Chronic Hemorrhoids: When a Gastroenterologist May Recommend Surgery

Hemorrhoids are a common condition that can cause discomfort, itching, and bleeding around the rectal area. While many cases improve with lifestyle adjustments and conservative care, chronic or severe hemorrhoids sometimes require a more advanced approach. At Tri-Cities Digestive Health Center in Kennewick, WA, serving patients from Richland, Pasco, Yakima, and Walla Walla, experienced gastroenterologists provide comprehensive hemorrhoid treatment, offering both non-surgical and surgical options when necessary.

Understanding Chronic Hemorrhoids

Hemorrhoids are swollen veins in the anal or rectal region, essentially a form of varicose veins. They may be internal, forming within the rectum, or external, developing beneath the skin around the anus. Common causes include straining during bowel movements, prolonged sitting, pregnancy, and chronic constipation. These factors gradually weaken the vein walls, leading to swelling and pain.

For most individuals, hemorrhoids come and go, but sometimes they become chronic, causing persistent pain, bleeding, or prolapse that affects comfort. If symptoms don’t improve with home remedies or medication, it’s time to visit a gastroenterologist for evaluation.

Non-Surgical Treatment Options

Most hemorrhoids can be treated successfully without surgery. The physicians at Tri-Cities Digestive Health Center often start with conservative care, dietary changes to increase fiber, proper hydration to soften stool, and topical or oral medication to reduce inflammation. Minimally invasive procedures such as rubber band ligation, sclerotherapy, or infrared coagulation can also be performed to shrink or remove hemorrhoids without cutting or anesthesia.

These treatments are typically done in-office, require minimal recovery time, and offer significant relief for most patients. However, for hemorrhoids that are chronic, recurring, or extremely painful, surgery may be the next step.

When Surgery Becomes Necessary

Surgery is usually considered for hemorrhoids that are large, prolapsed, or unresponsive to other therapies. Gastroenterologists may recommend hemorrhoidectomy (surgical removal) or stapled hemorrhoidopexy, which repositions prolapsed tissue and reduces blood flow to the affected veins. Both procedures are highly effective and can provide lasting relief from chronic symptoms.

Before recommending surgery, your provider will conduct a thorough examination to evaluate the severity of the condition and discuss all available options. The decision is always personalized, focusing on patient comfort, preferences, and long-term health.

Long-Term Relief and Prevention

After treatment, maintaining healthy bowel habits is crucial for preventing recurrence. The team at Tri-Cities Digestive Health Center emphasizes prevention through proper nutrition, hydration, and physical activity. Managing constipation and limiting prolonged sitting can also help reduce the risk of future flare-ups.

Expert Gastroenterology Care in the Tri-Cities Area

If hemorrhoid symptoms are persistent, painful, or interfere with daily life, professional care can offer lasting relief. At Tri-Cities Digestive Health Center in Kennewick, WA, serving Richland, Pasco, Yakima, and Walla Walla, patients receive expert, compassionate care from specialists dedicated to restoring digestive comfort and health.

Call (509) 460-5500 today to schedule an appointment and learn whether surgical or non-surgical treatment is right for you.