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Got Hemorrhoids? We Can Help.

Get information about hemorrhoids, and how to heal them, within minutes.

Painless Hemorrhoid Treatment

There are several ways to treat hemorrhoids, from over-the-counter creams to hemorrhoidectomy surgeries. The most effective non-surgical method for treating hemorrhoids is a process called “rubber band ligation” or “banding” using the CRH O’Regan System.

While over-the-counter treatments (such as Preparation H) provide temporary relief from some of the symptoms caused by hemorrhoids, the CRH O’Regan System provides definitive relief without the complications of surgery.

The CRH O’Regan System is simple, painless, fast, effective, and appropriate for 95% of hemorrhoid patients.


The procedure takes about 1 minute to perform and is 95% effective.


Most patients can resume normal activities the same day.


The procedure is covered by Medicare and most insurance plans.


The procedure is painless and typically no pain medication is required after the procedure.

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About Hemorrhoid Treatment

Recovery from hemorrhoids can be quicker, easier and more painless than you might think. If left untreated, hemorrhoids can worsen over time, to the point that they may require surgery. It is important to understand the treatment options available to you so that you can make the right decisions.

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Hemorrhoid FAQs

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What are hemorrhoids?

Hemorrhoids are cushions of tissue containing swollen blood vessels in the lower rectum or around the anus. Hemorrhoids can cause discomfort, itching, bleeding, and sometimes severe pain. There are two types of hemorrhoids (often also called “piles“):

Internal hemorrhoids are swollen veins inside the rectum that form in an area where there aren’t any nerve endings. When internal hemorrhoids become enlarged, the tissue may protrude out through the anus causing symptoms such as itching, bleeding, and swelling. The level of protrusion indicates the degree of severity.

External hemorrhoids often occur as bulges or lumps around the anus. Because of the sensitive nerves in this area, these abnormal vessels are often painful, especially when sitting. If an external hemorrhoid becomes thrombosed, it may cause severe pain.

See our Hemorrhoid Signs and Symptoms page for help in determining if you’re suffering from hemorrhoids. The best way to be sure of the source of your discomfort, though, is to come in for a consultation.

What are the causes of hemorrhoids?

Hemorrhoids are caused by too much pressure in the veins of the rectum, which can be the result of a variety of factors. Hemorrhoids can be linked to diet, constipation, diarrhea, obesity, pregnancy and childbirth, and even sitting for extended periods of time.

How do I know if what I have is a hemorrhoid, or something else?

The most common hemorrhoid symptoms are itching, bleeding, pain, swelling and prolapse (hemorrhoid tissue protruding from the anus). Some patients with more severe hemorrhoids may also experience fecal leakage.

See our Hemorrhoid Signs and Symptoms page for help in determining if you’re suffering from hemorrhoids. The best way to be sure of the source of your discomfort, though, is to come in for a consultation.


How do I prevent hemorrhoids?

Hemorrhoids can’t always be prevented, but you can reduce your chances by avoiding some of the main hemorrhoid causes, like constipation. Whether you’ve had hemorrhoid treatment before or not, it’s a good idea to:

  • Get enough fiber,
  • Reduce your intake of high-fat, low-fiber foods, like red meat and dairy, which can cause constipation.
  • Drink eight glasses of water a day.
  • Avoid straining during bowel movements. If you don’t have a bowel movement within a few minutes of sitting on the toilet, come back later, which can help you avoid straining.
  • During periods of extended sitting, stay hydrated, eat fiber, and walk around as often as you are able.
Do hemorrhoids always require surgery?

Over 95% of hemorrhoids can be treated using the CRH O’Regan System®, meaning less than 5% of hemorrhoids require surgery. The sooner you seek treatment for a hemorrhoid, the lower your chances of needing surgery will be.

How does the CRH O’Regan System of banding work ?

A tiny rubber band is placed around the base of the hemorrhoid, which cuts off blood supply to the area. Within a few days, the banded tissue and band will shrink and fall off, usually without you noticing.

How many treatments are necessary?

Everyone has three hemorrhoid columns and most often, when one is affected, all three are affected. Generally speaking, a patient will require three treatments, with one band placed during each visit.

Does banding hurt?

No. With the procedure we use (the CRH O’Regan System®), band placement is painless and over 99% of patients experience no significant post-procedural pain.

Will I have to miss work or other activities?

You can typically return to work and resume your normal activities immediately following the procedure (but refrain from vigorous activity until the following day).

Will my insurance cover banding?

Most major insurance plans cover hemorrhoid banding (rubber band ligation). Call our office at (312) 724-7441 for cost details, or refer to your specific insurance policy for copay information.

Can’t I just use an over-the-counter treatment, like Preparation H Cream?

You can use an over-the-counter treatment to help relieve hemorrhoid symptoms such as itching and swelling. However, these remedies don’t treat the cause of the hemorrhoid, and it is more likely that your symptoms will resurface eventually. For a long-term solution, a treatment like banding is likely your best option.

The most important thing to remember is that hemorrhoids are a common affliction – most of us will experience symptomatic hemorrhoids at some point in our lives. You should never feel stressed or embarrassed about speaking to your doctor, who can provide more detailed answers to all of the above questions, and any others you might have. Contact our office to make an appointment today.

Have More Questions About Hemorrhoid Signs and Symptoms?

Learn more on our Hemorrhoid Signs and Symptoms page for help in determining if you’re suffering from hemorrhoids.

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Our Hemorrhoid Treatment Team

Nirav Shah, MD

Nirav Shah, MD

Ravi Ghanta, MD

Ravi Ghanta, MD

Burhan Hameed

Burhan Hameed, MD

Rupal Kothari, DO

Rupal Kothari, DO

Lisa Yoo, DO

Lisa Yoo, DO

J. David Horwhat, MD

J. David Horwhat, MD

Melissa Morgan, DO

Melissa Morgan, DO

Paul Allegretti, DO

Paul Allegretti, DO

Mehul Lalani, MD

Mehul Lalani, MD

Tareq Yasin, MD

Tareq Yasin, MD

Atul Bhardwaj

Atul Bhardwaj, MD

Robert Levy, DO

Robert Levy, DO

David Neiblum

David Neiblum, MD

David Bobman

David Bobman, MD

Alex Kuryan

Alex Kuryan, MD

Reina Bender, MD

Reina Bender, MD

Carrie Miller

Carrie Miller, MD

Matthew Baichi, MD

Matthew Baichi, MD

Albert Hahm

Albert Hahm, MD

Eva Sum

Eva Sum, MD

Besma Samdani

Besma Samdani, MD

Ronald Marcos, MD

Ronald Marcos, MD

Kathleen Lukaszewski, DO

Kathleen Lukaszewski, DO

John O'Connor, DO

John O’Connor, DO

Jong Nam, MD

Jong Nam, MD

Elizabeth Anne Sun

Elizabeth Anne Sun, MD

Ben Raile, MD

Alexa Kuenzel, PA-C

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Regain Your Freedom

Despite the fact that over half of all adults in the U.S. will get hemorrhoids before the age of 50, many people are still unable to recognize when they have them, or are uncomfortable seeking treatment. But you shouldn’t be. When treated early by a trained physician, hemorrhoids can be removed painlessly, for good, in a matter of seconds.

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