Hemorrhoid Surgery in Houston, TX
Hemorrhoids are among the most common colorectal conditions affecting adults in the United States. But many endure in silence for months, even years, before seeking treatment. Dr. Rizwan Chaudhry at Advanced Houston Surgical offers minimally invasive hemorrhoid surgery in Houston, TX, for lasting relief.
What Are Hemorrhoids?
Hemorrhoids are swollen, inflamed veins in your lower rectum or anus. They are caused by pressure in the lower rectum, stretching the tissues and blood vessels. Hemorrhoids generally fall into two categories.
Internal hemorrhoids develop inside the anal canal and are usually painless. They may bleed during bowel movements or prolapse outside the anal opening (bulge outside the anal opening).
External hemorrhoids lie beneath the skin around the anus. They can become swollen and painful, particularly when a blood clot forms inside them (thrombosed hemorrhoid).
Causes of Hemorrhoids Hemorrhoids don’t develop overnight. They are most often caused by long-term pressure on the veins in the lower rectum and anal canal. The main causes are:
- Chronic constipation or straining
- Low-fiber diet
- Prolonged sitting, especially on the toilet
- Obesity
- Pregnancy
Risk increases with age because the supporting tissues in the rectum and anus weaken over time. Hemorrhoids are more likely to develop or worsen in adults over age 45.
When Is Hemorrhoid Surgery Recommended?
Not all hemorrhoids require surgical treatment. Many can be managed successfully with lifestyle changes and office procedures. Surgery is usually considered in the following situations:
- The hemorrhoids are large or permanently prolapsed.
- Recurrent major bleeding not controlled with other treatments
- Pain relief not obtained with conservative treatment
- Other office procedures, such as rubber band ligation, have been unsuccessful.
- Severe acute pain caused by a thrombosed external hemorrhoid.
- Internal hemorrhoids: Grade III or IV.
Dr. Chaudhry will perform a physical exam and diagnostic imaging as needed to decide the right treatment plan for your needs.
Surgical Approach We Use for Hemorrhoids
Dr. Chaudhry performs Transanal Hemorrhoidal Dearterialization (THD), a minimally invasive surgical technique for hemorrhoids. THD is a minimally invasive alternative to traditional excisional hemorrhoidectomy.
Dr. Chaudhry uses a Doppler ultrasound probe to identify the arterial blood vessels carrying blood to the hemorrhoidal tissue. Once identified, these blood vessels are tied off to prevent the blood flow, resulting in the natural reduction of the size of hemorrhoids.
For prolapsing hemorrhoids, the tissue is repositioned internally using a lifting suture technique. Because no cutting or removal of tissue occurs, the THD procedure results in much less pain compared to other surgical procedures, such as hemorrhoidectomy. The following are some benefits associated with this surgical technique:
- No hemorrhoid tissue is cut or removed
- Less post-operative pain than traditional surgery
- Same-day procedure in an outpatient setting
- THD is commonly used for internal hemorrhoids, including many prolapsing hemorrhoids.
- Many patients are able to return to normal activities within several days, although recovery times vary
- THD is associated with less postoperative pain compared with traditional excisional hemorrhoidectomy in many patients
THD is performed under anesthesia in an outpatient setting. The procedure is precise and effective, and patients usually go home the same day. Recovery is notably more comfortable than with traditional hemorrhoid surgery.
Most patients resume normal activity and return to work within four days. Dr. Chaudhry and his team provide comprehensive post-operative guidance and follow-up care throughout recovery.
Why Choose Us for Your Hemorrhoid Surgery in Houston, TX
It is important to choose a surgical team that has the experience and credentials to perform such a delicate, personal procedure as hemorrhoid surgery. Dr. Chaudhry is board-certified by the American Board of Surgery and completed his general surgery residency at the Mayo Clinic and his advanced fellowship training at the Cleveland Clinic.
As the Medical Director of an accredited Weight Loss and Metabolic Center, Dr. Chaudhry applies the same institutional commitment to quality, safety, and outcomes to every procedure he performs, including hemorrhoid surgery.
Above all, our patients describe Dr. Chaudhry as knowledgeable, approachable, and genuinely invested in their outcomes. We understand that colorectal concerns can be difficult to discuss, and our entire team is committed to care that is discreet and judgment-free from your very first visit.
FAQs
When can I return to work after hemorrhoid surgery?
Most patients are able to return to work within 4 days of their THD procedure. Recovery timelines vary with the nature of your work and your individual healing, and Dr. Chaudhry will give you specific advice at your follow-up visits.
Will my hemorrhoids come back after THD?
THD offers good symptom control for many patients, particularly for internal hemorrhoids, though recurrence can still occur over time. During your consultation and recovery, Dr. Chaudhry’s team will walk you through the dietary and lifestyle adjustments that give you the best chance of lasting relief.
What can I eat after THD surgery?
You will want to eat a high fiber diet after your THD to keep your stools soft and avoid straining with bowel movements. Good foods to eat are fruits, vegetables, whole grains, and legumes. Also, be sure you are drinking enough fluids. Your care team will give you specific dietary instructions after your surgery to help you recover.
Am I a good candidate for THD?
THD may be a good option for patients with Grade II, III, or IV internal hemorrhoids, including prolapsed hemorrhoids, and for patients who want a less invasive procedure with a faster recovery.
What Our Patients Are Saying
Highly Rated Bariatric Surgical Care
Dr. Chaudry and his staff are AMAZING! I had my procedure done June 23rd and 3 months later September 22nd, I am 58lbs lighter! Dr. Chaudry took his time made me feel comfortable and he answered all of my questions. He is very knowledgeable and passionate when it comes to his patients. I would highly recommend him to my family and friends. He has made this process so easy for me. Thank you again Dr. Chaudry!
Cashon Overton
The best doctor ever best decision i made this year.The staff is so phenomenal n the Dr so easy 2 talk to .I feel so happy 😊 My Dr.is so professional n phenomenal I absolutely 💯 love him. I Candice Price has no regrets i have so much energy and no complications at all.Im very Grateful for my Dr.Thank God
Candy DeWitt
Dr. Chaudry is AMAZING! He is very knowledgeable and caring. I received great care before and after my surgery. I love the follow up visits where he’s very informative about each stage of my journey. Best care you will ever receive!
Krystal Taylor
Dr. Chaudhry is amazing! I started this weight loss journey at my heaviest weight off 446 pounds. I had already lost about 40 to 50 pounds before meeting Dr. Chaudhry. After having the surgery he was very attentive and always available. Currently I am sitting at 186 pounds and owe so much to Dr. Chaudhry for taking me on as a patient.
Ashley Robinson
Dr. Chaudhry is hands down the best bariatric doctor ever! I am 3 months post op and March 21,2025 was my surgery date. I had my first appointment with him in January I could tell from that very first virtual visit that he definitely knew what he was doing. He always takes the time to listen and answers all my questions each visit. He has the best bedside manner and wants to make sure you are comfortable.
Amber Clark
I received great care before, during, and after my procedure. Dr. Chaudhry was both knowledgeable, and informative. The staff was very attentive, and helpful with both the admin/insurance as well as with the procedure/recovery itself. The facilities were top notch and made me feel comfortable and safe. Great doctor, great staff, that clearly put patients needs first.
Bryan Waites
Book Your Appointment Today!
Are you suffering from painful, bleeding hemorrhoids that aren’t getting better with conservative treatment? We provide minimally invasive hemorrhoid surgery in Houston, TX. Call us today at (713) 263 3900 to schedule your appointment.