Mistakes that Cause Hemorrhoid Flares

If you frequently have hemorrhoids, it is important to take care of yourself and make some lifestyle changes so that you are not negatively impacted by the inconvenience and pain of a hemorrhoid flare. There are some mistakes that are quite common and can cause major hemorrhoid flare ups. Here are some of those mistakes and how to avoid them.

Living a Sedentary Lifestyle

The more sedentary you are, the more likely your hemorrhoids will get much worse. When you spend most of your time sitting, you are putting pressure on the veins in the anus. This pressure leads to hemorrhoids, which are, in fact, a byproduct of a stressed vein. Take plenty of breaks to get up and walk around whenever possible. Continue reading “Mistakes that Cause Hemorrhoid Flares”

Coronavirus Safety Alert

This communication is prompted by the crisis we are all facing from the coronavirus.

We are taking extra precautions in the office carefully cleansing all surfaces several times a day and after each patient visit and liberally using hand cleansers. Social distancing precautions are difficult in a medical evaluation and patients with any evidence of respiratory symptoms will be asked to wear a mask that we will provide.

If you have a cough or sore throat or even a low-grade temperature please advise us and we will ask you to wait in your car prior to your visit and we will escort you to the office when we are ready to see you. Hand shaking is discouraged and a elbow or fist bump or a polite bow will suffice.

Our main concern is your welfare and safety as we take these extra precautions.


David H. Shapiro, MD, FACS
Collaborative Professor of Surgery
USF Morsani College of Medicine

Self-Help Tips for Hemorrhoid Flare Ups

Hemorrhoids are actually not rare. In fact, about 50 percent of people over the age of 50 have hemorrhoids, although they can affect anyone. Often hemorrhoids do not need to be treated with anything other than over-the-counter treatments. Here are some other tips for managing hemorrhoid flare ups. 

Increase Fiber

Increasing your fiber intake is the best way to combat hemorrhoids. If you are getting plenty of fiber in your diet, it will help you keep regular bowel habits. When you have regular bowel habits, the veins of the rectum are not stressed, which means that the hemorrhoid either doesn’t form at all or, in the case of a flare, it is not made more painful. Continue reading “Self-Help Tips for Hemorrhoid Flare Ups”

Preparing for Your Hemorrhoid Treatment

Your hemorrhoids finally got bad enough that you sought out specialized treatment. You got past the embarrassment of talking about your hemorrhoids to the doctor. Now you face the daunting task of getting your hemorrhoids treated.

You really don’t need to worry about your hemorrhoid treatment. No matter which treatment method Dr. Shapiro decides is best for you, the treatment itself will not be painful. You will also have no downtime and virtually no restrictions immediately after your treatment. Continue reading “Preparing for Your Hemorrhoid Treatment”

Symptoms of IBS Pain and Cramping

What usually sends people to the doctor is the pain and cramping that comes with IBS. Other symptoms, including hemorrhoids, often come out only as the medical practitioner interviews the patient. The abdominal pain that can be associated with IBS can be extremely painful.

Erratic Bowel Movements

If you are frequently constipated, your bowels are frequently loose, or your bowels switch constantly between the two, this is a sign that you have irritable bowel syndrome. Erratic bowel movements or sudden changes in your bowel habits can be an indicator. Continue reading “Symptoms of IBS Pain and Cramping”

How Fast You Will Heal After Hemorrhoid Treatment

HET_ProcedureHaving painful or uncomfortable hemorrhoids for any period of time can be enough to send you to the doctor for treatment. Yet everyone has a busy schedule, and no one wants a treatment with significant downtime. There are several different treatments available for hemorrhoids. Here are a few of them, as well as what you can expect for recovery times.

HET Procedure

Hemorrhoid Energy Therapy, or HET, is a common treatment for bleeding or prolapsing internal hemorrhoids. This treatment only takes about 10 minutes and is completely painless. There is little to no discomfort after the procedure, and you can return to normal activity immediately. Continue reading “How Fast You Will Heal After Hemorrhoid Treatment”

Ways to Cope with Hemorrhoids When at Work

Hemorrhoids are not just embarrassing; they are also extremely uncomfortable. If you have a severe case of hemorrhoids, you could actually be in quite a bit of pain. While you are waiting for your appointment or for your treatment to provide results, you may need to cope with hemorrhoids while at work. Here are a few tips to help you cope so that you can be comfortable and confident.

Pillow or Cushion

You probably don’t want to use a donut pillow at work. There is really only one purpose for such a pillow. You might as well declare to the entire office that you have hemorrhoids. Yet a pillow or cushion can be extremely helpful. Try to choose a pillow or cushion that is harder on the outside edge than on the inside, such as the pillows that tie onto dining chairs. This way you get the benefit of removing pressure from the anus without being obvious about your condition. Continue reading “Ways to Cope with Hemorrhoids When at Work”

Three Surprising Ways Hemorrhoids Affect Your Life

Hemorrhoids can be painful, uncomfortable, and concerning, especially if they bleed or if you have them for a long time, but you might be surprised at all of the ways that having hemorrhoids can affect your life. Here are just some ways that they affect you aside from the obvious implications to your health.

Avoiding Social Engagements

When you have painful hemorrhoids, you may find that you incidentally distance yourself from your friends and family. You may put off social engagements or flake on them entirely because you do not want to have to sit uncomfortably in a chair, booth, or bench. This can affect your personal relationships in many ways. And because you don’t want to tell them the reason why due to embarrassment, it can drive a wedge between you. Continue reading “Three Surprising Ways Hemorrhoids Affect Your Life”

Potential Hemorrhoid Treatments and When They Are Used

If you have chronic or debilitating hemorrhoids, there are a lot of treatment options available to you. Depending on the type of hemorrhoids you have and their location, there may be more than one option available. Here are three treatments we offer and when they are used.

Hemorrhoid Energy Therapy

Hemorrhoid energy therapy, or HET, is a newer treatment method for internal hemorrhoids. The treatment involves directing energy into the affected area to cut off blood flow to the hemorrhoid so that it can heal. This treatment is effective for internal hemorrhoids that are bleeding or prolapsed, as well as grade 1, grade 2, and grade 3 hemorrhoids. Continue reading “Potential Hemorrhoid Treatments and When They Are Used”

Internal and External Hemorrhoids: Differences in Symptoms and Treatment

Did you know that there are different types of hemorrhoids? In actuality, everyone has hemorrhoids, and it is healthy to have them. Hemorrhoid disease happens when those hemorrhoids become inflamed. The blood vessels are under pressure causing them to distend. This is what is referred to as hemorrhoids by most people. Hemorrhoids can further be divided into internal and external hemorrhoids. Here’s what you need to know.

Internal Hemorrhoids

Internal hemorrhoids are located above the dentate line, which is the line distinguishing between the top two thirds and lower third of the anal canal. Internal hemorrhoids are in the top two thirds of the anal canal. This area of the anal canal does not have nerve endings, and therefore they are not painful. Internal hemorrhoids can cause bleeding with bowel movements, however, and you may notice blood on the tissue when you wipe. Continue reading “Internal and External Hemorrhoids: Differences in Symptoms and Treatment”

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