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’s visit is necessary to effectively treat hemorrhoid symptoms 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

In case of chronic or severe 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 like CANNEFF® SUP

May indicate skin irritation, anal eczema, or infection.

Foreign body sensation

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

May be caused by prolapsed hemorrhoids that require medical treatment.

Visible hemorrhoidal lumps

Visible or palpable lumps outside the anus

Possibly grade III or IV, requiring 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 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 doctor's visit is advisable. CANNEFF® SUP suppositories are used for proctological diseases, prostatitis, nonspecific inflammation of the rectum, symptoms of non-bacterial prostatitis, for the rapid healing of anal fissures, anal vein thrombosis, after surgical procedures, and to relieve mucous membrane complaints at the anus, e.g., anal itching. A good and accurate diagnosis is important despite the broad range of uses of CANNEFF® SUP 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 the symptoms and possible accompanying diseases, 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 treatment of mild symptoms.

Dermatologists

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

Surgeons

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

When to see which doctor?

Mild symptoms: A 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 case 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 problems: 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 predominates, a dermatologist can provide supportive help.

Surgical necessity: In complicated or severe cases (e.g., Grade IV hemorrhoids), a surgeon is the right 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 to feel more comfortable.

Hygiene of the anal area

Clean the anal area gently 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 diet 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 comfortable examination situation and support an accurate diagnosis.

What 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 lumps, hardening, or pain.

Assessment of internal hemorrhoids and other anomalies.

Proctoscopy

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

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

Rectoscopy

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

Diagnosis of diseases located higher 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.

Which symptoms justify an immediate visit to the doctor?

In rare cases, hemorrhoids can lead to acute complications. Immediate medical attention 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 (Grade I hemorrhoid treatment and Grade II hemorrhoid treatment).

Minimally invasive procedures

Methods such as rubber band ligation or sclerotherapy to shrink hemorrhoids.

Surgical interventions

Hemorrhoidectomy or stapler method for 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 on treatment: Visit our blog post about hemorrhoid treatment for detailed insights into 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 permanently prolapse but can still be manually pushed back.

Grade III hemorrhoid treatment

Grade IV hemorrhoids

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

Grade IV hemorrhoid treatment

Complications

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

Chronic symptoms

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

Failure of minimally invasive therapies

When methods like 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 Grade III hemorrhoids and Grade IV hemorrhoid treatment. Read more here about hemorrhoid surgery or the different stages of hemorrhoids.

Hemorrhoid stages

What questions should you ask the doctor during 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 could be the causes of my symptoms, 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 to 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 empathetic care.

 

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.

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 like rubber band ligations or sclerotherapy are usually fully covered by the health insurance.

Surgical treatments

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

Follow-up and check-ups

Medical follow-up appointments are usually free of charge.

Additional costs and exceptions

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

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

Medications: Non-prescription products, such as certain ointments or suppositories, e.g., CANNEFF® SUP rectal suppositories, usually must be paid for by the patient.

Which 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

Area of application

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 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 anorectal canal diseases 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 hemorrhoid prevention.

Biofeedback therapy

Technique for conscious relaxation of the pelvic floor.

To avoid pressure in the anal canal, especially with 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.