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 windows

Quick facts

You must be physically in Virginia and 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 windows: 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 the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after 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.

Is bright-red blood from hemorrhoids dangerous?

A small streak of bright-red blood is common with hemorrhoids, but any rectal bleeding should be discussed with a clinician - especially if it is new, more than minor, or you are 45 or older, when colon-cancer screening is recommended.

How are hemorrhoids treated?

With topical creams (hydrocortisone/lidocaine or witch hazel), warm sitz baths, 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 severe painful lump, a change in bowel habits, weight loss, or new bleeding at age 45 or older.