Hemorrhoid Treatment
Our surgeons treat both the everyday and the complicated end of hemorrhoid disease: bleeding internal hemorrhoids, painful thrombosed external hemorrhoids, grade III–IV prolapse, and the flare-ups that keep coming back after creams and home remedies. Because we are a surgical group rather than a single-procedure clinic, rectal bleeding gets properly investigated rather than assumed — and the treatment we recommend follows your case, not the equipment on hand.
You will be seen in a private room at our Laguna Hills office, by a surgeon who does this every week. Most patients leave the first visit with a clear plan, and many begin treatment the same day.
Signs it's time to stop waiting
Rectal bleeding
Bright red blood on the tissue or in the bowl. Common with hemorrhoids — but always worth confirming the source rather than assuming it.
A painful lump
A firm, tender swelling at the anal opening usually means a thrombosed external hemorrhoid. Seen early, relief is often same-visit.
Prolapse
Tissue that pushes out during a bowel movement and stays out, or has to be pushed back. That's grade II–IV, and it rarely resolves on its own.
Itching and irritation
Persistent anal itching, moisture or burning that creams keep quieting but never fully fix.
Pain when sitting
Discomfort that has changed how you sit, drive, exercise or sleep — and has stopped being an occasional thing.
It keeps coming back
Flare-ups that settle, then return every few weeks or months. Recurrence is the clearest sign the underlying vessel needs treating.
From a few minutes in the office to definitive surgery
The right treatment depends on the grade, the type, and how long you’ve had it. Your surgeon will walk you through what applies to your case — and what doesn’t.
Rubber band ligation (hemorrhoid banding)
The most common office treatment for internal hemorrhoids. A small band is placed at the base of the hemorrhoid, cutting off its blood supply so it shrinks and falls away. No incision, no general anesthesia, and most people drive themselves home.
Typically a few minutes in the office
Infrared coagulation & non-surgical options
For smaller grade I–II internal hemorrhoids, targeted energy or sclerotherapy shrinks the vessel without cutting. Usually paired with a fibre, hydration and bowel-habit plan so the problem is far less likely to return.
Minimal downtime
Thrombosed hemorrhoid care
A clotted external hemorrhoid is the one that genuinely hurts. Seen early, it can often be relieved in the office at the same visit. Seen later, it usually settles with a supportive plan — and we’ll tell you honestly which window you’re in.
Call for the earliest available slot
Hemorrhoidectomy & surgical repair
For large, prolapsing or recurrent grade III–IV hemorrhoids, surgical removal remains the most definitive treatment — and the least likely to need repeating. Performed by surgeons who operate at Orange County hospitals every week.
Scheduled after your consultation
What should I expect at my first visit?
You will meet one of our surgeons, who will take a history and perform a private examination to identify the type and grade of hemorrhoid — and to rule out the other causes of rectal bleeding that shouldn’t be missed. Bring a list of your medications and any recent imaging or colonoscopy reports. Most patients leave with a written plan, and many begin treatment the same visit.
Which doctor do I see for hemorrhoids?
A general or colorectal surgeon. Primary care can start you on conservative measures, but banding, thrombosed hemorrhoid treatment and hemorrhoidectomy are all performed by a surgeon. At our Laguna Hills office you can book directly with Dr. Robertson, Dr. Wallace or Dr. Wong — no referral is required to request a consultation.
Is hemorrhoid banding painful?
Rubber band ligation is performed above the pain-sensitive line inside the anal canal, so most patients describe pressure or fullness rather than pain. It takes only a few minutes, needs no anesthesia, and most people return to their day with mild discomfort for 24–48 hours.
If I need surgery, what options are available to me?
Grade I–II internal hemorrhoids often respond well to in-office banding or non-surgical treatment. Grade III–IV hemorrhoids, large external hemorrhoids, and ones that keep returning after banding are usually better served by a hemorrhoidectomy. Your surgeon will explain which category you fall into — and will say so if no procedure is needed at all.
How long is recovery after hemorrhoid surgery?
In-office treatments such as banding typically need no real downtime. A surgical hemorrhoidectomy is a bigger recovery — most patients take about a week off and are fully back to normal over two to three weeks, with a bowel-care plan to make that period easier.
I’m bleeding but I have no pain. Should I still be seen?
Yes. Painless bright-red bleeding is the classic presentation of internal hemorrhoids, and it is also how several other conditions present. It is worth having the source identified rather than assumed, particularly if the bleeding is new, changing, or you are over 45.
Three steps, no guesswork
Request your appointment
Pick the surgeon you’d like to see and book online in about a minute, or call the Laguna Hills office directly. Nothing to print, no referral needed.
A discreet, thorough exam
A private consultation and examination to identify the type and grade — and to rule out the other causes of rectal bleeding that shouldn’t be missed.
Your treatment plan
You leave knowing your options, what each one involves, and what recovery actually looks like. Many patients begin treatment at the same visit.
