Hemorrhoid Doctor

Hämorrhoiden sind ein häufiges, oft tabuisiertes Thema, das viele Betroffene betrifft. Ein Arztbesuch ist notwendig, wenn Symptome wie Blutungen, Schmerzen, Juckreiz oder ein Fremdkörpergefühl länger anhalten oder sich verschlimmern. Besonders alarmierend sind starke Blutungen, sichtbare Hämorrhoidalknoten oder Veränderungen der Stuhlgewohnheiten. Proktologen und Gastroenterologen sind auf die Diagnose und Behandlung spezialisiert. Untersuchungen wie eine Proktoskopie oder Rektoskopie helfen, den Schweregrad der Hämorrhoiden zu bestimmen und passende Therapien einzuleiten. Behandlungsmöglichkeiten reichen von konservativen Ansätzen wie Salben, Zäpfchen oder Sitzbädern über minimal-invasive Verfahren wie die Gummibandligatur bis hin zu chirurgischen Eingriffen in schweren Fällen. Produkte wie CANNEFF® SUP Rektalzäpfchen bieten zusätzliche Unterstützung, indem sie entzündungshemmend wirken und die Regeneration der Schleimhaut fördern. Ein rechtzeitiger Arztbesuch hilft, Beschwerden effektiv zu behandeln, Komplikationen zu vermeiden und die Lebensqualität zu verbessern.
Dr. med. univ. Lukas Heschl

Autor

Dr. med. univ. Lukas Heschl

Inhaltsverzeichnis

When should you see a doctor for hemorrhoids?

It is important to know when a doctor's visit is necessary to effectively treat complaints and avoid possible complications.

Which doctors specialize in the treatment of hemorrhoids?

The treatment of hemorrhoids requires expertise, as it is a sensitive topic that can be associated with various health issues in the anal and intestinal area.

How to prepare for a doctor's visit for hemorrhoids?

Preparing for a doctor's visit for hemorrhoids also includes hygiene to facilitate the examination and to feel more comfortable.

What examinations does the doctor perform for hemorrhoids?

For hemorrhoids, the doctor performs various examinations to make an accurate diagnosis and determine the severity.

Which symptoms justify an immediate visit to the doctor?

In rare cases, hemorrhoids can lead to acute complications.

What treatment options can a doctor offer for hemorrhoids?

Use of ointments, suppositories, or sitz baths to relieve symptoms in early stages (Hemorrhoid Grade I treatment and Hemorrhoid Grade II treatment).

When is surgical intervention necessary for hemorrhoids?

Hemorrhoids that permanently prolapse but can still be manually pushed back.

What questions should you ask the doctor during an appointment?

During an appointment for hemorrhoid treatment, you should ask targeted questions to better understand your symptoms and find the right therapy.

How to find a suitable specialist for hemorrhoids?

The best way to find a suitable specialist for hemorrhoids is through targeted research and recommendations.

What costs does the health insurance cover for the treatment of hemorrhoids in Austria?

In Austria, the costs for the treatment of hemorrhoids are generally covered by statutory health insurance, provided the treatment is medically necessary.

What alternative treatment methods do doctors recommend for hemorrhoids?

In addition to conventional approaches such as ointments, suppositories, and surgical procedures, alternative treatment methods can also be helpful in relieving hemorrhoids.

When should you see a doctor for hemorrhoids?

Hemorrhoids are a common but often taboo problem. It is important to know when a doctor visit is necessary to effectively treat the symptoms of hemorrhoids and avoid possible complications. The decision to see a doctor depends on the severity and type of symptoms.

Symptom

When a doctor visit is recommended

Explanation

Bleeding during bowel movements

With chronic or heavy blood loss. Read more here about blood in stool.

Could indicate advanced hemorrhoids or other conditions such as anal fissures or polyps.

Pain in the anal area

With persistent or increasing pain, especially when sitting or during bowel movements

Pain could be caused by an anal vein thrombosis or inflammation.

Itching or oozing

If symptoms cannot be relieved by hygiene or care products such as CANNEFF® SUP

May indicate skin irritation, anal eczema, or an infection.

Foreign body sensation

If the feeling of "pressure" or "swelling" in the anal area persists

Can be caused by prolapsed hemorrhoids that require medical treatment.

Visible hemorrhoidal lumps

With visible or palpable lumps outside the anus

Possibly grade III or IV, which require medical or surgical intervention.

Changes in bowel habits

Sudden constipation, diarrhea, or mucus discharge

Could indicate hemorrhoids, but also other intestinal diseases.

Role of CANNEFF® SUP in rectal complaints

For mild to moderate symptoms, products like CANNEFF® SUP Rectal Suppositories can provide initial relief. Through the combination of cannabidiol (CBD) and hyaluronic acid, they have anti-inflammatory effects, soothe the mucous membrane, and promote regeneration. However, if symptoms do not improve despite use, a visit to a doctor is advisable. CANNEFF® SUP Rectal Suppositories are used for proctological diseases, prostatitis, nonspecific inflammations of the rectum, symptoms of non-bacterial prostatitis, for the rapid healing of anal fissures, anal vein thromboses, after surgical procedures, and to relieve mucous membrane complaints around the anus, e.g., anal itching. A good and accurate diagnosis is important despite the broad range of uses of CANNEFF® SUP Rectal Suppositories to optimize therapy success.

CANNEFF Hemorrhoid Doctor

Which doctors specialize in the treatment of hemorrhoids?

The treatment of hemorrhoids requires expertise, as it is a sensitive topic that can be linked to various health issues in the anal and intestinal area. Depending on the severity of symptoms and possible comorbidities, there are different medical specialties involved in the diagnosis and therapy of hemorrhoids.

Specialty

Role in the treatment of hemorrhoids

Proctologists

Specialists in rectal diseases; diagnose and treat hemorrhoids as well as other anal conditions.

Gastroenterologists

Experts in gastrointestinal diseases help with complaints related to the digestive tract.

General practitioners

First point of contact for a referral to specialists or for treating mild symptoms.

Dermatologists

Treatment for hemorrhoid-related skin irritations, eczema, or itching in the anal area.

Surgeons

Perform surgical procedures, e.g., hemorrhoidectomies in advanced stages (Hemorrhoids Grade III and Hemorrhoids Grade IV).

When to see which doctor?

Mild symptomsA general practitioner can recommend initial measures such as dietary changes, ointments, or suppositories like CANNEFF® SUP, which have anti-inflammatory effects and protect the mucous membrane.

Advanced Symptoms: In cases of bleeding, severe pain, or prolapsed hemorrhoids, a proctologist should be consulted. Proctologists also perform minimally invasive procedures such as rubber band ligation.

Accompanying Gastrointestinal Issues: If there is suspicion of chronic inflammatory bowel disease, constipation, or irritable bowel syndrome, a gastroenterologist is the right choice.

Skin changes: If eczema, itching, or skin irritation predominate, a dermatologist can provide supportive help.

Surgical Necessity: In complicated or severe cases (e.g., Grade IV hemorrhoids), a surgeon is the appropriate contact.

How to Prepare for a Doctor’s Visit for Hemorrhoids

Preparing for a doctor’s visit due to hemorrhoids also includes hygiene to facilitate the examination and help you feel more comfortable.

Anal Area Hygiene

Gently clean the anal area with lukewarm water. Avoid harsh soaps or scented wet wipes to prevent irritation. Dry the skin by gently patting, without rubbing.

Document Symptoms

Note when the symptoms began, their intensity, and possible triggers (e.g., constipation, diarrhea, prolonged sitting).

Questions and Medical History

Prepare questions about diagnosis and treatment. Inform the doctor about your nutrition and hygiene routines as well as products used, e.g., CANNEFF® SUP Rectal Suppositories.

Clothing

Wear comfortable clothing that can be easily removed for the examination. These measures ensure a pleasant examination experience and support an accurate diagnosis.

Which examinations does the doctor perform for hemorrhoids?

For hemorrhoids, the doctor performs various examinations to make an accurate diagnosis and determine the severity. 

Examination method

Description

Purpose

Medical history

The doctor asks about symptoms, duration, possible triggers, and personal or family medical history.

Initial assessment of symptoms and possible risk factors.

Physical examination

Visual inspection of the anal area to identify external changes such as swelling or skin irritation.

Detection of external hemorrhoids or other anal diseases.

Digital examination (palpation)

Palpation of the anal canal with a finger to locate nodules, hardenings, or pain.

Assessment of internal hemorrhoids and other anomalies.

Proctoscopy

Insertion of a short tube (proctoscope) into the anal canal to view the mucosa.

Direct view of internal hemorrhoids, polyps, or other changes.

Rectoscopy

Examination of the rectum with a longer device (rectoscope).

Diagnosis of diseases located further up in the rectum.

Colonoscopy (if needed)

Examination of the entire colon with a flexible endoscope.

Exclusion of serious bowel diseases such as tumors or IBD.

Additional diagnostics

Blood test: To detect signs of inflammation or anemia in frequent bleeding.

Stool analysis: To rule out infections or other causes of rectal bleeding.

Hemorrhoid Doctor Diagnostics

Which symptoms justify an immediate visit to the doctor?

In rare cases, hemorrhoids can lead to acute complications. An immediate visit to the doctor is necessary if:

  • Severe bleeding occurs that does not stop.
  • Severe swelling or pain develops within a short time (possibly anal vein thrombosis).
  • Fever or chills occur in combination with anal discomfort, as this could indicate an infection.

What treatment options can a doctor offer for hemorrhoids?

Treatment method

Description

Conservative therapy

Use of ointments, suppositories, or sitz baths to relieve symptoms in early stages (hemorrhoid grade I treatment and hemorrhoid grade II treatment).

Minimally invasive procedures

Methods like rubber band ligation or sclerotherapy to shrink hemorrhoids.

Surgical procedures

Hemorrhoidectomy or stapler method in advanced cases (grade III and IV). Read more here about hemorrhoid surgery.

Accompanying measures

Dietary changes, fluid intake, and care products like CANNEFF® SUP rectal suppositories for support.

More information about treatment: Visit our blog post about hemorrhoid treatment for detailed insights into the various therapy options. Read more here about the stages of hemorrhoids or about bleeding hemorrhoids.

When is surgical intervention necessary for hemorrhoids?

Criterion

Description

Reference

Grade III hemorrhoids

Hemorrhoids that prolapse permanently but can still be manually pushed back.

Hemorrhoids Grade III Treatment

Grade IV hemorrhoids

Hemorrhoids that can no longer be pushed back and cause severe discomfort.

Hemorrhoids Grade IV Treatment

complications

Bleeding, inflammation, or tissue changes that do not respond to conservative treatments.

Chronic complaints

Persistent pain, oozing, or itching that significantly impair quality of life.

Failure of minimally invasive therapies

When methods such as rubber band ligation or sclerotherapy do not provide sufficient relief.

Surgical procedures are usually only recommended when other treatment options have been exhausted. Detailed information about treatment options can be found in our blog posts on Hemorrhoids Grade III and Hemorrhoids Grade IV Treatment. Read more here about Surgery for Hemorrhoids or the different Stages of Hemorrhoids.

Hemorrhoid stages

What questions should you ask the doctor at an appointment?

At an appointment for hemorrhoid treatment, you should ask targeted questions to better understand your symptoms and find the right therapy. The most important questions include:

Diagnosis: “What causes could my symptoms have, and is it definitely hemorrhoids?”

Treatment options: “What treatment options are available for my case, and what are their advantages and disadvantages?”

Lifestyle changes: “What measures can I take to relieve my symptoms or prevent hemorrhoids?”

Course and prognosis: “How long does healing take, and what happens if the symptoms persist?”

Therapy success: “When should the symptoms subside after treatment, and what should be done if they do not?”

Good preparation for the appointment, including a list of your symptoms and previous measures, helps to make the doctor visit effective.

How do you find a suitable specialist for hemorrhoids?

The best way to find a suitable specialist for hemorrhoids is through targeted research and recommendations. Proctologists are the first choice as they specialize in diseases of the rectum. Alternatively, gastroenterologists or surgeons with a proctological focus can also help.

Recommendations: Ask your general practitioner or acquaintances for recommendations.

Online platforms: Use specialized doctor review portals or appointment platforms.

Location and accessibility: Choose a practice or clinic near you to facilitate continuous treatment.

It is important that the specialist has experience in dealing with hemorrhoids and offers compassionate care.

Hemorrhoid doctor consultation

What costs does health insurance cover for hemorrhoid treatment in Austria?

In Austria, the costs for hemorrhoid treatment are generally covered by statutory health insurance, provided the treatment is medically necessary.

Service

Cost coverage by health insurance

Diagnostics (examination)

The costs for medical examinations, such as anamnesis, proctoscopy, or rectoscopy, are covered.

Conservative therapy

Ointments, suppositories, or other prescription medications are subsidized if medically indicated.

Minimally invasive procedures

Measures such as rubber band ligations or sclerotherapy are usually fully covered by health insurance.

Surgical treatments

Procedures like hemorrhoidectomy or the HAL method are covered in public hospitals.

Follow-up and check-ups

Medical follow-up appointments are generally free of charge.

Additional costs and exceptions

Private doctors: Visits to elective doctors or specialists in private clinics usually have to be paid for by yourself but can be partially reimbursed.

Supplemental insurance: These can cover additional services such as treatments by private providers or faster appointments.

Medications: Over-the-counter products, such as certain ointments or suppositories, e.g.: CANNEFF® SUP rectal suppositories, usually have to be paid for by yourself.

What alternative treatment methods do doctors recommend for hemorrhoids?

In addition to conventional approaches such as ointments, suppositories, and surgical procedures, alternative treatment methods can also be helpful in relieving hemorrhoids. Doctors often recommend these approaches as complementary measures to reduce symptoms and support the healing process.

Treatment method

Description

Application area

Sitz baths with natural additives

Sitz baths with chamomile, oak bark, or witch hazel have anti-inflammatory and soothing effects.

To relieve itching, swelling, and inflammation.

Acupuncture

Traditional method to promote blood circulation and relieve pain.

For chronic complaints or to support conventional therapies.

Herbal preparations

Products with horse chestnut extract, witch hazel, or aloe vera strengthen blood vessels and soothe the skin.

To reduce swelling and care for the sensitive anal area.

CANNEFF® SUP rectal suppositories

Contain CBD and hyaluronic acid, promote regeneration, and have anti-inflammatory effects.

Speeds up healing and tissue regeneration in diseases of the anorectal canal or during proctological treatments and surgeries. To relieve pain, itching, and discomfort caused by hemorrhoids.

Dietary measures

Use of psyllium husks or flaxseeds to promote regular digestion.

To prevent constipation and the associated pressure on the hemorrhoids. Read more here about preventing hemorrhoids.

Biofeedback therapy

Technique for conscious relaxation of the pelvic floor.

To prevent pressure in the anal canal, especially in cases of chronic constipation.

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Dr. med. univ. Lukas Heschl

Dr. med. univ. Lukas Heschl

Specialist in General Medicine

Dr. med. univ. Lukas Heschl is a general practitioner. After completing his medical studies in 2013, Dr. med. univ. Lukas Heschl has been working as a practicing general practitioner since 2017, dedicated to the well-being of his patients. In 2019, he became a partner in the rural medical practice in Oed, Lower Austria. As the first point of contact for all medical concerns, Dr. med. univ. Lukas Heschl relies on innovative treatment methods, such as CANNEFF medical products against inflammation and to improve mucous membrane regeneration in the intimate area.