Hemorrhoids Specialist

Nexus Care

Brian Citro, MD

General Surgeon located in Las Vegas, NV

General surgeon, Dr. Brian Citro, of Nexus Care, walks patients through the process of dealing with hemorrhoids, from start to finish. Hemorrhoids are a common problem for men and women, and Dr. Citro offers numerous treatments to take care of the condition, including the highly regarded hemorrhoid banding procedure. In his Las Vegas practice, he can help you in curing those swollen, inflamed veins. Call now or book online to make your appointment.

Hemorrhoids Q & A

What is a hemorrhoid?

Hemorrhoids are swollen, inflamed veins that appear around the anus or rectum. One common symptom is blood in the stool.

If bleeding accompanies your bowel movements, you need to seek medical attention to ensure it's not related to a more severe condition. Large hemorrhoids may require surgery among other treatments.

What causes hemorrhoids?

Hemorrhoids can be the result of strained bowel movements, aging, chronic constipation and diarrhea, or pregnancy.

Dr. Citro also assists patients with other conditions including anal fissures and fistulas. An anal fissure is a small tear in the anus lining. The symptoms of an anal fissure can include pain and bleeding during bowel movements, muscle spasms of the anus muscle, and itching and irritation.

Anal fissures can be caused by:

  • Passing large stools
  • Constipation and strained bowel movements
  • Chronic diarrhea
  • Inflammatory bowel disease
  • Childbirth


Syphilis, herpes, tuberculosis, HIV, or anal cancer can also cause anal fissures.

A fistula, by contrast, occurs when two parts of the body -- blood vessels or organs, for example -- connecting abnormally. While some people are born with fistulas, the most common causes include:

  • Surgery complications
  • Injury
  • Infection
  • Crohn's Disease
  • Ulcerative Colitis

What is hemorrhoid banding and what else can I do to get rid of a hemorrhoid?

Hemorrhoid banding is a procedure where Dr. Citro places tight bands around your swollen veins to block the blood flow to your hemorrhoids.

Before deciding on any treatment plan, he assesses the size and seriousness of your hemorrhoid. He may prescribe a topical cream or medication, or he may tell you to take a long, warm bath to alleviate your symptoms.

If it’s more serious and your hemorrhoid is large, surgery might be the best option.

If you have to undergo surgery, arrange for someone to take you home afterward. There’s a short two-week recovery period for hemorrhoid banding, during which period you must rest and recuperate. However, you won’t be rushed: Dr. Citro and his staff take ample time to inform, guide, and work with you.