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Dawes Family Medicine
offers NON-SURGICAL treatment of hemorrhoids
Dilated anoscopy
is easy, safe, convenient, and discrete
Procedure is covered by Medicare and most private insurances

What is Dilated Anoscopy?

A dilated anoscopy is an examination where a small tube is inserted into the anus to examine your anus and rectum. Dilation occurs with inflation of air into the rectum Doctors use anoscopy to diagnose hemorrhoids, anal fissures (tears in the lining of the anus), and some cancers.

Are there any risks?

A dilated anoscopy offers minimal risks. There is a limited risk of bleeding and mild pain if sclerotherapy is used. In very rare instances, bowel perforation is possible and may require surgery.

What is Sclerotherapy?

Sclerotherapy is the injection of medicine to reduce the size of the hemorrhoidal tissue. In the office of Dr. Dawes, low dose steroids combined with lidocaine and adrenaline are used in the treatment. Most patients require 2-3 treatments for good results.

What are the Complications of Having Hemorrhoids?

• Anemia– Chronic blood loss from hemorrhoids may cause anemia, in which you do not have enough healthy red blood cells. This results in fatigue and weakness.

• Strangulated hemorrhoids– Blood supply to the hemorrhoid is cut off leading to extreme pain and possible tissue death (gangrene)


Hemorrhoids are swollen and inflamed veins in your anus and lower rectum. They may result from straining during a bowel movement or from increased pressure on these veins during pregnancy, among other causes.

INTERNAL HEMORRHOIDS lie inside the rectum. You can’t see or feel these hemorrhoids. But straining or irritation when passing stool can injure them and cause bleeding. Occasionally straining can push them through the anal opening which then can cause pain and irritation.

EXTERNAL HEMORRHOIDS are under the skin around your anus. When irritated, they can itch or bleed. Sometimes blood may pool in an external hemorrhoid resulting in severe pain, swelling

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