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By Hemorrhoid.com | August 12, 2025
How to Know When to See a Doctor for Hemorrhoids … Warning Signs and Treatment Options
Hemorrhoids are extremely common by age 50 roughly half of adults have experienced some of the classic symptoms. Most people manage discomfort at home with fiber, hydration and over‑‑the‑counter remedies. But if certain warning signs appear, it may be time to talk with a health professional. This guide explains what hemorrhoids are, how to care for them yourself and when to seek medical help.
Hemorrhoids are swollen veins inside the rectum or under the skin around the anus. External hemorrhoids occur under the skin and can cause pain, itching, swelling and sometimes blood clots (thrombosis). Internal hemorrhoids develop inside the rectum; they’re usually painless but may bleed or protrude during bowel movements. A prolapsed internal hemorrhoid can appear as a soft lump at the anal opening.
Anything that increases pressure inside the abdomen or interferes with blood flow can enlarge the veins and lead to hemorrhoids. Common causes include chronic constipation, straining during bowel movements and sitting on the toilet for long periods. Pregnancy and obesity also raise the risk by putting extra pressure on the veins, and the likelihood increases as tissues supporting the rectal veins weaken with age. A low‑fiber diet, regularly lifting heavy items and engaging in activities that raise abdominal pressure can also contribute.
Most hemorrhoid symptoms improve within a week of self‑care. Key home treatments include:
Home remedies are a good starting point, but some symptoms signal that you should see a doctor. Experts recommend seeking medical advice if you experience any of the following:
Ignoring these signs can delay diagnosis of more serious issues. Dr Sunil Dacha of Houston Methodist warns that rectal bleeding may sometimes signal colorectal cancer or inflammatory bowel disease. Early evaluation ensures the correct diagnosis and care.
Your doctor will start with a conversation about symptoms and risk factors, then perform a physical examination. External hemorrhoids may be visible, but internal hemorrhoids require a digital rectal exam, during which a gloved, lubricated finger checks for swollen veins. A small tubular instrument called an anoscope or proctoscope might be used to view the anal canal and lower rectum.
If bleeding or risk factors suggest other conditions, your physician may recommend additional procedures. A flexible sigmoidoscopy or colonoscopy allows inspection of the lower or entire colon. People over 40 with rectal bleeding or a family history of colorectal cancer often need endoscopic evaluation.
If hemorrhoids are confirmed and symptoms persist, healthcare providers have several treatments:
During your visit, your doctor will discuss the pros and cons of each option and tailor treatment to the severity of your hemorrhoids and your personal preferences.
Seeing a doctor for hemorrhoid symptoms isn’t just about comfort … it’s also about ruling out other conditions. Dr Dacha emphasizes that bleeding should always be evaluated because colon cancer is becoming more common in younger people. Prompt medical attention can lead to early diagnosis and better outcomes.
By understanding the warning signs and seeking help when necessary, you can take charge of your health. If you need guidance on home care, check out our article on How to Prevent Hemorrhoids. And if you’re looking for over‑the‑counter relief, read The Most Effective OTC Hemorrhoid Treatment … Why REVIVOL‑XR is Changing the Game.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a healthcare professional for personal recommendations.
