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Hemorrhoids Specialist

Robert G Yavrouian, MD, FACS, FASCRS

Colon and Rectal Surgery located in Los Angeles, CA & Glendale, CA

Hemorrhoids on or just inside your anus may be little more than a nuisance for some people, but these swollen veins can sometimes be extremely painful. If you have troublesome hemorrhoids, experienced surgeon Robert Yavrouian, MD, offers a range of treatment options at his offices in the Boyle Heights area of Los Angeles and Glendale, California. Get prompt, expert hemorrhoid treatment by calling Dr. Robert Yavrouian today or booking an appointment online.

Hemorrhoids Q & A

What are hemorrhoids?

Hemorrhoids (also known as piles) are blood vessels in your anus and the last section of your rectum that swell up. They're a common problem caused by excessive pressure on the veins in your rectum.

You may have external or internal hemorrhoids.

External hemorrhoids

External hemorrhoids come up on the skin just outside your anus. They may not be much of a problem unless a blood clot (thrombosis) forms, in which case they can cause significant discomfort.

Internal hemorrhoids

Internal hemorrhoids develop inside your anus. If they stay in place, they might not cause any symptoms, but sometimes they start bleeding or come out (prolapse) when you have a bowel movement. An internal hemorrhoid that prolapses fully and protrudes from the anus can cause severe pain.

The most frequent trigger for hemorrhoids is straining when passing stools because you have constipation or tenesmus (a problem where you feel the urge to push after a bowel movement). Anyone can get hemorrhoids, but they're more common in older people.

Do hemorrhoids require medical attention?

Mild hemorrhoids may clear up without treatment or with the use of over-the-counter remedies like hemorrhoid creams and sitz baths. A healthy, high-fiber diet can also help.

Sometimes, hemorrhoids become a chronic condition. If your hemorrhoids persist or get worse, Dr. Yavrouian has several treatments that can resolve the problem:

Rubber band ligation

If you have internal hemorrhoids that protrude from your anus, rubber band ligation is a simple way of stopping the blood flow. Dr. Yavrouian puts a rubber band around the hemorrhoid, which then clots and falls off after a couple of days.

Transanal hemorrhoidal dearterialization (THD)

THD involves cutting the blood vessel that serves your hemorrhoids, which decreases blood flow.


With sclerotherapy, Dr. Yavrouian injects a solution into your internal hemorrhoid that creates scar tissue. This cuts off the hemorrhoid's blood supply, which makes it shrink.

Infrared photocoagulation and electrocoagulation

With infrared photocoagulation, Dr. Yavrouian uses a special tool to direct infrared light at your internal hemorrhoid. The heat from the infrared light creates scar tissue and cuts off the blood supply, making the hemorrhoid shrink. Electrocoagulation is similar but uses an electric current instead of infrared light.

Hemorrhoid stapling

Dr. Yavrouian uses a medical stapler to return prolapsed internal hemorrhoids into your anus.


Dr. Yavrouian can remove prolapsing internal hemorrhoids and large external hemorrhoids if they aren't responding to other treatments.

For a fast and effective solution to problem hemorrhoids, call Dr. Robert Yavrouian today or book an appointment online.