Our Blogs | USA Hemorrhoid Centers

Activities To Avoid With Hemorrhoids

Posted on May 13, 2025May 13, 2025 by Campbell Flint

The word hemorrhoids can evoke a sense of discomfort, not just physically, but also emotionally. The common condition can influence daily lives, often disrupting our comfort and limiting our participation in the simple routines and social interactions we often take for granted. When it comes to activities and hemorrhoids, knowing which movements or behaviors might worsen symptoms is key.

While many treatments and remedies aim to alleviate these symptoms, understanding what not to do is equally important, especially when it comes to exercises and hemorrhoids. By recognizing and avoiding activities that trigger flare-ups, you can take meaningful steps towards finding relief, managing your hemorrhoid symptoms effectively, and improving your overall well-being.

HEMORRHOID SYMPTOMS TO LOOK FOR

Life with Hemorrhoids

Hemorrhoids can make the simplest aspects of everyday life uncomfortable. Everyday activities like sitting, standing, performing basic chores, and sleeping can become painful, impacting your well-being in surprising ways. Every day experiences, daily habits, and exercises that aggravate hemorrhoids include:

Prolonged Sitting:

Certain sitting positions can worsen hemorrhoids. When you are trying to find a position that doesn’t hurt, this can feel unbearable, leading to constant shifting, making you fidgety, unable to pay attention.

Limited Movement or High Impact Exercise

Even though exercise is generally encouraged for staying healthy, certain exercises and hobbies—like running, cycling, horseback riding, or heavy lifting—can trigger or intensify symptoms. This can make staying active feel risky and discourage people from doing what they enjoy.

The Strain of Standing:

The constant pressure in your bottom area due to standing for a long time can increase pain, swelling, and general discomfort, especially for people who are overweight and require being on their feet all day.

Simple Chores

Simple household tasks or even just bending down to pick something up can strain your lower body and worsen the pain. Routine chores can become hard work, leading to exhaustion, frustration, and dependence on others.

Restless Sleep:

Finding a comfortable way to sleep can become a nightly struggle. Tossing and turning to escape the constant pressure can lead to broken sleep, irritability, and exhaustion.

The Emotional Impact

The constant discomfort can lead to increased irritability, frustration, and embarrassment, contributing to a sense of isolation, increasing the emotional burden, and impacting mental well-being.

EFFECTS OF PROLONGED SITTING

What Activities Make Hemorrhoids Worse?

Hemorrhoids can occur inside the rectum (internal hemorrhoids) or outside around the anus (external hemorrhoids) causing painful symptoms like bleeding, itching, irritation and swelling in the anus. To avoid the development of hemorrhoids or prevent hemorrhoid flare-ups, certain activities should be avoided.

Prolonged sitting and inactivity can contribute to discomfort and digestive problems, potentially exacerbating hemorrhoids. Maintaining a healthy weight and incorporating about 30 minutes of daily exercise, such as brisk walking, aerobic exercise, and flexibility training, can help relieve or prevent hemorrhoid discomfort. Some activities and hemorrhoids do not go well together. Stick to moderate exercise and avoid heavy lifting to prevent pressure on clots or external hemorrhoids until symptoms improve. Both constipation and diarrhea can aggravate hemorrhoids. Keep a food diary to identify trigger foods causing these issues and eliminate them. Increased straining, if you are constipated or during regular bowel movements, can aggravate internal hemorrhoids and lead to fissures. If diarrhea continues, consult a doctor. Certain medications can also cause chronic constipation.

Skipping daily showers and neglecting anal hygiene can worsen irritation and itching. After using the toilet, gently cleanse the anal area with warm water and pat it dry instead of rubbing. Women should use sanitary napkins designed for sensitive skin during menstruation to avoid rashes. In many cases, hemorrhoid symptoms improve on their own within one to two weeks. Adopting simple lifestyle changes like incorporating more fiber into your diet, drinking plenty of water, and using sitz baths may speed up healing and reduce discomfort. However, if there is no improvement in hemorrhoid symptoms after a week of self-care, it is important to consult a medical specialist to address the condition.

CONSULT OUR HEMORRHOID SPECIALISTS

The Hidden Anxiety of Social Engagements

The impact of hemorrhoids extends beyond physical discomfort- it can interfere with everyday activities, and hemorrhoids often don’t mix well. From social activities to intimate moments, the discomfort of hemorrhoids can significantly impact various aspects of life, turning enjoyable activities into sources of anxiety.

Dining out may become stressful due to uncomfortable seating and the frequent need for frequent need to use the restrooms, diminishing the pleasure of the meal and company. Travel-whether by plane or car, can be daunting due to confined spaces and uncertain bathroom access, which can trigger stress and discomfort. Even recreational events like movies or live performances can become a challenge with prolonged sitting and the inability to shift positions discreetly.. Social gatherings, requiring extended periods of standing or offering inadequate seating, can feel like an endurance test, potentially leading to individuals withdrawing from events altogether. Furthermore, the pain and self-consciousness associated with hemorrhoids can create intimacy barriers in personal relationships.

While certain exercises and hemorrhoids can be a challenging combination, avoiding social and physical activity altogether can affect both physical and emotional well-being. Understanding how to manage symptoms while staying socially engaged is a key part of improving quality of life.

Exercises To Avoid With Hemorrhoids

Strenuous exercises or high-impact workouts can put pressure on your abdominal area and anus. Such activities could worsen your hemorrhoid symptoms, leading to increased pain, irritation, or even bleeding.

Weightlifting
Cycling
Rowing.
Sit-ups
Squats
Horseback riding

Safe Exercises for Hemorrhoids: What You Can Still Do

Regular exercise is key for maintaining overall health and well-being. However, the presence of hemorrhoids can make physical activity uncomfortable and painful. These swollen blood vessels in and around the anus and rectum cause itching, bleeding, and general discomfort. It’s quite common for adults to experience hemorrhoids at some point in their lives.

Incorporating low-impact, moderate exercise into your routine can help improve circulation, support digestion, and reduce the risk of constipation—all of which can ease hemorrhoid symptoms.

Exercises for hemorrhoids include:

Walking
Swimming
Yoga
Pelvic floor contractions
High planks
Glute bridges

Treatment For Hemorrhoid Relief

For ongoing or worsening hemorrhoid problems, minimally invasive procedures like hemorrhoid artery embolization (HAE) can offer relief. This non-surgical technique is performed by an interventional radiologist by precisely targeting and reducing blood flow to the swollen hemorrhoidal veins, causing them to shrink. Being minimally invasive, HAE is an in-office procedure prioritizing comfort and quick recovery.

Why Choose a USA Hemorrhoid Center?

Recognizing the significant impact of exercise and hemorrhoids on daily life emphasizes the need for effective solutions. While temporary relief can be found over the counter, persistent or severe cases often require specialized care. USA Hemorrhoid Centers provides a direct path to hemorrhoid symptom relief through focused expertise and patient-centered care.

USA Hemorrhoid Centers is a national leader in providing specialized, non-surgical relief from hemorrhoids. Our experienced physicians offer accurate diagnoses and personalized treatment plans with HAE to help you return to your normal activities without discomfort. We strive to make care accessible by accepting most insurance plans and offering affordable payment options. If you’re experiencing hemorrhoid issues, find a clinic near you and schedule a consultation today.

FIND A TREATMENT CLINIC NEAR YOU

FAQs

What sleeping position is best if you have hemorrhoids?

If you’re experiencing anal pressure, lying on your side with a pillow between your knees could offer relief and improve your comfort level.

Can lifting heavy objects aggravate hemorrhoids?

Similar to weightlifting, straining to lift heavy objects, such as groceries, luggage, or furniture, can elevate abdominal pressure and aggravate hemorrhoids. It’s important to remember to use your leg muscles and maintain a straight back when lifting.

Does walking make hemorrhoids worse?

Regular, moderate walking is generally good for preventing and managing hemorrhoids and maintaining overall health.

Who Is a Candidate for Hemorrhoid Artery Embolization?

Posted on May 8, 2025May 8, 2025 by Jackson Lebedun

If you’ve been diagnosed with hemorrhoids, you may be exploring treatment options to alleviate symptoms, such as pain, swelling, and rectal bleeding. While over-the-counter treatments can offer temporary relief, some cases require medical attention. Common treatments like rubber band ligation or surgery (hemorrhoidectomy) can be recommended for persistent hemorrhoid symptoms, but often come with longer recovery times and potential complications.

Hemorrhoid artery embolization (HAE) is a minimally invasive alternative that targets the source of the problem by reducing blood flow to swollen hemorrhoidal tissue. This blog explores who may be a good candidate for HAE and how it compares to other treatment options.

GET THE CARE YOU NEED

What is Hemorrhoid Artery Embolization?

This image of a hemorrhoid artery embolization procedure was generated by AI.

Hemorrhoid artery embolization (HAE) is an FDA-approved hemorrhoid treatment that uses advanced imaging and technology to alleviate bleeding and swelling from hemorrhoids. Unlike traditional surgical options, HAE does not require incisions or tissue removal.

Hemorrhoids are swollen blood vessels in the anus, so the purpose of HAE is to limit the hemorrhoid’s blood flow in order to improve symptoms.

During HAE, a physician administers a local anesthesia or sedation and inserts a small catheter into a blood vessel in the wrist or groin. Using real-time imaging, the physician guides the catheter to the superior rectal arteries, the vessels that that supply blood to the hemorrhoids, and injects tiny particles called embolic agents to block the blood flow. This targeted approach reduces bleeding and promotes the gradual shrinking of the hemorrhoidal tissue.

Benefits of HAE

Patients can benefit from HAE in a few ways:

Minimally invasive: patients leave with nothing more than a small bandage on the insertion site and with minimal to no side effects.

Effective Symptom Relief: Endovascular Today, a publication dedicated to providing comprehensive coverage of the latest technology, techniques, and developments in the field of endovascular medicine, reports HAE’s success rate is 95 percent.

Lowered risk of complications: HAE can lower potential complications associated with hemorrhoids, including anemia from blood loss, anal fissures, infection, and blood clots (thrombosed hemorrhoid).

Less painful than other procedures: Patients have reported mild pain and discomfort during and after HAE.

HAE is performed in an outpatient setting, and patients can return home shortly after treatment, with most experiencing lasting symptom relief.

If you’re ready to take the next step in understanding how HAE could help, just tap below to explore more.

Learn More About HAE’s Benefits

Who Should Consider Hemorrhoid Artery Embolization?

HAE is suitable for many individuals with hemorrhoids, but it’s recommended to get an expert opinion before opting for the procedure. Not all hemorrhoid specialists offer HAE, as it must be performed by an interventional radiologist. This type of specialist will review your symptoms and refer you to an interventional radiologist if HAE may be right for you.

Patients who fall under at least one of the circumstances below would be considered candidates for HAE:

Persistent Hemorrhoid Symptoms

Eating more fiber, using hemorrhoid creams, or soaking the hemorrhoid in warm water (sitz bath) can help heal most hemorrhoids. However, patients who still experience symptoms for longer than a week despite using these methods should consider consulting a doctor about HAE.

Significant Hemorrhoid Bleeding

Bleeding is a common symptom of hemorrhoids, which is the result of increased pressure in the anal blood vessels. This increased pressure causes the arteries and veins to enlarge and blood to pool in the affected area. Straining during a bowel movement can worsen the swollen blood vessels, causing the hemorrhoid to “pop” and bleed. HAE can help reduce the bleeding and prevent hemorrhoids from getting worse.

Prolapsed Hemorrhoids

Hemorrhoids that develop internally can sometimes protrude (prolapse) out of the anus and cause pain and discomfort. A prolapsed hemorrhoid in the early stages can come out during a bowel movement and retract on its own. As it progresses, the prolapsed hemorrhoid may need to be manually pushed back in if it hasn’t become permanently prolapsed. HAE can help shrink the prolapsed hemorrhoid, with patients noticing improvement within a couple of weeks.

Not Suited for Other Hemorrhoid Procedures

Some patients may have already tried other minimally invasive hemorrhoid procedures, such as rubber band ligation, with no luck in reducing symptoms. In fact, some patients will need additional rubber band ligation treatments after their first session. The National Institutes of Health says that patients who required more than four sessions of rubber banding had a higher failure rate, meaning they would need surgery to remove the hemorrhoid.

Additionally, patients on blood thinners or with a large, prolapsed hemorrhoid may not be suitable candidates for other non-surgical procedures.

Patients on blood thinners or with a large hemorrhoid should discuss HAE with a specialist to determine if the procedure is right for them.

Hear From Real HAE Patients

Does Insurance Cover Hemorrhoid Artery Embolization?

Hemorrhoid artery embolization (HAE) is typically covered by most health insurance plans, including Medicare and Medicaid. Coverage is based on the fact that HAE is considered medically necessary for individuals experiencing chronic or severe hemorrhoid symptoms.

Persistent hemorrhoids can lead to serious complications such as anemia, blood clots, and localized infections. Because HAE offers a safe, effective, and non-surgical treatment option, it is often approved by insurers as part of a comprehensive care plan.

To confirm your coverage, speak with a care coordinator at USA Hemorrhoid Centers.

Do I Need a Referral for Hemorrhoid Artery Embolization?

You may need a referral for HAE depending on the kind of health insurance you have. Some health insurance providers require a referral to ensure your minimally invasive hemorrhoid treatment is covered. Contact your health insurance provider to check your coverage and determine if you need a referral.

HAE at USA Hemorrhoid Centers

Hemorrhoids may be uncomfortable to talk about but addressing them with a qualified specialist can lead to significantly improved health outcomes. USA Hemorrhoid Centers’ team of highly skilled physicians provides comprehensive evaluations and treatment plans – including HAE, a non-surgical outpatient procedure designed to reduce symptoms without incisions or lengthy recovery times.

As an AAAHC-accredited provider, we prioritize patient safety, comfort, and dignity. With over 25 convenient locations nationwide, expert hemorrhoid care is never far from home.

USA Hemorrhoid Centers accepts most health insurance plans, including Medicare and Medicaid. Patients can verify their insurance during the scheduling process, either online or by speaking with a member of our Care Team.

Take the first step toward relief- schedule your consultation today.

Schedule an Appointment

USA Hemorrhoid Centers’ Expansion Gains National Media Coverage

Posted on April 29, 2025May 8, 2025 by USA Hemorrhoid Centers

USA Hemorrhoid Centers is pleased to announce its expansion opening of new locations across the country. The outpatient provider of non-surgical hemorrhoid treatments has now expanded to over 25 locations, getting attention from newspapers such as Patch and the Associated Press (AP).

Read the national coverage here

Each of these locations are a part of a larger network of interventional radiologists who perform minimally invasive procedures for chronic conditions. For more information, read the full articles from Patch below.

Can Prolonged Sitting Cause Hemorrhoids?

Posted on April 22, 2025April 22, 2025 by USA Hemorrhoid Centers

Can prolonged sitting, which is uncomfortable for many people, also lead to hemorrhoids?

Hemorrhoids are swollen veins in the anus or rectum. Prolonged sitting can contribute to hemorrhoids or worsen existing ones by causing anal veins to lose elasticity and become swollen. Factors such as how long you sit and the type of surface impact how prone anal veins are to swelling and inflammation.

Hemorrhoids are preventable, so even people who tend to sit for long periods for work or travel can avoid these issues. They’re also treatable with non-surgical options, offering long-term relief from discomfort, pain while sitting, and other symptoms.

Can Sitting Make Hemorrhoids Worse?

Yes, sitting for a long time puts extra pressure on the blood vessels in your bottom and slows the blood moving in and out of that area. This makes it harder for any existing hemorrhoids to get better and increases the chances of them getting bigger or causing more problems.

Prolonged sitting can become increasingly painful if internal hemorrhoids are prolapsed, meaning they’ve become severe enough to slip outside of the anus and don’t return to their original position on their own.

Hemorrhoids can also take longer to heal with long periods of sitting. The extra pressure on the veins and reduced blood flow mean slower healing and a higher risk that the hemorrhoids will progress.

VIEW OTHER HEMORRHOID SYMPTOMS

How Prolonged Sitting Impacts Hemorrhoid Development

Sitting for long periods, whether at work, during travel, while on the toilet, or for another reason, is a risk factor for hemorrhoid development. There’s pressure on the rectal area when sitting, which can be worse on a hard surface or with poor posture. Circulation also slows down, impacting the flow of blood to rectal and anal veins.

Increased Pressure on Rectal Veins

When sitting, the muscles of the buttocks region spread out, which causes rectal and anal veins to stretch. These veins have less elasticity, making them more fragile and likely to swell.

Reduced Circulation While Sitting

Slower circulation to the pelvic region when sitting can cause blood to pool, filling the already stretched veins with blood and leading to swelling and inflammation.

Poor Posture on the Toilet

Poor posture while on the toilet can also play a role in hemorrhoid development. When sitting with the feet flat on the floor and the back straight, the rectum is constrained, increasing pressure on the veins. Putting the feet on a stool so the knees are raised can relax the rectum, helping to protect the veins from excessive pressure.

CAUSES OF INTERNAL HEMORRHOIDS

Can Sitting on the Toilet Too Long Cause Hemorrhoids?

Sitting on the toilet for too long due to constipation can cause hemorrhoids or make existing ones worse. While on the toilet, the rectum is lower than the rest of the buttocks, which causes gravity to push on the veins and blood to pool. Pressure from straining during a bowel movement can cause the veins to swell.

Here are some tips to help reduce bowel-related strain:

Limit toilet time to under 5 minutes.
Don’t use phones or read in the bathroom.
Avoid forcing a bowel movement. Get up and try again later if you’re constipated.

How to Prevent Hemorrhoids if You Sit All Day

If you sit a lot, there are steps you can take to help prevent hemorrhoids.

Take regular breaks from sitting: Stand up or walk around every 30 to 60 minutes to help increase blood flow and reduce the pressure on the anal and rectal veins.
Use a cushioned seat: If you normally sit in a hard chair at work, consider sitting on a special cushion to help prevent hemorrhoids. A hemorrhoid cushion supports the perineum and elevates the legs to reduce pressure on the rectum.
Maintain good posture: Keep your back straight instead of slouching. Slouching can put more pressure on the anal area.
Stay hydrated and eat plenty of fiber: Staying hydrated and adding fiber to your diet can help prevent constipation. Constipation is one reason people end up sitting for longer on the toilet. Straining because of constipation can also cause hemorrhoids.
Exercise regularly: Staying active improves blood circulation and reduces the impact of prolonged sitting. Walking, swimming, yoga, tennis, and dancing are all great activities to help prevent hemorrhoids.

Treatment Options for Hemorrhoids from Sitting

If hemorrhoids persist for more than a few days or worsen, procedures like hemorrhoid artery embolization (HAE) can offer relief. HAE is a non-surgical procedure performed by an interventional radiologist. It targets the root cause of hemorrhoids by reducing blood flow to the swollen veins, causing them to shrink.

HAE is a low-risk, painless procedure with a short recovery time, and it’s a good treatment option for hemorrhoids that don’t heal on their own.

Get Relief and Prevent Future Hemorrhoids

It is possible for hemorrhoids to develop from sitting too much. Prolonged sitting can also worsen hemorrhoids or slow healing.

Making lifestyle changes to reduce sitting time, prevent constipation, and relieve pressure on anal and rectal veins can help prevent hemorrhoids from developing and ease the pain and discomfort caused by existing hemorrhoids. If hemorrhoid symptoms interfere with your daily life or persist, however, it’s important to see a hemorrhoid doctor for treatment.

USA Hemorrhoid Centers is America’s leading network of hemorrhoid treatment centers. Our doctors have expertise in treating hemorrhoids non-surgically with HAE and can create a personalized treatment plan to help you get relief. Find a hemorrhoid center near you to schedule a consultation with one of our expert doctors.

FIND A CENTER NEAR YOU

FAQs

How do I know if my sitting habits are causing hemorrhoids?

If you notice hemorrhoid pain when sitting, discomfort, or other symptoms, such as itching or bleeding, you may have hemorrhoids. Your sitting habits might be the cause, or they could make existing hemorrhoids worse by weakening the veins and increasing swelling and inflammation.

Are standing desks better for preventing hemorrhoids?

Standing desks are better than chairs for preventing hemorrhoids because they help you avoid prolonged sitting. There’s less pressure on anal and rectal veins when standing at a desk.

Can exercise help with hemorrhoids caused by sitting?

Yes, exercise can help with hemorrhoids caused by sitting. Physical activity improves circulation and supports better vein health.

Our Founder Yan Katsnelson, M.D.

Posted on March 27, 2025March 27, 2025 by USA Hemorrhoid Centers

About

Dr. Yan Katsnelson

Organizations

Founder of USA Vein Clinics, USA Fibroid Centers, USA Vascular Centers, USA Hemorrhoid Centers, USA Pain Center, USA Prostate Centers, USA Longevity Centers and USA Oncology Centers

Biography

Dr. Yan Katsnelson is an entrepreneur, highly skilled cardiac surgeon, business owner, and philanthropist. He is the founder and CEO of USA Hemorrhoid Centers which is part of USA Clinics Group – the parent company of USA Fibroid Centers, USA Vascular Centers, USA Vein Clincs, USA Prostate Centers, USA Pain Center, USA Longevity Centers, and USA Oncology Centers. Dr. Katsnelson has established himself as a strong advocate for accessible, affordable, and compassionate healthcare services.

As the CEO of USA Clinics Group, Dr. Katsnelson has pioneered expanding minimally invasive options that provide high-quality care using the latest technology in the most advanced facilities to the communities that need it most. He also founded the Chicago Heart Institute, which was dedicated to the advanced treatments of cardiovascular diseases.

Dr. Katsnelson, M.D., completed a fellowship at the Brigham and Women’s Hospital, Harvard School of Medicine, in Boston, MA. He was a faculty cardiac surgeon at the University of Chicago prior to starting his Cardiovascular and Thoracic private practice in Chicago Northwest suburbs. Dr. Yan Katsnelson was the first U.S. surgeon to perform the double valve replacement using Biocor™ tissue valve. His clinical areas of expertise included minimally invasive valve surgery, complex aortic operations, re-operative coronary and valve surgery, and beating-heart (off-pump) bypass surgery. He is published in various medical and scientific journals.

Dr. Yan Katsnelson’s Vision for Healthcare

His vision of healthcare combines advanced medical and informational technology and creates a unique, data-driven approach that enables individualized treatment planning and achieves consistent outcomes. He developed a comprehensive healthcare management platform to optimize each patient’s experience before, during and after an appointment with streamlined scheduling, insurance verification, prior authorizations, clinical decision-management support, and treatment process quality assurance.

Dr. Yan Katsnelson together with his wife also started the Fibroid Fighters Foundation to advance the cause of women’s health and the safe and effective minimally invasive treatment of uterine fibroids. He is member of the international Save a Child’s Heart that provides life-saving cardiac treatment to children from underdeveloped countries. Dr Katsnelson leads development of ECHO assisted technology that enables screening of thousands of children worldwide.

Other Organizations

Founder of the Chicago Heart Institute
American Medical Association
American Vein and Lymphatic Society [American College of Phlebology]
Cardiothoracic Surgery Network [Chicago]
Chicagoland Association of Russian-speaking Physicians
Society of Thoracic Surgery

Honors and Awards

1990: Ural Medical Academy, Russia
2002: American Heart Saver, American Heart Association Award
2005: Nation’s First Double Implant of New St. Jude Tissue Heart Valve

Focused on Your Care

Posted on March 27, 2025March 28, 2025 by USA Hemorrhoid Centers

Each March, physicians’ dedication and invaluable contributions are recognized on National Doctors’ Day. At USA Hemorrhoid Centers, we want to recognize our doctors every day for their expertise, compassion, and commitment to patient-centered care.

See Our Team Share Their Perspective

To understand what drives our physicians, our CEO and Founder, Yan Katsnelson, MD, recently shared the vision behind USA Clinics Group, a large network of outpatient clinics, which includes USA Hemorrhoid Centers. The philosophy shared by our team of specialists is simple: to improve lives by making effective treatments more accessible and convenient, allowing patients to return to their daily routines without painful symptoms.

Katsnelson described his time as a heart surgeon as a transformative experience. Restoring heart function was deeply rewarding, but he saw the potential for less invasive procedures to achieve similar, impactful results.

“That’s the magic of today’s medicine, minimally invasive treatments for very common conditions,” said Dr. Katsnelson. “Procedures with minimal to no risk and extraordinary outcomes.”

This commitment drives USA Hemorrhoid Centers to focus on providing nonsurgical hemorrhoid treatments for chronic symptoms that significantly impact patients’ daily lives.

GET THE CARE YOU NEED

A Better Way: Minimally Invasive Treatments

Dr. Katsnelson’s transition from performing complex surgeries to pioneering a patient-first philosophy of care was driven by outcomes. He saw firsthand how advanced techniques could offer relief without hospitalization, long recovery times, or invasive procedures.

“Patients who had struggled with discomfort and embarrassment for years were suddenly able to find relief with a quick, outpatient procedure,” Dr. Katsnelson recalled. “Seeing how much their daily lives improved was incredibly motivating.”

Katsnelson believes medicine extends beyond treating individual patients, it’s about building a system rooted in consistency and compassion to ensure care is accessible and effective for all. This approach allows thousands of patients to receive treatment from highly skilled physicians without lengthy recovery times.

SEE OUR LOCATIONS

Expanding Care to Those in Need

Ensuring consistent, high-quality patient care is at the heart of USA Hemorrhoid Centers’ mission. Dr. Katsnelson emphasized the importance of standardized protocols, rigorous training, and state-of-the-art management systems that integrate clinical best practices. This structured approach allows our specialists to provide accessible and advanced treatment in every community we serve.

Recognizing the impact of minimally invasive treatments offered, USA Clinics Group was launched to offer care for conditions including varicose and spider veins, knee arthritis, peripheral artery disease (PAD), enlarged prostates, hemorrhoids, uterine fibroids, and preventative CT scans.

VIEW OTHER SERVICES

Our Doctors’ Insights: Why We Care

A core principle at USA Hemorrhoid Centers is ensuring that patients, especially those in underserved communities, have access to the advanced care they need. Dr. Katsnelson and our team of specialists are passionate about eliminating barriers to treatment and providing solutions that allow individuals to live more comfortably.

“I became a doctor because I wanted to make a real difference in people’s lives. Seeing patients regain their comfort and confidence after struggling with a condition for years is incredibly fulfilling.” – Dr. Stephanie Spano

“Medicine has always been about more than just treatment for me—it’s about listening to patients, understanding their concerns, and helping them find solutions that improve their daily lives.” – Dr. Jeffrey Gunzenhauser

“I was drawn to medicine because I wanted to provide effective care to those in need. Helping patients return to their routines without pain through minimally invasive treatments is what drives me every day.” – Dr. Sanjeev Saxena

Patient Success Stories

Alexis B. – The staff at USA Hemorrhoid Centers was incredible. They kept me informed throughout the entire process and checked in often to make sure I was comfortable. I’m so glad I went through with the treatment and excited to see the improvements.

Abe K. – I’m really happy I chose USA Hemorrhoid Centers. The staff is friendly and professional, and the doctor made me feel completely at ease, taking the time to answer all my questions. The whole experience has been amazing—I couldn’t be happier.

READ MORE PATIENT REVIEWS

You Are Our Focus at USA Hemorrhoid Centers

Our values focus on “I CARE” which encompasses integrity, compassion, accountability, respect and excellence. We care about every individual’s unique health condition and our treatment plans are tailored to each patient.

SCHEDULE AN APPOINTMENT TODAY

How Long Do Hemorrhoids Last?

Posted on March 13, 2025March 25, 2025 by USA Hemorrhoid Centers

Hemorrhoids typically last from a few days to several weeks. However, some internal hemorrhoids, which are swollen veins located inside the rectum, won’t heal on their own. They require medical treatment to help the hemorrhoid tissue shrink, and they can become increasingly severe if left untreated.

These persistent hemorrhoids can cause painful symptoms, including anal itching, blood in the stool, and bowel discomfort. If they become prolapsed, meaning they fall outside of the anus, they can also be intensely painful. Ongoing hemorrhoid symptoms can impact the quality of your everyday life. Additionally, the longer you have internal hemorrhoids, the greater the risk of complications, so it’s important to know when to see a doctor because of hemorrhoids.

BOOK A CONSULTATION TODAY

Types of Hemorrhoids and Their Duration

Knowing how to recognize symptoms for different types of hemorrhoids and what to expect in terms of duration can help you determine when to see a doctor.

How Long Do Internal Hemorrhoids Last?

Internal hemorrhoids usually sit inside the rectum and can vary in their duration. The duration depends on a few factors, such as whether the person experiences symptoms because internal hemorrhoids can be asymptomatic. When an internal hemorrhoid prolapses, patients may notice symptoms that can intensify, including anal itching, irritation, discomfort, and blood in the stool or on toilet paper. Other factors such as constipation, diarrhea, pregnancy, age, and weight can also impact the duration of the internal hemorrhoid. If the internal hemorrhoid doesn’t go away within a week or so, patients should consider getting medical treatment for their hemorrhoid.

If an internal hemorrhoid is large enough to cause symptoms, such as blood in the toilet bowl or on toilet paper after a bowel movement, anal itching, irritation, and discomfort, it may last several weeks or more. An internal hemorrhoid that prolapses or causes severe symptoms might persist until it’s treated.

How Long Do External Hemorrhoids Last?

External hemorrhoids, which are hard, tender lumps around the anus, can often last a few days; however, they may take longer to resolve. This depends on the size of the external hemorrhoid and other factors that may prolong its time frame, such as friction from wiping. Generally, over-the-counter medications and at-home treatments can help alleviate or reduce symptoms.

How Long Do Thrombosed Hemorrhoids Last?

A thrombosed hemorrhoid can last for two to three weeks or longer. A thrombosed hemorrhoid occurs when an external or internal hemorrhoid fills with one or more blood clots. They can be very painful and swollen, impacting walking, sitting, or passing a stool.

Sometimes, the blood clots diminish in a couple of weeks, but the hemorrhoid doesn’t necessarily go away. If there’s too much pressure, a thrombosed hemorrhoid can rupture. A ruptured hemorrhoid can cause intense pain and bleeding. It can also increase your risk of infection, especially if the thrombosed hemorrhoid is external.

Factors That Affect Internal Hemorrhoid Healing

An internal hemorrhoid that doesn’t heal within a week or two should be seen by a specialist. But, what factors impact how quickly an internal hemorrhoid heals?

Severity of the hemorrhoid. If an internal hemorrhoid is very swollen and enlarged, it’s more likely to prolapse or cause more persistent symptoms that require treatment. Typically, grade-1 hemorrhoids are most likely to heal on their own. Later-stage hemorrhoids are more likely to require medical treatment.
Lifestyle factors. Eating a high-fiber diet, staying hydrated, and being physically active can promote faster healing.
Underlying health conditions that may prolong symptoms. Being overweight or pregnant can put pressure on the rectum, making it harder for hemorrhoids to heal. Constipation also puts pressure on the veins in the lower rectum and anus, which can cause hemorrhoids and lead to worsening symptoms and slower healing.

If your hemorrhoids aren’t healing or if symptoms persist, it may be time to consider a more advanced solution. USA Hemorrhoid Centers offers a modern treatment for internal hemorrhoids that has fewer risks and a shorter recovery than hemorrhoid surgery. Hemorrhoid artery embolization (HAE) is a good option for most cases of internal hemorrhoids that don’t go away on their own.

CALL 855.805.4247 TO SCHEDULE

HAE: A Minimally Invasive, Long-Term Solution

Hemorrhoid artery embolization (HAE) is a non-surgical treatment for internal hemorrhoids. It targets the blood flow causing the hemorrhoids, helping to reduce inflammation, swelling, and other symptoms, and has been proven to provide effective, long-term relief. HAE has a 97% clinical success rate.

The benefits of choosing HAE over traditional treatment surgical methods are that it doesn’t involve removing or cutting any tissue. The procedure isn’t painful, and there’s less risk of bleeding or an infection. HAE can be performed in an outpatient setting, and most people can return to their normal activity levels within a few days.

When to See a Doctor for Hemorrhoids

If you notice internal hemorrhoid symptoms for more than a week or two, or if the hemorrhoid prolapses and becomes painful, it’s important to see a hemorrhoid doctor. You should see a doctor if you notice signs of an infection, such as intense swelling or a fever.

You can try over-the-counter hemorrhoid treatments, such as a cream or suppository, to relieve the swelling and inflammation. At-home care, such as soaking in a sitz bath (a shallow bath) and ice packs, can also bring relief. Additionally, avoiding prolonged sitting for long periods, adding fiber to the diet, drinking enough water, and exercising can support healing. If there is blood in the stool, anal itching, and other internal hemorrhoid symptoms persist after a week or two despite home care methods, schedule a consultation so you can get the treatment you need for lasting relief.

FIND A CENTER NEAR YOU

FAQs

How long do hemorrhoids last if untreated?

There is no set duration for how long hemorrhoids last. External hemorrhoids generally go away eventually without treatment, although they can last several weeks or longer. Internal hemorrhoids generally last longer than external hemorrhoids, but can cause chronic symptoms that may need medical treatment.

Can hemorrhoids come back after treatment?

Yes, hemorrhoids can come back after treatment. Addressing risk factors for hemorrhoids, such as constipation, being sedentary, and eating a low-fiber diet, can help reduce the chances of hemorrhoids returning.

Is it bad to have hemorrhoids for long periods of time?

Hemorrhoids themselves aren’t dangerous. However, having hemorrhoids for long periods increases your risk for developing more severe symptoms or complications, such as an infection or severe pain and bleeding from a thrombosed hemorrhoid that ruptures.

How to Tell If It’s Hemorrhoids or Colorectal Cancer

Posted on March 11, 2025March 28, 2025 by USA Hemorrhoid Centers

Hemorrhoids, those uncomfortable and often embarrassing lumps around your anus, are a common concern for many. But what happens when symptoms overlap with something more serious, like colorectal cancer? March is Colorectal Cancer Awareness Month, an important time to understand the differences and similarities between these two conditions. Some may attribute their symptoms to ‘just hemorrhoids’, potentially delaying a proper diagnosis until their symptoms become more severe.

With colorectal cancer affecting approximately one in 24 people and becoming increasingly prevalent in younger adults, it’s important to recognize the signs and when to seek medical advice.¹

Hemorrhoids, which are swollen blood vessels in or around the anus, are not a sign of colorectal cancer (also known as colon cancer). However, symptoms of hemorrhoids, such as rectal bleeding, can indicate cancer when paired with other symptoms. This is where confusion often arises, and why it’s important to stay vigilant about your colorectal health. If your symptoms are related to internal hemorrhoids, USA Hemorrhoid Centers can help.

Learn When to Seek Medical Attention for Hemorrhoids

Understanding Hemorrhoid Symptoms

Hemorrhoids are uncomfortable swollen veins around the anus, and it’s estimated that about one in 10 people experience them. Hemorrhoids can affect people of any age, but they are most common in people between the ages of 45 and 65.

Hemorrhoids come into two forms: internal and external. External hemorrhoids are located around the anus and are more noticeable. They also tend to be more painful than internal hemorrhoids because of their location, which has more nerve endings.

No matter whether they are internal or external, hemorrhoids can cause a range of painful symptoms including:

Bleeding
Itching around the anus
Mucus discharge
Feelings of fullness after defecating
Uncomfortable bowel movements

Hemorrhoid symptoms often improve within a few days to a week and are generally benign. It’s important to be aware, however, that internal hemorrhoids can take longer to heal and may get progressively worse. When internal hemorrhoids are left untreated, they can start to protrude out of the anus, a condition known as prolapse. Prolapsed hemorrhoids can cause significant pain and may need medical interventions to treat them, such as hemorrhoid artery embolization (HAE).

Learn About the Benefits of HAE

These ribbons represent the fight against cancer, and each color represents a specific type. Colorectal cancer’s ribbon is dark blue.

Colorectal Cancer: What You Need to Know

Colorectal cancer is a polyp that forms inside the colon or rectum. Most polyps are benign but have the potential to turn into cancer. Out of the 150 thousand people diagnosed with colon cancer each year, a third of them will not survive.

Colorectal cancer mainly affects adults over the age of 50, but genetics can also play a role in cancer risk. Your risk can also increase if you:

Eat a diet high in red meat or low in fiber.
Smoke or used to smoke.
Are overweight or obese.
Have inflammatory bowel disease (IBD).

Some of these risk factors, such as eating a low-fiber diet and having IBD, are also risk factors for hemorrhoids.

Early-stage colon cancer doesn’t usually present symptoms. However, some symptoms of colorectal cancer, such as rectal bleeding, can also overlap with hemorrhoid symptoms, including:

Chronic abdominal pain, cramps, or gas
Changes in bowel habits (diarrhea, constipation, very thin stools, or bloating)
Incomplete bowel movements due to blockage
Fatigue
Unintentional weight loss

In this case, a gastroenterologist or oncologist may be the best option in finding care for colorectal cancer.

Hemorrhoids vs Cancer: How to Tell the Difference

Hemorrhoids and colorectal cancer can share similar symptoms, but these symptoms can present differently. The table below illustrates the difference.

Symptoms	Hemorrhoids	Colorectal Cancer
Rectal Bleeding	Bright red blood, often painless	Dark red blood mixed with stool, persistent bleeding
Bowel Habit Changes	Temporary changes, often linked to diet	Persistent changes with unexplained constipation or diarrhea
Pain and Discomfort	In prolapsed hemorrhoids, pain localizes in the anus, often while sitting down	Polyps can cause abdominal or back pain

Even if you experience most of these symptoms, it’s important not to self-diagnose. Gastrointestinal conditions like irritable bowel disease (IBD), irritable bowel syndrome (IBS), Crohn’s disease, and ulcerative colitis can have similar symptoms.

A hemorrhoid specialist may be able to determine what’s causing your symptoms and recommend the best course of action. USA Hemorrhoid Centers can discuss non-surgical treatment options if your symptoms are synonymous with hemorrhoids.

Get an Expert Opinion By Scheduling Online

Why Colorectal Cancer Screenings Matter

Early detection and treatment of colorectal cancer significantly improve survival rates, with stage I at a 91 percent survival rate compared to only 15 percent for stage IV. It’s recommended to start colon cancer screenings after 45, and younger if you have a family history. Some diagnostic tests to identify hemorrhoids, such as colonoscopy, can be used to detect colorectal cancer.

When Hemorrhoid Treatment is Required

Some hemorrhoids are not able to go away after a week despite using natural remedies. If you are experiencing hemorrhoid symptoms for more than a week, you may need medical treatment. Additionally, you should seek help from a hemorrhoid specialist if you have:

Persistent or severe bleeding
Worsening pain and swelling
Internal hemorrhoid bulging outside the anus (prolapsed hemorrhoid)

If a hemorrhoid is left intreated, you increase your risk of blood clots in the affected area, known as thrombosed hemorrhoids. You are also at an increased risk of developing anemia, anal fissures, or an infection. The earlier hemorrhoids are treated, the risk of complications decreases.

Treatment at USA Hemorrhoid Centers

If your symptoms are caused by hemorrhoids, USA Hemorrhoid Centers specializes in treating hemorrhoids with hemorrhoid artery embolization (HAE).

HAE is an innovative, minimally-invasive procedure that’s designed to reduce blood flow to the hemorrhoid and alleviate symptoms for lasting relief. No incisions are made, and the procedure doesn’t come with a week-long, residual pain like rubber band ligation does.

If your symptoms are more consistent with hemorrhoids, such as painless rectal bleeding, itching, or mucus discharge, contact us by calling or scheduling an appointment online.

Frequently Asked Questions

Can hemorrhoids cause cancer?

Hemorrhoids do not cause cancer, but symptoms of colorectal cancer can sometimes overlap with hemorrhoids and can happen simultaneously.

Do hemorrhoids increase colorectal cancer risk?

Hemorrhoids do not increase colorectal cancer risk, but both conditions share similar risk factors such as diet, age, smoking status, and inflammatory bowel disease (IBD).

Can colorectal cancer be mistaken for hemorrhoids?

Colorectal cancer can be misdiagnosed as hemorrhoids, especially in younger people. This can lead to delayed treatment and increase mortality risk.

What are the top two signs of colorectal cancer?

Major indicators of colorectal cancer include persistent diarrhea or constipation in addition to dark, red blood in the stool.

Sources

Colorectal cancer facts and statistics