Expert Treatment for External Hemorrhoids by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Symptom Review
He examines chest or epigastric pain, difficulties with swallowing, burning, eating habits, drugs, and risk factors.
Physical Examination
A gentle inspection of the anal canal and perianal skin to identify swollen veins, lumps, skin tags, or inflammation.
Anoscopic Evaluation
Using a small, lighted anoscope, he visualizes the anal canal to confirm the presence and grade of hemorrhoids, and to rule out internal lesions.
Digital Rectal Exam
A lubricated gloved finger exam assesses sphincter tone, checks for masses, and evaluates tenderness.
Additional Testing (if indicated)
Monitors muscle contractions to exclude the possibility of motility disorders such as achalasia.
Frequently Asked Questions
What is the duration of esophagitis?
Most patients begin to feel better within 2–4 weeks of treatment. More serious cases may require prolonged therapy and follow-up.
Is eosinophilic esophagitis self-limiting?
Symptoms often improve with topical steroids and proper elimination diets. Some patients require ongoing treatment to prevent recurrence.
Does untreated esophagitis pose a risk?
Yes. Chronic inflammation can cause strictures, ulcers, bleeding, or scarring, which can make swallowing difficult. Early treatment helps prevent these complications.
Can proper dieting help heal the esophagus?
Avoiding trigger foods—such as spicy, acidic, and allergenic foods—can reduce irritation and support healing. Dr. Pothuri customizes a diet plan based on individual triggers.
Is endoscopy required for diagnosis?
Endoscopy is recommended for persistent or severe symptoms. It allows direct visualization, biopsies, and accurate diagnosis of the underlying cause.
Are natural tips helpful for esophagitis?
Yes. Eating slowly, sleeping with the head elevated, maintaining a healthy weight, and managing stress can complement medical treatment and improve outcomes.