Clostridium Difficile & Fecal Microbial Transplantation FMT

Studies have shown that FMT cures chronic infections of C. Diff in over ninety percent of patients. Other investigators in countries around the world have reproduced this success rate. This is a higher cure rate than has ever been achieved using conventional antibiotic treatments.

5 Ways to Improve Your Digestive Health

You don’t need to undergo a diet overhaul to improve your digestive health. By making small changes in your diet and lifestyle habits, you can reduce your risk of getting anal fistulas and other uncomfortable colorectal conditions while maintaining better digestive health.

Tips to Avoid Anal Fissures

Anal fissures are the third most common condition of the rectum, but they don’t have to be. Taking measures to prevent the most common causes of anal fissure such as constipation and diarrhea by improving digestion and encouraging healthier bowels can also reduce your likelihood of developing anal fissures, and there are several ways that you can go about this.

Fight Hemorrhoids With Fiber

Unfortunately, hemorrhoids are a common problem for many people in Beverly Hills. In our fast paced society, preventative healthcare often gets pushed aside for more pertinent needs like hunger, clothing and cab fare. However, if you don’t take the time to eat a healthy diet and be wary of health risks, you could find yourself struck with an embarrassing and uncomfortable condition like hemorrhoids.

How Weight Lifting Can Prevent Hemorrhoids

When lifting heavy weights many novices hold their breath and strain as they apply effort to the lift. Grunting as you hold your breath will force the air in your lungs down, increasing the pressure on your internal organs and, ultimately, the veins near your rectum that can swell and protrude as uncomfortable hemorrhoids. This buildup of abdominal pressure is similar to the pressure created when you strain to have a bowel movement, which is one of the most frequent causes of hemorrhoids.

5 Comon Cuases of Hemorrhoids

Those who suffer from hemorrhoids are well aware of how painful and irritating they can be. If you are suffering from hemorrhoids in Los Angeles, then it is important to know that hemorrhoids are a potentially serious matter. You should talk to a physician about your condition. Don’t let embarrassment get in the way of relief.

Sitz Baths Hemorrhoid Treatment

People suffering from hemorrhoids in Los Angeles may benefit from using a sitz bath. Made out of ceramic or plastic, the device fits over a toilet seat and holds warm water. Some models allow for the constant addition of warm water to keep the bath warm.

Preventing Hemorrhoids

They may not be life threatening or lead to debilitating chronic illness, but hemorrhoids can be extremely painful and embarrassing. Fortunately, risk factors have been identified for this condition, and many of these can be reduced or eliminated entirely. Simple lifestyle changes can help in managing the remaining risk factors. With an estimated 100 million people suffering from the condition, there is an obvious need for early preventative measures for hemorrhoids.

Anal Itching Causes

Anal itching may cause you to feel uncomfortable and embarrassed, and you may worry about whether you have a serious medical problem. Fortunately, most common causes of anal itching are not serious medical problems.

10 Natural Hemorrhoid Treatments

Hemorrhoids are a common ailment that many people experience. It is important to speak with your proctologist or colon and rectal surgeon about any pain or discomfort that you are experiencing. In addition to your recommended treatment for hemorrhoids, those that are seeking natural relief from hemorrhoids in Los Angeles may find the following tips helpful.

Hemorrhoids: Busted Myths

There are many misperceptions about hemorrhoids, and it is important to have the facts straight as you attempt to prevent or treat the condition. Separating the myths about hemorrhoids from fact can possibly help you to avoid developing hemorrhoids, or at least slow the development of the condition. Importantly, if you have hemorrhoids or have questions about hemorrhoids in Los Angeles, then it is important to contact your colon and rectal specialist.

GI Associated Hemangiomas & Vascular Malformations

First documented in 1839, hemangiomas and vascular malformations of the GI tract are an infrequently encountered entity. Having the potential to occur anywhere along the intestinal system, the small bowel is the most frequent site with hemangiomas and malformations accounting for only 10% of all small bowel tumors.

Colon and Rectal Cancer (Inherited): Part 4

Get the PDF version of this article FAMILIAL ADENOMATOUS POLYPOSIS: ONE GENE. MANY MANIFESTATIONS. ALPHABET SOUP: FROM HERE TO THERE AND BACK AGAIN…AGAIN Part III of this series looked at Familial Adenomatous Polyposis (FAP) and the genetics underlying the disease. Part IV will examine the ways in which this knowledge can be used to diagnose

Colon and Rectal Cancer (Inherited): Part 3

Get the PDF version of this article FAMILIAL ADENOMATOUS POLYPOSIS: ONE GENE. MANY MANIFESTATIONS. MAKING SENSE OF THE ALPHABET SOUP THAT IS THE GENETIC CODE. Parts I and II of this series looked at the genetics, diagnosis and treatment of hereditary nonpolyposis colorectal cancer. Part III will examine familial adenomatous polyposis and the damage caused

Colon and Rectal Cancer (Inherited): Part 2

Get the PDF version of this article Hereditary Nonpolyposis Colorectal Cancer: From Diagnosis to Treatment In this four-part series, Part 1 reviewed the basic pathologic and genetic concepts underlying hereditary nonpolyposis colorectal cancer. This second part defines the clinical challenges facing the clinician who is at the forefront of diagnostic and treatment efforts. Parts 3

Colon and Rectal Cancer (Inherited): Part 1

Get the PDF version of this article HEREDITARY NONPOLYPOSIS COLORECTAL CANCER: GENETICS AND DIAGNOSIS THE ALPHABET SOUP OF GENETICS AND DIAGNOSIS EXPLAINED With a myriad of vexing abbreviations and obscure terminology, the genetics controlling the formation of colonic polyps and malignancies may be difficult to appreciate. Paradoxically, the physician, positioned at the beginning of the

Symptoms of Hemorrhoids

Hemorrhoids occur when veins in the rectum or anus swell, causing pain. There are two types of hemorrhoids: external and internal. External hemorrhoids are most often associated with typical hemorrhoid symptoms. These symptoms include intense pain, anal itching, bleeding, lumps and bowel incontinence.

Constipation Remedies

Get the PDF version of this article Constipation – The Sisyphean Myth of Regularity. Remember Sisyphus, the Greek King of Ephyra? Punished for his hubris, he was made to roll a boulder uphill for eternity. Just before reaching the top of the hill, the boulder would roll down to the bottom of the hill and

PPH: To Staple or Not to Staple: That is the Question

Get the PDF version of this article INTRODUCTION Symptomatic internal and external hemorrhoids present with some of the most vexing problems known to mankind and to surgeons. Each year, over 525,000 patients are treated for symptoms associated with hemorrhoids. (1) Of these, 10-20% ultimately require surgical treatment. Watch this brief video of Hemorrhoid Treatment Options

Polyps – Colon Polyps – Scopefest (LA Daily News article)

Get the PDF version of this article Celebrating Their Health: Colonoscopies Make For A Most Unusual Birthday Party By Valerie Kuklenski, Staff Writer; U-Entertainment Jack Merrick was drawing on the straw in his jumbo Scorpion cocktail with such gusto, it seemed the drink’s floating gardenia would be vacuumed up. Surrounded by old friends, good food,

Thrombosed External Hemorrhoid Removal: Home Care

The numbness from the local anesthetic will wear off in 3 or 4 hours. When this occurs, there may be some discomfort. Take aspirin, Tylenol or a prescribed pain medication until the pain is no longer bothersome. The discomfort may last from a few hours to a few days.

Procedure for Prolapse & Hemorrhoids (PPH)

A 15- to 35- minute minimally invasive procedure is the new gold standard for hemorrhoidectomy, according to American and European experts in the field. The procedure, known as PPH (procedure for prolapse and hemorrhoids) stapled hemorrhoidectomy, combines hemorrhoidal devascularization and repositioning to return the veins to the anal canal. “This year, this is the revolutionary new procedure in the United States,” Gary Hoffman, MD, clinical faculty member in general and colorectal surgery, Cedars-Sinai Medical Center, Los Angeles, told General Surgery News after moderating a live PPH telesurgery at the 2003 annual meeting of the Society of American Gastrointestinal Endoscopic Surgeons. “PPH stapled hemorrhoidectomy will supplant the traditional open operations in patients with symptomatic grades 3 and 4 hemorrhoids, because it results in a tremendous reduction in postoperative pain, and in a rapid return to work and to activities of daily living.”

Pelvic Floor Disorders

Located at the most inferior part of the abdominal cavity, the pelvic floor is a network of muscles, ligaments, and tissues that act like a hammock to support the organs of the abdomen and pelvis. Caused by weakness or injury to this pelvic sling, pelvic floor disorders result in a prolapse of the rectum, small bowel, bladder, or uterus.

Rectal Pouches

The rectum is a specialized reservoir which provides vital sensory and storage functions for the gastrointestinal system. When diseases such as inflammatory bowel disease, cancer, polyposis or congenital anomalies require the surgical removal of the rectum, an important part of the body is lost. Quite often, these disease processes occur in young patients between the ages of 30 and 45. Physical and emotional adjustments must be made to compensate for this loss. Research has been directed toward finding a suitable replacement for the surgically removed rectum. The major focus of investigation has been on the creation of a neorectum, or rectal pouch.

Anorectal Manifestations of Sexually Transmitted Diseases – Part I

The anorectum is a specialized region of the gastrointestinal tract, performing sensory, storage and elimination functions. The mucosal lining in the rectum is columnar. It transitions to a squamous mucosa in the anal canal. It is richly endowed with discriminatory nerve endings to allow the body to distinguish between flatus, liquid and solid waste. While sturdy, the mucosal surfaces are vulnerable to trauma and infections. With or without an anal or rectal injury, sexually transmitted disease may be the source of considerable morbidity. While symptoms may be found in patients with normal immune systems, they are found in increasing frequency in the immunocompromised population. In patients with pre-existing systemic conditions such as AIDS or HIV, common pathogens may take on an even more ominous clinical significance. Part I of this two-part article contains a discussion of the anorectal manifestations of the most common sexually transmitted diseases.

Anorectal Manifestations of Sexually Transmitted Diseases – Part II

At any given time in the United States, twenty million men and women have an active Human papillomavirus (HPV) infection. Five million new cases are diagnosed each year. These represent one third of all cases of newly diagnosed sexually transmitted infections. In addition to the morbidity of the disease itself, HPV is strongly associated with the development of squamous cell carcinoma of the anus. Hence, this ubiquitous virus has taken on a more menacing significance than simply that of an inconvenient sexually transmitted disease.

Anal Abscess & Perirectal Fistula

With the development of a new material and a relatively painless technique to close a perianal or perirectal fistula, it is useful to review the pathophysiology and treatment options for anal abscesses and anorectal fistulae. The new material, Surgisis®, is composed of po­­­rcine small intestinal submucosa ­rolled into a conical shape and inserted into an existing fistula (figure 1). This allows for tissue ingrowth and fistula closure.

Crohn’s Disease – Operative Intervention

Inflammatory bowel disease, specifically Crohn’s disease and ulcerative colitis, is thought to result from an abnormal immune regulatory process. Whereas ulcerative colitis is a mucosal inflammation confined to the colon, Crohn’s disease may involve transmural inflammation of any portion of the intestinal tract from the mouth to the anus. Non-caseating granulomas are the hallmark pathological finding in Crohn’s disease. Common symptoms such as diarrhea, abdominal pain or weight loss may be controlled using a variety of medications including antidiarrheal medications, 5-aminosalicylates, steroids, immunosuppressive agents, or anti-tumor necrosis factor antibodies.

Ulcerative Colitis – Operative Intervention

Ulcerative colitis and Crohn’s Disease are the two primary subclassifications of inflammatory bowel disease. Neither entity has a known etiology. However, abnormal immune regulation seems to play a causative role. Both Ulcerative Colitis and Crohn’s disease are thought to be autoimmune in origin. Ulcerative Colitis is defined by mucosal inflammation limited to the rectum and colon. Crohn’s Disease – may involve transmural inflammation of all layers of the bowel wall and can affect any portion of the gastrointestinal tract from the mouth to the anus.


Flatus, or gas is an expected and natural by-product of the normal functioning of the gastrointestinal tract. On average, between one half to two liters of gas are produced daily. This gas is eliminated through the anus approximately fourteen times per day.

The formation and elimination of flatus while normal, may be both uncomfortable and embarrassing and may be the source of laughter, concern or curiosity.

Colon and Rectal Cancer – Polyp Surveillance

Approximately 150,000 new cases of colorectal cancer are diagnosed each year in the United States. It is the second leading cause of cancer mortality, resulting in almost 60,000 deaths every year.1 Cancers of the colon and rectum most commonly develop from precursor adenomatous polyps that increase in size over time.2,3 Early detection and removal of these premalignant polyps usually prevents them from developing into invasive cancer.4,5 This is the rationale behind the colorectal cancer screening recommendations from the American Cancer Society.

Flat Colon Polyps

It is now accepted that most colon cancers originate from benign colon polyps. The cancer-to-polyp sequence is the driving force behind colon screening to find and remove polyps before they transform into a malignancy. There is a unified set of screening guidelines that address the age of first screening, the frequency of screening and the method of screening. This screening has been effective in achieving the stated goal of reducing the number of new colon malignancies detected per year.

Anal Intraepithelial Neoplasia (AIN) & HPV

The term Anal Intraepithelial Neoplasia (AIN) describes the microscopic finding of dysplastic, non-malignant cells in the anal canal. AIN has been subdivided into AIN I, II, and III, representing low, moderate, and high-grade dysplasia. This dysplasia has been thought to arise as a result of local infection with the Human papillomavirus. The Human papillomavirus is a small double-stranded DNA virus with a diameter of 55 nm. and is encased in a protein capsid. The term AIN has gradually replaced other descriptive terminology such as atypical squamous cells of indeterminate significance (ASCUS), low-grade squamous intraepithelial lesions (LSIL), or high-grade squamous intraepithelial lesions (HSIL).

Hemorrhoids – Small Size, Big Problems

Hemorrhoidal disease is a considerable source of morbidity, affecting twenty million adults per year. Symptoms can be debilitating and costly when measured in time away from productive activities. In 1980, during game two of the World Series between the Kansas City Royals and the Philadelphia Phillies, George Brett was forced to leave the game in the sixth inning due to hemorrhoidal symptoms. After a minor surgical procedure, he returned for game three and hit a first inning home run blast in the Royals 4 to 3 win. He quipped “…my problems are all behind me…” The Royals lost the series and Brett underwent a hemorrhoidectomy in the off season.

Anal Rash | Pruritus Ani – For Physicians

Anal itching. Pruritus ani. At one time or another, everyone has experienced this unpleasant sensation. Most often, the delightful scratching of the itch relieves the discomfort and puts a stop to the maddening sensation. Not uncommonly however, the itch occurs at an inconvenient moment, in public, during an intimate social situation or at a time when scratching is not possible without looking a bit ridiculous. Worse, the itching may become chronic, with the need to scratch becoming a constant annoyance, bordering on pain.

Anal Fissure

Anal fissures are a common problem, bringing many patients to the colorectal surgeons’ office with complaints of anal pain. Most patients report feeling a tear, or a splitting sensation at the anus after a normal bowel movement, a bout of diarrhea, or after a particularly hard or large stool.