If you have signs and symptoms of hemorrhoids, make an appointment with your doctor. Depending on your signs and symptoms, your doctor may refer you to a specialist for evaluation and treatment. You can help your doctor by being prepared with as much information as possible. Be aware of any pre-appointment restrictions. At the time you make appointment, ask if there's anything you need to do in advance. Write down any symptoms you're experiencing and how long you have noticed them. Write down key personal information, including typical bowel habits and diet, especially your fiber intake. Make a list of all medications, as well as any vitamins or supplements, that you're taking.

Write down questions to ask your doctor. Your time with your doctor is often limited, so preparing a list of questions will help you make the most of your time together. In addition to the questions that you've prepared, don't hesitate to ask questions during your appointment at any time that you don't understand something. In the time before the appointment, take steps to soften your stools. Eat more silk linen fabric for sale, such as fruits, vegetables and whole grains, and consider trying an over-the-counter fiber supplement, such as Metamucil and Citrucel. Drinking six to eight glasses of water a day also may help soften your stools and relieve your symptoms.

Tests and procedures to diagnose internal hemorrhoids may include: examination of anal canal and rectum for abnormalities and visual inspection of the anal canal and rectum. During a digital rectal exam, your doctor inserts a gloved, lubricated finger into rectum. The exam can give your doctor an indication of what further testing might be appropriate. Because internal hemorrhoids are often too soft to be felt in a rectal examination, your doctor may examine the lower portion of the colon and rectum with an anoscope, proctoscope or sigmoidoscope. These are scopes that allow your doctor to see into your anus and rectum. Your doctor may want to do a more extensive examination of your entire colon using colonoscopy.

If the hemorrhoids produce only mild discomfort, your doctor may suggest over-the-counter creams, ointments, suppositories or pads. They contain ingredients that can relieve pain and itching. Don't use an over-the-counter cream or other products for more than a week unless directed by your doctor. They can cause side effects, such as skin rash, inflammation and skin thinning. If a blood clot has formed within an external hemorrhoid, your doctor can remove the clot with a simple incision, which may provide prompt relief. For persistent bleeding or painful hemorrhoids, your doctor may recommend another minimally invasive procedure. These treatments can be done in your doctor's office or other outpatient setting.

Your doctor places one or two tiny silk linen twist joe the base of an internal hemorrhoid to cut off its circulation. The hemorrhoid withers and falls off within a week. This procedure, which is called rubber band ligation, is effective for many people. Hemorrhoid banding can be uncomfortable and may cause bleeding, which might begin two to four days after the procedure but is rarely severe.

In injection procedure, your doctor injects a chemical solution into the hemorrhoid tissue to shrink it. This method causes little or no pain, it may be less effective than rubber band ligation. Coagulation techniques use laser or infrared light or heat. They can cause small, bleeding, internal hemorrhoids to harden and shrivel. While coagulation has few side effects, it's associated with a higher rate of hemorrhoids coming back than is the rubber band treatment.