The causes of hemorrhoids are multifaceted and include factors such as:
Hemorrhoids often manifest with a range of uncomfortable and sometimes painful symptoms. Here are the most common signs and symptoms associated with hemorrhoids:
Most patients put off seeing a specialist because they're unsure what an appointment involves. At Surgery Group LA in Los Angeles, a hemorrhoid evaluation is straightforward, discreet, and focused on getting you relief as quickly and as comfortably as possible.
There's very little you need to do to prepare. Bring a list of your symptoms (when they started, any bleeding, pain, or itching), the over-the-counter products you've already tried, and your insurance information. If you're experiencing rectal bleeding, make a note of it; it's the symptom we most want to evaluate, because it can occasionally point to something beyond hemorrhoids that's worth ruling out.
Your colorectal surgeon, Dr. Yosef Nasseri or Dr. Moshe Barnajian, will review your symptoms and medical history, then perform a focused, gentle examination. Depending on your symptoms, this may include a visual exam, a digital rectal exam, or an anoscopy to view internal hemorrhoids. The exam is brief, and our team is experienced in keeping it as comfortable and private as possible. By the end of the visit, you'll have a clear diagnosis and an explanation of your hemorrhoid grade.
We always start with the least invasive option that will resolve your symptoms. For many patients, that means dietary guidance and in-office treatments such as rubber band ligation or infrared coagulation, with no anesthesia and no downtime. For more advanced hemorrhoids, we'll walk you through minimally invasive options like the THD procedure or, when appropriate, surgical treatment. You'll leave knowing exactly what comes next, what recovery looks like, and what it will cost.
Our office is located in the Cedars-Sinai Medical Office Towers, serving patients across Los Angeles and Beverly Hills. Call (310) 861-7493 or request a consultation to get a clear answer and a plan.
Symptoms like itching, swelling, and occasional bleeding during bowel movements may indicate hemorrhoids. A professional evaluation can confirm the diagnosis.
Yes, staying hydrated, eating a high-fiber diet, and avoiding prolonged sitting can help reduce your risk.
The duration varies depending on the treatment type. Non-surgical treatments often provide relief within days, while recovery from surgical procedures may take a few weeks.
Not always. Many mild hemorrhoids improve with over-the-counter remedies and home care, but persistent or severe cases may need professional intervention.
Yes, severe cases that are left untreated may cause persistent bleeding, anemia, or thrombosed hemorrhoids that require urgent care.
You may need surgery if you have large, painful, or prolapsed hemorrhoids that don’t respond to conservative treatments. Dr. Nasseri and Dr. Barnajian will perform a thorough evaluation to determine the best option for you.
More importantly, our team of world-renowned surgeons have saved countless lives, and have enabled countless more to live healthy, happy lives.
Dr. Nasseri and Dr. Barnajian have extensive expertise in minimally invasive hemorrhoid removal and surgical treatments in Los Angeles and Beverly Hills. They ensure that patients receive the most effective care tailored to their unique needs. Our state-of-the-art facility, coupled with our surgeons’ skills and compassionate, personalized care ensures that you’re in the best hands when seeking relief from hemorrhoids.
Contact our office today to schedule a consultation with one of the top hemorrhoids doctors in Los Angeles and Beverly Hills to take the first step toward a more comfortable, healthier life.
A thrombosed hemorrhoid occurs when a blood clot forms inside an external hemorrhoid, causing sudden, severe pain and a firm, bluish lump at the anal opening. The pain is typically most intense during the first 48–72 hours. Early evaluation matters, because removing the clot provides the most relief when it is done promptly. After a few days, as the clot begins to resolve on its own, conservative care — sitz baths, fiber, and stool softeners — is often the preferred approach.
Hemorrhoid treatment follows a stepwise ladder. Mild internal hemorrhoids often improve with fiber, hydration, and topical care alone. Rubber band ligation is a quick office procedure well suited to grade 1–3 internal hemorrhoids. THD (transanal hemorrhoidal dearterialization) is a minimally invasive operation that reduces blood flow to the hemorrhoids without excising any tissue, while surgical hemorrhoidectomy remains the definitive option for large grade 3–4 or mixed internal-external hemorrhoids. The right choice depends on your hemorrhoid grade, symptoms, and anatomy, and Dr. Yosef Nasseri and Dr. Moshe Barnajian offer the full range of these treatments.
See a colorectal specialist promptly. If the clot formed within the last day or two, early clot evacuation — a brief office procedure — provides the fastest relief from pain. After several days, the clot begins to resolve on its own, and conservative care with sitz baths, fiber, and stool softeners is often preferred. Call (310) 861-7493 for a prompt evaluation.
It depends on your hemorrhoid grade, symptoms, and anatomy. Mild internal hemorrhoids often respond to fiber, hydration, and topical care. Rubber band ligation treats most grade 1–3 internal hemorrhoids in the office. THD is a minimally invasive option that removes no tissue, while hemorrhoidectomy is best for large grade 3–4 or mixed hemorrhoids. An exam determines the right recommendation.
