Colorectal

Colorectal  ·  General Surgery
What causes Bowel Obstruction: 5 Possible Causes

Bowel obstruction, also known as intestinal obstruction, is a serious medical condition that occurs when the normal flow of digestive contents through the intestines is blocked. This obstruction can lead to severe complications if left untreated. In this article, we’ll explore five possible causes of bowel obstruction, common symptoms, and available treatment options.

5 Causes of Bowel Obstruction

Adhesions

Adhesions are bands of scar tissue that form between abdominal tissues and organs, often as a result of previous abdominal surgeries or inflammation. According to studies, adhesions are the leading cause of small bowel obstruction, accounting for up to 60-70% of cases. These adhesions can twist or compress the intestines, leading to bowel obstruction. Symptoms of small bowel obstruction caused by adhesions include abdominal pain, bloating, vomiting, and constipation.

Hernias

Hernias occur when a portion of the intestine protrudes through a weakened area in the abdominal wall, forming a bulge. In some cases, the herniated intestine can become trapped or twisted, leading to bowel obstruction. Hernias, particularly inguinal and femoral hernias, can cause both small and large bowel obstruction. Symptoms may include abdominal pain, nausea, vomiting, and a visible bulge or swelling in the groin or abdomen.

Cancer

Colorectal cancer and other abdominal cancers can cause bowel obstruction by physically blocking the passage of stool and digestive contents through the intestines. According to statistics, colorectal cancer accounts for a significant proportion of cases of large bowel obstruction. Symptoms of bowel obstruction due to cancer may include abdominal pain, cramping, bloating, changes in bowel habits, and unintentional weight loss. Early detection and treatment of cancer can help prevent bowel obstruction and improve outcomes.

Volvulus

Volvulus occurs when a portion of the intestine twists around itself, leading to a bowel obstruction. This twisting can occur in various parts of the intestines, including the small bowel and the colon. Volvulus is more common in certain populations, such as older adults and individuals with a history of abdominal surgeries or congenital conditions affecting the intestines. Symptoms of volvulus-induced bowel obstruction may include severe abdominal pain, bloating, constipation, and vomiting.

Intussusception

Intussusception is a rare condition that occurs when one segment of the intestine telescopes into another segment, causing a bowel obstruction. This condition is more common in infants and young children but can also occur in adults. Intussusception can lead to severe abdominal pain, vomiting, bloody stools, and a palpable abdominal mass. Prompt diagnosis and treatment, often with a procedure called a barium enema or surgery, are essential to relieve the obstruction and prevent complications.

Treatment Options

Treatment for bowel obstruction depends on the underlying cause, severity of symptoms, and the patient’s overall health. In many cases, conservative measures such as bowel rest, intravenous fluids, and nasogastric decompression may be initially attempted. However, surgical intervention may be necessary to relieve the obstruction, repair hernias, remove adhesions, or address underlying conditions such as cancer.

Bowel obstruction is a serious medical condition that requires prompt diagnosis and treatment to prevent complications. By understanding the possible causes, recognizing common symptoms, and seeking medical attention early, individuals can take proactive steps to address bowel obstruction and improve their overall health and well-being.

Stay informed, stay vigilant, and prioritize your digestive health—because early detection and treatment can make all the difference in managing bowel obstruction.

April 11, 2024

Women holding a model of the colon
Colorectal
Symptoms of Colon cancer in women

Colon cancer is a serious health concern, affecting both men and women alike. However, women may experience unique symptoms that differ from those seen in men. In this comprehensive guide, we’ll explore the symptoms of colon cancer in women, including common signs, early warning signs, and the importance of early detection.

Understanding Colon Cancer Symptoms

Colon cancer, also known as colorectal cancer, is characterized by the abnormal growth of cells in the colon or rectum. Symptoms may vary depending on the location and stage of the cancer. Common signs of colon cancer include:

  • Changes in Bowel Habits: Persistent changes in bowel habits, such as diarrhea, constipation, or narrowing of the stool, may indicate a potential issue with the colon.
  • Blood in the Stool: Rectal bleeding or the presence of blood in the stool (either bright red or dark in color) can be a warning sign of colon cancer.
  • Abdominal Discomfort: Cramping, bloating, abdominal pain, or discomfort may occur, particularly if the cancer has grown large enough to block the colon or cause obstruction.
  • Unexplained Weight Loss: Significant and unexplained weight loss without changes in diet or exercise habits may be a symptom of advanced colon cancer.
  • Fatigue and Weakness: General feelings of fatigue, weakness, or lethargy that persist despite adequate rest and nutrition may also indicate underlying health issues, including colon cancer.

What are the Signs of Colon Cancer in Women?

While the symptoms of colon cancer can affect both men and women, women may also experience additional signs that are specific to their gender. These may include:

  • Pelvic pain or discomfort: Some women with colon cancer may experience pelvic pain or pressure, which can be mistaken for menstrual cramps or other gynecological issues. Whilst abdominal pain is not a common symptom of colon cancer, persistent pain that feels different to what you have experienced in the past should be investigated. 
  • Anemia: Chronic blood loss from the colon can lead to iron deficiency anemia, characterized by symptoms such as fatigue, weakness, and pale skin. Women may be more susceptible to anemia due to menstrual blood loss.
  • Changes in menstrual cycle: Colon cancer can sometimes disrupt hormonal balance, leading to disruptions in the menstrual cycle such as irregular bleeding or spotting between periods.

Importance of Early Detection

Statistics show that early detection and treatment of colon cancer can significantly improve survival rates. According to the American Cancer Society, when colon cancer is diagnosed at an early stage, the five-year survival rate is over 90%. However, if the cancer has spread to distant organs, the five-year survival rate drops to around 14%. 

What age should women start screening for colon cancer?

Women should be proactive about their health and undergo regular screenings, such as colonoscopies, starting at age 45 if they are at average risk or earlier if they have risk factors such as a family history of colon cancer or inflammatory bowel disease. By detecting colon cancer in its early stages, it can be more effectively treated and managed, leading to better long-term outcomes.

March 20, 2024

Colorectal
How is Bowel Endometriosis Diagnosed?

Bowel endometriosis, a complex and often challenging condition to diagnose, affects countless individuals worldwide. While pelvic pain and infertility are commonly associated with endometriosis, the involvement of the bowel introduces a new layer of diagnostic complexity. In this article, we explore the various methods used to diagnose bowel endometriosis, shedding light on their efficacy and importance in providing timely and accurate care.

Bowel Endometriosis Diagnosis

Bowel endometriosis occurs when endometrial-like tissue infiltrates the bowel wall, leading to symptoms such as abdominal pain, bloating, and altered bowel habits. Despite its prevalence, diagnosing bowel endometriosis remains a clinical conundrum, often requiring a multifaceted approach.

Abdominal Ultrasound

This non-invasive imaging technique utilizes sound waves to create images of the abdominal organs. While abdominal ultrasound can provide valuable insights into pelvic anatomy, its ability to detect bowel endometriosis is limited, with studies reporting sensitivity rates ranging from 20% to 60%.

Bowel Endometriosis Colonoscopy

Colonoscopy, a procedure where a flexible tube with a camera is inserted into the colon, enables direct visualization of the bowel mucosa. Although it may occasionally detect bowel lesions indicative of endometriosis, its diagnostic accuracy is constrained. Typically, endometriosis lesions develop outside the bowel, though in rare instances, they may penetrate its wall. Colonoscopies primarily examine the interior of the bowel.

CT Scan

Computed tomography (CT) scans utilize X-rays to produce cross-sectional images of the body. While CT scans can identify anatomical abnormalities associated with bowel endometriosis, their sensitivity for detecting subtle lesions is limited.

Magnetic Resonance Imaging (MRI)

Magnetic resonance imaging (MRI) offers superior soft tissue contrast compared to other imaging modalities, making it well-suited for detecting bowel endometriosis. MRI can visualize deep infiltrating endometriosis lesions and their relationship to adjacent structures with high accuracy.

Transvaginal Ultrasound

Transvaginal ultrasound is a valuable tool in diagnosing pelvic endometriosis, offering high sensitivity and specificity. However, its utility in detecting bowel endometriosis is limited due to bowel gas interference and operator dependence.

Laparoscopy

During laparoscopy, a small camera called a laparoscope is inserted through a tiny incision in the abdomen, allowing surgeons to visualize the pelvic organs and assess for signs of endometriosis. This technique offers superior visualization compared to traditional imaging modalities, enabling direct examination of the bowel and surrounding tissues for endometrial lesions.

Moreover, laparoscopy allows for biopsy and histological confirmation of suspected lesions, providing a definitive diagnosis. With its high accuracy and ability to guide treatment decisions, laparoscopy is considered the gold standard for diagnosing bowel endometriosis.

Navigating the Diagnostic Challenges of Bowel Endometriosis

Diagnosing bowel endometriosis presents notable hurdles due to symptom overlap with other gastrointestinal disorders and limitations in available diagnostic methods. Additionally, interpreting imaging results and conducting specialized procedures necessitates a high level of expertise, further complicating diagnosis.

For effective management, seeking care from a highly skilled colorectal surgeon experienced in diagnosing and treating bowel endometriosis is essential. To schedule an appointment with our expert colorectal surgeons, Dr. Nasseri and Dr. Barnajian, renowned for their proficiency in treating bowel endometriosis, please contact us at 310-861-7493.

March 8, 2024

colon cancer text cloud
Colorectal
Understanding the Stages of Colon Cancer

Colon cancer is a significant health concern worldwide, affecting millions of individuals each year. Understanding the stages of colon cancer is crucial for early detection, timely treatment, and improved outcomes. In this article, we’ll delve into the various stages of colon cancer, from stage 0 to stage IV, and explore key aspects such as progression, staging methods, and prognosis.

What Are the Stages of Colon Cancer?

Colon cancer staging is a systematic way of classifying the extent of the disease based on factors such as tumor size, invasion into surrounding tissues, lymph node involvement, and the presence of distant metastases. The stages of colon cancer help healthcare providers determine the most appropriate treatment approach and predict patient outcomes.

Stage 0

Also known as carcinoma in situ, stage 0 colon cancer is confined to the innermost layer of the colon lining. At this early stage, cancer cells have not invaded deeper layers or spread to nearby lymph nodes or distant organs.

Stage I

In stage I colon cancer, the disease has progressed beyond the inner lining of the colon but has not spread to nearby lymph nodes or distant organs. Tumors at this stage are typically small and localized, with minimal invasion into the deeper layers of the colon wall. 

Despite the absence of lymph node involvement or distant metastases, stage I colon cancer requires prompt medical attention and treatment. Surgical removal of the tumor, often along with a segment of the colon, is the primary treatment approach for stage I colon cancer. In some cases, additional treatments such as chemotherapy or targeted therapy may be recommended based on individual factors.

Stage II

In stage II colon cancer, the disease has progressed beyond the inner lining of the colon and may have penetrated deeper layers of the colon wall. Like stage I, stage II colon cancer has not spread to nearby lymph nodes or distant organs. However, tumors in stage II may be larger and more invasive than those in stage I. 

Treatment for stage II colon cancer typically involves surgical removal of the tumor and surrounding tissue, often followed by adjuvant therapy such as chemotherapy or radiation therapy. The goal of treatment is to remove the cancerous tissue completely and reduce the risk of recurrence. Despite the higher risk of recurrence compared to stage I, many patients with stage II colon cancer can achieve successful outcomes with appropriate treatment and close monitoring.

Stage III 

Stage III colon cancer indicates that cancer cells have spread to nearby lymph nodes but have not metastasized to distant organs. This stage is further subdivided into subcategories (IIIa, IIIb, IIIc) based on the extent of lymph node involvement and other factors such as tumor size and depth of invasion. 

In stage IIIa, cancer cells may be present in one to three nearby lymph nodes, while in stage IIIb, cancer has spread to four or more lymph nodes. Stage IIIc indicates cancer that has spread to nearby lymph nodes and has penetrated through the outermost layers of the colon wall, increasing the risk of recurrence and the need for more aggressive treatment. The prognosis for stage III colon cancer varies depending on factors such as the number of lymph nodes involved, the location of the tumor, and the overall health of the patient.

Stage IV 

Stage IV, also known as metastatic colon cancer, is the most advanced stage, where cancer has spread to distant organs such as the liver, lungs, or other parts of the body. At this stage, the cancer is considered incurable, and the primary goal of treatment is to manage symptoms, control the spread of the disease, and improve the patient’s quality of life. 

Treatment options for stage IV colon cancer may include surgery to remove metastatic tumors, chemotherapy, targeted therapy, immunotherapy, and other palliative measures to alleviate pain and discomfort.

How are Colon Cancer Stages Determined?

Colorectal cancer staging typically involves a combination of diagnostic tests and imaging studies, including colonoscopy, biopsy, computed tomography (CT) scans, magnetic resonance imaging (MRI), and positron emission tomography (PET) scans. These tests help healthcare providers determine the stage of the disease and develop an appropriate treatment plan.

How Quickly Does Colon Cancer Progress?

The progression of colon cancer varies widely from person to person and depends on factors such as tumor biology, genetic predisposition, and overall health status. In general, colon cancer tends to develop slowly over several years, progressing through the stages over time. However, some aggressive forms of colon cancer may grow and spread more rapidly.

Prognosis and Treatment Options

The prognosis for colon cancer varies depending on the stage at diagnosis, with earlier stages generally associated with better outcomes. Treatment options for colon cancer may include surgery, chemotherapy, radiation therapy, targeted therapy, and immunotherapy. The choice of treatment depends on factors such as the stage of the disease, the location of the tumor, and the individual’s overall health.

Regular colorectal screenings, awareness of symptoms, and prompt medical evaluation are key to detecting colon cancer in its earliest, most treatable stages. If you have concerns about your risk of colon cancer or notice any symptoms, consult your healthcare provider for further evaluation and guidance.

March 7, 2024

Endometriosis and gastrointestinal symptoms
Colorectal
Can Endometriosis Cause Gastrointestinal Symptoms?

Endometriosis, a chronic condition where tissue similar to the lining of the uterus grows outside the womb, affects approximately 10% of women of reproductive age globally. While it’s commonly associated with pelvic pain and infertility, its impact on the gastrointestinal (GI) system is less recognized but equally significant. In this article, we delve into the intricate relationship between endometriosis and GI symptoms, exploring how this condition manifests in the bowels, its symptoms, diagnosis, and available treatments.

Endometriosis and Gastrointestinal Symptoms

Individuals with endometriosis often experience a range of GI symptoms, including abdominal pain, bloating, diarrhea, constipation, nausea, and gastrointestinal discomfort. Studies estimate that up to 90% of individuals with endometriosis experience GI symptoms. These symptoms vary in intensity and often coincide with menstruation due to hormonal fluctuations.

  • Abdominal Pain: Abdominal pain, may intensify during menstruation or bowel movements. This pain arises from endometrial-like tissue in the pelvic cavity, causing inflammation, adhesions, and nerve sensitization.
  • Bloating: Hormonal fluctuations or dietary factors may exacerbate it. The exact mechanisms are not fully understood but likely involve hormonal imbalances and altered gut motility.
  • Diarrhea and Constipation: Alterations in bowel habits, including diarrhea and constipation, affect around 30-40% of individuals. These symptoms may occur cyclically or persistently throughout the menstrual cycle. Bowel endometriosis, infiltrating endometrial-like tissue into the bowel wall, contributes by causing inflammation, spasms, and transit time changes.
  • Rectal Bleeding: Rectal bleeding, though less common, occurs in approximately 20-25% of bowel endometriosis cases. Endometrial implants in the rectum or lower bowel lead to irritation, ulceration, and subsequent bleeding.
  • Nausea and Vomiting: Though less prevalent, nausea and vomiting can accompany severe abdominal pain or bloating. While the exact mechanisms are unclear, they likely involve visceral hypersensitivity and autonomic nervous system dysregulation.

Why is Endometriosis often Misdiagnosed?

However, diagnosing these symptoms can be challenging due to overlaps with other GI conditions like irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or colon cancer. Accurate diagnosis necessitates thorough evaluation by healthcare professionals.

Endometriosis vs Other Digestive Disorders

  • Irritable Bowel Syndrome (IBS): Both endometriosis and IBS can cause abdominal pain, bloating, and changes in bowel habits. However, in endometriosis, these symptoms may worsen during menstruation and may be accompanied by pelvic pain, which is not typically seen in IBS.
  • Inflammatory Bowel Disease (IBD): Symptoms like abdominal pain, diarrhea, and rectal bleeding are common in both endometriosis and IBD. However, while IBD primarily affects the colon and rectum, endometriosis-related symptoms can involve the entire GI tract.

Understanding Endometriosis in the Bowels

Complex mechanisms underline the relationship between endometriosis and GI symptoms. Endometrial-like tissue outside the uterus triggers inflammation, irritation, and scarring in nearby organs, including the bowel—termed bowel endometriosis. This results in diverse GI symptoms, including painful bowel movements, bloating, diarrhea, constipation, rectal bleeding, nausea, and vomiting. While the exact cause remains unclear, hormonal imbalances, genetic predisposition, and immune system dysfunction are believed to play roles in its development.

Surgical Treatment for Bowel Endometriosis

Once diagnosed, effective management of bowel endometriosis typically involves a multidisciplinary approach. Treatment options usually involve minimally invasive laparoscopic surgeries to remove lesions and scar tissue. In severe cases, bowel resection surgery may be necessary to alleviate symptoms and improve overall well-being.

Seeking Care with Endometriosis and GI Issues

Endometriosis and associated GI symptoms present formidable challenges. Raising awareness, recognizing symptoms, and seeking prompt medical intervention are pivotal. Comprehensive care from a multidisciplinary team, comprising gynecologists and colorectal surgeons, ensures tailored treatment addressing both gynecological and gastrointestinal facets.

Contact our team at 310-861-7493 to schedule a consultation with our bowel endometriosis experts. With proactive care and support, individuals can mitigate symptoms, enhance quality of life, and navigate the complexities of living with endometriosis.

February 26, 2024

lady clutching stomach in pain
Colorectal
What Happens If Bowel Endometriosis Is Left Untreated?

Bowel endometriosis is a serious condition that typically develops when the abnormal growths of the uterus spread to the nearby digestive tract. It occurs when tissues from the endometrium grow on the surface of the bowel (e.g., colon, intestines).

WHAT IS BOWEL ENDOMETRIOSIS MISTAKEN FOR?

The symptoms of bowel endometriosis, such as abdominal pain, bloating, and changes in bowel habits, can mimic those of other gastrointestinal disorders. Due to these overlapping symptoms, bowel endometriosis is frequently mistaken for irritable bowel syndrome, Crohn’s disease, diverticulitis, appendicitis and in some cases even colon cancer.

In one case, a 42-year-old woman complained of abdominal symptoms (e.g., bloating, gas, diarrhea). The presence of these symptoms and an abdominal mass made surgeons think of colon cancer and remove a part of the intestines and the uterus. After analyzing the resected tissues, the mass was revealed as endometriosis and not colon cancer. This case demonstrates how bowel endometriosis can be mistaken for cancer. 

Due to these potential overlaps in symptoms, accurate diagnosis of bowel endometriosis requires a thorough evaluation by gynecologists and colorectal surgeons.

Bowel endometriosis and fertility

Does bowel endometriosis cause infertility? The short answer is yes.

Up to 50% of bowel endometriosis cases will suffer from infertility. In reality, the involvement of the bowel is not the direct cause of infertility. It’s simply the fact that bowel endometriosis almost always means that the reproductive organs are loaded with endometrial growths, which disrupt fertility.

For example, when abnormal growths occur within the uterus, they disrupt the implantation of the fertilized egg. If these growths develop on the ovaries, the eggs are prone to damage, which complicates the conception process. 

Moreover, endometriosis increases risks during pregnancy and childbirth. A systematic review found that pregnant women with bowel endometriosis are at a higher risk of miscarriage, preterm birth, and the abnormal implantation of the placenta (e.g., placenta previa).

Luckily, it’s still possible for women to get pregnant through assistive procedures, such as intrauterine insemination and IVF (in-vitro fertilization).

Other complications for untreated bowel endometriosis

Complications of untreated bowel endometriosis can obstruct the bladder and bowel. This develops after the endometrial adhesions encircle the intestines, bladder, and rectum. As a result, patients may develop severe constipation that can even become mechanical bowel obstruction. 

Interestingly, the exact opposite can also occur. In other words, a subset of patients may develop urinary and bowel incontinence, where urine output and defecation become uncontrollable.

Chronic inflammation of the bowel may also develop. Unfortunately, this could precipitate chronic pain that alters the patient’s quality of life. In this case, the only effective management plan may be to resect the affected section of the bowel.

DEEP INFILTRATING BOWEL ENDOMETRIOSIS

Stage 4 bowel endometriosis commonly exhibits symptoms of deep infiltrating bowel endometriosis. This presents as severe pelvic pain, abdominal pain, abnormal bowel movement (e.g., diarrhea, constipation), rectal pain, and bowel obstruction.

CAN BOWEL ENDOMETRIOSIS CAUSE CANCER?

Bowel endometriosis itself is not considered a cancerous condition. However, it’s crucial to note that endometriosis, in general, has been associated with a slightly increased risk of a type of ovarian cancer called endometrioid ovarian cancer. The risk is still relatively low, and most individuals with endometriosis do not develop cancer.

Seeking timely medical attention is essential for those experiencing symptoms of bowel endometriosis to ensure accurate diagnosis and effective management. Early intervention is key in relieving symptoms, averting complications, and enhancing overall outcomes. 

If you suspect you may have bowel endometriosis or are experiencing related symptoms, call 310-861-7493 to schedule a consultation with one of our colorectal surgeons who specialize in treating bowel endometriosis.

February 2, 2024

How to choose a doctor for hemorrhoid treatment
Colorectal
How to Choose a Doctor for Hemorrhoid Treatment?

When it comes to seeking treatment for hemorrhoids, understanding the roles of different medical specialists is essential. Two key professionals involved in addressing hemorrhoids are gastroenterologists and colorectal surgeons, also known as proctologists. Let’s explore the distinctions between these experts and their respective approaches to managing hemorrhoids.

Gastroenterologists


Gastroenterologists are specialists in digestive system disorders, including those affecting the rectum and anus where hemorrhoids occur. They are skilled in diagnosing and managing mild to moderate cases of hemorrhoids. Gastroenterologists typically recommend non-surgical treatments, including lifestyle modifications and over-the-counter remedies. They perform diagnostic procedures such as digital rectal exams, anoscopy, and sigmoidoscopy to assess the condition.

Colorectal Surgeons/Proctologists


Colorectal surgeons, or proctologists, have extensive expertise in addressing diseases and conditions of the colon, rectum, and anus. They are especially well-suited for managing severe hemorrhoids and cases where non-surgical methods have proven ineffective. These specialists can perform advanced procedures like hemorrhoidectomy, rubber band ligation, and minimally invasive techniques such as Transanal Hemorrhoidal Dearterialization (THD) or stapled hemorrhoidopexy (PPH).

Evaluation and Diagnosis


Both gastroenterologists and colorectal surgeons are capable of diagnosing hemorrhoids through comprehensive evaluations. They may use various tools and techniques, including digital rectal exams, anoscopy, sigmoidoscopy, and in some cases, colonoscopy to rule out other colorectal conditions. The choice between these specialists depends on the severity of your hemorrhoids and the most suitable treatment approach.

Severity of Hemorrhoids


For mild to moderate cases and initial evaluation, consulting a gastroenterologist may be the right choice. They can offer guidance on lifestyle adjustments and non-surgical treatments. If your condition is more advanced, requires surgical intervention, or you experience persistent symptoms, a colorectal surgeon or proctologist is better equipped to provide specialized care and perform surgical procedures.

Choosing the best specialist for your hemorrhoids


Selecting the appropriate specialist for your hemorrhoid treatment is crucial. Gastroenterologists focus on less invasive and non-surgical solutions, while colorectal surgeons are experts in surgical interventions. Choosing the right specialist ensures you receive the most effective and tailored treatment for your specific needs. Your healthcare provider can help guide you in making this decision based on the severity of your condition and individual circumstances.

October 18, 2023

Colorectal
5 Best Exercises for Hemorrhoids

Hemorrhoids, a common medical condition affecting a significant portion of the population, can cause discomfort, itching, and pain that can greatly impact one’s quality of life. While various treatments are available, exercise stands out as an effective method for alleviating hemorrhoid symptoms. Exercise not only improves circulation and reduces constipation, a leading cause of hemorrhoids but also strengthens pelvic muscles and reduces pressure on the veins. 

In this article, we will explore the top 5 exercises that can help alleviate hemorrhoid symptoms and enhance overall health and well-being. Whether you experience occasional flare-ups or chronic hemorrhoids, incorporating these exercises into your daily routine can significantly improve your comfort and quality of life.

Causes and Symptoms of Hemorrhoids

Hemorrhoids are swollen veins in the anal region that can cause discomfort and pain. There are various factors that can trigger hemorrhoids including constipation, pregnancy, obesity, and a sedentary lifestyle. Common symptoms of hemorrhoids include itching, pain, bleeding, and discomfort during bowel movements. Seeking medical attention is crucial if you experience these symptoms to determine the cause and develop a suitable treatment plan.

The Role of Exercise in Hemorrhoid Management

Exercise is an effective approach for alleviating hemorrhoid symptoms. It enhances circulation, and reduces constipation, and strengthens the muscles in the pelvic area. When performed correctly, exercise can reduce pressure on the veins and alleviate discomfort. Regular exercise also offers additional health benefits, including weight loss, improved cardiovascular health, and reduced stress levels. Incorporating exercise into your daily routine contributes to overall health and wellness.

What are the Best Exercises for Hemorrhoids?

  1. Kegel Exercises

These pelvic floor exercises involve contracting and relaxing the muscles in the pelvic area, strengthening the muscles supporting the anus and rectum. Perform Kegel exercises by contracting the pelvic floor muscles for five seconds, relaxing for five seconds, and repeating the cycle ten times, three times a day.

  1. Squats 

Squats improve circulation and reduce constipation by targeting the muscles in the legs, buttocks, and pelvic area. Stand with feet shoulder-width apart, squat down as if sitting in a chair, ensuring knees don’t extend beyond toes, and maintain a straight back. Repeat this exercise ten times, three times a day.

  1. Pelvic Tilts 

These exercises effectively strengthen the pelvic muscles, reduce pressure on the veins, and improve anal circulation. Lie on your back with your knees bent and feet flat on the floor. Tighten abdominal muscles and tilt the pelvis upward, then relax. Repeat this exercise ten times, three times a day.

  1. Yoga

Yoga reduces stress, improves overall health, and helps alleviate hemorrhoid symptoms by enhancing circulation, reducing constipation, and strengthening the pelvic muscles. Recommended poses include downward-facing dog, child’s pose, and triangle pose. Incorporating yoga into your routine aids in reducing discomfort and improving overall health.

  1. Walking

A simple yet effective exercise that reduces constipation, improves circulation, and strengthens leg and pelvic muscles, reducing pressure on the veins. Aim for 30 minutes of walking daily to alleviate hemorrhoid symptoms and improve overall health.

Incorporating Exercise into Your Hemorrhoid Treatment Plan

Integrating exercise into your daily routine aids in alleviating hemorrhoid symptoms and improving overall health. Start slowly, gradually increasing workout intensity. Begin with simple exercises like walking and pelvic tilts, gradually advancing to squats and yoga. Maintain proper form during exercise and avoid exercises that exert excessive pressure on the anal region.

Additional Lifestyle Changes to Alleviate Hemorrhoid Symptoms

Alongside exercise, lifestyle changes can further alleviate hemorrhoid symptoms. Consuming a high-fiber diet and staying hydrated helps reduce constipation and enhance bowel movements. Avoiding straining during bowel movements and taking regular breaks during prolonged sitting helps alleviate pressure on the veins.

When to Seek Medical Attention for Hemorrhoids

While exercise and lifestyle changes can alleviate hemorrhoid symptoms, seek medical attention if symptoms persist or worsen. Your doctor may recommend medications, procedures, or surgery for treatment. Seeking early medical attention helps avoid complications and ensures a speedy recovery.

Final Thoughts

Hemorrhoids, a common medical condition, can cause significant discomfort and have a negative impact on the quality of life for those affected. Exercise stands out as one of the most effective ways to alleviate hemorrhoid symptoms and improve overall health and wellness. The top five exercises recommended for hemorrhoids include Kegel exercises, squats, pelvic tilts, yoga, and walking. By incorporating these exercises into your daily routine, you can experience a notable improvement in comfort and quality of life. It is important to start slowly, gradually increase the intensity of your workouts, maintain proper form, and seek medical attention if symptoms persist or worsen. With the right treatment plan, you can effectively alleviate hemorrhoid symptoms and enhance your overall health and well-being.

June 6, 2023

Colorectal
Comparing Colorectal Surgeons and Gastroenterologists: Which Specialist Should You See?

The digestive system is crucial to overall health, but it is prone to various issues such as constipation, diarrhea, acid reflux, and cancer. When patients experience such symptoms, they require the expertise of medical professionals such as colorectal surgeons and gastroenterologists. However, determining which specialist to see can be challenging. This article aims to compare and contrast these specialists and guide readers in making informed decisions regarding their digestive and colon health care.

Colorectal Surgeons: Who Are They and What Do They Do?

Colorectal surgeons are specialists in the field of colorectal surgery, which focuses on surgical treatment for conditions of the colon, rectum, and anus. These medical doctors undergo extensive education and training, including a four-year medical degree, a five-year residency in general surgery, and an additional one to two years of fellowship training in colorectal surgery.

Colorectal surgeons diagnose and treat conditions such as colon cancer, IBD, diverticulitis, and hemorrhoids. They may perform various surgical procedures, including colonoscopies, laparoscopic surgery, and open surgery, depending on the specific condition and its severity.

One of the primary advantages of seeing a colorectal surgeon is that they are trained in both medical and surgical management of digestive conditions. This means that they can provide comprehensive care for patients, from diagnosis to treatment and follow-up. However, they may not always be the appropriate specialist for those who do not require surgical treatment. In such cases, a gastroenterologist may be a more suitable option.

Gastroenterologists: Who Are They and What Do They Do?

Gastroenterologists are medical professionals who specialize in identifying and treating conditions that impact the digestive system, which includes the esophagus, stomach, small intestine, colon, pancreas, liver, and gallbladder. They use a range of diagnostic tools, including imaging tests, endoscopy, and colonoscopy, to assess and diagnose digestive ailments.

They are responsible for treating a wide range of digestive conditions, including acid reflux, peptic ulcer disease, IBD, IBS, and celiac disease, among others. Treatments they may administer include prescribing medications, recommending lifestyle changes, or performing procedures such as endoscopic therapy or dilation of the esophagus to treat the condition. They also provide ongoing care and monitoring to ensure the patient’s digestive health is maintained.

To become a gastroenterologist, one must complete a four-year medical degree followed by a three-year residency in internal medicine and an additional two to three years of specialized fellowship training in gastroenterology.

One of the main advantages of consulting a gastroenterologist is their ability to provide medical and non-surgical treatments for digestive conditions, which offers patients a comprehensive range of options for managing their condition. However, where surgical intervention is required, a patient will need to be seen by a colorectal surgeon. 

How to decide whether you should see a Colorectal Surgeon or a Gastroenterologist?

Colorectal surgeons and gastroenterologists have different training, scope of practice, and procedures they perform. Colorectal surgeons specialize in surgical procedures for conditions of the colon, rectum, and anus, whereas gastroenterologists offer medical and non-surgical treatments for a broader spectrum of digestive ailments. In some cases, patients may require collaboration and referral between the two specialists for optimal care. For example, a patient with a complex digestive condition may require surgical intervention from a colorectal surgeon, but also ongoing medical management from a gastroenterologist. 

Ultimately, the choice between consulting a colorectal surgeon or a gastroenterologist depends on your symptoms, medical history, and the required intervention. While both specialties offer expertise in digestive health, their areas of focus, training, and scope of practice differ. Consult with your primary care physician and/or referrals can help ensure proper care for your digestive and colon health concerns.

April 26, 2023

Colorectal  ·  Surgery Group LA
Guide to Colorectal Cancer Screenings

March is Colorectal Cancer Awareness Month. To raise awareness and knowledge of the disease, the Surgery Group of Los Angeles is putting out a short guide on colorectal cancer screenings and advocating for people over 45 to get their first screening test.

What is Colon Cancer?

Colon cancer, or colorectal cancer, is a common type of cancer that affects the colon or rectum. It develops from abnormal growths in the lining of the colon or rectum, known as polyps, which can become cancerous over time. Symptoms may include changes in bowel habits, blood in the stool, abdominal pain or discomfort, fatigue, and weight loss. Risk factors include age, family history, personal history of polyps or inflammatory bowel disease, and a diet high in red or processed meat and low in fruits and vegetables. Colon cancer is often treatable when caught early through screening tests such as colonoscopies.

When Should I Get Screened?

The age at which you should begin screening for colon cancer depends very much on your symptoms and family history.

If you have a family history of CRC or advanced adenoma in a first-degree relative, it is recommended to undergo a colonoscopy every five years, beginning 10 years before the age at diagnosis of the youngest affected relative, or at age 40, whichever is earlier. 

Those with a single first-degree relative diagnosed with CRC or advanced adenoma at age 60 or older may start average-risk screening at age 40.

Colorectal Cancer Screening Tests

Tests for colon cancer are designed to detect cancer before symptoms arise. When done regularly, these tests can find colorectal cancer when it’s smaller and perhaps even easier to treat. While there are many screening options that we would like to go over with you today, the key is that you are tested. The types of tests that the American Cancer Society recommends are split into two major categories: Visual and Stool based screening. 

Stool Based tests can be separated into two categories: Blood-based and DNA based. While they are less invasive and simpler to perform, they need to be performed far more often than their Visual counterparts. 

  • Blood-based tests come in two forms: Fecal Immunochemical (FIT), or Guaiac-based fecal occult (gFOBT). Both can be performed at home and work by finding trace amounts of hidden blood inside of your stool. Both need to be performed once a year and may require you to avoid red meat and some medicines (ibuprofen, aspirin, and large amounts of Vitamin C) several days before testing. 
  • Stool DNA testing looks instead for certain DNA or gene changes that can form inside of your stool from polyps or cancerous cells. Some tests also check for blood as well. These tests are also can be performed at home, but only need to be done every 3 years 

If any of these tests show positive for blood or DNA changes, a colonoscopy must be performed. It does not however mean that cancer has formed in the colon, as it may also be Ulcers or Hemorrhoids. 

Visual Tests are recommended for patients that have an average to high risk of having colon cancer. They don’t have to be performed as often as their stool counterparts but often require more lead uptime.  

  • A Colonoscopy is the most common form of visual test and if nothing is found abnormal on an average risk patient, will not need to be performed for another 5-10 years. A flexible tube is inserted into the anus, where a small camera allows your doctor to observe the totality of your colon and rectum.  This test is done under twilight anesthesia.  There is of course the “bowel prep” and you will need a ride home, but the test is very safe. 
  • A CT Colonography is very similar to a colonoscopy but due to it being virtual, does not require sedation. It still requires drinking a bowel prep the day before. If any abnormalities are observed, a follow colonoscopy will need to be performed. While less painful, a CT Colonography must be performed every 5 years. 

Regular screening is key in preventing colorectal cancer. If polyps are found during the testing process, they can usually be removed before turning into cancer. If you’re 45 and older talk to your doctor about which test is right for you. Be sure to mention your family medical history, as that will provide key insight into testing your unique situation.  

March 21, 2023

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Surgery Group of LA is a multi-specialty surgical practice based in Los Angeles, dedicated to providing expert, compassionate care across a wide range of specialties including colorectal, thyroid, general, and minimally invasive surgery. Our board-certified surgeons are committed to delivering personalized treatment using the latest technology and techniques.

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310-861-7493

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Los Angeles, CA 90048
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