Frequently Asked Questions
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1. What causes hemorrhoids? Hemorrhoids develop when the veins in the rectum or anus become swollen or irritated. Common causes include constipation, straining during bowel movements, pregnancy, sitting for long periods, or genetics.
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2. What are the symptoms of hemorrhoids? Symptoms may include bleeding during bowel movements, itching, pain, swelling, or a small lump near the anus. Some hemorrhoids cause only mild bleeding or discomfort.
3. When should I see a doctor? See a doctor if you notice bleeding, persistent pain, or symptoms that don’t improve with over-the-counter treatments or dietary changes. It’s important to rule out other causes of rectal bleeding.
4. What treatments are available? Dr. Truter offers a range of effective treatments, from lifestyle guidance and non-surgical options to quick in-clinic procedures with little or no downtime. If needed, Tylenol or Advil should relieve any discomfort (if not contraindicated).Hemorrhoid Banding: A small rubber band is placed around the base of an internal hemorrhoid to cut off its blood supply. It shrinks and falls off naturally within a few days—often unnoticed. Sclerotherapy: A quick, non-surgical procedure where a special solution is injected into the hemorrhoid, causing it to shrink. Often used for smaller hemorrhoids or for patients who are not candidates for banding.
5. Will the procedure be painful? Most patients describe treatment as uncomfortable rather than painful. Modern techniques help make the experience as easy as possible.
6. How long does recovery take? Recovery depends on the procedure. Many people return to normal activities within a day or two. Mild tenderness, swelling, and a small amount of rectal bleeding after hemorrhoidal banding are normal and usually settle within a few days.
7. Can hemorrhoids come back? Yes, but recurrence can be greatly reduced with adequate fibre intake, hydration, avoiding straining, and maintaining healthy bowel habits.
8. Is there anything I should do before my appointment? Usually no special preparation is needed. You may be advised to avoid certain medications or eat lightly before your visit. A bowel prep (Fleet enema) may be required in some cases.
9. Are hemorrhoid procedures covered by insurance? Most procedures are covered by MSP. The solution for sclerotherapy is not covered by MSP but may be included under some extended health plans. Cost information will be provided before treatment.
10. What’s the difference between internal and external hemorrhoids? Internal hemorrhoids occur inside the rectum and are usually not visible. External hemorrhoids form under the skin around the anus and can be felt or seen.
11. What can I expect after hemorrhoid banding? You may feel fullness, pressure, or the urge to have a bowel movement for the first day or two. Mild discomfort or spotting can occur. The banded hemorrhoid falls off within a few days, often unnoticed.
12. What can I expect after hemorrhoid sclerotherapy? You may feel mild pressure for a day or two. A small amount of bleeding may occur as the hemorrhoid shrinks. Rarely, a burning sensation or urinary urgency may occur but resolves within several hours.
13. What can I expect during and after Botox treatment for anal fissure? Botox is injected into the internal sphincter muscle to relax the area, improve blood flow, and reduce pain.No special preparation is needed. You can eat and drink normally, and no bowel prep is required. You remain awake, and no sedative is used, so you can drive home afterward. The injection may sting briefly. Effects begin within 72 hours (sometimes longer) and last 2–3 months. Activity: Resume normal activities. Avoid heavy lifting for 24 hours. Maintain soft stools with hydration and fibre.
14. What can I expect after anal skin tag removal? The area will be tender or swollen for several days. Mild bleeding or oozing may occur but usually settles. Keep the area clean, avoid scented products, and continue a high-fibre diet. Healing usually takes 2–4 weeks. A detailed post-operative sheet will be provided.