemorrhoids – if large enough – can prolapse or bulge and cause further discomfort.

Q: If there is a bulge on the outside, does this automatically mean it is an external hemorrhoid?

A: No. If internal hemorrhoids expand in size, they can prolapse out of the rectum and look very similar to external hemorrhoids, making it very difficult to distinguish between the two. That is why it is very important to have a doctor diagnose your hemorrhoids.

Q: Are hemorrhoids a risk factor for developing colon cancer?

A: No. Hemorrhoids are not a risk factor for colon cancer. Click the link to find out more about the risk factors for colon cancer.

Q: I am having anal bleeding, are hemorrhoids the most common cause?

A: Approximately 50% of people in the world have internal hemorrhoids. While hemorrhoids do cause anal bleeding, several other conditions can cause anal bleeding, including: colon cancer, inflammatory bowel disease, or anal fissures. It is best to have a doctor go over your symptoms. Your doctor may want to perform a colonoscopy to determine the exact cause of the rectal bleeding. If you are experiencing anal bleeding, it is best to contact us for an appointment.

Q: How do I know if I have internal hemorrhoids, external hemorrhoids, or another diagnosis?

A: During your initial visit, your doctor will perform a thorough and painless examination to determine your diagnosis and plan your treatment course. Not all bulges on the outside of the anus are external hemorrhoids (it is possible for internal hemorrhoids to prolapse or bulge out), and most prolapsed internal hemorrhoids can be treated by hemorrhoid band ligation. Visit your doctor to obtain an accurate diagnosis.

Q: Is the treatment for internal hemorrhoids different from external hemorrhoids?

A: Yes the treatment for internal hemorrhoids and external hemorrhoids are different. Please visit our hemorrhoids treatment page for more information.



Hemorrhoid Banding FAQs

Q: Does hemorrhoid band ligation hurt?

A: There are no nerve endings on internal hemorrhoids, so hemorrhoid band ligation should not cause pain. Some patients may experience a mild sensation of fullness, dull pressure, or feel the need to use the restroom temporarily. However, most patients leave the examining room without feeling any discomfort.

Q: Is hemorrhoid banding a common procedure?

A: Yes. Hemorrhoid banding is commonly used to treat hemorrhoids. However, not all hemorrhoid banding procedures are the same. Some are more comfortable, and some have lower risks of complication. Hemorrhoid banding simply refers to placing a band around the hemorrhoid to stop the blood flow. The methods used to handle the hemorrhoids, as well as the size of the tools, can differ.

Q: If I have multiple hemorrhoids, can they all be treated in one visit?

A: There are 3 areas (called columns) where internal hemorrhoids can occur. The safest way to perform hemorrhoid band ligation is by banding one column at a time during different sessions that are separated by two-week intervals. This minimizes the risk of irritation and allows the procedure to be performed safely. Most patients require an average of three sessions (one on each column) before their hemorrhoids are cured, some patients require less than three sessions, and others require more than three (the same column sometimes needs to be banded more than once). To get the best results, your doctor will tailor your treatment according to your individual needs.

Q: Can I have hemorrhoid banding if I’m pregnant?

A: Unfortunately, hemorrhoid banding cannot be performed during pregnancy. If you have hemorrhoids and plan on getting pregnant, you should have the hemorrhoids treated beforehand. If left untreated, hemorrhoids can increase in size and frequency, and the strain of pregnancy – which, in itself, can cause hemorrhoids – might make your existing hemorrhoids more severe. If you are planning on getting pregnant, we urge you to seek treatment before conceiving.

Q: Will I have to miss work after the banding appointment?

A: It depends. While there is very little healing time from this procedure, we recommend that you take it easy following the appointment. If you have a job that requires vigorous work, we would likely recommend that you take the day off. If you have an office job, you could theoretically return to work later in the day. Just remember that everyone heals differently.

Q: If my hemorrhoids are cured, will they come back?

A: Hemorrhoid band ligation is 95% effective for curing internal hemorrhoids. To prevent them from recurring, patients should avoid the habits that caused the hemorrhoids to occur in the first place. DO: Eat a high fiber diet and consume adequate amounts of water daily. DON’T: Strain during bowel movements or sit for prolonged amounts of time (both on and off the toilet). Also avoid constipation and diarrhea.

Q: How long has hemorrhoid banding been approved?

A: The CRH O’Reagan system for hemorrhoid banding, used by Dr. Nowain, was approved by the FDA in 1997.

Please contact us to set up an appointment with Dr. Nowain.