It’s not a pain in the butt

Dr. David Gutman, Advanced Hemorrhoid Specialists • July 14, 2025

Internal hemorrhoids form about 1 to 2 inches inside the rectum in the painless, colon lining region. But when they become inflamed, the entire region can become inflamed, including the more sensitive skin area. 

A person in a polka-dot shirt and blue jeans reaches back to touch their hip, suggesting discomfort or pain.

Because the pain from hemorrhoids can be so significant, many people mistakenly believe that treatment will be painful as well. Or they’ve heard horror stories about surgery and are afraid the pain will be worse.


One question I’ve been getting asked a lot recently is, “If your treatments are painless, why do my hemorrhoids hurt?”


About an inch inside your rectum, the skin of your butt ends and the lining of your colon begins. While the skin area has many nerve endings and can be very sensitive to pain, the colon lining area is insensitive to pain.


Internal hemorrhoids form about 1 to 2 inches inside the rectum in the painless, colon lining region. But when they become inflamed, the entire region can become inflamed, including the more sensitive skin area. That’s how internal hemorrhoids can cause pain externally.

Because the pain can be so significant, many people mistakenly believe that treatment will be painful as well. Or they’ve heard horror stories about surgery and are afraid the pain will be worse.


My treatments are not a pain in the butt. 


I offer two easy, safe, and effective non-surgical procedures designed to safely eliminate hemorrhoids. 


One reduces the blood flow that feeds the hemorrhoids, reducing inflammation and causing them to shrink. The other is better suited to removing larger hemorrhoids. Both take just a few seconds to do. Since they are performed in an area with no nerve endings, they can be administered right in the comfort of my office without anesthesia.


There is virtually no pain, no prep needed, there are no major restrictions, and you don’t have to take time off of work. Our patient-centric focus also means scheduling an appointment and getting seen quickly are equally painless.


Consultations are free of charge and our procedures are covered by insurance. 


To reach Dr. David Gutman of Advanced Hemorrhoid Specialists, call 216-772-4653. He has two office locations: 25200 Chagrin Blvd., Suite 109, in Beachwood; and 2660 W. Market Street, Suite 250, in Fairlawn. To learn more, visit SensitiveCare.com.


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