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SYMPTOMS

What are Hemorrhoids

Hemorrhoids are one of the most common gastrointestinal conditions and affect 40-60% of all adults over the age of 40. Hemorrhoids are simply swollen blood vessels inside the anal area or skin around the anus. Hemorrhoids do not usually produce symptoms (i.e. stools soft) unless they progress down into the anal canal (known as a prolapsed hemorrhoid) which can can cause rectal bleeding (bright red blood), swelling, irritation, itching and leakage or soiling. Prolapse often occurs because of aging, pregnancy, which greatly increases venous pressure, chronic constipation and physical straining sometimes seen with weight lifting. Hemorrhoids are not always a sign of digestive diseases.

Hemorrhoid Symptoms

It is of the utmost importance that the symptoms of hemorrhoids, in particular bleeding, to not be confused with other more serious conditions such as early rectal cancer, anal cancer or pre-malignant polyps. If you have any of these symptoms, a colonoscopy or sigmoidoscopy (shorter version of a colonoscopy) is extremely important to examine the lower bowel and exclude these conditions before a diagnosis of hemorrhoids is assumed. This is a surprisingly common and sometimes devastating mistake.

Hemorrhoids Treatment

Hemorrhoidal symptoms are never life-threatening and most likely do not require surgical treatment, but can be very bothersome and even debilitating. Most hemorrhoid symptoms can be treated with what is called ‘conservative medical management’ which includes fiber supplements, treatment of constipation, hot baths with Epsom salts (“Sitz Baths”) and avoidance of straining with bowel movement or prolonged sitting on the toilet bowl. Surgery to remove hemorrhoids is now rarely required because of newer non-surgical techniques (banding, rubber band ligation, etc.) which have been shown to be just as effective. One of the newest techniques is the CRH O’Regan minimally invasive band ligation, which is as effective as surgery yet has none of the pain, prolonged recovery period or risks of surgery. The CRH O’Regan method takes only a minute to perform, requires no anesthesia or preparation and is generally painless. We have found this technique to be moderately to highly successful in 90% of patients with hemorrhoids.

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TESTIMONIAL

Our Happy Patients

Our commitment to our patients shows in our reviews!

June M

A few weeks ago I visited your office for a long overdue ‘routine’ colonoscopy. I was surprised how painless and unembarrassing it was. To my surprise, Dr. Berger told me he found a large polyp that he was able to remove. Yikes! Thank God everything turned out okay, but I am extremely grateful to you and your fantastic team (thanks Linda!) for helping me through this! You are all wonderful!

Sylvia B.

A sincere thanks to all of you for being so nice when I had my upper endoscopy. Words can’t express my appreciation to Dr. Berger for his understanding and patience. . . I delayed having this procedure for a long time, knowing this would be a problem – maybe insurmountable. I was so embarrassed at my difficulty, but you . . .solved the problem. You’re terrific and I am grateful.

Buck H., M.D.

PLEASE tell Dr. Berger how much I appreciated his efficiency and painless procedure. And tell his IV nurse that that was the most painless IV that I ever had. I was so impressed with all of you.

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