Which department should you visit for hemorrhoids?

Nov 14, 2025 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

If a hospital does not have a separate proctology department, patients with hemorrhoids can visit the general surgery department. General surgery covers the diagnosis and treatment of conditions affecting the abdomen, perianal region, and other areas. Doctors can assess the severity of hemorrhoids through examination, provide basic medical treatment, or refer patients to more specialized departments when necessary. This is suitable for primary care hospitals or medical institutions with relatively simple departmental structures.

When seeking medical care for hemorrhoids, the choice of department generally depends on the severity of the condition and the hospital's departmental structure, with possible visits to the proctology department, general surgery, gastroenterology, emergency department, or traditional Chinese medicine (TCM) proctology department. Specific details are as follows:

1. Proctology Department: Most comprehensive or specialized hospitals have a dedicated proctology department that focuses on diagnosing and treating anorectal and intestinal diseases. Doctors in this department possess professional expertise in diagnosing, classifying, and managing hemorrhoids, making it the ideal first choice for patients with all types of hemorrhoids, allowing for targeted treatment plans.

2. General Surgery Department: In hospitals without a separate proctology department, patients may visit the general surgery department. This department manages conditions affecting the abdomen and perianal region. Physicians can assess the severity of hemorrhoids, provide basic medical treatments, or refer patients to more specialized departments when necessary. This option is suitable for primary care facilities or hospitals with simpler organizational structures.

3. Gastroenterology Department: Some cases of hemorrhoids may be associated with gastrointestinal dysfunction. If a patient experiences additional symptoms such as bloating or changes in bowel habits, initial consultation with the gastroenterology department is recommended. Doctors will evaluate underlying gastrointestinal disorders and perform a preliminary assessment of hemorrhoids, possibly coordinating with the proctology department for combined management if needed.

4. Emergency Department: Immediate medical attention at the emergency department is required if severe symptoms occur suddenly, such as intense pain from thrombosed external hemorrhoids, prolapsed and incarcerated internal hemorrhoids, or profuse rectal bleeding leading to dizziness and weakness. The emergency team can quickly administer urgent interventions like hemostasis and pain relief to stabilize the patient before transferring them to a specialty department for further treatment.

5. TCM Proctology Department: Some hospitals offer a TCM proctology department, which applies traditional Chinese medical theories and treatments such as herbal sitz baths, acupuncture, and oral herbal medicines for hemorrhoid management. Integrated approaches combining Western and Chinese medicine are also available. This department is suitable for patients who prefer TCM therapies or wish to minimize surgical intervention.

Upon experiencing symptoms of hemorrhoids, it is advisable to first consult the proctology or TCM proctology department to receive more specialized care. During treatment, patients should follow medical advice to adjust lifestyle habits and attend regular follow-up appointments to prevent recurrence or worsening of the condition.

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How long does it take for the hemorrhoid ligation band to fall off after surgery?

If postoperative care is properly managed—keeping the anal area clean and dry, avoiding strenuous activity and straining during bowel movements—the blood supply to the ligated tissue will gradually be cut off, leading to normal necrosis and detachment. Most individuals complete the shedding process within 7–14 days. During this period, minor rectal bleeding or mild sensation of heaviness may occur, which are normal phenomena. No special intervention is required; simply allow the tissue to detach naturally.

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Can patients with hemorrhoids eat Ejiao cake?

In general, patients with hemorrhoids can consume Ejiao cake, as long as they do so in moderation. It is important to control the portion size when eating Ejiao cake to avoid indigestion or increased gastrointestinal burden caused by overconsumption. Choose Ejiao cake with simple ingredients and minimal spicy or irritating additives to reduce stimulation to the intestines and hemorrhoids. If symptoms such as abdominal bloating, worsened constipation, or increased hemorrhoidal pain occur after consumption, discontinue use and consult a healthcare provider.

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Is hospitalization required after mixed hemorrhoid surgery?

In general, whether hospitalization is required after mixed hemorrhoid surgery depends on a comprehensive assessment of factors such as the surgical method, the patient's physical condition, and expected postoperative recovery. If any discomfort occurs, it is recommended to promptly consult the attending physician. Before deciding on hospitalization, patients should have thorough discussions with their doctor to fully understand the surgical procedure and their own health status. For those recovering at home after surgery, it is important to keep the surgical wound clean and dry.

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Can a colonoscopy detect internal hemorrhoids?

A colonoscopy can detect internal hemorrhoids, clearly revealing their location, size, number, and mucosal condition, while simultaneously screening for other intestinal abnormalities. If symptoms such as rectal bleeding, anal heaviness, abdominal pain, or changes in bowel habits occur, prompt medical evaluation is recommended. Internal hemorrhoids are located at the distal end of the rectum near the anus, and a colonoscope can be inserted through the anus into the rectum and colon to directly visualize the morphological characteristics of the hemorrhoids.