Do I Have A Pilonidal Cyst?

While most pilonidal cysts don’t have any symptoms, once they become infected they are hard to ignore. Most people get the first hint that something is wrong “back there” due to discomfort while they are sitting. This discomfort, over a few days, may become intense pain that makes them weary of sitting down. Activities such

How Are Hemorrhoids Graded?

Hemorrhoids are more common than most people realize. One study found that approximately 10 million people in the United States are suffering from hemorrhoids at any given time.  Since most people are hesitant to talk to their doctors about their symptoms and first try over-the-counter treatments, the actual numbers could be much higher.   Why

Diverticulitis: Why the Pain?

Pain From Diverticulosis To Diverticulitis. In Los Angeles, diverticulitis has become an increasingly common malady seen by proctologists, also known as colon and rectal surgeons, and emergency rooms such as Cedars-Sinai.  When diverticulosis turns nasty, abdominal pain usually follows (rectal bleeding is rare in cases of diverticulitis).  At Los Angeles Colon and Rectal Surgical Associates,

Hemorrhoids and Rubber Band Ligation

Rubber Band Ligation. Los Angeles Colon and Rectal Surgical Associates. Hemorrhoids are normal parts of our anatomy.  Hemorrhoids are abnormal.  How can both of these statements exist in the same paragraph?  Proctologists, also known as colon and rectal surgeons, tell us that both statement are true. We are born with hemorrhoids.  In fact, the main

Anal Fissures: Lots of Pain, Many Causes

Ouch!  A Bowel Movement And Then Pain.  And Maybe Even Some Blood. Much has been written about anal fissures.  And just about everyone knows that the Proctologist, also known as a colon and rectal surgeon, is the person to see when you have a fissure.  We all know about the pain that comes with the

PINWORMS

Get the PDF version of this article YUCH!!!! “Doc, I can’t sleep because I’m scratching my bottom all night! I swear, I either have pinworms or I’m crazy!”Such is a common complaint in the colorectal surgeon’s office, from a patient sitting uncomfortably and sideways.While there are many causes of anal itching (pruritus ani), patients and

Irritable Bowel Syndrome: Complications & Risks

Irritable Bowel Syndrome.  IBS.  Don’t Let It Stop You. Irritable syndrome, abbreviated IBS, is a disorder of unknown etiology, or cause.  Normalcy is punctuated by bouts of constipation, diarrhea or both.  IBS is one of the most common disorders seen by a proctologist, also known as a colon and rectal surgeon. The symptoms of  IBS

Traditional Hemorrhoidectomy: Is It Still Relevant?

Who Needs The Traditional Hemorrhoidectomy? Prior to the advent of newer operative procedures for the treatment of hemorrhoids, the only tool in the armamentarium of the proctologist, also known as a colon and rectal surgeon, was a surgical hemorrhoidectomy.  The surgeon simply cut out the hemorrhoids.  With the advent of PPH (procedure For Prolapse And

Medical Treatment for Anal Fissures

There Is A First Time For Everything. An anal fissure is one of life’s more painful conditions.  Often, excruciatingly painful.  And, for patients experiencing the fissure for the first time (yes, it can recur over and over again), the pain is made worse by lack of knowledge as to how to treat the fissure, and

Hemorrhoids & Sclerotherapy, These Shots Help

Hemorrhoids Are A pain, But these Shots Help And Don’t Hurt In Los Angeles, and in all cities across the United States, people have hemorrhoids.  In fact, the majority of adults have them. Hemorrhoids are a major source of confusion, laughter and trips to the drug store for remedies.  When the store bought remedies and

Anal Fissures: The Right Diet to Avoid Surgery

The Anal Fissure.  This Diet Might Help. An anal fissure is like a paper cut that most people have had at one time or another.  The only difference is that unlike the paper cut between two fingers, the anal fissure is a cut or tear of the anal opening.  In fact, the painful anal fissure

Hemorrhoids: Whats the Worst That Can Happen?

Hemorrhoids.  Usually Just Annoying.  But They Could Be Worse. Most adults know about hemorrhoids.  If you haven’t laughed at a hemorrhoid joke, if you haven’t seen a Preparation H commercial, or if you have not experienced a symptom from a hemorrhoid, then you probably are not yet an adult.  Lucky you.  A proctologist, also known

Anal Soap Equals Anal Pain & Itching

Soap? No Soap! A famous British proctologist, when referring to anal hygiene, once remarked that “People do more harm to their anal opening by trying to polish it clean, than if they would have simply left it alone.” And therein is the rub (so to speak). Colon and rectal surgeons have long known that with

Lipomas: Non-Cancerous Tumor

What Is A Lipoma? Lipomas are fairly common, and in fact are the most common non-cancerous tumor diagnosed. The growth is a pocket of fat cells just under the skin. While these tumors are most common on the skin of the chest, back and shoulders, they may also grow in the gastrointestinal tract. The colon

When Can I Exercise After A Hemorrhoidectomy?

A hemorrhoidectomy can keep you from your normal routine for several weeks, and getting back to the gym may not go as smoothly as you’d hoped. Still, this procedure offers the best results paired with the lowest chance at a recurrence of hemorrhoids. By starting slowly and listening to your body, you can return to

Can Hemorrhoids Burst?

Hemorrhoidal tissue is a normal part of everyone’s anatomy; everyone has these veins. In some people, though, they become enlarged. This leads to pain, irritation and sometimes bleeding. Reports indicate that about 40 percent of adults in the United States suffer from this condition. Many people fear not only the pain and itching associated with

Do I Need An Esophagogastroscopy?

Even though you may not recognize the word, you have probably heard of someone having an esophagogastroduodenoscopy. This procedure is more commonly known as an EGD, an upper GI, a gastroscopy or simply an endoscopy. While there are a number of procedures that utilize the flexible, lighted instrument equipped with a camera, the EGD is

What is Pilonidal Cyst?

Pilonidal cysts are a fairly common diagnosis, especially in young men. These cysts typically occur at the top of the intergluteal cleft, near the tailbone. They are often found in the cleft itself, between the two sides of the buttocks. Unfortunately, these cysts have a tendency to become painfully infected. If diagnosed early, your proctologist,

Hemorrhoids and Tailbone Pain. A Real Pain in the…

Rarely can a problem such as hemorrhoids cause so many different symptoms. Everyone has heard that hemorrhoids can bleed, may protrude and can cause itching. But what about tailbone pain? Tailbone pain is that sharp or dull discomfort that you might feel during prolonged sitting, walking or even while sleeping. In fact, tailbone pain is

Anal Fissures and Stress: How Are They Related

Why Do I Hurt?  What Is An Anal Fissure? “I have pain.”  “My rear end hurts!”  “It’s killing me!!!”   These are common complaints heard by every proctologist (also known as a colon and rectal surgeon or coloproctologist), every day in big cities. Big cities, stress and anal fissures.  Los Angeles.  Fissures.  All day, all week.

Anal Warts & Condyloma Acuminata

Anal Warts. Postoperative Pain Management. The reasons for performing procedures to remove anal warts and condyloma can range from mild discomfort to a severe pain.  The reasons are also based on the location and extent of the disease. Various techniques for treatment include topical medication, excision or cauterization.  When excision or cauterizing is performed, patients

Treatment for a Diverticulitis Colon Abscess

Symptoms If you have a colon abscess caused by diverticulitis, you might not know it right away. The initial symptoms may feel like the flu. Diarrhea or constipation, lack of appetite, fever, and chills can sometimes be an indicator of a diverticular abscess. But if you have severe pain or pressure in your lower abdomen,

Do I Have Hemorrhoids or Anal Fissure? Ask a Proctologist

Hemorrhoids.  Fissures.  The Proctologist. Anal pain is common. Most often, the pain is transient. It comes and then it leaves just as quickly. But what happens when it comes, but doesn’t go? What happens when the pain lingers, intensifies and worsens? A trip to the proctologist (also known as a colon and rectal surgeon, or

Hemorrhoids, Toilets & Soft Stool

Nature Calling?  It’s Natural.  What About Stool Softeners? Bowel movements, and toilets are a natural part of our lives.  We may take them for granted in our busy lives in Los Angeles and Beverly Hills.  But they are a constant.  Perhaps, this is why we do not usually think about them.  They are a constant. 

Do Stool Softeners Help Relieve Hemorrhoids?

The Good. good and the bad. First the good. Hemorrhoids are normal part of our anatomy.  Everyone has them.  Even animals have them.  What are they?  Hemorrhoids are veins.  They return blood to the heart.  They exist in every square inch of our bodies.  In the anal area, they surround the anal canal and ease

The Rhomboid Flap for Pilonidal Disease

Get the PDF version of this article What is a Rhomboid Anyway? THE BASICS. Pilonidal disease represents several forms of a single abnormality. Pilonidal disease may consist of nothing more than asymptomatic midline skin pits overlying the sacrococcygeal area. At the other extreme, the disease may be a large complex abscess associated with sepsis. In

How to Identify Hemorrhoids, Internal & External

About 75 percent of Americans will develop hemorrhoids at some point in their lives, yet many people may not know that there are two varieties of this common problem. Though external and internal hemorrhoids are caused by the same factors, their symptoms can be very different—knowing the signs of each can help you stay free of them and seek treatment for hemorrhoids in Los Angeles as soon as you need it.

Relieving Hemorrhoids at Home

Living with hemorrhoids in Los Angeles can be a pain, but you don’t have to suffer from them idly. While your colorectal specialist can offer methods for hemorrhoid treatment with methods like THD, there are also many things you can do on your own to promote hemorrhoid healing and reduce painful symptoms.

Cutting Caffeine to Control Hemorrhoids

Though it may not be possible to get rid of painful hemorrhoids in Los Angeles without medication or surgery, certain lifestyle and dietary changes can help you cope with and prevent painful symptoms. Because consuming high amounts of caffeine may lead to digestive issues that prevent hemorrhoids from healing, it is commonly recommended to avoid the stimulant during treatment for hemorrhoids.

THD: A New Approach?

A relatively new, tested and improving technology is making steady gains in the realm of operative interventions. It is transanal hemorrhoidal dearterialization (THD). It is considered to be a part of the “minimally invasive” family of surgical interventions.

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.

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.

IBS and Gluten Intolerance: Similar Symptoms, Different Causes

Certain conditions are caused by a reaction to particular foods while others flare up due to stress or menstrual causes. Two of the most commonly confused conditions that colon and rectal specialists come across are Celiac disease and Irritable Bowel Syndrome or IBS. It is estimated that up to 15% of celiac disease patients are initially misdiagnosed as having IBS. The reason for this is that the symptoms are remarkably similar.

Colonic Volvulus

Adding to life’s twists and turns, is an entity known as colonic volvulus. The word volvulus is derived from the Latin term meaning torsion or twisting. Although the linguistic anatomy may be obscure, the intestinal anatomy is clear. The colon and its mesentery twist, leading to a closed loop colonic obstruction, a more proximal intestinal obstruction, and an abdominal crisis.

Anal Pain

Get the PDF version of this article BEWARE: IT’S NOT ALWAYS JUST HEMORRHOIDS… Anal Pain is common, and commonly misdiagnosed. Most patients and many clinicians assume that a complaint of anal pain is synonymous with a diagnosis of hemorrhoids, especially when the pain is associated with the presence of bright red blood. A familiarity with

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.

Anal Cancer – Part 4. Unusual Anal Cancers.

Squamous cell cancer of the anal canal is rare and adenocarcinoma is rarer still, accounting for 10% of all anal cancers. , The three types of anal adenocarcinoma are those arising in the anorectum, those arising in anal glands, and those arising in an anorectal fistula.

Anal Cancer – Part 1. Malignant Precursors.

Anal neoplasms are a rare, diverse group of lesions. Each manifests a different behavior. With the recent publicity surrounding anal cancer, attention has focused on screening, early diagnosis and treatment.

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

Blastocystis Hominis Infection

Blastocystis hominis is a common microscopic parasitic organism found throughout the world. Infection with Blastocystis hominis is called blastocystosis (BLASS-toe-SIS-toe-sis.)

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.”

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.

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.

Diverticulosis, Diverticulitis for Physicians

Twenty five to thirty grams of dietary fiber are required daily for optimal colonic function and may minimize the potential adverse sequelae of diverticulosis.

Diverticula are small areas of mucosal herniation through the colonic wall. They are pseudodiverticula containing only the mucosal layer of the colon. They typically occur in the sigmoid colon. As increases in intraluminal pressure occur, especially in those patients with constipation, there is a tendency for the mucosa to herniate through weak areas where nutrient blood vessels penetrate the colonic wall.

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 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.