Hemorrhoids guide

Hemorrhoid treatment online in Virginia and West Virginia

This guide is for classic hemorrhoid symptoms (anal itch or discomfort, a soft lump, or a small amount of bright-red blood on the paper), not for heavy or ongoing bleeding, dark stools, a severe painful lump, a change in bowel habits, or new rectal bleeding at age 45 or older.

Start online

Start a $59 online review for Hemorrhoids.

Hemorrhoids are swollen veins around the anus that cause itching, discomfort, a soft lump, or a small amount of bright-red blood on the toilet paper. Classic symptoms are often a good fit for online care with topical treatment and a fiber-and-stool-softener regimen. But more than minor bleeding, dark or tarry stools, a severe or hard painful lump, a change in bowel habits, unexplained weight loss, or new rectal bleeding at age 45 or older need in-person evaluation, including colon-cancer screening where appropriate.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response times

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

Anal itch or discomfort
A soft lump at the anus
A small streak of bright-red blood on the paper
Discomfort with bowel movements

May fit online care

Adults 18 and older
Classic hemorrhoid symptoms with only minor bright-red bleeding
Feeling generally well
No alarm features or severe pain

Look for another care setting

More than a small amount of blood, ongoing bleeding, clots, or dark/tarry stools
Feeling faint, unusually tired, or short of breath
A severe or hard, extremely tender lump
A change in bowel habits, weight loss, or new bleeding at age 45 or older
A history of inflammatory bowel disease

What to have ready

How long symptoms have lasted and the amount/color of any bleeding
Your usual bowel habits and any recent change
Any medication allergies and current medications

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Is bright-red blood from hemorrhoids dangerous?

A small streak of bright-red blood is common with hemorrhoids. Still, talk with a clinician (a doctor or other health professional) about any rectal bleeding (bleeding from the rectum, the last part of the bowel), especially if it is new, more than minor (more than a little), or you are 45 or older, when colon cancer screening (testing to find colon cancer early) is recommended.

How are hemorrhoids treated?

With topical creams (creams put on the area: hydrocortisone/lidocaine, or witch hazel), warm sitz baths (sitting in a shallow bath of warm water), and a fiber supplement plus a stool softener and more fluids to keep stools soft.

When do I need to be seen in person?

For heavy or ongoing bleeding, dark stools, a severely painful lump, a change in your bowel habits, weight loss, or new bleeding at age 45 or older.

Other conditions we treat

Not quite what you have? Here are other conditions we treat.

Diarrhea (sudden & traveler's)Anal fissure Anal itching Bloating & gas Constipation (functional)Heartburn & acid reflux (GERD)