Hemorrhoids are classified based on location and severity, each requiring specific assessment and targeted treatment approaches for optimal resolution.
| Type | Location and Characteristics | Common Symptoms | Considerations |
|---|---|---|---|
| Internal Hemorrhoids (Grades I-IV) | Inside the rectum; graded by degree of prolapse | Usually painless bleeding, possible prolapse, mucus discharge | Often respond well to conservative treatment and dietary changes |
| External Hemorrhoids | Under the skin around the anus | Painful swelling, itching, discomfort with sitting | More symptomatic due to nerve endings in external skin |
| Thrombosed Hemorrhoids | Blood clot formation in external hemorrhoid | Severe sudden pain, purple/blue lump, significant swelling | Require immediate intervention within 48-72 hours for best outcomes |
| Prolapsed Hemorrhoids | Internal hemorrhoids that protrude outside the anus | Visible tissue, pain, bleeding, difficulty with hygiene | May require manual reduction or surgical intervention |
Internal Hemorrhoids:
External Hemorrhoids:
Thrombosed Hemorrhoids:
Systemic Signs:
Comprehensive hemorrhoid evaluation goes beyond visual examination to identify and address the root causes of hemorrhoid development. At Whole Gut Health, we use advanced diagnostics to create personalized treatment protocols that prevent recurrence.
Testing options may include:
We customize diagnostic protocols based on your symptom severity, hemorrhoid type, and underlying health factors to ensure comprehensive evaluation and optimal treatment planning.
Our Three-Phase Hemorrhoid Resolution Protocol Includes:
1. Assessment and Root-Cause Identification
2. Targeted Intervention
3. Rebuilding and Prevention
Dr. Alexandra Shustina, NYC’s and Miami’s premier gut health specialist doctor is a board-certified gastroenterologist and internist. She is a gut health specialist with training in conventional gastroenterology and functional gut health. She is an expert in the gut microbiome and its role in health and wellness.
At Whole Gut Health, our care is led by experienced functional medicine clinicians with a deep understanding of the gut microbiome and advanced diagnostics. We combine evidence-based strategies from conventional gastroenterology with a functional and integrative lens to give you the clarity and support needed for long-term healing.
Hemorrhoids are swollen and inflamed veins in the lower rectum and anus that occur when increased pressure causes the normal anal cushions to become enlarged and symptomatic. These structures are part of normal anatomy but become problematic when compromised by chronic straining, constipation, poor gut health, or increased abdominal pressure.
Internal Hemorrhoids (Grades I-IV)
External Hemorrhoids
Thrombosed Hemorrhoids
Prolapsed Hemorrhoids
Internal Hemorrhoids: Painless bright red bleeding, blood on toilet paper, mucus discharge, feeling of incomplete evacuation, possible tissue prolapse
External Hemorrhoids: Pain and discomfort in anal region, swelling or lumps, itching or irritation, difficulty sitting comfortably, sensitivity during bowel movements
Thrombosed Hemorrhoids: Sudden severe anal pain, purple or blue lump, significant swelling and tenderness, inability to sit comfortably
Systemic Signs: Chronic constipation, fatigue from discomfort, anxiety about bowel movements, social withdrawal
Comprehensive evaluation includes multiple assessment approaches:
Digital Rectal Examination
Comprehensive Stool Analysis
Functional Lab Work
Pelvic Floor Assessment
Diagnostic protocols are customized based on symptom severity and hemorrhoid type.
Our comprehensive three-phase hemorrhoid resolution protocol includes:
Addressing only symptoms with topical treatments provides temporary relief but doesn't prevent recurrence. Root causes like chronic constipation, gut microbiome imbalances, and poor digestive function must be corrected to achieve lasting resolution and prevent new hemorrhoid development.
Yes, hemorrhoids can often be permanently resolved when underlying causes are properly addressed. By restoring normal digestive function, optimizing gut health, and eliminating chronic constipation, many people achieve long-term hemorrhoid-free health without recurrence.
At Whole Gut Health, we go beyond symptom management to address the digestive dysfunction underlying hemorrhoid development:
Dr. Alexandra Shustina is a board-certified gastroenterologist and internist who serves as NYC's and Miami's premier gut health specialist. She has training in both conventional gastroenterology and functional gut health, with expertise in the gut microbiome and its role in health and wellness.
The first step is scheduling a comprehensive consultation where we'll:
Contact our office to schedule your initial consultation and begin your journey toward lasting hemorrhoid relief through comprehensive digestive health restoration.
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