Hemorrhoids Specialist

William E Pullano, M.D. -  - Gastroenterology

William E Pullano, M.D.

Gastroenterology & Internal Medicine located in Upper East Side, New York, NY

Hemorrhoids can cause pain, irritation, itching or discomfort, though in other cases, you may not even be aware that you have them. If you suspect you have hemorrhoids, contact the William E. Pullano, MD practice on Manhattan’s Upper East Side. Dr. Pullano, a gastroenterologist and internal medicine expert, treats hemorrhoid pain and discomfort in his clean, comfortable facility. Call or book an appointment online and get started on safe and professional relief from hemorrhoids as soon as possible.

Hemorrhoids Q & A

What are hemorrhoids?

Hemorrhoids are swollen veins in your anus or rectum that can cause itching, bleeding, and discomfort. When the swollen veins are inside the rectum, they are internal hemorrhoids, and you generally can’t see them. When they are located under the skin surrounding the outside of your anus, they are external hemorrhoids, and they are visible.

If you have painless bleeding during bowel movements (small amounts of bright blood), itching or irritation of the anus or surrounding region, or swelling in the area, you most likely have hemorrhoids.

Keep in mind that hemorrhoids are very common. In fact, 3 of 4 adults will experience hemorrhoids at some point. 

What causes hemorrhoids?

Hemorrhoids occur as the result of pressure on the veins in or around your anus, causing them to stretch, bulge, or swell. Increased pressure on the lower rectum can be the result of:

  • Straining during bowel movements
  • Sitting for long periods of time on the toilet
  • Chronic diarrhea or constipation
  • Obesity
  • Pregnancy
  • Anal intercourse
  • Low-fiber diet


However, you can also develop hemorrhoids for other reasons. You become more susceptible to hemorrhoids as you age, since the tissue that supports the veins in the region weakens and stretches over time. 

How do you treat hemorrhoids?

If your symptoms persist for more than three days, it’s time to consult Dr. Pullano, who has vast experience treating hemorrhoids. The first line of treatment is usually a special cream (for external treatment) or suppository (for internal treatment). If you are experiencing significant discomfort, along with a lump, this could be a thrombosed hemorrhoid (a clot), which isn’t serious but could require lancing or other treatment to release the buildup.

While bleeding during bowel movements is often an indication of hemorrhoids, it can also be a sign of other conditions in your colon. That’s why it’s important to promptly come for a full evaluation by Dr. Pullano if you have rectal bleeding for more than three days.

Hemorrhoids are a common and easily treatable condition. Dr. Pullano provides professional and compassionate care for all his patients in his comfortable Upper East Side offices. Call or book an appointment online and get quick relief for hemorrhoid discomfort.