How to Prepare for a Video Visit About Hemorrhoids in Children

Audience: pediatric

Hemorrhoids are swollen veins in the lower part of the anus and rectum that can cause discomfort in children. Preparing for a video visit about hemorrhoids helps you and your child get the most from the appointment. During the visit, the healthcare provider will ask about symptoms like pain, bleeding, or itching and may suggest ways to relieve discomfort. You can discuss lifestyle changes, such as diet and hygiene, that often improve symptoms. This guide explains how to prepare for the video visit, what to expect, and when to seek urgent care. Remember, telemedicine can provide helpful advice but is not a replacement for in-person exams when needed.

Red flags — go in person / ER

• Heavy rectal bleeding or blood clots — seek emergency care immediately.
• Severe pain or swelling around the anus — contact healthcare provider promptly.
• Fever or signs of infection such as redness, warmth, or pus — get urgent medical evaluation.

What telemedicine can do

• Initial symptom assessment and education about hemorrhoids.
• Advice on diet, hygiene, and lifestyle changes to relieve symptoms.
• Review of over-the-counter treatments and when to use them.
• Determining if in-person care is needed based on symptoms.

What telemedicine cannot do

• Performing a physical examination that requires touch or detailed inspection.
• Treating severe bleeding or infections that require immediate intervention.
• Diagnosing other conditions that may mimic hemorrhoids without in-person evaluation.

What Are Hemorrhoids in Children?

Hemorrhoids are swollen blood vessels in or around the anus. They can cause pain, itching, or bleeding, especially during bowel movements. In children, hemorrhoids are less common than in adults but can happen due to constipation, straining, or sitting for long periods.

How to Prepare for Your Child’s Video Visit

Before the visit, gather information about your child's symptoms. Note when they started, how often they happen, and any factors that make them better or worse. Have a list of any medications or treatments you have tried. Find a quiet, private place with good internet for the video call. Make sure your child is comfortable and ready to talk if possible.

What to Expect During the Video Visit

The healthcare provider will ask questions about your child's symptoms and medical history. They may ask to see the affected area if your child is comfortable showing it on camera. The provider will give advice on managing symptoms, such as diet changes, hygiene tips, or over-the-counter treatments. They may recommend an in-person visit if needed.

When to Seek Immediate Care

If your child has heavy bleeding, severe pain, fever, or signs of infection like redness and swelling, seek urgent medical care. These symptoms may require an in-person exam or treatment beyond telemedicine.

Tips for Managing Hemorrhoids at Home

Encourage your child to eat fiber-rich foods and drink plenty of water to prevent constipation. Teach gentle cleaning of the anal area with warm water and avoid harsh soaps. Avoid prolonged sitting or straining during bowel movements. Over-the-counter creams may help but check with your healthcare provider first.

How to prepare for your tele-visit

• Write down your child's symptoms and when they started.
• List any medications or treatments your child is using.
• Find a quiet, private space with good internet connection for the video call.
• Have a device ready with camera and microphone (smartphone, tablet, or computer).
• Prepare to describe or show the affected area if your child is comfortable.
• Have a pen and paper ready to take notes during the visit.

After your tele-visit

• Follow the healthcare provider's advice on diet and hygiene.
• Use recommended treatments as directed and watch for changes.
• Schedule an in-person visit if symptoms worsen or do not improve.
• Seek urgent care if red flag symptoms develop.
• Keep a symptom diary to track progress and share at follow-up visits.

FAQs

Can hemorrhoids in children be serious?

Hemorrhoids in children are usually not serious and often improve with simple care. However, if your child has heavy bleeding, severe pain, or signs of infection, seek medical care promptly.

What causes hemorrhoids in children?

Common causes include constipation, straining during bowel movements, sitting for long periods, or irritation of the anal area. Eating a low-fiber diet can also contribute.

How can I help my child prevent hemorrhoids?

Encourage a diet high in fiber, plenty of fluids, regular physical activity, and good bathroom habits to avoid constipation and straining.

Is it safe to show the affected area during a video visit?

Yes, if your child is comfortable and you feel it is appropriate, showing the area can help the healthcare provider assess symptoms. You can keep the camera focused on the area without showing your child's face for privacy.

When should I schedule an in-person visit?

If symptoms do not improve with home care, worsen, or if the healthcare provider recommends it, an in-person visit is important for a thorough exam and treatment.

Sources

1. Hemorrhoids — MedlinePlus, U.S. National Library of Medicine.
2. Hemorrhoids: Symptoms and Causes — Mayo Clinic.
3. Constipation in Children — American Academy of Pediatrics.
4. Hemorrhoids: Overview — Merck Manuals Consumer Version.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If your child has severe symptoms or emergencies, seek immediate medical attention.