Hemorrhoids Specialist

Fifth Avenue GI

Gastroenterologists located in Upper East Side, New York, NY

Hemorrhoids can be a painful, frustrating, and embarrassing problem, but there's no reason that you have to deal with them any longer. The experienced gastroenterologists at Fifth Avenue GI in Upper East Side and East Harlem, New York, perform exams, administer diagnostic tests, and prescribe treatments based on each of their patient's needs. The pain and misery of hemorrhoids can soon be a memory with your gastroenterologist's help.

Hemorrhoids Q & A

How do you know if you have hemorrhoids?

If you have pain or significant discomfort just before bowel movements or while you have bowel movements, hemorrhoids may be the problem. Most patients also experience other symptoms that can include:

  • Itching: You may have itching in and around the anus.
  • Swelling: You may have swelling around the anus.
  • Irritation: You may have a sore anus, even when you don't need to have a bowel movement.
  • Bumps: If you have bumps around the anus, you may have a clot, causing a thrombosed hemorrhoid.
  • Bloody bowel movements: You may notice blood on your toilet paper after wiping or even traces of blood on the stool in the toilet bowl after a bowel movement.

How does your gastroenterologist diagnose hemorrhoids?

At Fifth Avenue GI, hemorrhoid diagnosis starts with a discussion of your symptoms. Your gastroenterologist also performs a rectal examination to evaluate the area for swelling and irritation. This exam is quick and easy: Your gastroenterologist wears a glove and uses lubrication for your comfort.

If the rectal exam doesn't yield the answers needed to diagnose hemorrhoids, your gastroenterologist may perform an internal exam via anoscope. An anoscope exam gives your gastroenterologist a close-up view of the rectum's interior and allows for a definite diagnosis in most cases.

If your gastroenterologist needs to get a larger view of the rectal area, they may perform a proctoscope exam for diagnostic purposes.

How does your gastroenterologist treat hemorrhoids?

The treatment for hemorrhoids depends on a couple of factors, including your specific symptoms and the severity of the hemorrhoids. Options include:

Topical creams or ointments

For mild hemorrhoid symptoms, topical creams or lotions can provide relief for some patients.


In coagulation, infrared, laser, or bipolar energy shrinks the hemorrhoids. It takes around two weeks to take full effect.

Rubber band ligation

In rubber band ligation, small rubber bands cut off blood supply to the hemorrhoid. That results in the hemorrhoid withering and dying in around a week.


In sclerotherapy, your gastroenterologist injects a special solution into the blood vessels leading to the hemorrhoid. This solution causes intense agitation within the blood vessel walls, eventually killing them and causing the hemorrhoid to wither.


In hemorrhoidectomy surgery, your gastroenterologist removes hemorrhoids surgically.

Do you need hemorrhoid help now? Make an appointment with a Fifth Avenue GI gastroenterologist through the online appointment tool anytime.