dr. Bharat Pothuri Expert Treatment of Internal Hemorrhoids.
Dr. Pothuri adheres to a stage by stage method:
Past Medical History and Physical exam.
He will address when, where, how and causes of your pain, what you eat, whether you take medication (NSAIDs, aspirin), whether you drink alcohol or not, whether you have -red-flag- symptoms such as weight loss or vomiting.
Laboratory Tests
Regular blood tests of anemia, hepatinegal and pancreatic enzymes and tests on presence of a H. pylori infection.
Imaging Studies
- Abdominal ultrasound to assess the pancreas, liver and galbladder of stones or inflammation.
- A CT scan of the abdomen should be performed when there is a possibility of complications or other diagnoses (e.g. pancreatitis).
Upper Endoscopy (EGD)
An endoscope is applied to examine esophagus, stomach and duodenum in case of ulcers, erosion or gastritis and to take biopsies where necessary.
Functional Tests Special.
- pH observation or impedance to determine gastroesophageal reflux.
- Gastric emptying in case of suspected gastroparesis.
Developed Diagnostics (where necessary)
Uncommonly, we can carry out motility examinations or have extra biopsies to exclude celiac disease, eosinophilic gastritis or other unusual diseases.
Frequently Asked Questions
What are the symptoms of internal hemorrhoid?
Blood in the toilet, on toilet paper, or in the toilet, painless protrusion during straining, fullness after passing of bowel movements, itchiness in the anus, or discharge of mucus.
What is the distinction between internal and external hemorrhoids?
Internal hemorrhoids are above the dentate line within the rectum and they are not normally painful. The external hemorrhoids are located beneath the skin in the anus area, and they might be painful as well as tender.
Is there non-surgical treatment of internal hemorrhoids?
Yes. Dr. Pothuri presents non surgical treatments such as rubber band ligation, infrared coagulation, sclerotherapy, altering the diet, using topical therapy and stool softeners.
When should I see a doctor?
Arrange an assessment in case of rectal bleeding, intense pain, or in case the symptoms extend beyond 14 days of home care.
Is insurance enough in hemorrhoid treatments?
The majority of the plans include diagnosis and treatment. We will be able to confirm your benefits and explain out-of-pocket costs that you will incur.
Do hemorrhoids recur following treatment?
Their recurrence is possible, and high-fiber dieting, hydration, and adherence to the follow-up management patterns may significantly help to minimize the chances of the flare-up in the future.
Would I have to train in-office operations?
Certain processes involve light bowel preps or enema. We will also use easy to follow step-by-step guidelines to see that you are not behind at all.