Frequently Asked Questions

Office procedure for internal hemorrhoids

Rubber Band ligation of internal hemorrhoids

Procedure Description:
An alternative to surgery in select cases

What To Expect:
The procedure takes 5 minutes. You will experience a pressure sensation and urge to defecate but no real pain.

Preprocedure:
If possible a Plain Fleet's enema should be used approximately 2 hours before the scheduled appointment

Postprocedure:
You may feel a dull ache for 36 to 48 hours following your treatment. In 24 to 48 hours, the hemorrhoid caught in the rubber band will be completely destroyed. For any aching and discomfort, the great majority of patients take either no medication or a Extra Strenth Tylenol tablets. Warm baths for 15 to 20 minutes will also relieve your discomfort.
No special diet is necessary. It is important to keep your bowel movements soft and regular.
You may go ahead with your normal physical activities. You will be able to drive your car immediately after the treatment.
The hemorrhoid will drop off in 5 to 14 days. You will usually not know this except occasionally some bleeding will occur at this time. Should severe bleeding occur you should contact me immediately.
It is important to remember that bleeding and protrusion can persist and will likely persist until all hemorrhoids have been treated.
Do not hesitate to call if you have any problems.


A fiberoptic evaluation of your colon

Procedure Description:
To identify inflammatory or neoplastic disease of the colon

What To Expect:
You will be sedated to make the procedure most comfortable. The procedure will take about 30 minutes after which you will be observed for 30-60 minutes. If stable, you will be discharged however, you will need to have transportation home as you may not take public transportation or drive yourself.

Preprocedure:
OUTPATIENT COLONOSCOPY INSTRUCTIONS

1. The day prior to your scheduled procedure you must be on a CLEAR liquid diet, We recommend drinking a variety of liquids.
2. Night before exam at approximately 6:00pm begin drinking 2 liters of Movi-Prep(Rx) as instructed - 8 ounces every 10 minutes in 1 1/2 HOURS OR LESS!! Continue drinking until you have finished the 2 liters or your stool output looks like what you were drinking.You may return to clear liquids up til midnight.

3. NOTHING TO EAT OR DRINK AFTER MIDNIGHT!!
If you are on Blood Pressure Medicines, take them with a sip of water the morning of the procedure but nothing else orally!!
If you take ASPIRIN, Please be sure you have stopped taking it at least ONE WEEK before the procedure.

Postprocedure:
Go home and and relax. Eat a light meal for the first meal. If you are not having cramping or pain or fever you may resume your regular diet. Do not drive a car or make major financial or personal decisions and do not go to work. The day after the procedure you may resume normal diet and activity. If a polyp was removed or biopsied, DO NOT Take Any Aspirin or Blood thinners for 2 WEEKS post procedure. Call the office in 4 days to check on any pathology reports if biopsies were performed.


Staff Information


Bonnie K, Office Manager: Primary patient contact for all patient matters




 



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