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How to Choose a Doctor for Hemorrhoid Treatment?

August 15, 2025

When it comes to seeking treatment for hemorrhoids, understanding the roles of different medical specialists is essential. Two key professionals involved in addressing hemorrhoids are gastroenterologists and colorectal surgeons, also known as proctologists. Let’s explore the distinctions between these experts and their respective approaches to managing hemorrhoids.

Gastroenterologists


Gastroenterologists are specialists in digestive system disorders, including those affecting the rectum and anus where hemorrhoids occur. They are skilled in diagnosing and managing mild to moderate cases of hemorrhoids. Gastroenterologists typically recommend non-surgical treatments, including lifestyle modifications and over-the-counter remedies. They perform diagnostic procedures such as digital rectal exams, anoscopy, and sigmoidoscopy to assess the condition.

Colorectal Surgeons/Proctologists


Colorectal surgeons, or proctologists, have extensive expertise in addressing diseases and conditions of the colon, rectum, and anus. They are especially well-suited for managing severe hemorrhoids and cases where non-surgical methods have proven ineffective. These specialists can perform advanced procedures like hemorrhoidectomy, rubber band ligation, and minimally invasive techniques such as Transanal Hemorrhoidal Dearterialization (THD) or stapled hemorrhoidopexy (PPH).

Evaluation and Diagnosis


Both gastroenterologists and colorectal surgeons are capable of diagnosing hemorrhoids through comprehensive evaluations. They may use various tools and techniques, including digital rectal exams, anoscopy, sigmoidoscopy, and in some cases, colonoscopy to rule out other colorectal conditions. The choice between these specialists depends on the severity of your hemorrhoids and the most suitable treatment approach.

Severity of Hemorrhoids


For mild to moderate cases and initial evaluation, consulting a gastroenterologist may be the right choice. They can offer guidance on lifestyle adjustments and non-surgical treatments. If your condition is more advanced, requires surgical intervention, or you experience persistent symptoms, a colorectal surgeon or proctologist is better equipped to provide specialized care and perform surgical procedures.

Choosing the best specialist for your hemorrhoids


Selecting the appropriate specialist for your hemorrhoid treatment is crucial. Gastroenterologists focus on less invasive and non-surgical solutions, while colorectal surgeons are experts in surgical interventions. Choosing the right specialist ensures you receive the most effective and tailored treatment for your specific needs. Your healthcare provider can help guide you in making this decision based on the severity of your condition and individual circumstances.