Anal complaints are common – and are often investigated too late due to embarrassment. Here, the proctologists at VenaZiel Berlin explain what can be behind itching, pain, lumps, or blood in the stool, how a proctological examination truly proceeds, and which treatment is appropriate when. All articles are medically reviewed and continuously updated.
How to find your way: Start with Classifying Symptoms if you do not yet have a diagnosis. Under Examination, read what to expect at the proctologist. Treatment & Surgery explains the options – from ointment to minimally invasive procedures. If you would like to book an appointment directly: Proctology Center Charlottenstraße (Berlin-Kreuzberg).
1. Classifying Symptoms
Most proctological diseases present with a few similar symptoms. These articles will help you classify your complaints – and recognize when it’s okay to wait and when it’s not.
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Blood in the stool: harmless or a warning sign?
Bright red, dark, on paper or in water – what the type of bleeding reveals about the cause and when clarification cannot wait. -
Itching and burning in the anal area (anal eczema)
Why it itches, the role of hygiene, hemorrhoids, and skin conditions, and what really helps. -
Sudden painful lump in the anal area: Anal vein thrombosis
The most common proctological emergency – usually harmless, but very painful. What you should do in the first 48 hours.
2. The Proctological Examination
The fear of the examination is usually greater than the examination itself. It takes a few minutes, is generally not painful, and requires no special preparation.
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What is proctology – and what does a proctologist do?
Which diseases it covers, which specialists work in proctology, and when you need a referral. -
How do I prepare for a proctological examination?
Step-by-step procedure, what you can eat beforehand, common questions from women and men – and why you shouldn’t be ashamed. -
Frequent Patient Questions about Proctology
Short answers to the questions we are most frequently asked during consultations.
3. Treatment and Surgery
Most proctological diseases can initially be treated conservatively. If surgery becomes necessary, we rely on gentle, mostly outpatient procedures at the Charlottenstraße Surgical Center.
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Chronic anal fissure – when is surgery the only option?
Six weeks is the limit: ointments, Botox, sphincterotomy, and fissurectomy compared, with healing time and post-op experiences. -
Pilonidal sinus: minimally invasive therapy instead of major surgery
Pit-picking, laser, or classic excision – which method for which finding, wound healing, and recurrence risk.
Treatment in Berlin – our service pages
- Hemorrhoid Treatment
- Anal Fissure Treatment
- Anal Fistula Surgery
- Pilonidal Sinus Surgery
- Anal Eczema Treatment
- Anal Vein Thrombosis – Acute Treatment
4. After Treatment
Wound healing in the anal area follows its own rules: stool regulation, sitz baths, and proper cleaning determine the outcome. Our aftercare articles will appear starting in October; until then, you can find the most important information in the Patient Questions and in the respective surgical articles.
Who is behind this content
All articles in the Knowledge Center are written or medically reviewed by the treating physicians of the VenaZiel Proctology Center and provided with the date of the last review. Medical Director: Dr. med. Hamidreza Mahoozi, FEBTS, FCCP. Proctological examinations and surgeries take place at the Charlottenstraße 13, Berlin-Kreuzberg location.
Complaints that are not improving? A proctological examination takes just a few minutes and provides clarity.