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Gentle, Effective Relief From Painful and Bleeding Hemorrhoids for Tomball Patients
Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins. They are extremely common and often cause itching, discomfort, or bright red bleeding during bowel movements. Internal hemorrhoids form inside the rectum, while external ones develop under the skin around the anus. Most cases are easily treated, but any bleeding should be checked to rule out other causes.
Hemorrhoids develop from increased pressure in the lower rectum. Common causes include straining during bowel movements, chronic constipation or diarrhea, sitting for long periods, a low-fiber diet, pregnancy, obesity, and heavy lifting. Aging also weakens the tissues that support these veins, making hemorrhoids more likely.
Hemorrhoids are commonly linked to constipation, straining, and pregnancy. While usually harmless, rectal bleeding should never be assumed to be hemorrhoids without evaluation, because it can also signal polyps, IBD, or colorectal cancer. See a gastroenterologist promptly if you have ongoing bleeding, severe pain, a lump that will not go away, or bleeding along with a change in bowel habits or weight loss.
At Shaya Digestive & Liver Clinic, evaluation begins with a detailed discussion of symptoms, diet, medical history, medications, and lifestyle factors. Diagnostic evaluation may include:
Comprehensive Medical History
Understanding symptom patterns often provides valuable clues.
Blood Testing
Laboratory studies may help identify:
H. pylori Testing
Testing may be recommended when stomach-related symptoms are present.
SIBO Breath Testing
Used to evaluate bacterial overgrowth within the small intestine.
Colonoscopy
May be recommended depending on age, symptoms, family history, and risk factors.
Upper Endoscopy (EGD)
Can help evaluate reflux, gastritis, ulcers, and upper digestive tract disorders.
Dr. Saranya Addepally is a board-certified gastroenterologist with six years of clinical experience, treating a broad range of digestive and liver conditions. She is especially passionate about women’s GI health—areas where patients often feel overlooked or hesitant to seek care.
Her medical journey began in India, where she completed her training before moving to the United States to pursue advanced education in medicine and Gastroenterology at the University of Arkansas.
After several years in practice, she relocated to Houston to continue serving patients in the community. Following two years with a local group, she established her own practice, grounded in the principles and core values she believes are essential to delivering thoughtful, patient-centered care.
Hemorrhoids are swollen veins in the lower rectum and anus. They can be internal or external and often cause itching, discomfort, or bright red bleeding.
Hemorrhoid bleeding is usually not dangerous, but rectal bleeding should always be evaluated to rule out other causes such as polyps or colorectal cancer.
They are caused by increased pressure from straining, constipation, diarrhea, prolonged sitting, a low-fiber diet, pregnancy, or heavy lifting.
Most respond to fiber, fluids, and topical care. Persistent ones can be treated with simple in-office procedures like rubber band ligation.
See a doctor if bleeding continues, pain is severe, a lump will not go away, or bleeding comes with a change in bowel habits or weight loss.
Possibly. If you have rectal bleeding, a colonoscopy may be recommended to confirm the cause and rule out other conditions, especially after age 45.
Most hemorrhoids improve with simple measures, and effective in-office treatments are available for those that do not. After examining you, your gastroenterologist recommends a personalized plan that may include:
At Shaya Digestive & Liver Clinic, we provide:
There is no single “quick fix” for hemorrhoids, and relief is usually simple and effective. See a gastroenterologist if bleeding continues, pain is severe, or bleeding comes with a change in bowel habits or weight loss. At Shaya Digestive & Liver Clinic we focus on practical, lasting solutions. To help prevent hemorrhoids:
Offering Fast Track GI appointments
Specialized Gastroenterology Appointments Within 3–5 Business Days
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