Gastroenterology

Hemorrhoids & Telehealth: Men’s Guide

Comprehensive guide to hemorrhoids in men, risk factors, treatment options and the benefits of telemedicine.

This in‑depth article explores hemorrhoids in men, from anatomy and prevalence to risk factors, symptoms and available treatments. It explains conservative management, minimally invasive procedures and lifestyle modifications. The role of telemedicine is highlighted, emphasizing privacy, convenience and access to specialists across Europe through Doctors365.org. A step‑by‑step booking guide, FAQs and strong call to action encourage readers to seek timely help.

1. Overview of Hemorrhoids in Men

Hemorrhoids—also called piles—are swollen, enlarged veins in the lower rectum or around the anus. Everyone is born with hemorrhoidal tissue, but they become problematic when increased pressure causes the veins to distend, leading to symptoms such as itching, bleeding or pain (1). In men, hemorrhoids often represent a source of embarrassment and discomfort that delays consultation. By midlife, about half of all adults experience at least one classic symptom (1), and epidemiologic data from the Cleveland Clinic estimate that approximately 1 in 20 Americans have bothersome hemorrhoids (2). Men and women are equally affected overall (3), but men tend to present later due to sociocultural factors and greater prevalence of risk factors such as heavy lifting and sedentary occupations.

This comprehensive article addresses hemorrhoids from a male perspective and explores how telemedicine can improve access to care. Using evidence‑based information from authoritative sources, we explain what causes hemorrhoids, how they present, and the range of conservative and interventional treatments available. We then discuss the role of online consultation—telemedicine—in delivering discreet, convenient and reliable care for men with this common condition. Throughout the piece you will find links to qualified specialists on Doctors365.org so you can book an appointment without leaving home. The goal is to educate, empower and encourage men to seek timely help, whether through lifestyle changes or virtual consultations.

2. Anatomy of the Anorectal Region

Understanding hemorrhoids requires a basic appreciation of anal anatomy. The anal canal is lined by cushions of submucosal tissue and veins that contribute to continence by sealing the canal and providing a cushioning effect (3). These cushions are fed by a network of veins called the hemorrhoidal plexus. When pressures inside the abdomen or pelvis increase—such as during straining, heavy lifting or prolonged sitting—the veins engorge. Internal hemorrhoids occur proximal to the dentate line and are covered by insensitive mucosa, which explains why they often bleed without causing pain. External hemorrhoids develop distal to the dentate line and are covered by richly innervated anoderm (3), making them prone to pain and itching. Prolapsed hemorrhoids refer to internal hemorrhoids that bulge outside the anus, while thrombosed hemorrhoids result from clot formation within an external hemorrhoid, producing sudden, severe pain (2).

3. Types of Hemorrhoids

Understanding the classification of hemorrhoids guides appropriate treatment. The main categories include:

Internal hemorrhoids (Grades I–IV) – These originate inside the rectum. Grade I hemorrhoids bleed without prolapsing. Grade II prolapse during straining but reduce spontaneously. Grade III require manual reduction, while Grade IV remain prolapsed and may become strangulated.
External hemorrhoids – Located under the skin around the anus, external hemorrhoids may itch or cause discomfort. When a blood clot forms, they become thrombosed, presenting as a tender, bluish lump (2).
Prolapsed hemorrhoids – Internal hemorrhoids that extend through the anal opening, sometimes causing mucus discharge and irritation (1).
Skin tags – Residual stretched skin that remains after thrombosed external hemorrhoids resolve; they may itch or trap fecal debris.

4. Prevalence and Risk Factors in Men

Hemorrhoids affect people across the lifespan but become more common with age. Large observational studies suggest that more than half of individuals over 50 years old develop symptomatic hemorrhoids (2). Risk factors particularly relevant to men include:

Chronic constipation and straining – A diet low in fiber coupled with inadequate hydration leads to hard stools that require excessive straining (1).
Prolonged sitting or heavy lifting – Men who work in desk jobs or lift heavy objects (e.g., construction, weightlifting) increase abdominal pressure, promoting venous engorgement (3). Sedentary lifestyles are a recognized risk factor (3).
Obesity – Increased body mass index correlates with hemorrhoid development due to elevated intra‑abdominal pressure (3).
Anal intercourse – Mechanical trauma and pressure on the anorectal veins elevate risk (3).
Family history and vascular factors – Genetic predisposition, weak connective tissue and high resting anal canal tone may predispose some men (1).
Occupational or recreational activities – Long‑distance truck drivers, cyclists or bodybuilders experience chronic perineal pressure. Dehydration, common among athletes, also contributes.
Medical conditions – Chronic diarrhea, liver disease (portal hypertension) and pregnancy (in women) increase risk; men may also be affected by portal hypertension or spinal cord injury (3).

Although pregnancy is not a male‑specific risk factor, men share many of the other influences. Recognizing these factors allows men to modify lifestyle habits—such as increasing fiber intake, staying hydrated, and reducing straining—to lower their risk.

5. Symptoms and Complications

Hemorrhoid symptoms vary based on location and severity. Internal hemorrhoids typically present with painless, bright red bleeding during or after defecation (1). Men may notice blood on toilet paper, on stool or in the toilet bowl. Prolapsed internal hemorrhoids can cause irritation and mucus leakage, leading to pruritus ani (itching) (1). External hemorrhoids often produce itching, aching, swelling and pain around the anus (2). Thrombosed external hemorrhoids manifest as sudden, severe pain with a palpable, tender lump; they may appear bluish or purple (2). Additional symptoms include:

Feeling of fullness, pressure or incomplete evacuation.
Discomfort or pain when sitting, especially on hard surfaces.
Leakage of feces or mucus causing soiling of underwear.
Skin irritation or dermatitis from chronic moisture.

Serious complications are uncommon but may include anemia from chronic blood loss, skin tags after thrombosis, infection or strangulated hemorrhoids where blood supply is compromised (2). Persistent bleeding warrants evaluation to rule out colorectal cancer, fissures or inflammatory bowel disease.

6. Causes and Contributing Factors

Hemorrhoids result from increased pressure in the hemorrhoidal venous plexus. Activities that interfere with blood flow—such as straining, sitting for long periods, or lifting heavy objects—cause venous engorgement and stretching of supporting tissue (1). Over time, the connective tissues weaken and hemorrhoids bulge or prolapse. Specific causes include:

Chronic constipation or diarrhea – Repeated straining due to hard stools or frequent bowel movements exerts mechanical stress on the veins (2)
Low‑fiber diet – Lack of dietary fiber leads to small, hard stools that are difficult to pass (1). Many men consume insufficient fruits, vegetables and whole grains.
Sedentary lifestyle and prolonged toilet sitting – Extended sitting increases venous pressure. Men who spend long periods on the toilet or at work desks are at risk (2).
Obesity – Excess weight elevates abdominal pressure and may impair venous return (3).
Heavy lifting and high‑impact exercise – Straining while lifting weights or performing powerlifting can transiently raise intra‑abdominal pressure and contribute to hemorrhoid formation.
Anal intercourse – Mechanical pressure may traumatize anal tissue and veins (3).
Aging and connective tissue changes – With age, the structures supporting hemorrhoidal veins weaken, increasing susceptibility (1).
Portal hypertension or hepatic disease – Elevated portal venous pressure, as seen in chronic liver disease, can result in anorectal varices.

Understanding these factors is essential for targeted prevention strategies. Many risk factors are modifiable through lifestyle changes, proper toileting habits and diet.

7. Diagnosis and Evaluation

Diagnosis begins with a detailed history and physical examination. External hemorrhoids are often apparent on inspection; a tender bluish lump suggests a thrombosed external hemorrhoid (2). Digital rectal examination assesses tone, detects masses and palpates internal hemorrhoids (2). Anoscopy allows direct visualization of the anal canal to grade internal hemorrhoids (1). For men over 45 years, sigmoidoscopy or colonoscopy may be performed to exclude colorectal polyps or cancer when rectal bleeding occurs (1). Diagnostic evaluation also includes:

Assessment of bowel habits, diet, fluid intake, and medication use.
Inquiry about bleeding severity, color and frequency, and associated pain or itching.
Evaluation for anemia (complete blood count) when chronic bleeding is reported.
Discussion of risk factors such as heavy lifting, occupation, and sexual practices.

It is important to differentiate hemorrhoids from other anorectal conditions such as anal fissures, fistulas, abscesses, rectal prolapse and colorectal cancer. Men should seek evaluation if bleeding persists, stools become dark or tarry, or systemic symptoms like weight loss or change in bowel habits occur.

8. Conservative Management and Home Remedies

Most hemorrhoid symptoms resolve with conservative measures. Home treatment focuses on softening stools, reducing inflammation and improving anal hygiene:

Increase dietary fiber – Foods like bran cereals, whole grains, beans, berries, fruits and vegetables provide soluble and insoluble fiber. Fiber softens stools and reduces straining (1). Start slowly to minimize gas and aim for 25–30 g/day.
Hydration – Drink plenty of water to keep stools moist and easy to pass. Men who exercise heavily or work outdoors require higher fluid intake.
Stool softeners and laxatives – Osmotic agents (polyethylene glycol) and surfactants (docusate) can reduce constipation (3).
Warm sitz baths – Sitting in a few inches of warm water for 15–20 minutes after bowel movements relieves itching and spasm (1). Repeat two or three times daily.
Topical treatments – Over‑the‑counter creams containing hydrocortisone, lidocaine or witch hazel temporarily soothe itching and pain (1). Ice packs can reduce swelling (1).
Proper toileting habits – Go to the bathroom at the first urge and avoid straining. Limit time on the toilet. Gentle wiping with moist tissues or use of a handheld bidet reduces irritation (2).
Regular exercise – Activities like walking, swimming or yoga improve bowel motility and reduce pressure (1).
Avoid heavy lifting – Use proper form and breathe out when lifting; avoid holding breath (Valsalva maneuver).

These measures often relieve symptoms within one to two weeks. If symptoms persist or there is recurrent bleeding, further evaluation is warranted.

9. Medical and Minimally Invasive Procedures

When conservative therapy fails, a range of office‑based and surgical options can treat hemorrhoids. The choice depends on the type and grade of hemorrhoid, patient preference and comorbidities. Rubber band ligation, performed by wrapping a small rubber band around the base of an internal hemorrhoid, is effective for Grades I–III (3). The band cuts off blood supply, causing the hemorrhoid to wither and fall off after several days. Other minimally invasive treatments include:

Sclerotherapy – Injection of a sclerosing agent to shrink hemorrhoidal tissue (3).
Infrared coagulation – Heat from infrared light coagulates protein and reduces blood flow (3).
Electrocoagulation and laser therapy – Electrical current or laser energy is applied to cauterize hemorrhoids (2).
Stapled hemorrhoidopexy – A circular stapling device removes excess tissue and tacks the prolapsed hemorrhoid back inside. This technique is typically reserved for Grade III–IV hemorrhoids.
Hemorrhoidectomy – Surgical excision remains the gold standard for severe or thrombosed hemorrhoids (3). The procedure is performed under local or general anesthesia, often as day surgery.

Men may worry about postoperative pain and downtime. Pain control involves non‑steroidal anti‑inflammatory drugs (NSAIDs), topical anesthetics and sitz baths (3). Minimally invasive procedures have shorter recovery times but may not provide a permanent cure. A colorectal surgeon or proctologist can discuss the most appropriate option.

10. Lifestyle Modifications and Prevention

Hemorrhoids often recur when underlying habits remain unchanged. Prevention centers on maintaining soft stools and avoiding activities that increase venous pressure. Key recommendations include:

Adopt a high‑fiber diet – Fill half your plate with fruits and vegetables, choose whole‑grain bread and cereals, and include beans, lentils or nuts daily. Fiber supplements (psyllium or methylcellulose) can fill gaps.
Stay active – Aim for at least 150 minutes of moderate aerobic activity per week. Walking, jogging, swimming, cycling and yoga enhance bowel motility and improve venous return.
Hydrate adequately – Drink water throughout the day. Limit caffeinated and alcoholic beverages, which can dehydrate.
Optimize toilet posture – Elevate your feet on a small stool to mimic a natural squatting position and ease defecation.
Avoid long sitting – Take breaks during desk work to stand and stretch. Use a cushion rather than a hard chair (1).
Manage body weight – Achieve and maintain a healthy weight to reduce abdominal pressure.
Address chronic constipation or diarrhea – Seek medical advice to manage irritable bowel syndrome, inflammatory bowel disease or other conditions that affect bowel habits.
Use proper lifting technique – Avoid holding your breath and exhale while lifting heavy objects. Men who lift weights recreationally should use lighter weights with higher repetitions when experiencing hemorrhoid symptoms.
Quit smoking – Smoking contributes to chronic cough and increases intra‑abdominal pressure.

Implementing these lifestyle changes not only prevents hemorrhoids but also improves overall gastrointestinal health.

11. Understanding the Role of Telemedicine

Telemedicine—often used interchangeably with telehealth—is the use of telecommunications technology (telephone, video, messaging) to connect patients with clinicians for health care (4). During the COVID‑19 pandemic, telehealth allowed many gastrointestinal (GI) practices to replace in‑person visits with virtual consultations and maintain continuity of care (4). Surveys of over 13,000 GI patients showed that more than 80 % felt their provider addressed their concerns during telehealth visits and were willing to use telehealth again (4). Providers expressed satisfaction rates exceeding 90 % (4). Advantages of telemedicine include:

Convenience – Men can consult a specialist from home or work, avoiding travel, traffic and waiting rooms (4).
Cost savings – Telehealth often costs less than in‑office visits and reduces indirect costs such as lost wages and childcare (4).
Improved access – Rural or busy individuals can connect with specialists who might not be available locally (4).
Reduced embarrassment – Discussing anorectal symptoms can be difficult; virtual appointments provide privacy, making it easier for men to seek help.
Continuity of care – Telemedicine enables follow‑up appointments and monitoring after procedures without unnecessary clinic visits (4).
Public health resilience – During pandemics or disasters, telehealth maintains access when in‑person care is limited (4).

In digestive diseases, telemedicine has been shown to improve patient adherence and satisfaction. A systematic review of telehealth for digestive diseases found that patient satisfaction ranged from 75 % to 100 %, with 80 % of patients recommending telehealth to others (5). Telehealth enhanced compliance through regular monitoring and remote symptom diaries, and some studies demonstrated improvements in disease activity and quality of life (5).

12. Telemedicine Benefits for Men’s Hemorrhoid Care

For men dealing with hemorrhoids, telemedicine offers specific benefits:

Privacy and discretion – Many men hesitate to discuss rectal symptoms face‑to‑face. Virtual visits allow them to consult discreetly from home. They can share their concerns with a board‑certified gastroenterologist or colorectal surgeon through secure video or chat.
Early intervention – Men often delay seeking care until symptoms are severe. Telemedicine lowers the threshold for seeking help, enabling early conservative interventions and preventing complications.
Tailored guidance – Physicians can review medical history, evaluate lifestyle factors and suggest individualized measures like fiber supplementation, hydration, exercise and over‑the‑counter therapies. Where appropriate, doctors may request photos of external hemorrhoids or stool diaries to assess severity.
Streamlined referrals – When surgical evaluation or in‑office procedures are necessary, telemedicine facilitates referrals to local providers without multiple preliminary visits. Providers can schedule endoscopic examinations or hemorrhoid banding at a convenient time.
Follow‑up and monitoring – Post‑procedure care often requires wound assessment and symptom management. Virtual follow‑ups reduce travel and enable timely adjustments in pain control or diet.
Access to specialists – In some regions, colorectal specialists are scarce. Telemedicine connects men with experienced surgeons or gastroenterologists who understand male-specific concerns, such as weightlifting or sexual health.

Moreover, digital platforms can integrate symptom trackers, educational videos and reminders, encouraging patients to adhere to lifestyle modifications. Telemedicine thus supports a comprehensive approach, combining education, prevention and treatment.

13. How Virtual Hemorrhoid Consultations Work

Booking a virtual hemorrhoid consultation is straightforward. Here is what men can expect during a typical online appointment with a Doctors365.org specialist:

Pre-appointment questionnaire – After scheduling, you’ll complete a secure online form detailing your symptoms, duration, bowel habits, diet and any medications. You may be asked about bleeding patterns, pain, itching, swelling and aggravating factors.
Photo or video upload – For external hemorrhoids, your doctor may request clear photos taken with a smartphone. Always ensure proper lighting and focus. This helps the provider assess whether a thrombosis or prolapse is present. If you feel uncomfortable sending images, simply describe the appearance; our doctors respect your privacy.
Virtual consultation – At the scheduled time, you’ll log into a secure video platform. The doctor will review your history, discuss lifestyle factors and ask clarifying questions. Telemedicine sessions typically last 15–30 minutes.
Management plan – Based on your presentation, the provider may recommend increased fiber intake, hydration, sitz baths, topical medications or stool softeners. They might instruct you on proper toileting posture and physical activity. If signs suggest complications (heavy bleeding, suspected thrombosis) or you meet the criteria for in‑office intervention, you’ll receive a referral for an in‑person examination.
Electronic prescriptions – When necessary, the doctor can send electronic prescriptions for topical creams, suppositories, analgesics or laxatives to your preferred pharmacy.
Follow-up – You’ll receive guidance on when to schedule a follow-up appointment. For persistent or severe symptoms, telemedicine can bridge you to a surgical consultation without delay.

During virtual visits, your provider cannot perform a digital rectal exam, anoscopy or colonoscopy. However, the initial assessment and counseling can address many concerns, reduce anxiety and provide clear next steps. Many men find that the combination of convenience and expert guidance outweighs the limitations.

14. Choosing the Right Specialist Online

Selecting a qualified healthcare professional is crucial. On Doctors365.org, you’ll find board‑certified gastroenterologists, colorectal surgeons and general surgeons with experience in hemorrhoid management. When choosing a specialist:

Check credentials – Look for board certification in gastroenterology, colorectal surgery or general surgery. Many profiles include training, years of experience and areas of expertise.
Review patient feedback – Patient ratings and reviews can help you understand communication style, bedside manner and satisfaction outcomes.
Consider availability – Choose a doctor who offers appointments at convenient times, including evenings or weekends if you work irregular hours.
Assess comfort level – Telemedicine requires open communication. Choose a provider you feel comfortable discussing sensitive topics with. Some men prefer male doctors for hemorrhoid consultations, while others may not mind.
Look for integrated care – Providers affiliated with hospitals or surgical centers can facilitate seamless transitions to in‑person care when necessary.

If you’re uncertain which specialist suits you, Doctors365’s support team can recommend professionals based on your symptoms and preferences.

15. Addressing Privacy, Anxiety and Stigma Through Telemedicine

Men often avoid seeking care for anorectal issues due to embarrassment or fear of invasive examinations. Telemedicine helps overcome these barriers:

Enhanced confidentiality – Consultations occur through encrypted video platforms. You control the environment, eliminating the risk of encountering acquaintances at a clinic.
Control over exposure – Unlike in‑clinic exams, you share only what you’re comfortable sharing. You can wear comfortable clothing and show only the necessary area if a photo is needed.
Reduced anxiety – Talking from home reduces performance anxiety and allows men to prepare questions, discuss sexual practices or weightlifting habits candidly and without judgment.
Flexible scheduling – Virtual visits can be booked outside standard working hours, so you don’t need to request time off or explain your absence to colleagues.
Educational resources – Telehealth platforms often provide articles, videos and interactive tools that demystify hemorrhoid disease. Men can learn at their own pace before or after consultations.

By offering privacy and convenience, telemedicine encourages earlier consultation, leading to better outcomes and reduced complications. Men can integrate care into their routines without disrupting work or family commitments.

16. Why Book an Online Consultation at Doctors365

Doctors365.org is a European telemedicine platform connecting patients with licensed doctors across numerous specialties. Booking a hemorrhoid consultation on Doctors365 offers unique advantages:

Certified specialists – All doctors are thoroughly vetted and hold certification in their respective fields. Many have trained at leading European and UK institutions. You will find gastroenterologists and colorectal surgeons experienced in hemorrhoid management.
European focus – The platform caters primarily to patients in Europe—including the United Kingdom, Germany, Switzerland, Austria and the Balkans—ensuring that practitioners understand local healthcare systems and guidelines.
Seamless booking – The user‑friendly interface lets you select a specialist, choose available time slots and secure appointments in minutes. You can pay online and receive confirmation instantly.
Secure communication – Doctors365 uses encrypted video conferencing and secure messaging to protect your health data. Only you and your doctor have access to consultation records.
Integration with pharmacies – Electronic prescriptions are sent directly to partner pharmacies across Europe, allowing same‑day pickup or delivery.
Continuity of care – After the initial visit, you can schedule follow‑ups with the same doctor or request second opinions without starting from scratch.
Transparent pricing – Consultation fees are clearly stated, with no hidden costs. In many European countries, telemedicine consultations may be reimbursed by insurance.

Telemedicine also reduces wait times and enables cross‑border consultations. Whether you live in rural Wales, the Swiss Alps or Berlin, you can access expert hemorrhoid care through Doctors365.

17. Step‑by‑Step Booking Guide

Booking an appointment through Doctors365 is simple. Follow these steps to schedule your virtual hemorrhoid consultation:

Visit Doctors365.org – Navigate to the gastroenterology or colorectal surgery specialty page. You can search for “hemorrhoid” or select Digestive Health.
Choose your doctor – Browse the list of available specialists. Click on their profiles to view qualifications, languages spoken and patient reviews. Look for doctors experienced in hemorrhoid treatment.
Select appointment time – Choose a date and time that suits your schedule. Keep in mind your local time zone (Europe/London) and the doctor’s availability. Many offer same‑day appointments.
Create an account or sign in – If you’re new to Doctors365, you’ll need to create a secure account. Provide your name, email and contact details. Existing users can simply log in.
Complete the pre‑consultation form – Fill out the symptom questionnaire and upload any relevant medical history or images. This helps the doctor prepare for your visit.
Confirm payment – Enter payment details and confirm the booking. You’ll receive an email or SMS with the appointment link and instructions.
Attend the consultation – At the scheduled time, click the link and join the virtual room. Ensure your camera and microphone are working, and choose a quiet, private location.
Follow up – After the session, follow the doctor’s recommendations. Use the platform to book follow‑ups, message your doctor or access educational resources.

Doctors365’s support team is available if you have questions about scheduling, payments or technical issues. The process is designed to be intuitive and stress‑free, allowing you to focus on your health.

18. Conclusion

Hemorrhoids are one of the most common anorectal disorders, and men are just as susceptible as women—even though they may be less likely to seek help. Recognizing the causes, risk factors and symptoms empowers men to make lifestyle changes that prevent hemorrhoids or reduce flare‑ups. Simple measures such as a high‑fiber diet, hydration, exercise and proper toileting habits can make a profound difference. When symptoms occur, conservative treatments like sitz baths, stool softeners and topical medications usually provide relief. For persistent or severe cases, minimally invasive procedures and surgery offer safe and effective solutions.

Telemedicine has revolutionized how men access hemorrhoid care. Studies show that patients and providers are highly satisfied with telehealth encounters (4), citing convenience, cost savings and comparable quality to traditional visits (4). Telehealth also increases access for men in rural areas and alleviates embarrassment, enabling earlier intervention and improved outcomes. Doctors365.org harnesses these benefits by providing a secure, user‑friendly platform connecting you with experienced specialists across Europe.

Don't let hemorrhoids interfere with your comfort or quality of life. Book your appointment today through Doctors365.org and take the first step toward relief. Whether you need personalized lifestyle guidance, prescription management or a referral for in‑person treatment, our network of gastroenterologists and colorectal surgeons is ready to help. Take control of your health—schedule your consultation now.

Written by Diellza Rabushaj, Medical Writer & Researcher.

Frequently Asked Questions (FAQs)

1. Are hemorrhoids dangerous? Hemorrhoids are usually benign and self‑limited. They rarely lead to serious complications, but chronic bleeding can cause anemia (2). Persistent symptoms warrant evaluation to rule out other conditions.

2. How can I tell if I have hemorrhoids or something else? Hemorrhoids typically cause bright red bleeding, itching or swelling near the anus. Anal fissures, fistulas, abscesses and colorectal cancer can mimic these symptoms. A virtual consultation can help determine whether further tests are necessary.

3. Can I exercise if I have hemorrhoids? Moderate exercise like walking, swimming or yoga promotes healthy bowel movements and may relieve symptoms. Avoid heavy lifting or straining during flare‑ups. Discuss your fitness routine with a healthcare provider.

4. Do I need surgery for hemorrhoids? Most cases resolve with conservative treatment. Surgery is reserved for severe or persistent hemorrhoids that do not respond to lifestyle changes and minimally invasive procedures (3).

5. Is telemedicine appropriate if I have heavy bleeding? Telemedicine is an excellent starting point to assess symptoms. If you experience heavy bleeding, dizziness or signs of anemia, you should seek immediate in‑person care. Your virtual doctor can advise you when an urgent evaluation is necessary.