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.

Hemorrhoid Treatment

Many misconceptions exist about the treatment of and cure of hemorrhoids. We are constantly hearing "My doctor told me just to learn to live with it because hemorrhoid surgery is so painful" or "just put this cream on your bottom and it will get better after awhile". How long does awhile have to be? Years? "My doctor told me surgery was very painful and I should try some suppositories and creams. They would never help for long. Finally I can sit without pain. Thank you".  Patient RS

Hemorrhoid creams and suppositories may provide temporary relief for some, but do nothing to help reduce the increased pressure in the rectum. Adding fiber and water to the diet may help. Yet many products touted on the internet have been taken for long periods of time, are expensive, and have no proven results. The appeal of this type of Hemorrhoid "Treatment" capitalizes on the fear and embarrassment that has developed towards hemorrhoids.

"I can not begin to thank you enough for your help. I only wish I would have done this a year ago".

In many cases, hemorrhoid treatment treatment with creams and suppositories as been unsuccessful for years. This no longer needs to be the case. We have helped thousands of patients get the help they deserve. Expensive ($5,000 to $15, 000) painful hemorrhoid surgery should be avoided. The pain and complications can lead to weeks of misery and missed work. Other surgical alternatives such as infrared coagulation (IRC), Freezing (cryosurgery), Lasers and Doppler Ligation are known for their highest cost, pain, and in some cases need for anesthesia and a visit to the operating room.   

A New Type of Hemorrhoid Treatment

Dr. Goldman offers a better hemorrhoid treatment alternative: the CRH-O’Regan ligation system. This bander is a remarkable improvement over the old painful hemorrhoid banding system that used metal graspers. Dr. Goldman introduced this procedure into the United States in 2006. Since then, Dr. Goldman’s experience with thousands of patients has allowed him the opportunity to develop a special expertise with this non-operative approach. Our patients are so very thankful to have avoided painful surgery and finally get the comfortable bottom they deserve.

The CRH-O’Regan ligation system uses a sterile, disposable device to apply gentle suction to the problem area, with the physician then placing a small rubber band over one internal hemorrhoid. The rubber band cuts off the blood supply to the hemorrhoid, reducing its size and pressure.  The band may fall off as soon as 48 hours after the banding.There are usually three banding sessions required at two week intervals.

The procedure is relatively painless, since the banding of the area involved does not have the type of nerves that sense sharp pain.  Topical lidocaine is used to help the procedure go quickly and smoothly.  Placement of the band is done in a matter of seconds.  You may experience a feeling of fullness or pressure in the rectum for the first 24 hours, but over-the-counter pain medication can usually relieve this feeling.  Our patients frequently remark how amazed they are the treatment can be so quick and so helpful.  “I don’t know why anyone would have surgery when this treatment is so easy.”  Patient LP.

Many of the symptoms related to the external tags may go away with banding.  Less than 10% of patients require removal of the tags. Bothersome external hemorrhoids or skin tags can be removed in the office under local anesthesia. 

Occasionally, more bleeding than usual can occur after the banding procedure. This is often from the untreated hemorrhoids rather that the treated one. Do not be concerned if there is a tablespoon or so of blood. If there is more blood than this, lie flat with your bottom higher than your head and apply ice pack to the area. If bleeding does not stop within a half hour and you feel faint, call our office at 770-442-3117 or go to the nearest emergency room. Rarely the bleeding is due to an ulcer that occurs after the band falls off. This area may need to be cauterized.


Your Hemorrhoid Treatment

Your first office visit will include a consultation, sigmoidoscopy, and initial treatment of your condition. You will be shown how the banding procedure works and be given time to have your questions answered. If needed your first band will be done the following visit. There are usually three banding sessions required at two week intervals with a final check-up a few weeks later.

The procedure is relatively painless, and we employ topical lidocaine to ensure the procedure goes quickly and smoothly. You can even drive yourself and return to normal activities the same day; no special preparation is needed and you may eat normally. For regular hemorrhoid treatment we recommend three banding sessions at two week intervals with a final check-up a few weeks later. 


Post-Banding Instructions

Following the procedure, rest at home in the evening and resume full activity the next day.  Avoid air travel and exercise for 24 hours.  You may experience a feeling of fullness or pressure in the rectum for the first 24 hours, but over-the-counter pain medication may be taken if needed.

  • Do not spend more than a few minutes on the toilet bearing down if you cannot empty your bowel; instead re-visit the toilet at a later time.
  • A sitz bath (soaking in a warm tub) or bidet is useful for cleansing the area after every bowel movement until the area heals.  This is especially helpful if you have had a minor surgical procedure such as removing an anal tag in addition to the banding procedure.
  • To avoid constipation, take two tablespoons of natural wheat bran, natural oat bran, flax, Benefiber or any over the counter fiber supplement with 7-8 glasses of water.
  • Unless prescribed a rectal medication, do not put anything inside your rectum for two weeks: No suppositories, enemas, fingers or other devices.
  • Do not stay seated for more than 2-3 hours.  Tighten your buttock muscles 10-15 times every two hours and take 10-15 deep breaths every 1-2 hours.
  • If you are traveling out of the country or by airplane, take your fiber supplement with you. Avoid alcohol and drink plenty of water. Walk for a few minutes of every hour.
  • Problems are not common.  However, if there is a substantial amount of bleeding, severe pain, chills, fever or difficulty passing urine (very rare), you should call us at 770-442-3117 or report to the nearest Hospital Emergency Room.

Occasionally, more bleeding than usual can occur after the banding procedure.  This is often from the untreated hemorrhoids rather than the treated one.  Do not be concerned if there is a tablespoon or so of blood.  If there is more blood than this, lie flat with your bottom higher than your head and apply an ice pack to the area.  If the bleeding does not stop promptly or you feel faint, call our office at 770-442-3117 and go to the nearest emergency room.

For even more information about hemorrhoid treatment and The Hemorrhoid Centers of America of Atlanta, Roswell, Lawrenceville, Marietta, Cumming, or Holly Springs please visit our New Patient FAQ. If you would like to schedule an appointment, please call 770-442-3117 or fill out an appointment request.


*This site is intended only for general information. Please do not rely on this or any other website as your primary source of health and safety information. See a qualified physician if you are having rectal pain, bleeding, or itching.

Hemorrhoids are easier to treat when they are smaller and not protruding. We have trained physicians from all over the world to use our techniques. 


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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