During the first consultation, the doctor will ask you about your complaints extensively. On this basis, he conducts an internal and external examination, using a protoscope during the internal investigation. It is possible that a proctological investigation is inadequate and that additional research is necessary. The doctor will inform you about this and discuss the findings with you. It is possible that you do not suffer from hemorrhoids, but that your complaints have to do with another condition in the anal area. You may suffer from one of the following conditions:
In anal thrombosis there are blue, hard lumps around the anus. The lumps give a lot of pain and do not disappear after relieving.
Anal abscesses and fistulas
An anal abscess is a red swelling near the anus. This swelling is usually accompanied by fever and feeling unwell.
Anal itching is annoying itching around the anus. Often the cause of this itching is difficult to trace, but usually the itching is a result of proctological disorders such as hemorrhoids.
Anal polyps or benign tumors
Anal polyps or benign tumors can occur with and without symptoms. Corresponding symptoms include itching, blood loss, false pressure and a spotty discharge.
When you press hard for a long time on a hard bowel, a tear can develop in the anus, which is very painful. This tear is called an anal fissure .
When it comes to hemorrhoids, it is in many cases possible to carry out a treatment immediately. We can remove the hemorrhoids by Barron ligation or by means of a small incision:
ligation Barron ligation is also called rubber band ligation or ‘elastic shooting’. The mucous membrane above the hemorrhoid is sucked up and tied off with an elastic band. The treatment is virtually painless, because the rubber bands are placed on the numb mucous membrane. In some cases, patients may experience a feeling of whey in the lower abdomen or some blood loss. The rubber bands leave the body by means of feces.
With neglected or painful hemorrhoids, a small incision is made that brings immediate relief. When pain is experienced, the proctologist will look for another, coherent cause because pain is not a typical complaint for hemorrhoids. With a proctoscope, the doctor can clearly see the hemorrhoids and treat them adequately. After the cure, an annoying skin flap, the marisca , can remain behind. This can easily be cut away under local anesthesia.