Infrared Coagulation

Q&A: Regarding Infrared Coagulation (IRC)

What is Infrared Coagulation? IRC is a non-surgical hemorrhoid treatment that can be performed in the office without anesthesia. It is a technique used to shrink internal hemorrhoid tissue by applying a controlled amount of infrared energy to the hemorrhoid.

How does it work? IRC works by coagulating the vessels that provide the hemorrhoid with blood. This causes the hemorrhoid tissue to shrink back.

Does Dr. Perryman have experience performing IRC? Dr. Perryman does perform IRC in the office as well as other non-surgical treatments of hemorrhoids such as rubber band ligation (RBL), sclerotherapy, and medical management.

Is it painful? Many patients report feeling a heat sensation but do not feel pain. Patients can return to work the same day.

Is IRC an effective treatment? IRC has been shown to be an effective treatment in many patients. However, studies have shown that RBL demonstrates a greater long term efficacy. It is thought that this is because RBL causes the hemorrhoid tissue to die, where IRC creates a small burn that results in minimal tissue injury.

 

Dr. Perryman would be happy to further discuss treatment options with you.

Do I need a Colorectal Surgeon or a Gastroenterologist?

What is the difference between a colorectal surgeon and a gastroenterologist? This is a very common question that we receive and often patients are unsure of which field is appropriate for their needs. Although these fields overlap in some areas, the specialties are actually very different in the conditions they treat and their method of training. In order to address this issue, we have added some useful information to decide which type of physician treats your condition.

A Colorectal Surgeon, formerly known as a proctologist, is a general surgeon who has undergone further training in the diagnosis and treatment of diseases of the colon, rectum and anus. Colon and rectal surgeons are experts in the surgical and non-surgical treatment of colon and rectal problems. Colon and rectal surgeons treat benign and malignant conditions, perform routine colon screening examinations and surgically treat problems when necessary.

A colorectal surgeon will evaluate, diagnose and treat the following symptoms and conditions:

Anal Abscess/Fistula Anal Cancer Anal Fissure
Anal Pain Anal Warts Bowel Incontinence
Colorectal Cancer Constipation Crohn’s Disease
Diverticular Disease Hemorrhoids Irritable Bowel Syndrome
Pelvic Floor Dysfunction Pilonidal Disease Pruritus Ani
Rectal Prolapse Rectocele Ulcerative Colitis

A gastroenterologist is a doctor who has completed initial training in internal medicine and further training in gastroenterology. Gastroenterologists do not operate on patients. A gastroenterologist specializes in diseases of the digestive system (gastrointestinal (GI) tract). Gastroenterologists diagnose and treat many conditions that affect the esophagus, stomach, small intestine, large intestine (colon), and biliary system (e.g., liver, pancreas, gallbladder, bile ducts).

 

 

Rectal Bleeding

The most common misconception about rectal bleeding is that it is coming from hemorrhoids.

Hemorrhoids can be the cause of rectal bleeding; however, there are many other conditions that can cause rectal bleeding. These conditions include but are not limited to, colon cancer/rectal cancer, anal fissures, constipation, polyp(s), and Inflammatory Bowel Disease, such as Crohn’s and Ulcerative colitis. Please visit this link to see all causes of rectal bleeding http://www.mayoclinic.com/health/rectal-bleeding/MY00573/DSECTION=causes.

To determine the source of rectal bleeding, an anorectal exam should be performed by a qualified provider as well as a colonoscopy. Doing both of these procedures will allow Dr. Perryman to diagnose the source of the bleeding and determine treatment.