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Gilbert Simoni MD Hemorrhoidal Banding FAQ

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Gilbert Simoni MD Hemorrhoidal Banding FAQ Powered By Docstoc
					                                           Gilbert Simoni, MD

                                         Hemorrhoidal Banding
                                                FAQ


1. What are hemorrhoids?                               5. Does banding hurt?

Hemorrhoids are swollen veins located in the lower     No. Thanks to our improved instruments and
rectum or anus. There are two types of                 technique, band placement is painless. You may
hemorrhoids: internal and external. Depending on       experience a feeling of fullness or dull ache in the
the location, symptoms may include pain,               rectum for the first 24 hours, but this can generally
inflammation, itching, and a feeling of fullness       be relieved by over-the-counter pain medication.
following a bowel movement. Additionally, there        Studies of banding technique have shown that
may be bright red blood covering the stool, on the     99.8% of patients experience no post-procedure
toilet tissue or in the toilet bowl.                   pain.


2. What causes hemorrhoids?                            6. How many bands are necessary?

Hemorrhoids result from an increase in pressure in     There are three sites where hemorrhoids form
the veins of the rectum This may be caused by          frequently, and it is not uncommon for all three sites
constipation, pregnancy, childbirth, obesity, heavy    to require treatment. We generally band all three
lifting, long periods of sitting, or diarrhea. In      hemorrhoid sites. Also, some extreme large
Western countries, constipation is associated with     hemorrhoids may require additional banding
diets low in fiber and high in fat.                    sessions. Thus, as many as six bands total may be
                                                       used in severe cases, but one to three is standard.
3. Who gets hemorrhoids?

Hemorrhoids affect both men and women. The             7. Can you treat external hemorrhoids?
incidence of hemorrhoids increases after age 30,       Yes. Most hemorrhoidal symptoms are from dilated
and by age 50, about half of the population will       internal hemorrhoids and or anal fissures. The
have experienced the condition.                        banding of internal hemorrhoids usually shrinks the
                                                       external hemorrhoids as well and is highly effective
4. How does banding work?                              in relieving the symptoms of pain and bleeding.
                                                       After banding is completed there may be an external
A tiny rubber band is placed around the tissue         component or skin tag that persists, but usually they
above the hemorrhoid. This cuts off blood supply to    do not cause much in the way of symptoms. An
the hemorrhoid, causing it to shrink and fall off      acute thrombosis of an external hemorrhoid can be
typically in a day or so. You probably won t even      very painful and is considered as a complication of
notice when this happens or be able to spot the
rubber band in the toilet.
                                                              Hemorrhoidal Banding FAQ P.2




                                                        have a colonoscopy to make sure that there are no
external hemorrhoids. Once the thrombosis of            underlying conditions such as cancer or
external hemorrhoids develop you need to be             inflammatory bowel disease (colitis) casing your
referred to a surgeon who can perform procedures        bleeding, prior to being scheduled for hemorrhoidal
as required to care for these external hemorrhoidal     banding procedure.
complications.


8. Will I have to miss work or other activities?        11. How much does banding cost?

Your first appointment with us will probably be the     Please call us for the most up-to-date pricing on the
longest, as it involves a consultation, medical         services you may require. We accept most major
history and diagnosis. We suggest you allot up to an    insurance plans, including Medicare. We also offer
hour. Subsequent treatment sessions will be shorter,    convenient financing through CareCredit.
around 15-30 minutes total. After a hemorrhoid
banding procedure, we recommend that you rest the
remainder of the day at home and resume full
activity the next day. Many patients with office jobs   12. Do hemorrhoids increase the risk of
find they can return to work immediately following      colorectal cancer?
their appointment, however.
                                                        No. Hemorrhoids do not increase your risk of
                                                        developing colorectal cancer. But since both
                                                        conditions can produce bleeding as a symptom, it s
9. Why aren t creams and home remedies                  important to determine whether cancer may also be
enough?                                                 present. Before, treating your hemorrhoids , we can
                                                        screen you for colorectal cancer with a complete
Hemorrhoid creams and suppositories are designed        colonoscopy. Research shows that up to 6% of
to provide temporary relief for symptoms such as        patients with bleeding hemorrhoids may also have
pain and itching. They cannot shrink the                colorectal cancer.
hemorrhoid, stop it from growing larger or make it
go away. Ultimately, the only permanent cure for
recurrent symptoms is the destruction or removal of     13. Will my insurance cover banding?
the hemorrhoid itself.
                                                        We accept most major insurance plans, including
                                                        Medicare. As insurance coverage varies, however,
10. How do I know if I have hemorrhoids or an           please call us for assistance with regards to your
anal fissure?                                           specific policy.

Anal pain, itching and bleeding are symptoms of
both hemorrhoids and anal fissures. As a result, it s   14. How common is banding?
possible for people to incorrectly self-diagnose
themselves. Always consult a physician for a proper     An estimated 50 million banding procedures are
diagnosis. Because bleeding is also a symptom of        performed worldwide each year.
colorectal cancer, it s important to rule other
problems as well. Therefore, often you may need to

				
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