{"id":6360,"date":"2024-09-24T08:24:15","date_gmt":"2024-09-24T08:24:15","guid":{"rendered":"https:\/\/venaziel.de\/proctology-center\/hemorrhoids-causes-symptoms-and-modern-treatment-methods\/"},"modified":"2026-08-26T10:03:39","modified_gmt":"2026-08-26T10:03:39","slug":"hemorrhoids","status":"publish","type":"page","link":"https:\/\/venaziel.de\/en\/proctology\/hemorrhoids\/","title":{"rendered":"Treating hemorrhoids in Berlin"},"content":{"rendered":"<p><!-- VenaZiel \u2014 haemorrhoiden \u00b7 PUBLIKATIONSFASSUNG, einzeilig f\u00fcr WordPress (wpautop). Lesbare Fassung mit allen Hinweisen: haemorrhoiden-content-PROD.html \u00b7 offene Punkte: haemorrhoiden-redaktion.md --><script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"MedicalProcedure\",\"@id\":\"https:\/\/venaziel.de\/proktologie\/haemorrhoiden\/#procedure\",\"name\":\"H\u00e4morrhoidenbehandlung\",\"procedureType\":\"Konservativ und operativ\",\"bodyLocation\":\"Enddarm\",\"howPerformed\":\"je nach Grad des H\u00e4morrhoidalleidens: Stuhlregulierung, Sklerosierung, Gummibandligatur, HAL-RAR oder Laserbehandlung\",\"preparation\":\"Proktologische Sprechstunde mit Tastuntersuchung und Proktoskopie\",\"followup\":\"Kontrolle in der proktologischen Sprechstunde\"},{\"@type\":\"MedicalClinic\",\"@id\":\"https:\/\/venaziel.de\/#organization\",\"name\":\"VenaZiel MVZ\",\"medicalSpecialty\":\"Surgical\",\"telephone\":\"+49 30 25299482\",\"email\":\"hallo@venaziel.de\",\"availableService\":{\"@id\":\"https:\/\/venaziel.de\/proktologie\/haemorrhoiden\/#procedure\"},\"openingHoursSpecification\":[{\"@type\":\"OpeningHoursSpecification\",\"dayOfWeek\":[\"Monday\",\"Tuesday\",\"Wednesday\",\"Thursday\"],\"opens\":\"08:00\",\"closes\":\"16:00\"},{\"@type\":\"OpeningHoursSpecification\",\"dayOfWeek\":\"Friday\",\"opens\":\"08:00\",\"closes\":\"14:00\"}],\"address\":{\"@type\":\"PostalAddress\",\"streetAddress\":\"Charlottenstra\u00dfe 13\",\"postalCode\":\"10969\",\"addressLocality\":\"Berlin\",\"addressRegion\":\"Berlin\",\"addressCountry\":\"DE\"}},{\"@type\":\"FAQPage\",\"@id\":\"https:\/\/venaziel.de\/proktologie\/haemorrhoiden\/#faq\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Welcher Arzt behandelt H\u00e4morrhoiden?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ein Proktologe \u2014 also eine \u00c4rztin oder ein Arzt mit dem Schwerpunkt Enddarmerkrankungen. In Deutschland ist Proktologie keine eigene Facharztrichtung, sondern ein Schwerpunkt, den vor allem Chirurginnen und Chirurgen f\u00fchren. Viele Betroffene gehen zuerst zur Haus\u00e4rztin oder zum Hausarzt, was ein guter erster Schritt ist. F\u00fcr die Untersuchung mit dem Proktoskop und f\u00fcr die Behandlung selbst brauchen Sie jedoch eine proktologische Sprechstunde. Bei uns f\u00fchren vier \u00c4rztinnen und \u00c4rzte den Schwerpunkt Proktologie, darunter eine Fach\u00e4rztin.\"}},{\"@type\":\"Question\",\"name\":\"Brauche ich eine \u00dcberweisung zum Proktologen?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Nein. Sie k\u00f6nnen sich direkt bei uns vorstellen, auch als gesetzlich versicherte Patientin oder Patient. Eine \u00dcberweisung ist nicht erforderlich. Wenn Sie bereits Befunde haben \u2014 etwa von einer Darmspiegelung oder aus der haus\u00e4rztlichen Praxis \u2014 bringen Sie sie gern mit, dann m\u00fcssen wir nichts doppelt machen.\"}},{\"@type\":\"Question\",\"name\":\"Wie l\u00e4uft die Untersuchung ab?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Zuerst das Gespr\u00e4ch, dann die Untersuchung \u2014 und Sie erfahren vorher, was passiert. Sie liegen auf der Seite, zugedeckt. Es folgt die Betrachtung von au\u00dfen, danach eine Tastuntersuchung mit dem Finger und anschlie\u00dfend die Proktoskopie: ein kurzes, etwa fingerdickes R\u00f6hrchen, mit dem der Analkanal von innen beurteilt wird. Das ist unangenehm, aber in aller Regel nicht schmerzhaft, und es dauert nur wenige Minuten. Eine Abf\u00fchrvorbereitung ist daf\u00fcr nicht n\u00f6tig. Sagen Sie jederzeit Bescheid, wenn Sie eine Pause brauchen.\"}},{\"@type\":\"Question\",\"name\":\"M\u00fcssen H\u00e4morrhoiden immer operiert werden?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Nein. Der gr\u00f6\u00dfere Teil der H\u00e4morrhoidalleiden wird ohne Operation behandelt. In fr\u00fchen Stadien reichen oft eine Regulierung des Stuhlgangs und eine Behandlung im Sitzen \u2014 etwa eine Ver\u00f6dung oder eine Gummibandligatur, beide ohne Narkose und ohne Ausfallzeit. Eine Operation kommt vor allem dann infrage, wenn die H\u00e4morrhoiden dauerhaft vorfallen oder sich nicht mehr zur\u00fcckschieben lassen. Welcher Weg f\u00fcr Sie richtig ist, h\u00e4ngt vom Grad ab \u2014 und den sieht man erst bei der Untersuchung.\"}},{\"@type\":\"Question\",\"name\":\"Warum jucken H\u00e4morrhoiden?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Nicht die H\u00e4morrhoiden selbst jucken, sondern die Haut um den After. Vergr\u00f6\u00dferte H\u00e4morrhoiden schlie\u00dfen den Analkanal nicht mehr vollst\u00e4ndig ab, sodass etwas Schleim und Stuhlreste nach au\u00dfen gelangen. Die empfindliche Haut reagiert darauf mit Reizung, N\u00e4ssen und Juckreiz \u2014 daraus entsteht h\u00e4ufig ein Analekzem. Kr\u00e4ftiges Reiben und feuchtes Toilettenpapier verschlimmern das Problem meist, statt es zu l\u00f6sen. Behandelt wird deshalb beides: die Hautreizung und die Ursache im Analkanal.\"}},{\"@type\":\"Question\",\"name\":\"Gehen H\u00e4morrhoiden von allein wieder weg?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Beschwerden k\u00f6nnen von allein abklingen, besonders wenn sich der Stuhlgang bessert \u2014 etwa nach einer Schwangerschaft oder nach einer Phase mit hartem Stuhl. Vergr\u00f6\u00dfertes H\u00e4morrhoidalgewebe bildet sich dagegen in der Regel nicht von selbst zur\u00fcck. Wiederkehrende Blutungen oder Beschwerden \u00fcber mehrere Wochen sollten Sie deshalb untersuchen lassen, statt sie weiter mit Salben zu behandeln.\"}},{\"@type\":\"Question\",\"name\":\"Blut im Stuhl \u2014 sind das immer H\u00e4morrhoiden?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Nein, und das ist der wichtigste Satz auf dieser Seite. H\u00e4morrhoiden sind die h\u00e4ufigste Ursache f\u00fcr hellrotes Blut am Toilettenpapier, aber l\u00e4ngst nicht die einzige. Eine Analfissur, eine Entz\u00fcndung oder ein Tumor des Enddarms k\u00f6nnen dieselben Zeichen machen. Blut im Stuhl geh\u00f6rt deshalb immer untersucht \u2014 auch dann, wenn Sie sicher sind, dass es H\u00e4morrhoiden sind. Genau daf\u00fcr ist die Untersuchung da: um das Harmlose vom Behandlungsbed\u00fcrftigen zu trennen.\"}},{\"@type\":\"Question\",\"name\":\"Woran erkenne ich, dass es dringend wird?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"An starken, pl\u00f6tzlich einsetzenden Schmerzen am After, an einer Blutung, die nicht aufh\u00f6rt, sowie an Fieber mit Sch\u00fcttelfrost oder einer schmerzhaften Schwellung, die rasch zunimmt. H\u00e4morrhoiden selbst schmerzen meist nicht \u2014 starke Schmerzen sprechen eher f\u00fcr eine Analvenenthrombose, eine Fissur oder einen Abszess. Rufen Sie uns in diesen F\u00e4llen bitte an: (030) 2529 9482.\"}}]}]}<\/script> <!-- \u2550\u2550 Icon sprite (lucide) \u2550\u2550 --> <svg width=\"0\" height=\"0\" style=\"position:absolute\" aria-hidden=\"true\" focusable=\"false\"><defs> <symbol id=\"h-map-pin\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M20 10c0 4.993-5.539 10.193-7.399 11.799a1 1 0 0 1-1.202 0C9.539 20.193 4 14.993 4 10a8 8 0 0 1 16 0\"><\/path><circle cx=\"12\" cy=\"10\" r=\"3\"><\/circle><\/symbol> <symbol id=\"h-phone\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M13.832 16.568a1 1 0 0 0 1.213-.303l.355-.465A2 2 0 0 1 17 15h3a2 2 0 0 1 2 2v3a2 2 0 0 1-2 2A18 18 0 0 1 2 4a2 2 0 0 1 2-2h3a2 2 0 0 1 2 2v3a2 2 0 0 1-.8 1.6l-.468.351a1 1 0 0 0-.292 1.233 14 14 0 0 0 6.392 6.384\"><\/path><\/symbol> <symbol 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stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M20 13c0 5-3.5 7.5-7.66 8.95a1 1 0 0 1-.67-.01C7.5 20.5 4 18 4 13V6a1 1 0 0 1 1-1c2 0 4.5-1.2 6.24-2.72a1.17 1.17 0 0 1 1.52 0C14.51 3.81 17 5 19 5a1 1 0 0 1 1 1z\"><\/path><path d=\"m9 12 2 2 4-4\"><\/path><\/symbol> <symbol id=\"h-receipt-text\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M13 16H8\"><\/path><path d=\"M14 8H8\"><\/path><path d=\"M16 12H8\"><\/path><path d=\"M4 3a1 1 0 0 1 1-1 1.3 1.3 0 0 1 .7.2l.933.6a1.3 1.3 0 0 0 1.4 0l.934-.6a1.3 1.3 0 0 1 1.4 0l.933.6a1.3 1.3 0 0 0 1.4 0l.933-.6a1.3 1.3 0 0 1 1.4 0l.934.6a1.3 1.3 0 0 0 1.4 0l.933-.6A1.3 1.3 0 0 1 19 2a1 1 0 0 1 1 1v18a1 1 0 0 1-1 1 1.3 1.3 0 0 1-.7-.2l-.933-.6a1.3 1.3 0 0 0-1.4 0l-.934.6a1.3 1.3 0 0 1-1.4 0l-.933-.6a1.3 1.3 0 0 0-1.4 0l-.933.6a1.3 1.3 0 0 1-1.4 0l-.934-.6a1.3 1.3 0 0 0-1.4 0l-.933.6a1.3 1.3 0 0 1-.7.2 1 1 0 0 1-1-1z\"><\/path><\/symbol> <symbol id=\"h-search\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"11\" cy=\"11\" r=\"8\"><\/circle><path d=\"m21 21-4.3-4.3\"><\/path><\/symbol> <symbol id=\"h-droplet\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M12 22a7 7 0 0 0 7-7c0-2-1-3.9-3-5.5s-3.5-4-4-6.5c-.5 2.5-2 4.9-4 6.5C6 11.1 5 13 5 15a7 7 0 0 0 7 7z\"><\/path><\/symbol> <symbol id=\"h-waves\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M2 6c.6.5 1.2 1 2.5 1C7 7 7 5 9.5 5c2.6 0 2.4 2 5 2 2.5 0 2.5-2 5-2 1.3 0 1.9.5 2.5 1\"><\/path><path d=\"M2 12c.6.5 1.2 1 2.5 1 2.5 0 2.5-2 5-2 2.6 0 2.4 2 5 2 2.5 0 2.5-2 5-2 1.3 0 1.9.5 2.5 1\"><\/path><path d=\"M2 18c.6.5 1.2 1 2.5 1 2.5 0 2.5-2 5-2 2.6 0 2.4 2 5 2 2.5 0 2.5-2 5-2 1.3 0 1.9.5 2.5 1\"><\/path><\/symbol> <symbol id=\"h-arrow-down-circle\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><path d=\"M12 8v8\"><\/path><path d=\"m8 12 4 4 4-4\"><\/path><\/symbol> <symbol id=\"h-alert-circle\" viewbox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"1.75\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"><\/circle><path d=\"M12 8v4\"><\/path><path d=\"M12 16h.01\"><\/path><\/symbol> <\/defs><\/svg> <\/p>\n<div class=\"venaziel-page\"> <!-- \u2550\u2550 1 \u2014 HERO \u2550\u2550 --> <\/p>\n<section class=\"hero\" aria-labelledby=\"hero-title\">\n<div class=\"wrap hero-grid\">\n<div class=\"hero-copy\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Proctology \u00b7 Kreuzberg \u00b7 Mitte<\/span><\/p>\n<h1 id=\"hero-title\">Treating hemorrhoids in Berlin \u2014 first the grade, then the procedure<\/h1>\n<p class=\"lead\">Proctology consultation hours in Berlin-Kreuzberg, bordering Mitte. Sclerotherapy, rubber band ligation, HAL-RAR, and laser \u2014 the appropriate procedure is determined by the findings, not by a catalog. <\/p>\n<div class=\"hero-cta\"> <a class=\"btn btn-lg btn-primary\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book appointment online<\/a> <a class=\"btn btn-lg btn-secondary\" href=\"mailto:hallo@venaziel.de\">Inquire via email<\/a> <\/div>\n<p> <!-- Wie auf der Gallensteine-Seite: der Siegel-Platz tr\u00e4gt die Qualifikation, nicht eine Zertifizierung. Namen stehen bewusst nicht hier \u2014 die Zuordnung steht in den Arztkarten. \u201eSchwerpunkt\" ist die korrekte Bezeichnung: Proktologie ist in Deutschland kein eigener Facharzttitel. \u201eFach\u00e4rzte f\u00fcr Proktologie\" w\u00e4re falsch. --> <\/p>\n<div class=\"siegel\">\n<div>\n<div class=\"siegel-title\">Four doctors specializing in proctology<\/div>\n<div class=\"siegel-sub\">Including the head of Visceral Surgery and Proctology. Consultation and treatment are handled by the same team. <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"sprech\"> <span class=\"eyebrow-label\">Proctology Consultation Hours<\/span> <\/p>\n<h2 class=\"title\">First examine, then treat<\/h2>\n<div class=\"rows\">\n<div class=\"row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-map-pin\"><\/use><\/svg> <span class=\"v\">Charlottenstra\u00dfe 13, Kreuzberg\/Mitte<\/span> <\/div>\n<div class=\"row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-mail\"><\/use><\/svg> <span class=\"v\"><a href=\"mailto:hallo@venaziel.de\">hallo@venaziel.de<\/a><br \/> <span class=\"hint\">The calmer way: You write when it suits you, we reply as quickly as possible \u2014 and you have our answer in writing.<\/span><\/span> <\/div>\n<div class=\"row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-phone\"><\/use><\/svg> <span class=\"v\"><span class=\"tabular\">(030) 2529 9482<\/span><br \/> <span class=\"hint\">For urgent and hard-to-plan matters. Usually staffed <span class=\"tabular\">9:00 AM \u2013 3:00 PM<\/span>, Fridays until <span class=\"tabular\">1:00 PM<\/span>. <\/span><\/span> <\/div>\n<div class=\"row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-clock\"><\/use><\/svg> <span class=\"v\">Open  <span class=\"tabular\">Mon.\u2013Thu. 8:00 AM\u20134:00 PM <\/span><br \/><span class=\"tabular\">Fri. 8:00 AM\u20132:00 PM <\/span><\/span> <\/div>\n<\/p><\/div>\n<p class=\"note\">Digital rectal examination and proctoscopy, without bowel preparation. Afterwards, you will know the grade \u2014 and what it means for you. <\/p>\n<p> <a class=\"btn btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book an appointment online<\/a> <\/div>\n<\/p><\/div>\n<div class=\"wrap stats\"> <!-- Die drei Kacheln beantworten die drei Fragen, die laut Suchdaten vor dem Termin stehen: Wer macht das? Muss ich operiert werden? Wie komme ich rein? \u2014 nicht \u201eWas sind H\u00e4morrhoiden\". --> <\/p>\n<div class=\"stat\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-shield-check\"><\/use><\/svg> <\/p>\n<div>\n<div class=\"h\">No referral needed<\/div>\n<div class=\"d\">for both statutory and private insurance<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"stat\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-search\"><\/use><\/svg> <\/p>\n<div>\n<div class=\"h\">Examination without bowel preparation<\/div>\n<div class=\"d\">Digital rectal exam and proctoscopy<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"stat\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-house\"><\/use><\/svg> <\/p>\n<div>\n<div class=\"h\">Mostly without surgery<\/div>\n<div class=\"d\">Treatment while seated, without anesthesia<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"trustband\"> <img decoding=\"async\" class=\"lazyload trustband-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%27675%27%20viewBox%3D%270%200%201200%20675%27%3E%3Crect%20width%3D%271200%27%20height%3D%27675%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/Venaziel-hernienzentrum-proktologie-berlin-mitte-opzentrum.jpg\" width=\"1200\" height=\"675\" alt=\"\" title=\"\"> <\/p>\n<div class=\"wrap trustband-inner\">\n<div class=\"trust-cell\">\n<div class=\"k\">Consultation and Treatment<\/div>\n<div class=\"v\">Charlottenstra\u00dfe 13, 10969 Berlin-Kreuzberg<\/div>\n<\/p><\/div>\n<div class=\"trust-cell\">\n<div class=\"k\">Specialization<\/div>\n<div class=\"v\">Proctology, in the Section of Visceral Surgery<\/div>\n<\/p><\/div>\n<div class=\"trust-cell\">\n<div class=\"k\">First appointment<\/div>\n<div class=\"v\">no referral, no preparation<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p> <!-- \u2550\u2550 3 \u2014 ARTICLE + STICKY RAIL \u2550\u2550 --> <\/p>\n<div class=\"wrap body-grid\">\n<aside class=\"rail\">\n<nav class=\"toc\" aria-label=\"Auf dieser Seite\"> <span class=\"eyebrow-label\">On this page<\/span> <\/p>\n<div class=\"toc-links\"> <a href=\"#beschwerden\">Symptoms<\/a> <a href=\"#untersuchung\">Examination<\/a> <a href=\"#grade\">Grades I to IV<\/a> <a href=\"#verfahren\">Procedures<\/a> <a href=\"#risiken\">Risks<\/a> <a href=\"#kosten\">Costs<\/a> <a href=\"#operateure\">Who treats you<\/a> <a href=\"#standort\">Location<\/a> <a href=\"#faq\">Frequently Asked Questions<\/a> <\/div>\n<\/nav>\n<div class=\"card rail-cta\">\n<div class=\"title\">Any questions left?<\/div>\n<p>We will review the findings and tell you honestly if anything needs to be done at all.<\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book an appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Enquire by email<\/a> <\/div>\n<\/aside>\n<div class=\"article\"> <!-- \u2500\u2500 Beschwerden \u2500\u2500 STEHT JETZT ZUERST. #kurzueberblick ist am 2026-08-20 aufgel\u00f6st worden: drei seiner f\u00fcnf Stichpunkte standen wortgleich schon als Hero-Kacheln (\u201eOhne \u00dcberweisung\", \u201eUntersuchung ohne Abf\u00fchren\", \u201eMeist ohne Operation\"), einer geh\u00f6rte zu den Graden, und der f\u00fcnfte \u2014 Blut im Stuhl geh\u00f6rt immer untersucht \u2014 steht jetzt dort, wo er hingeh\u00f6rt: neben der Blutungs-Karte. Der beruhigende Absatz (\u201eH\u00e4morrhoiden hat jeder\") er\u00f6ffnet jetzt diesen Abschnitt, statt einen eigenen zu tragen. --> <\/p>\n<section id=\"beschwerden\" aria-labelledby=\"beschwerden-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Symptoms<\/span><\/p>\n<h2 id=\"beschwerden-title\">Everyone has hemorrhoids \u2014 they only cause symptoms when they enlarge<\/h2>\n<p class=\"p\">This is the point where most conversations relax. Hemorrhoids are not foreign bodies or varicose veins, but a vascular cushion in the anal canal that every person has from birth. It helps keep the bowel sealed. Symptoms only arise when this cushion enlarges and no longer slides back into place. The medical term for this is hemorrhoidal disease.    <\/p>\n<p class=\"p\">Four types of symptoms bring people to us. Which of these you experience already says a lot about the probable grade \u2014 but it&#8217;s only certain after the examination. <\/p>\n<div class=\"vz-cards\">\n<div class=\"vz-card\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-droplet\"><\/use><\/svg> <\/p>\n<h3>Bright red blood<\/h3>\n<p>On toilet paper, in the water, or on the stool surface \u2014 and usually without pain. This is the most common first sign. Dark blood or blood mixed with stool, however, should always be clarified quickly.  <\/p>\n<\/p><\/div>\n<div class=\"vz-card\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-waves\"><\/use><\/svg> <\/p>\n<h3>Itching and weeping<\/h3>\n<p>Enlarged hemorrhoids no longer completely close the anal canal. Some mucus escapes, and the skin reacts with irritation. Ointments help the skin, not the cause \u2014 which is why it recurs.  <\/p>\n<\/p><\/div>\n<div class=\"vz-card\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-arrow-down-circle\"><\/use><\/svg> <\/p>\n<h3>Something protrudes<\/h3>\n<p>During bowel movements, later also when walking or lifting. Whether it retracts on its own, can be pushed back, or remains outside is precisely the difference between Grades II, III, and IV \u2014 and thus between treatments. <\/p>\n<\/p><\/div>\n<div class=\"vz-card\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-alert-circle\"><\/use><\/svg> <\/p>\n<h3>Pain \u2014 usually something else<\/h3>\n<p>Hemorrhoids are located above the pain-sensitive zone and usually do not hurt. Severe pain is more indicative of an anal fissure, an anal thrombosis, or an abscess. All three are treatable \u2014 but differently.  <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<p class=\"p\"><b>Blood in the stool should always be examined<\/b> \u2014 even if hemorrhoids are already known. Bleeding that was harmless once is not automatically harmless again the next time. <\/p>\n<p> <!-- Akutzeichen. Stand bis 2026-08-21 nur als achte von acht FAQ-Fragen am Seitenende, eingeklappt \u2014 also hinter einem Klick und rund 20.000px unterhalb dieser Stelle. Wer mit einer akuten Thrombose oder einem Abszess sucht, liest die Seite nicht zu Ende. Der FAQ-Eintrag bleibt zus\u00e4tzlich stehen: er tr\u00e4gt das FAQPage-Schema und beantwortet die Suchanfrage direkt in der Ergebnisliste. Telefon ist hier der richtige Kanal, E-Mail ausdr\u00fccklich nicht \u2014 dieselbe Ausnahme wie bei den Warnzeichen nach einem Eingriff. Bewusst nur die Zeichen, keine Erkl\u00e4rung: dass dahinter eher Thrombose, Fissur oder Abszess steckt und alle drei gut behandelbar sind, steht 200px dar\u00fcber in der Schmerzen-Karte. Zweimal dasselbe auf einem Screen liest sich als F\u00fcllung. Die lange Fassung bleibt in der FAQ-Antwort, die f\u00fcr sich allein in der Ergebnisliste steht. --> <\/p>\n<div class=\"vz-akut\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-alert-circle\"><\/use><\/svg> <\/p>\n<div class=\"vz-akut-body\">\n<h3>When you should not wait for an appointment<\/h3>\n<p>Severe, sudden pain in the anus \u00b7 bleeding that does not stop \u00b7 fever with chills \u00b7 a painful swelling that rapidly increases.<\/p>\n<p class=\"vz-akut-tel\">Please call us: <span class=\"tabular\">(030) 2529 9482<\/span>, usually staffed <span class=\"tabular\">9:00 AM \u2013 3:00 PM<\/span>, Fridays until <span class=\"tabular\">1:00 PM<\/span>. Outside these hours: medical on-call service <span class=\"tabular\">116 117<\/span>, for severe bleeding, emergency services <span class=\"tabular\">112<\/span>. <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"card rail-cta rail-cta-inline\">\n<div class=\"title\">Do you recognize yourself in any of these?<\/div>\n<p>The underlying grade cannot be determined from the outside \u2014 nor with an ointment from the pharmacy. The examination provides the answer. <\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Inquire via email<\/a> <\/div>\n<\/section>\n<p> <!-- \u2500\u2500 Untersuchung \u2014 der Schwerpunkt der Seite \u2500\u2500 Bis 2026-08-20 lag dieser Abschnitt rund 5.200 px tief, hinter Kurz\u00fcberblick und Beschwerden. Das war falsch herum: die Sprechstunden-Karte im Hero verspricht \u201eErst untersuchen, dann behandeln\", und der Artikel lie\u00df danach sechs Bildschirme vergehen, bevor er es einl\u00f6ste. Der Intent-Cluster \u201eAngst \/ Diagnose\" konvertiert mit 1,64 % am besten von allen, Einzelqueries bis 6,6 % \u2014 gegen 0,31 % f\u00fcr die informative Masse. Wer hier ankommt, will nicht wissen, was H\u00e4morrhoiden sind. Er will wissen, was gleich mit ihm passiert. Deshalb eigenes Bauteil statt .ablauf: die Schrittfolge der Hernienseiten beschreibt einen Eingriff, diese hier nimmt Angst. Das Foto liegt IN der Folge, nicht dar\u00fcber, und der Satz \u00fcber den Abbruch steht als eigener Block, nicht als Nachsatz. --> <\/p>\n<section id=\"untersuchung\" aria-labelledby=\"untersuchung-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Examination<\/span><\/p>\n<h2 id=\"untersuchung-title\">What happens during the examination<\/h2>\n<p class=\"p\">The fear of this appointment keeps people from seeking treatment for years. That&#8217;s why we fully explain what to expect here \u2014 so you know beforehand, not just when you&#8217;re in the room. <\/p>\n<div class=\"vz-exam\"> <!-- Der beste Satz der Seite stand als 15px-Bildunterschrift unter einem Foto im aufgel\u00f6sten Kurz\u00fcberblick. Er beantwortet die eigentliche Angst \u2014 gesehen und erkannt zu werden \u2014 direkter als die H1. Jetzt er\u00f6ffnet er den Abschnitt. --> <\/p>\n<p class=\"vz-exam-lead\">You arrive at a normal reception desk. It doesn&#8217;t say why you&#8217;re there, and in the waiting room, there are people with varicose veins, hernias, and abdominal pain. <\/p>\n<figure class=\"vz-figure\"> <img class=\"lazyload\" decoding=\"async\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271216%27%20height%3D%27768%27%20viewBox%3D%270%200%201216%20768%27%3E%3Crect%20width%3D%271216%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/01\/VenaZiel.berlin.mvz_.jpg\" width=\"1216\" height=\"768\" loading=\"lazy\" alt=\"Reception of the VenaZiel Medical Center in Charlottenstra\u00dfe with counter and waiting area\" title=\"\"><figcaption>Arriving at Charlottenstra\u00dfe 13.<\/figcaption><\/figure>\n<ol class=\"vz-exam-steps\">\n<li>\n<h3>The Consultation<\/h3>\n<p>First, we talk, not examine. How long have the symptoms existed, what do bowel movements look like, has there been bleeding, are there bowel diseases in the family.  <b>You sit at the desk, fully clothed.<\/b><\/p>\n<\/li>\n<li>\n<h3>The Visual Inspection<\/h3>\n<p>You lie on your left side, knees drawn up, covered. Only the area of concern is visible. Externally, we can identify skin tags, tears, eczema, and prolapsed tissue.  <\/p>\n<p> <!-- HIER FEHLT EIN FOTO. Bis 2026-08-24 stand an dieser Stelle eine Aufnahme, die das Gegenteil ihrer eigenen Bildunterschrift zeigte: mehrere fahrbare Liegen mit Seitengittern, zwei Trennw\u00e4nde und ein \u00dcberwachungsmonitor mit EKG-Kabeln \u2014 also ein Aufwachbereich \u2014 unter der Zeile \u201eKein OP-Saal, keine Vollnarkose \u2014 eine Sprechstunde mit einer Liege.\" Das alt- Attribut nannte zus\u00e4tzlich eine Untersuchungsleuchte, die im Bild nicht vorkommt. An der wichtigsten Stelle der Seite widersprach damit das Bild dem Text, und bei diesem Widerspruch gewinnt das Bild. Deshalb ersatzlos entfernt statt umgetextet. Was hierher geh\u00f6rt: der proktologische Sprechzimmer-Raum, eine Liege, kein Monitor, keine zweite Liege im Bild. Fotoliste steht in haemorrhoiden-redaktion.md. Bis dahin tr\u00e4gt der Abschnitt das Empfangsfoto oben, und die Schritte lesen sich ohne Abbildung vollst\u00e4ndig. --> <\/li>\n<li>\n<h3>The Digital Rectal Examination<\/h3>\n<p>The anal canal is palpated with a finger and plenty of lubricant: sphincter tone, tenderness, indurations. This takes less than a minute. <\/p>\n<\/li>\n<li>\n<h3>The Proctoscopy<\/h3>\n<p>A short tube, about the thickness of a finger, shows the anal canal from the inside \u2014 only then do internal hemorrhoids become visible and their grade assessable. Unpleasant, usually not painful, over in a few minutes. Bowel preparation is not necessary.  <\/p>\n<\/li>\n<li>\n<h3>The Findings<\/h3>\n<p>You will learn what was observed, what grade is present, and which treatment is suitable, all during the same appointment. You won&#8217;t leave with a piece of paper and a callback appointment. <\/p>\n<\/li>\n<\/ol>\n<p class=\"vz-exam-consent\">Let us know at any time if you need a break or would like something explained. The examination will not be continued against your will at any point. <\/p>\n<\/p><\/div>\n<p class=\"p-muted\">Detailed, with all questions about preparation: <a href=\"https:\/\/venaziel.de\/en\/proktologische-untersuchung-vorbereitung\/\">The proctological examination \u2014 procedure and preparation<\/a><\/p>\n<div class=\"card rail-cta rail-cta-inline rail-cta-keep\">\n<div class=\"title\">This is the appointment you postpone<\/div>\n<p>It takes a few minutes, requires no preparation and no referral \u2014 and afterwards, you&#8217;ll know where you stand.<\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book an appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Enquire by email<\/a> <\/div>\n<\/section>\n<p> <!-- \u2500\u2500 Grade \u2500\u2500 Das R\u00fcckgrat der Seite. 5.390 Impressionen fragen nach Grad I\u2013IV, und wir ranken darauf schlecht. Wichtiger noch: der Grad ist die Br\u00fccke zwischen \u201ewas habe ich\" und \u201ewas wird gemacht\". Ohne ihn bleibt die Verfahrenstabelle ein Katalog. --> <\/p>\n<section id=\"grade\" aria-labelledby=\"grade-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Grades I to IV<\/span><\/p>\n<h2 id=\"grade-title\">The grade decides, not the symptom<\/h2>\n<p class=\"p\">The severity of symptoms says surprisingly little about the extent of the findings. Some people bleed heavily at Grade I, while others barely notice Grade III. Classification is therefore based on what is visible during the examination: whether and how far the tissue prolapses.  <\/p>\n<div class=\"table-wrap\">\n<table>\n<thead>\n<tr>\n<th scope=\"col\">Grade<\/th>\n<th scope=\"col\">Findings<\/th>\n<th scope=\"col\">Typical symptoms<\/th>\n<th scope=\"col\">Typical treatment<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td data-label=\"Grad\">\n<div class=\"m\">Grade I<\/div>\n<div class=\"m-sub\">not visible externally<\/div>\n<\/td>\n<td data-label=\"Befund\">Enlarged, remains in the anal canal. Only detectable with a proctoscope. <\/td>\n<td data-label=\"Typische Beschwerden\">Bright red bleeding, often without other symptoms<\/td>\n<td data-label=\"Behandlung in der Regel\">Stool regulation, <a href=\"#v-veroedung\">sclerotherapy<\/a><\/td>\n<\/tr>\n<tr>\n<td data-label=\"Grad\">\n<div class=\"m\">Grade II<\/div>\n<div class=\"m-sub\">prolapses, retracts on its own<\/div>\n<\/td>\n<td data-label=\"Befund\">Protrudes during straining, then retracts spontaneously<\/td>\n<td data-label=\"Typische Beschwerden\">Bleeding, itching, weeping, pressure sensation<\/td>\n<td data-label=\"Behandlung in der Regel\"><a href=\"#v-ligatur\">Rubber band ligation<\/a>, <a href=\"#v-veroedung\">sclerotherapy<\/a><\/td>\n<\/tr>\n<tr>\n<td data-label=\"Grad\">\n<div class=\"m\">Grade III<\/div>\n<div class=\"m-sub\">must be pushed back<\/div>\n<\/td>\n<td data-label=\"Befund\">Prolapses and remains outside, can be pushed back with a finger<\/td>\n<td data-label=\"Typische Beschwerden\">Foreign body sensation, weeping, eczema, incomplete emptying<\/td>\n<td data-label=\"Behandlung in der Regel\"><a href=\"#v-halrar\">HAL-RAR<\/a>, <a href=\"#v-laser\">laser treatment<\/a><\/td>\n<\/tr>\n<tr>\n<td data-label=\"Grad\">\n<div class=\"m\">Grade IV<\/div>\n<div class=\"m-sub\">permanently prolapsed<\/div>\n<\/td>\n<td data-label=\"Befund\">Constantly outside, can no longer be pushed back<\/td>\n<td data-label=\"Typische Beschwerden\">Persistent weeping, skin irritation, pain if incarcerated<\/td>\n<td data-label=\"Behandlung in der Regel\"><a href=\"#grad-iv\">Surgical removal<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<p> <!-- Grad IV lief vorher ins Leere: die Zeile nannte \u201eOperative Entfernung\", und dieses Verfahren kam auf der ganzen Seite nicht noch einmal vor \u2014 nicht in der Verfahrenstabelle, nirgends. Wer am st\u00e4rksten betroffen und am ehesten bereit ist, einen Termin zu machen, las also, dass er eine Operation braucht, und fand sie dann nicht beschrieben. Der Absatz benennt KEIN Verfahren. Ob das Haus klassisch exzidiert oder nach Longo operiert, ist laut Redaktionsnotiz noch offen; eine Zusage w\u00e4re hier eine Erfindung. Er sagt stattdessen das Ehrliche: dass die Tabelle darunter diese Frage nicht beantwortet und das Gespr\u00e4ch es tut. --> <\/p>\n<p class=\"p\" id=\"grad-iv\"><b>Grade IV<\/b> is the only grade for which the gentle procedures in the next section are not sufficient. Here, there is usually no way around surgery \u2014 which one is suitable depends on the findings and will be discussed with you personally. <\/p>\n<p class=\"p\">This classification is a map, not a fixed route. It describes what usually fits which grade \u2014 which procedure is right for you also depends on your symptoms, your pre-existing conditions, and what you can imagine. <\/p>\n<p> <!-- Siebte Inline-Karte, 2026-08-21. Zwischen der Karte nach #untersuchung und der nach #verfahren lagen auf dem Telefon 4.651px ohne Schaltfl\u00e4che \u2014 quer \u00fcber #grade und #verfahren, also genau die Strecke, auf der entschieden wird. Der Text ist f\u00fcr diese Stelle geschrieben: die Leserin hat gerade vergeblich versucht, sich in die Tabelle einzuordnen, und der Abschnitt hat ihr zweimal gesagt, dass die Beschwerden das nicht hergeben. Die Karte nimmt ihr die Aufgabe ab, statt sie zu wiederholen. Kein rail-cta-keep: oberhalb 1200px steht die Schiene daneben. --> <\/p>\n<div class=\"card rail-cta rail-cta-inline\">\n<div class=\"title\">You don&#8217;t have to classify yourself here<\/div>\n<p>The grade is revealed by looking through the proctoscope, not by the symptoms. This is clarified in a few minutes; afterwards, we discuss the procedure. <\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Inquire via email<\/a> <\/div>\n<\/section>\n<p> <!-- \u2500\u2500 Verfahren \u2500\u2500 --> <\/p>\n<section id=\"verfahren\" aria-labelledby=\"verfahren-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Procedure<\/span><\/p>\n<h2 id=\"verfahren-title\">How we treat<\/h2>\n<p class=\"p\">Every intervention is preceded by the same thing: regulating bowel movements. Soft, formed stool without straining is not a minor detail, but the foundation \u2014 without it, symptoms will return after any treatment. Only then does the question of the procedure arise.  <\/p>\n<div class=\"table-wrap\">\n<table>\n<thead>\n<tr>\n<th scope=\"col\">Procedure<\/th>\n<th scope=\"col\">What happens<\/th>\n<th scope=\"col\">Suitable for<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr id=\"v-veroedung\">\n<td data-label=\"Verfahren\">\n<div class=\"m\">Sclerotherapy<\/div>\n<div class=\"m-sub\">Sclerotherapy<\/div>\n<\/td>\n<td data-label=\"Was dabei geschieht\">A medication is injected into the tissue, which then shrinks and regains support<\/td>\n<td data-label=\"Geeignet bei\">Grades I to II<\/td>\n<\/tr>\n<tr id=\"v-ligatur\">\n<td data-label=\"Verfahren\">\n<div class=\"m\">Rubber band ligation<\/div>\n<div class=\"m-sub\">Barron Ligation<\/div>\n<\/td>\n<td data-label=\"Was dabei geschieht\">A small rubber band is placed over the excess tissue. It falls off on its own after a few days. <\/td>\n<td data-label=\"Geeignet bei\">Grade II<\/td>\n<\/tr>\n<tr id=\"v-halrar\">\n<td data-label=\"Verfahren\">\n<div class=\"m\">HAL-RAR<\/div>\n<div class=\"m-sub\">Doppler-guided arterial ligation<\/div>\n<\/td>\n<td data-label=\"Was dabei geschieht\">The feeding arteries are located with ultrasound and ligated; prolapsed tissue is additionally lifted<\/td>\n<td data-label=\"Geeignet bei\">Grades II to III<\/td>\n<\/tr>\n<tr id=\"v-laser\">\n<td data-label=\"Verfahren\">\n<div class=\"m\">Laser treatment<\/div>\n<div class=\"m-sub\">from inside, without incision<\/div>\n<\/td>\n<td data-label=\"Was dabei geschieht\">The tissue is sclerosed and shrinks from the inside via a thin probe; the mucous membrane remains intact<\/td>\n<td data-label=\"Geeignet bei\">Grades II to III<\/td>\n<\/tr>\n<p> <!-- Rafaelo ist die einzige Zeile der Tabelle, die NICHT von der Live-Seite stammt. Die Praxis hat das Verfahren m\u00fcndlich best\u00e4tigt, die schriftliche Best\u00e4tigung steht aus (Stand 2026-08-20). Bis dahin tr\u00e4gt die Zeile is-todo: im Review-Modus sichtbar, in der Publikationsfassung nicht. Das ist hier kein Formalismus. Ein Verfahren zu bewerben, das nicht angeboten wird, ist der eine Fehler auf dieser Seite, der Patienten umsonst herfahren l\u00e4sst \u2014 und der werberechtlich am teuersten ist. F\u00e4llt die Best\u00e4tigung aus, verschwindet die Zeile von selbst. --> <\/p>\n<tr>\n<td data-label=\"Verfahren\">\n<div class=\"m\">Rafaelo<\/div>\n<div class=\"m-sub\">Radiofrequency ablation<\/div>\n<\/td>\n<td data-label=\"Was dabei geschieht\">High-frequency current heats the tissue via a fine probe, causing it to shrink. Without incision and without sutures. <\/td>\n<td data-label=\"Geeignet bei\">Grades II to III<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<p> <!-- Die Spalte \u201eNarkose\" stand hier urspr\u00fcnglich als vierte. Sie ist gestrichen, weil sie nur f\u00fcr zwei der vier Zeilen einen belegten Wert hatte. Eine Tabellenspalte, die zur H\u00e4lfte leer bleibt oder eine Redaktionsanweisung tr\u00e4gt, ist schlechter als keine Spalte: ein leeres Feld unter \u201eNarkose\" liest sich wie \u201ekeine\". 2026-08-21: \u201eohne Narkose\" stand danach im Flie\u00dftext der Spalte daneben \u2014 bei Sklerosierung und Ligatur, bei HAL-RAR, Laser und Rafaelo nicht. Das ist derselbe Fehlschluss wie die halbleere Spalte, nur unauff\u00e4lliger: Wer \u00fcber die Gradtabelle bei HAL-RAR landet, liest das Schweigen als Aussage. Die Angabe steht deshalb nur noch im Absatz unter der Tabelle, wo sie beide Verfahren ausdr\u00fccklich benennt und \u00fcber die anderen nichts behauptet. Nicht wieder in die Zeilen zur\u00fcckschreiben, solange die Narkoseform f\u00fcr HAL-RAR und Laser nicht aus dem Haus best\u00e4tigt ist. Alles \u00dcbrige sammelt der is-todo-Absatz unten. --> <\/p>\n<p class=\"p\">Sclerotherapy and rubber band ligation take place during the consultation, while seated or in a side-lying position, without anesthesia. You walk home afterwards and can usually continue working. <\/p>\n<p class=\"p is-todo\"><span class=\"chk\"><b>CHECK<\/b>Practical information missing here that can only be provided by the clinic: type of anesthesia for HAL-RAR and laser, outpatient or inpatient, duration of the procedure, how long you stay at home afterwards, when sport is possible again \u2014 and how many sessions are usual for sclerotherapy and ligation, at what interval.<\/span><\/p>\n<p class=\"p\">Which procedure we propose to you will be told after the examination \u2014 and we will also say if none of them are necessary. A significant portion of the symptoms presented to us as &#8220;hemorrhoids&#8221; stems from an <a href=\"https:\/\/venaziel.de\/en\/proctology\/anal-fissure\/\">anal fissure<\/a> or anal eczema and does not need any intervention at all. <\/p>\n<p> <!-- Vierte Inline-CTA, wieder nur mobil. Unterhalb von 960px l\u00f6st sich die Leiste auf, und zwischen der Karte nach #untersuchung und der nach #kosten lagen 7.569 px \u2014 rund neun Telefonbildschirme \u00fcber Gradtabelle, Verfahrenstabelle und Risiken hinweg. Also genau \u00fcber den drei Abschnitten, in denen entschieden wird. Sie steht am ENDE von #verfahren, nicht nach #grade: vorher kennt man die Verfahren noch nicht, nachher ist es nur noch ein Katzensprung bis zur Kosten-Karte. Der letzte Absatz dar\u00fcber gibt die Vorlage \u2014 \u201esagen wir Ihnen nach der Untersuchung\" \u2014 und die Karte nimmt sie auf, statt zum vierten Mal zum Termin zu dr\u00e4ngen. --> <\/p>\n<div class=\"card rail-cta rail-cta-inline\">\n<div class=\"title\">The examination will show which one is right for you<\/div>\n<p>The table shows what options exist \u2014 not what you need. That will be clear in a few minutes, and sometimes the answer is: none of them. <\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Inquire via email<\/a> <\/div>\n<\/section>\n<p> <!-- \u2500\u2500 Risiken \u2500\u2500 --> <\/p>\n<section id=\"risiken\" aria-labelledby=\"risiken-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Risks<\/span><\/p>\n<h2 id=\"risiken-title\">Risks we discuss with you<\/h2>\n<p class=\"p\">Hemorrhoid treatment is one of the most common proctological procedures, and the gentle methods are well-tolerated. The following points are known \u2014 we will discuss them with you beforehand, not just when they occur. <\/p>\n<ul class=\"dotlist\">\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Post-operative bleeding<\/b> \u2014 typically with rubber band ligation when the band falls off after a few days. Usually minor and self-limiting. <\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Pressure or foreign body sensation<\/b> \u2014 normal for a few days after ligation.<\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Pain<\/b> \u2014 generally mild with procedures without anesthesia; severe pain is a reason to contact us.<\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Recurrence<\/b> \u2014 hemorrhoids can cause symptoms again, especially if stool becomes hard again. Treatment can be repeated. <\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Anal thrombosis<\/b> \u2014 a painful lump at the anal margin, which can also occur independently of treatment.<\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Wound infection<\/b> \u2014 rare, and usually easy to treat with antibiotics<\/span><\/li>\n<li><span class=\"bullet\"><\/span><span class=\"t\"><b>Impairment of fine continence<\/b> \u2014 very rare, mainly affects extensive surgical procedures. This is precisely why gentle treatment is used for as long as possible. <\/span><\/li>\n<\/ul>\n<p class=\"p-muted\">Please contact us if bleeding does not stop after treatment, if fever occurs, or if pain increases instead of decreasing. <span class=\"tabular\">(030) 2529 9482<\/span><\/p>\n<\/section>\n<p> <!-- \u2500\u2500 Kosten \u2500\u2500 Bewusst NICHT nach dem Gallensteine-Muster (\u201eist Kassenleistung\"). Bei H\u00e4morrhoiden trifft das f\u00fcr Sklerosierung und Gummibandligatur zu, f\u00fcr HAL-RAR und Laser h\u00e4ufig nicht. Die Seite behauptet deshalb nichts, sondern markiert die Zeile. --> <\/p>\n<section id=\"kosten\" aria-labelledby=\"kosten-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Costs<\/span><\/p>\n<h2 id=\"kosten-title\">What does hemorrhoid treatment cost?<\/h2>\n<p class=\"p\">Unlike many surgeries, the answer here is not the same for every procedure. Examination and established procedures are covered by health insurance. For newer, particularly gentle procedures, it depends on your insurance provider \u2014 and we will tell you this before you decide, not afterwards.  <\/p>\n<div class=\"kosten-grid\">\n<div class=\"card kosten-card\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-shield-check\"><\/use><\/svg> <\/p>\n<h3>Statutory health insurance<\/h3>\n<p>The proctology consultation with digital rectal examination and proctoscopy is a service covered by health insurance. You do not need a referral for this. <\/p>\n<p class=\"is-todo\"><span class=\"chk\"><b>CHECK<\/b>Please specify for each procedure which of the four procedures are covered by health insurance and which are not.<\/span><\/p>\n<div class=\"preise\">\n<div class=\"k\">This is included<\/div>\n<div class=\"preise-row\"><span class=\"n\">Consultation and Examination<\/span><\/div>\n<div class=\"preise-rule\"><\/div>\n<div class=\"preise-row\"><span class=\"n\">Proctoscopy<\/span><\/div>\n<div class=\"preise-rule\"><\/div>\n<div class=\"preise-row\"><span class=\"n\">Post-treatment check-up<\/span><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"card kosten-card\"> <svg class=\"ico ico-lg\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-receipt-text\"><\/use><\/svg> <\/p>\n<h3>Privately insured<\/h3>\n<p>For privately insured patients, examination and treatment are reimbursable services. We bill according to the German Schedule of Fees for Medical Services (GO\u00c4). <\/p>\n<p>Clarify coverage with your insurance beforehand. You will receive the necessary documents from us. <\/p>\n<div class=\"preise\">\n<div class=\"k\">What you receive from us<\/div>\n<div class=\"preise-row\"><span class=\"n\">Cost estimate before the procedure<\/span><\/div>\n<div class=\"preise-rule\"><\/div>\n<div class=\"preise-row\"><span class=\"n\">Invoice according to GO\u00c4<\/span><\/div>\n<div class=\"preise-rule\"><\/div>\n<div class=\"preise-row\"><span class=\"n\">All documents for your insurance<\/span><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"kosten-note\">\n<div class=\"k\">If a procedure is not covered by health insurance<\/div>\n<div class=\"kosten-note-cols\">\n<p>Then we will tell you during the consultation, along with the amount and the alternative that your insurance covers. You will receive a written cost estimate before anything is decided. <\/p>\n<p class=\"is-todo\"><span class=\"chk\"><b>CHECK<\/b>If fixed self-pay amounts exist for HAL-RAR and laser, enter them here. Otherwise, this paragraph remains without a figure. <\/span><\/p>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"card rail-cta rail-cta-inline rail-cta-keep\">\n<div class=\"title\">The examination is covered by health insurance<\/div>\n<p>And it is the only way to determine the grade. You can calmly decide everything else afterwards. <\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Inquire via email<\/a> <\/div>\n<\/section>\n<p> <!-- \u2500\u2500 Behandelnde \u2500\u2500 --> <\/p>\n<section id=\"operateure\" aria-labelledby=\"operateure-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Who treats you<\/span><\/p>\n<h2 id=\"operateure-title\">Four doctors, one specialization<\/h2>\n<p class=\"p\">The doctor who examines you during the consultation will also treat you. For a topic that requires so much overcoming, this is not an organizational matter \u2014 you shouldn&#8217;t have to tell your story twice. <\/p>\n<div class=\"arzt-grid\">\n<div class=\"card arzt\">\n<div class=\"arzt-head\"> <img decoding=\"async\" class=\"lazyload arzt-portrait\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27136%27%20height%3D%27136%27%20viewBox%3D%270%200%20136%20136%27%3E%3Crect%20width%3D%27136%27%20height%3D%27136%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/dr-med-d-macho-hernienchirurge-berlin-mitte-400.jpg\" alt=\"\" width=\"136\" height=\"136\" loading=\"lazy\" title=\"\"> <\/p>\n<div style=\"min-width:0\">\n<h3 class=\"name\">Dr. med. David Mach\u00f3<\/h3>\n<div class=\"role\">Specialist in visceral surgery<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"arzt-facts\">\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Section Head of Visceral Surgery and Proctology<\/span><\/div>\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Second specialist title: Thoracic Surgery<\/span><\/div>\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Additional qualification in Emergency Medicine<\/span><\/div>\n<\/p><\/div>\n<div class=\"arzt-foot\"> <span class=\"loc\">Charlottenstra\u00dfe, Berlin-Kreuzberg<\/span> <span class=\"arzt-links\"><a href=\"https:\/\/www.doctolib.de\/viszeralchirurg\/berlin\/david-macho\" target=\"_blank\" rel=\"noopener\" aria-label=\"Termin online bei Dr. med. David Mach\u00f3\">Book appointment online<\/a><\/span> <\/div>\n<\/p><\/div>\n<div class=\"card arzt\">\n<div class=\"arzt-head\"> <img decoding=\"async\" class=\"lazyload arzt-portrait\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27136%27%20height%3D%27136%27%20viewBox%3D%270%200%20136%20136%27%3E%3Crect%20width%3D%27136%27%20height%3D%27136%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/01\/ahmed-sultan-400x400.jpg\" alt=\"\" width=\"136\" height=\"136\" loading=\"lazy\" title=\"\"> <\/p>\n<div style=\"min-width:0\">\n<h3 class=\"name\">Ahmed Sultan<\/h3>\n<div class=\"role\">Specialist for general surgery<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"arzt-facts\">\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Proctology specialization<\/span><\/div>\n<\/p><\/div>\n<div class=\"arzt-foot\"> <span class=\"loc\">Charlottenstra\u00dfe, Berlin-Kreuzberg<\/span> <span class=\"arzt-links\"><a href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180&#038;pid=practice-654180\" target=\"_blank\" rel=\"noopener\" aria-label=\"Termin online bei Ahmed Sultan\">Book appointment online<\/a><\/span> <\/div>\n<\/p><\/div>\n<p> <!-- Frau Asmussen ist die Einzige im Haus, deren Doctolib-Profil unter der Fachrichtung \u201eProktologe\" gef\u00fchrt wird \u2014 gepr\u00fcft am 2026-08-20: \/viszeralchirurg\/berlin\/clarissa-asmussen leitet per 301 auf \/proktologie\/berlin\/clarissa-asmussen, und dort stehen VenaZiel, Charlottenstra\u00dfe und 10969. Sie bekommt deshalb ihr eigenes Profil verlinkt und nicht die MVZ-Route. Die Karte steht bewusst nicht an dritter Stelle als Nachtrag: F\u00fcr viele Patientinnen ist es der Grund, \u00fcberhaupt zu kommen, dass eine \u00c4rztin untersucht. Das geh\u00f6rt nicht versteckt \u2014 aber es geh\u00f6rt auch nicht behauptet, wer im Einzelfall Dienst hat. Deshalb steht es hier als Tatsache und nicht als Zusage. --> <\/p>\n<div class=\"card arzt\">\n<div class=\"arzt-head\"> <img decoding=\"async\" class=\"lazyload arzt-portrait\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27136%27%20height%3D%27136%27%20viewBox%3D%270%200%20136%20136%27%3E%3Crect%20width%3D%27136%27%20height%3D%27136%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/Phlebologe-Viszeralchirurge-A-parkhomenko-400.jpg\" alt=\"\" width=\"136\" height=\"136\" loading=\"lazy\" title=\"\"> <\/p>\n<div style=\"min-width:0\">\n<h3 class=\"name\">Aleksandr Parkhomenko<\/h3>\n<div class=\"role\">Specialist in visceral surgery<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"arzt-facts\">\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Proctology specialization<\/span><\/div>\n<\/p><\/div>\n<div class=\"arzt-foot\"> <span class=\"loc\">Charlottenstra\u00dfe, Berlin-Kreuzberg<\/span> <span class=\"arzt-links\"><a href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180&#038;pid=practice-654180\" target=\"_blank\" rel=\"noopener\" aria-label=\"Termin online bei Aleksandr Parkhomenko\">Book appointment online<\/a><\/span> <\/div>\n<\/p><\/div>\n<div class=\"card arzt\">\n<div class=\"arzt-head\"> <img decoding=\"async\" class=\"lazyload arzt-portrait\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27136%27%20height%3D%27136%27%20viewBox%3D%270%200%20136%20136%27%3E%3Crect%20width%3D%27136%27%20height%3D%27136%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/Viszeralchirurgie-berlin-Clarissa-Asmussen-proktologin.jpg\" alt=\"\" width=\"136\" height=\"136\" loading=\"lazy\" title=\"\"> <\/p>\n<div style=\"min-width:0\">\n<h3 class=\"name\">Clarissa Asmussen<\/h3>\n<div class=\"role\">Specialist for visceral surgery<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"arzt-facts\">\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Proctology specialization<\/span><\/div>\n<div class=\"arzt-fact\"><span class=\"b\">\u00b7<\/span><span>Proctology Consultation Hours<\/span><\/div>\n<\/p><\/div>\n<div class=\"arzt-foot\"> <span class=\"loc\">Charlottenstra\u00dfe, Berlin-Kreuzberg<\/span> <span class=\"arzt-links\"><a href=\"https:\/\/www.doctolib.de\/proktologie\/berlin\/clarissa-asmussen\" target=\"_blank\" rel=\"noopener\" aria-label=\"Termin online bei Clarissa Asmussen\">Book appointment online<\/a><\/span> <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<div class=\"card rail-cta rail-cta-inline\">\n<div class=\"title\">These four conduct the consultation hours<\/div>\n<p>No rotating team, no handover. You tell your story once. <\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Inquire via email<\/a> <\/div>\n<\/section>\n<p> <!-- \u2500\u2500 Standort \u2500\u2500 --> <\/p>\n<section id=\"standort\" aria-labelledby=\"standort-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Location \u00b7 Kreuzberg \u00b7 Mitte<\/span><\/p>\n<h2 id=\"standort-title\">Where we treat<\/h2>\n<p class=\"p\">Consultation and treatment take place at the same location, on Charlottenstra\u00dfe \u2014 directly at Checkpoint Charlie, on the border between Berlin-Kreuzberg and Mitte.<\/p>\n<div class=\"gallery\">\n<div class=\"gallery-frame\" role=\"radiogroup\" aria-label=\"Aufnahmen aus der Praxis\"> <input class=\"gallery-nav\" type=\"radio\" name=\"vz-ort\" id=\"ort-1\" aria-label=\"Aufnahme 1: Empfang und Wartebereich\" checked> <input class=\"gallery-nav\" type=\"radio\" name=\"vz-ort\" id=\"ort-2\" aria-label=\"Aufnahme 2: Behandlungsraum\"> <input class=\"gallery-nav\" type=\"radio\" name=\"vz-ort\" id=\"ort-3\" aria-label=\"Aufnahme 3: Eingriffsraum\"> <input class=\"gallery-nav\" type=\"radio\" name=\"vz-ort\" id=\"ort-4\" aria-label=\"Aufnahme 4: Au\u00dfenansicht\"> <input class=\"gallery-nav\" type=\"radio\" name=\"vz-ort\" id=\"ort-5\" aria-label=\"Aufnahme 5: Anmeldung\"> <\/p>\n<div class=\"gallery-track\">\n<div class=\"gallery-slide\"><img decoding=\"async\" class=\"lazyload gallery-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271216%27%20height%3D%27768%27%20viewBox%3D%270%200%201216%20768%27%3E%3Crect%20width%3D%271216%27%20height%3D%27768%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/01\/VenaZiel.berlin.mvz_.jpg\" width=\"1216\" height=\"768\" loading=\"lazy\" alt=\"Reception area of the VenaZiel MVZ with counter and waiting area\" title=\"\"><span class=\"gallery-label\">Reception<\/span><\/div>\n<div class=\"gallery-slide\"><img decoding=\"async\" class=\"lazyload gallery-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%27675%27%20viewBox%3D%270%200%201200%20675%27%3E%3Crect%20width%3D%271200%27%20height%3D%27675%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/Venaziel-hernienzentrum-proktologie-berlin-mitte.jpg\" width=\"1200\" height=\"675\" loading=\"lazy\" alt=\"Treatment beds with partitions and monitoring screen\" title=\"\"><span class=\"gallery-label\">Recovery area<\/span><\/div>\n<div class=\"gallery-slide\"><img decoding=\"async\" class=\"lazyload gallery-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271200%27%20height%3D%27675%27%20viewBox%3D%270%200%201200%20675%27%3E%3Crect%20width%3D%271200%27%20height%3D%27675%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2026\/07\/Venaziel-hernienzentrum-proktologie-berlin-mitte-opzentrum.jpg\" width=\"1200\" height=\"675\" loading=\"lazy\" alt=\"Procedure room in the surgery center with operating table and monitoring screens\" title=\"\"><span class=\"gallery-label\">Procedure room<\/span><\/div>\n<div class=\"gallery-slide\"><img decoding=\"async\" class=\"lazyload gallery-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27700%27%20height%3D%27700%27%20viewBox%3D%270%200%20700%20700%27%3E%3Crect%20width%3D%27700%27%20height%3D%27700%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2025\/03\/venaziel-MVZ-charlottenstr-13-proktologi-phlebologi-berlin-1.jpg\" width=\"700\" height=\"700\" loading=\"lazy\" alt=\"The building at Charlottenstra\u00dfe 13 in Berlin-Kreuzberg at dusk\" title=\"\"><span class=\"gallery-label\">Exterior view<\/span><\/div>\n<p> <!-- PLATZHALTER: bis ein eigenes Motiv nachgereicht wird. Echtes Praxisfoto, kein Stock \u2014 aber es zeigt den Empfangstresen, den Aufnahme 01 schon zeigt. Siehe haemorrhoiden-redaktion.md, Bildbedarf. --> <\/p>\n<div class=\"gallery-slide\"><img decoding=\"async\" class=\"lazyload gallery-img\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%271248%27%20height%3D%27832%27%20viewBox%3D%270%200%201248%20832%27%3E%3Crect%20width%3D%271248%27%20height%3D%27832%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/venaziel.de\/wp-content\/uploads\/2025\/09\/VenaZiel-berlin-MVZ-team.jpg\" width=\"1248\" height=\"832\" loading=\"lazy\" alt=\"Employee at the reception desk of the VenaZiel Medical Center on the phone\" title=\"\"><span class=\"gallery-label\">Registration<\/span><\/div>\n<\/p><\/div>\n<div class=\"gallery-pager tabular\"> <label for=\"ort-1\">01<\/label> <label for=\"ort-2\">02<\/label> <label for=\"ort-3\">03<\/label> <label for=\"ort-4\">04<\/label> <label for=\"ort-5\">05<\/label> <\/div>\n<\/p><\/div>\n<p class=\"caption\">Real photos of our premises \u2014 no stock photography.<\/p>\n<\/p><\/div>\n<div class=\"card kontakt\" id=\"kontakt\">\n<div>\n<h3 class=\"name\">VenaZiel MVZ<\/h3>\n<div class=\"kontakt-row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-map-pin\"><\/use><\/svg> <span class=\"v\">Charlottenstra\u00dfe 13<br \/>10969 Berlin<\/span> <\/div>\n<div class=\"kontakt-row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-mail\"><\/use><\/svg> <span class=\"v\"><a href=\"mailto:hallo@venaziel.de\">hallo@venaziel.de<\/a><br \/> <span class=\"hint\">Write to us whenever it suits you \u2014 no waiting on hold, no lost lunch break. Our team will reply as quickly as possible, and you&#8217;ll have the answer in writing for your reference. <\/span><\/span> <\/div>\n<div class=\"kontakt-row\"> <svg class=\"ico ico-sm\" aria-hidden=\"true\" focusable=\"false\"><use href=\"#h-phone\"><\/use><\/svg> <span class=\"v\"><span class=\"tabular\">(030) 2529 9482<\/span><br \/> <span class=\"hint\">For urgent matters and anything that&#8217;s difficult to plan.<\/span><br \/><span class=\"tabular\">Usually 9:00 AM \u2013 3:00 PM \u00b7 Fri until 1:00 PM <\/span><\/span> <\/div>\n<\/p><\/div>\n<div>\n<div class=\"k\">Getting here<\/div>\n<div class=\"anfahrt\">\n<div class=\"anfahrt-row\"> <span class=\"linie linie-u6\">U6<\/span> <span class=\"v\">Kochstra\u00dfe\/Checkpoint Charlie<\/span> <\/div>\n<div class=\"anfahrt-row\"> <span class=\"linie linie-m29\">M29<\/span> <span class=\"v\">Charlottenstr., 1 minute walk<\/span> <\/div>\n<div class=\"anfahrt-row\"> <span class=\"linie linie-p\" role=\"img\" aria-label=\"Parken\">P<\/span> <span class=\"v\">Paid parking in the neighborhood. On Zimmerstra\u00dfe, you can usually find a space even at lunchtime. <\/span> <\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<p> <!-- \u2500\u2500 FAQ \u2500\u2500 --> <\/p>\n<section id=\"faq\" aria-labelledby=\"faq-title\">\n<p class=\"eyebrow\"><span class=\"dot\"><\/span><span class=\"rule\"><\/span><span class=\"label\">Frequently Asked Questions<\/span><\/p>\n<h2 id=\"faq-title\">Frequently Asked Questions about Hemorrhoids<\/h2>\n<p> <!-- \n\n<details>\/\n\n<summary> statt offener Bl\u00f6cke, seit 2026-08-20. Acht immer offene Antworten waren 3.573 px \u2014 die l\u00e4ngste Strecke der Seite, und ausgerechnet die, in der sich die Einw\u00e4nde aufl\u00f6sen. Wer eine bestimmte Frage hat, scrollte an sieben anderen vorbei. Nativ, ohne JavaScript, tastaturbedienbar, und Google indexiert den Inhalt geschlossener details-Elemente. Die H3 bleibt in der summary, damit die \u00dcberschriften-Navigation erhalten bleibt. --> <\/p>\n<div class=\"faq\">\n<details class=\"faq-item\">\n<summary>\n<h3>Which doctor treats hemorrhoids?<\/h3>\n<\/summary>\n<p>A proctologist \u2014 meaning a doctor specializing in diseases of the rectum and anus. In Germany, proctology is not a separate medical specialty, but a specialization primarily pursued by surgeons. Many affected individuals first go to their family doctor, which is a good first step. However, for the examination with a proctoscope and for the treatment itself, you need a proctology consultation. At our clinic, four doctors specialize in proctology, including one specialist.    <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>Do I need a referral to a proctologist?<\/h3>\n<\/summary>\n<p>No. You can come directly to us, even as a patient with statutory health insurance. A referral is not required. If you already have findings \u2014 for example, from a colonoscopy or from your family doctor&#8217;s practice \u2014 please bring them with you so we don&#8217;t have to duplicate anything.   <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>How does the examination proceed?<\/h3>\n<\/summary>\n<p>First the consultation, then the examination \u2014 and you&#8217;ll know beforehand what will happen. You lie on your side, covered. This is followed by an external visual inspection, then a digital rectal examination with a finger, and finally proctoscopy: a short tube, about the thickness of a finger, used to assess the anal canal from the inside. This is unpleasant, but usually not painful, and it only takes a few minutes. Bowel preparation is not necessary for this. Please let us know at any time if you need a break.     <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>Do hemorrhoids always require surgery?<\/h3>\n<\/summary>\n<p>No. The majority of hemorrhoidal conditions are treated without surgery. In early stages, regulating bowel movements and treatment while seated \u2014 such as sclerotherapy or rubber band ligation, both without anesthesia and without downtime \u2014 are often sufficient. Surgery is primarily considered if the hemorrhoids are permanently prolapsed or can no longer be pushed back. Which path is right for you depends on the grade \u2014 and that can only be seen during the examination.    <\/p>\n<\/details>\n<p> <!-- Zweite nachgetragene Karte, und die wichtigere von beiden. Der FAQ-Abschnitt ist 3.573 px lang und war die einzige lange Strecke der Seite ohne Handlungsm\u00f6glichkeit: von der Karte nach #operateure bis zum Schlussband lagen 5.491 px. Genau hier l\u00f6sen sich die Einw\u00e4nde auf \u2014 \u00dcberweisung, Muss das operiert werden, Was kostet es. Jemanden zu \u00fcberzeugen und ihn dann vier Bildschirme weiterscrollen zu lassen, ist der teuerste Fehler dieser Art auf der Seite. Sie steht nach Frage 4, nicht am Ende: die ersten vier Fragen SIND die Einw\u00e4nde \u2014 welcher Arzt, \u00dcberweisung, wie l\u00e4uft die Untersuchung, muss \u00fcberhaupt operiert werden. Danach ist entschieden. Die Fragen 5 bis 8 sind Symptomdetails und die Warnzeichen. Am FAQ-Ende stand sie zuerst \u2014 580 px vor dem Schlussband, also direkt vor einer Handlungsaufforderung, die es ohnehin gibt. Das war eine Karte ohne Aufgabe. --> <\/p>\n<div class=\"card rail-cta rail-cta-inline\">\n<div class=\"title\">Was your question not included?<\/div>\n<p>Then ask us directly. Write to us when it suits you \u2014 or book an appointment right away, and we&#8217;ll clarify it in person. <\/p>\n<p> <a class=\"btn btn-sm btn-primary btn-full\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book appointment online<\/a> <a class=\"btn btn-sm btn-ghost btn-full\" href=\"mailto:hallo@venaziel.de\">Inquire via email<\/a> <\/div>\n<details class=\"faq-item\">\n<summary>\n<h3>Why do hemorrhoids itch?<\/h3>\n<\/summary>\n<p>It&#8217;s not the hemorrhoids themselves that itch, but the skin around the anus. Enlarged hemorrhoids no longer completely close the anal canal, allowing some mucus and stool residue to escape. The sensitive skin reacts to this with irritation, weeping, and itching \u2014 often leading to anal eczema. Vigorous rubbing and moist toilet paper usually worsen the problem instead of solving it. Therefore, both are treated: the skin irritation and the underlying cause in the anal canal.    <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>Do hemorrhoids go away on their own?<\/h3>\n<\/summary>\n<p>Symptoms can subside on their own, especially if bowel movements improve \u2014 for example, after pregnancy or a period of hard stool. Enlarged hemorrhoidal tissue, however, usually does not regress on its own. Recurring bleeding or symptoms over several weeks should therefore be examined rather than continuously treated with ointments.  <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>Blood in stool \u2014 is it always hemorrhoids?<\/h3>\n<\/summary>\n<p>No, and that is the most important sentence on this page. Hemorrhoids are the most common cause of bright red blood on toilet paper, but by no means the only one. An anal fissure, inflammation, or a tumor of the rectum can cause the same signs. Therefore, blood in the stool should always be examined \u2014 even if you are sure it&#8217;s hemorrhoids. This is precisely what the examination is for: to distinguish harmless conditions from those requiring treatment.    <\/p>\n<\/details>\n<details class=\"faq-item\">\n<summary>\n<h3>How can I tell if it is urgent?<\/h3>\n<\/summary>\n<p>By severe, sudden pain in the anus, bleeding that does not stop, as well as fever with chills or a painful swelling that rapidly increases. Hemorrhoids themselves usually do not hurt \u2014 severe pain is more indicative of an anal thrombosis, a fissure, or an abscess. In these cases, please call us: <span class=\"tabular\">(030) 2529 9482<\/span>.  <\/p>\n<\/details><\/div>\n<p class=\"p-muted\">More on the topic of bleeding: <a href=\"https:\/\/venaziel.de\/en\/blut-im-stuhl-haemorrhoiden\/\">Blood in the stool \u2014 when it&#8217;s hemorrhoids and when it&#8217;s not<\/a><\/p>\n<\/section><\/div>\n<p> <!-- \u2500\u2500 Sticky rail \u2500\u2500 --> <\/div>\n<p> <!-- \u2550\u2550 4 \u2014 CLOSING CTA \u2550\u2550 --> <\/p>\n<section class=\"cta\" aria-labelledby=\"cta-title\">\n<div class=\"wrap cta-grid\">\n<div>\n<div class=\"k\">Proctology Consultation Hours Berlin<\/div>\n<p> <!-- Stand bis zum 2026-08-20: \u201edauert zehn Minuten\". Die einzige harte Zeitangabe der Seite, ungepr\u00fcft, in der gr\u00f6\u00dften Schrift, an der letzten Stelle, die jemand liest \u2014 und im Widerspruch zu den f\u00fcnf anderen Stellen, die \u201ewenige Minuten\" sagen. Die Zahl versprach au\u00dferdem einen vollst\u00e4ndigen F\u00fcnf-Schritte-Termin in zehn Minuten, was ein echter Termin regelm\u00e4\u00dfig rei\u00dft. Genau der Fehlertyp, f\u00fcr den es .chk gibt \u2014 nur stand hier keins. Jetzt derselbe Wortlaut wie in der FAQ, ohne Zahl: der Kontrast Jahre &#x2194; Minuten tr\u00e4gt den Satz auch so. --> <\/p>\n<h2 id=\"cta-title\">The appointment you postpone for years is over in a few minutes<\/h2>\n<p>No referral, no bowel preparation. Afterwards, you&#8217;ll know what grade is present, whether treatment is necessary \u2014 and if it&#8217;s even hemorrhoids at all. <\/p>\n<\/p><\/div>\n<div class=\"cta-action\"> <a class=\"btn btn-lg btn-inverse\" href=\"https:\/\/www.doctolib.de\/medizinisches-versorgungszentrum-mvz\/berlin\/venaziel-dr-hamidreza-mahoozi\/booking\/patient-insurance-sector?specialityId=3075&#038;telehealth=false&#038;placeId=practice-654180\" target=\"_blank\" rel=\"noopener\">Book an appointment online<\/a> <\/p>\n<p class=\"cta-hours\">Prefer to write? <a href=\"mailto:hallo@venaziel.de\">hallo@venaziel.de<\/a> \u2014 formulated at your leisure, answered in writing.<br \/> Urgent or difficult to plan? <span class=\"tabular\">(030) 2529 9482<\/span>, usually staffed <span class=\"tabular\">9:00 AM \u2013 3:00 PM<\/span>, Fridays until <span class=\"tabular\">1:00 PM<\/span>.<br \/> <span class=\"hint\">Open  <span class=\"tabular\">Mon.\u2013Thu. 8:00 AM\u20134:00 PM \u00b7 Fri. 8:00 AM\u20132:00 PM  <\/span><\/span><\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Haemorrhoids are a common and often taboo condition that affects many people at some point in their lives. Despite the fact that it is a common condition that affects both men and women, many patients are reluctant to talk about their symptoms. This reluctance often leads to hemorrhoids being diagnosed too late or treated incorrectly.<\/p>\n<p>The VenaZiel Vein Center Berlin has set itself the task of helping those affected with modern and gentle treatment methods. In this article we will provide you with detailed information about hemorrhoids, their causes, symptoms and the latest therapeutic options. By providing comprehensive information, we hope to allay patients&#8217; fears of the treatment and pave the way to a life free of complaints.<\/p>\n","protected":false},"author":13,"featured_media":0,"parent":6299,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":""},"class_list":["post-6360","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/6360","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/comments?post=6360"}],"version-history":[{"count":1,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/6360\/revisions"}],"predecessor-version":[{"id":100864,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/6360\/revisions\/100864"}],"up":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/6299"}],"wp:attachment":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/media?parent=6360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}