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

12 Reasons to Schedule a Visits to the Proctologist

A Proctologist?  At My Age? As we age, issues that never would have drawn a second thought, seem to become front and center in our thinking and in our daily habits.  Things like sore feet, difficulty seeing objects close up or far away and thinning hair readily come to mind.  But, who would have ever

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

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

Tem. Tamis. Same Local Excision, Different Acronyms.

Get the PDF version of this article. Alphabet Soup What is TEM? What is TAMIS? Transanal Endoscopic Microsurgery (TEM), or Transanal Minimally Invasive Surgery (TAMIS) are two acronyms for the same operative procedure, in which a rectal mass or lesion is removed using a minimally invasive approach through the anal opening.   TEM was developed to

Ruptured Hemorrhoid Symptoms

Blood In Your Stool.   Hemorrhoids? Noticing blood in your stool can be a frightening experience.  If this is the first time that you have seen the blood, the feelings and thoughts can go beyond frightening.  However, a quick trip to the proctologist, also known as a colon and rectal surgeon, is usually reassuring. There’s Blood

Cedars-Sinai Proctologists

Los Angeles Colon and Rectal Surgical Associates No one wants to hear the news…you have cancer. But many people will develop colorectal cancer.   Even more people will face benign problems that affect the colon and rectum. But with the right treatment from the experienced physicians and surgeons of Los Angeles Colon Rectal Surgical Associates,

New Laser Treatment for Rectal Fistulas

The Anorectal Fistula.  What Is It? The anal area is a complex anatomical location.  The anal canal is designed to store stool until such time as it can be discharged.  As such, the anus is endowed with nerves (to sense the arrival of stool) and muscles (to hold the stool and then help to discharge

How to Find a Proctologist in Los Angeles

What’s a Proctologist and Why Would You Need One? A proctologist, also known as a colon and rectal surgeon, is a medical doctor who deals with the diagnosis and treatment of problems related to the colon, rectum and anus. Whenever you feel pain or discomfort in any of these areas, that’s when you need to

Excercising With Hemorrhoids: The Do’s & Don’ts

Hemorrhoids and Exercising Exercising with hemorrhoids? You might find the whole idea to sound like a catch-22. On the one hand, exercise can seem to worsen any symptoms that you might have, related to hemorrhoids. Strenuous activities and heavy lifting can cause hemorrhoids to swell, exacerbating the symptoms. On the other hand, a lack of

What is a Colon and Rectal Surgeon

Becoming A Surgeon.  Extensive Training A colon and rectal surgeon is a physician with a university degree and a medical degree (M.D.).  Medical school is a four year education during which time the medical student studies all aspects of the human body and then participates in caring for patients.  Following graduation from medical school, the

Rectal Bleeding: Is it Hemorrhoids? Rectal Cancer?

Rectal Bleeding. Common. Is It Hemorrhoids? Cancer? Rectal bleeding is not uncommon, especially as we age.  The first time it appears, usually after a bowel movement, reactions range from nonchalance to absolute terror.  Is it cancer?  Is it hemorrhoids? Everyone has heard the old adage “If it is bright red bleeding, it is not serious. 

Female Proctologist in LA – Liza M. Capiendo, M.D.

Why A Female Proctologist? Are you looking for a female proctologist in Los Angeles? As always, choosing the proctologist with whom you are comfortable and who suits your needs is an important decision. But if you’re a woman, it may be especially important to find a female proctologist. Some female patients prefer to have a

Proctologist or Gastroenterologist. Is There A Difference?

Did You Hear This One? What are the real differences between a colon and rectal surgeon,  also known as a proctologist, and a gastroenterologist? There is an old joke known in medical circles.  It goes something like this:  What is the difference between an internist, a surgeon and a pathologist (a doctor who examines tissue

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. 

Anal & Transanal Surgical Techniques

It is axiomatic that a happy rectum and a happy mind (and body) go hand in hand. So, how do colorectal surgeons remove abnormal tissue from the 20 cm long rectum while not disturbing its happy functioning? By using transanal surgical techniques, the surgeon may be able to avoid having to perform a complex abdominal proctectomy, thus sparing the rectum.

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.

Colorectal Surgeon vs. Gastroenterologist

Many patients often do not know if they need to see a Colon and Rectal Surgeon or a Gastroenterologist for their symptoms or condition. Moreover, even more are confused as to the difference between a Colon and Rectal Surgeon and a Gastroenterologist. The differences between the two specialties can be quite large. Because we treat

Rectal Foreign Bodies

Get the PDF version of this article HOW TO REMOVE A RECTAL FOREIGN BODY IN ONE EASY STEP (RARE IS THE PATIENT WHO EXPERIENCES THIS PROBLEM TWICE) THE END For those with a short attention span and a desire for immediate answers, here is the conclusion of this article: CONCLUSION: From a safety standpoint, the

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.

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

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.

Flatulence

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.

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.