Did you know?

While hemorrhoids are the most common cause of rectal pain and bleeding, it is important to remember not all rectal complaints are due to hemorrhoids. It is impossible to determine the cause of rectal discomfort without a physical examination. If you are experiencing any of the symptoms associated with hemorrhoids, please consult a physician who specializes in the non-operative treatment of hemorrhoids and anal fissures.

New Patient FAQ

At the Center for Colorectal Health of Atlanta, Roswell, Lawrenceville, Cumming, Marietta and Holly Springs;
It is normal to be anxious about having someone examine you, especially when it comes to the sensitive topic of hemorrhoids. Hemorrhoids are not only painful, but can be embarrassing to talk about, even with a doctor or specialist. We hope you will choose The Center for Colorectal Health as your healthcare provider, as we have a proven record of being patient, informative and helpful when it comes to the diagnosis and treatment of hemorrhoids and anal fissures.

It is with our patients comfort in mind, we have compiled the following answers to our most frequently asked questions.  We do this to help educate our patients on hemorrhoid causes, symptoms and treatment, and to help them feel more comfortable when it comes time for their office visit.


What are Hemorrhoids?

The blood vessels that line the anus are the hemorrhoid blood vessels. They form three cushions or bumps at the end of the anus that helps maintain continence. We all have hemorrhoids. When they enlarge the pressure builds up and they may be painful and bleed.

What type of Doctor should I see for Hemorrhoids?

If your hemorrhoids do not respond to fiber, lubrication, warm baths, and hemorrhoid cream you should see a specialist in the non-operative care of hemorrhoids. Many gastroenterology specialist or gastroenterologist have been trained to use our CRH O'Regan ligation system. They are experts in Colonoscopy and managing many GI problems. They will not be able to remove external hemorrhoids. Colorectal surgeons have many years of training in complex colon and rectal problems and are experts in colon surgery. Their interest in hemorhroids varies. Some of them tend to recommend surgery for cases we can cure with our non-operative treatment.

Proctologist is another word for doctors who specialize in rectal conditions and they are frequently also colorectal surgeons. Dr. Goldman is a board certified surgeon with many years of experience treating patients with hemorrhoids and anal fissures. He has helped train doctors from all over the world in the CRH system. After performing thousands of banding procedures Dr. Goldman has developed the expertise to help you get the relief you deserve without surgery.

Will I miss work?

Your first appointment involves a consultation, making a diagnosis of your problem with a rectal examination, and formulating a treatment plan. Appropriate medical therapy will be started. You will be shown how the banding procedure works and be given time to have your questions answered. Banding may be started on your second visit. We suggest you allot up to an hour.  Subsequent treatment sessions will be shorter, around 20 minutes.  There are on average three banding visits and a fourth follow up exam. After a hemorrhoid banding procedure, we recommend that you refrain from vigorous activities the rest of the day and resume full activity the next day.  Most patients with office jobs find they can return to work immediately following their appointment.

I am on my menstrual cycle, can I still come to my appointment?

Yes. You can still come to your appointment if you are on your menstrual cycle. It does not affect procedure.

Who is Dr. O’Regan?

Dr. Patrick J. O’Regan is Head of Minimally Invasive Surgery, King Faisal Specialist Hospital in Saudi Arabia.  Previously he was at the University of British Columbia in Vancouver.  A respected laparoscopic surgeon, Dr. O’Regan invented our patented disposable device to improve the hemorrhoid banding procedure for patients and physicians.  It was cleared by the FDA for the treatment of hemorrhoids in 1997.


Who is Dr. Goldman?

Dr. Alan Goldman founded the Center for Colorectal Health of Atlanta in 2006. He is the most experienced physician in the United States when it comes to the non-operative treatment of hemorrhoids and anal fissures. Dr. Goldman has performed over 20,000 banding procedures. He has trained physicians from all over the world in the CRH system. Dr. Goldman is board certified in Surgery and a Fellow of the American College of Surgeons. He has practiced in Atlanta since 1981 after completing his training at Emory University. Dr. Goldman dedicates his practice exclusively to the non-operative treatment of hemorrhoids and anal fissures.

Do I need to fast or prepare before my visit? 

Can I eat before coming to the office?

There is no need to fast or take an enema before treatment.  We encourage you to eat a well balanced meal before coming in for treatment. 

Do I need a driver to take me to my appointment?

You do not need a driver.  If you feel uncomfortable or are worried about the procedure, you may want to have some support.

Do I need Colonoscopy?

Most patients with rectal bleeding from hemorrhoids have intermittent bright red blood with bowel movements, no weight loss, no abdominal pain, and no recent change in their bowel habits. Colonoscopy is not necessary before patients with typical hemorrhoid bleeding are banded and cured of their hemorrhoids. Although many Gastroenterologist, GI Specialist, Proctologists, and Colorectal Surgeons do recommend prebanding colonoscopy we do not find that necessary in the vast majority of cases we see.

In a very small minority of patients, rectal bleeding is atypical or persists and we do recommend colonoscopy. Patients over the age of 50 should have colonoscopy every 10 years. Patients with increased risk factors such as previous cancer, polyps, inflammatory bowel disease and 1st degree relatives with colon polyps or cancer will require colonoscopy more often


To schedule an appointment please call The Center for Colorectal Health of Atlanta, Roswell, Lawrenceville, Cumming, Marietta and Holly Springs at 770-442-3117 or fill out an appointment request today. 

 Call us today and get the help and relief you deserve without the pain and disability of surgery.

"Please do not rely on this or any other website for your health care decisions.  See a qualified physician if you are having rectal pain, bleeding, swelling, or itching".


About Us

The Center for Colorectal Health of Atlanta, Marietta, Roswell, Cumming, Holly Springs and Lawrenceville, directed by Alan L. Goldman, MD, FACS, focuses on non-surgical hemorrhoid treatment and curing anal fissures. 

Locations in Roswell, Lawrenceville, Marietta, Cumming, Holly Springs and Atlanta, we are the most experienced physicians in the Southeast when it comes to curing hemorrhoids and fissures without surgery.  

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