Hemorrhoids are a very common side effect of pregnancy, which can a whole new layer of daily discomfort to a pregnant patient’s life. When a pregnant patient comes to you with hemorrhoids, you need to be prepared to discuss with them why hemorrhoids are more prevalent during pregnancy and their treatment options should the hemorrhoids be severe enough. [Read more…]
If you suffer from hemorrhoids, the good news is that lower grade hemorrhoids can resolve on their own with at-home treatments. But what if they get to the point where you need to see a doctor to treat them? How do you choose where to go and what doctor is right for you?
Here’s what you should know about finding the right doctor for you: [Read more…]
Blood in the stool, painful bowel movements, anal itching…patients that experience these symptoms may be worried what these symptoms mean and if they’re evidence of hemorrhoids or anal fissures.
These two conditions may seem similar with their symptoms and causes, but they are two separate conditions. Here’s what you should know about anal fissures vs. hemorrhoids: [Read more…]
Your patient is experiencing intense abdominal cramps, weight loss, fatigue, and frequent intense bouts of diarrhea. You determine that they are suffering from an inflammatory bowel disease (IBD) but without further testing it could be a toss-up between Crohn’s disease and ulcerative colitis.
While both of these conditions are inflammatory bowel diseases (not irritable bowel syndrome) and have very similar symptoms, they are not the same. This Crohn’s and Colitis Awareness Week, be aware of the symptoms of Crohn’s disease and ulcerative colitis so your patients can get a correct diagnosis and treatment. [Read more…]
When it comes to anal disorders there may be some confusion among your patients about what each disorder means. For example, they may wonder if they are suffering from hemorrhoids or an anal fistula.
As a colorectal specialist, you can help patients understand the difference between these two conditions and their treatment options. [Read more…]
Gastritis, or the inflammation of the stomach lining, is a condition that can be acute (occurs suddenly and lasts for a short time) or chronic (develops slowly and is long lasting). This condition occurs when the protective layer of mucus in the stomach breaks down, and gastritis can be erosive (the stomach lining wears away, causing ulcers) or non-erosive (inflammation without erosion). [Read more…]
Indigestion, also called dyspepsia, is a term that is used to describe discomfort and pain in the upper abdomen that can include symptoms like:
- Feeling full
- Burning sensation in the stomach
- Growling stomach
Indigestion is a common enough condition that most people ignore it or take over-the-counter medications like antacids to relieve symptoms. Indigestion can be a condition in and of itself or a symptom of a larger problem. [Read more…]
For many patients, hemorrhoids are merely an annoyance and will resolve on their own with simple care. But when a hemorrhoid becomes serious enough, a patient will come to your office seeking treatment — and perhaps surgery.
But when will a hemorrhoid require surgery? There are several factors you should take into consideration based on the type of hemorrhoid the patient has and the types of treatment options used in the past. [Read more…]
When a patient suffers from hemorrhoids, the hemorrhoid will typically resolve on its own with at-home treatment and care. But what if they don’t? Depending on diagnosis and the patient’s situation, hemorrhoid surgery may be required.
When Is Hemorrhoid Surgery Necessary?
Hemorrhoid surgery is needed when the patient’s case is severe and the hemorrhoid does not resolve on its own.
For example, if a hemorrhoid has risen to a Grade IV, which means an irreducible prolapse, surgery is required. Additionally, if a hemorrhoid is still causing the patient problems after non-surgical treatment options like rubber band ligation, surgery may be necessary.
What Are The Options?
There are several surgical options available to treat hemorrhoids, though they should be reserved for hemorrhoids (like Grade III and IV) that do not respond to other methods of treatment:
- Hemorrhoidectomy: This surgery removes hemorrhoids by making incisions around the tissue and tying off the swollen vein to prevent bleeding, and the hemorrhoid removed. The surgical area can be closed or left open, covered by medicated gauze.
- Hemorrhoidopexy: Also known as “stapling”, this surgery is used to treat prolapsed hemorrhoids by stapling the prolapsed tissue to the rectal wall. The hemorrhoid is not removed; rather, its blood supply is cut off causing it to wither away.
These options can typically be performed as an outpatient procedure with the patient being sent home after the surgery is complete.
However, patients should be kept for observation after a hemorrhoidectomy and hemorrhoidopexy to ensure that their vital signs are stable after coming out of anesthesia.
After surgery is complete and patients have come out of anesthesia, educate them and their loved ones about post-surgical care and what they should expect.
Patients who receive hemorrhoid surgery like a hemorrhoidectomy should expect symptoms to last for a few weeks after treatment.
For aftercare, patients should eat a high-fiber diet, drink plenty of water, avoid heavy lifting, and not strain when they use the toilet. If needed, they can use a stool softener.
Stress that patients need to contact you if they experience:
- Painful urination or bowel movements
If patients experience bleeding that does not stop, have severe pain in their stomach or anus or cannot urinate, they should immediately seek emergency care.