Hemorrhoids develop when the veins in the rectum or anus become swollen or irritated. Common causes include constipation, straining duing bowel movements, pregnancy, sitting for long periods, or genetics.

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.

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.

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. Discomfort is usually mild and can be managed with Tylenol or Advil if appropriate. Hemorrhoid banding involves placing a small rubber band at the base of an internal hemorrhoid to cut off its blood supply so it shrinks and falls off naturally within a few days, often unnoticed. Sclerotherapy is a quick injection that causes the hemorrhoid to shrink and is often used for smaller hemorrhoids or when banding is not suitable.

Most patients describe treatment as uncomfortable rather than painful. Modern techniques help make the experience as comfortable as possible.

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.

Yes, but recurrence can be greatly reduced with adequate fibre intake, hydration, avoiding straining, and maintaining healthy bowel habits.

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.

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.

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.

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.

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.

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.

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.

Hemorrhoids often prolapse only at certain times and may not be visible during your appointment. A photo can help identify which hemorrhoid is causing the problem, guide examination and treatment, and assess progress over time. Please do not email or send the image electronically — simply bring it on your phone so I can review it briefly during your visit.