Lisa A. Perryman, MD, FACS, FASCRS
Colorado Colon & Rectal Specialists
9397 Crown Crest Blvd., Ste. 301
Parker, CO 80138
Congratulations, Dr. Perryman, on the success of your medical practice. You have made your mark, and helped countless people along the way. The next ten years will undoubtedly be as remarkable.
Thank you for your skill, determination, compassion, and commitment—you always do what’s right for your patients.
Dr. Lisa A. Perryman and staff gladly volunteered at the 10th Annual Denver UndyRunWalk to raise awareness of colon cancer, and serve on the event's organizing committee.
Schedule your colonoscopy today! Tomorrow can't wait.
Dr. Lisa A. Perryman and staff are pleased to participate in the UndyWalkRun, and serve on its organizing committee.
-Bleeding during bowel movements
-Protrusion of skin during bowel movements
-Itching in the anal area
-Pain in the anal area
If you answered "yes" to any of these questions, contact our office today to schedule an appointment with Dr. Perryman! We can help you!
You can make an appointment by phone at 303-840-8822 or request an appointment online at http://coloradocolonandrectalspecialists.com/.
The amazing trails and panoramic views of the Rocky Mountains make Colorado one of the best places in the country for cycling enthusiasts. It is more of an anomaly to not have a bike here than to have one. It is a great exercise for most age groups and a way of life for many. But are there any side effects to our backsides when sitting on a bike?
Many people indirectly link cycling to hemorrhoids but in fact, riding a bike does not cause hemorrhoids. It can, however, exacerbate them.
It seems obvious that sitting on a somewhat hard bike seat for extended periods of time with hemorrhoids would be quite unpleasant. The friction of repetitive motion while rubbing near your anus certainly would not feel great on flared up hemorrhoids. Ouch! The good news is most hemorrhoids will resolve in a few days…but not if you continue to cycle. Unfortunately, for those avid cyclists out there, you may have to stop biking to allow those pesky hemorrhoids to heal.
Many cyclists will ask: Are there any cycling bike seats that may help ease the pain of hemorrhoids?
Although our medical expertise lies within the buttocks area, we can’t recommend the best bike seats for cyclists as it is not really the cause or solution for hemorrhoids. There certainly may be some relief from a softer seat but it is best to speak with your local cycling shop to inquire about various seat options. We can ensure that a seat itself will not solve your hemorrhoid problem. The best thing to do is to try to prevent them from happening in the first place…
How can we prevent hemorrhoids?
The best precaution for limiting hemorrhoids is diet. Eat more fiber and drink lots of water. The goal is to increase motion in your intestinal track so you don’t become constipated and strain during bowel movements, which is the most common cause of hemorrhoid problems.
What exactly is a hemorrhoid?
Well, there are several different variations of hemorrhoids. The Mayo Clinic defines the 3 types of hemorrhoids as follows:
- Internal hemorrhoids: These lie inside the rectum. You usually can’t see or feel these hemorrhoids, and they rarely cause discomfort. But straining or irritation when passing stool can damage a hemorrhoid’s surface and cause it to bleed.
- External hemorrhoids: These are under the skin around your anus. When irritated, external hemorrhoids can itch or swell.
- Thrombosed hemorrhoids: Sometimes blood may pool in an external hemorrhoid and form a clot (thrombus) that can result in severe pain, swelling, inflammation and a hard lump near your anus.
For symptoms of internal and external hemorrhoids, see the hemorrhoid section on our website at: https://coloradocolonandrectalspecialists.com/hemorrhoids-treatment/
As we have learned, cycling does not cause hemorrhoids but it certainly isn’t the best practice if you are currently experiencing them. Because cycling can irritate hemorrhoids and cause more pain and swelling in the affected area, you may have to take a break –just for a little bit– while your hemorrhoids subside. If halting your passion for a short time is not an option for you, we recommend you seek treatment for your hemorrhoids with Dr. Lisa Perryman. Call us at 303-840-8822 to schedule your appointment.
Even with hemorrhoids, we still recommend exercising. Maybe take a hike just not your bike.
Growing a human being is undoubtedly a wonder, but for many women, it certainly has its downsides. When pregnant, there is a lot of commiserating about the ailments that come along with pregnancy; nausea, fatigue, weight gain, etc. Comparing stories about pregnancy and labor is a form of nostalgia for most women. The conversation usually ends with don’t worry, it is all worth it once you hold your beautiful baby. Although that may be true, we don’t tend to reminisce about pregnancy hemorrhoids. Who really likes to talk about their backsides anyway? Fortunately, here at Dr. Perryman’s office, we do. We know how important it is to maintain a healthy hiney! We talk about hemorrhoids on a daily basis and there is nothing to be embarrassed about. We all have butts and most likely you or someone you know has suffered hemorrhoids during pregnancy.
You are not alone!
Did you know that according to the NIH (National Institutes of Health) up to 35 percent of pregnant women will suffer from pregnancy hemorrhoids? During pregnancy, increased progesterone levels can cause constipation in expecting mothers, particularly in the 3rd trimester of pregnancy. The increase in progesterone cause the walls of the veins to relax, which increases swelling. This combination of constipation, swelling and a growing uterus adds pressure to the inferior vena cava and hemorrhoids can become a common and quite unpleasant side effect of pregnancy. During labor, all that pushing and pressure can also cause a hemorrhoid to flare up. So, while giving birth is magical, it can also be a serious pain in the bottom.
If you experience painful bowel movements, swelling near your anus, notice blood in the toilet or when you wipe, you might have hemorrhoids. It is important to note, however, that although hemorrhoids are usually the cause of rectal bleeding, it’s not the only cause. A board-certified colon & rectal medical doctor should be seen to properly diagnosis your condition.
What can you do to treat hemorrhoids during pregnancy?
Here are recommendations from the American Pregnancy Association that can potentially help reduce pregnancy hemorrhoid symptoms:
- Increase your dietary fiber and liquid intake
- Ask your physician about a stool softener
- Stay active. Don’t sit for too long
- Take a warm bath
- Use witch hazel to reduce swelling or bleeding
If you are suffering from hemorrhoids after pregnancy, focus on these same measures to relieve your hemorrhoids, as well. These conservative methods can help alleviate symptoms in most patients. If the hemorrhoid symptoms persist, you should see a board certified colon and rectal specialist to prevent more serious complications like painful thrombosis and prolapse of the hemorrhoid.
For more information on hemorrhoid types and treatments, visit our Web site’s section on hemorrhoids at: https://coloradocolonandrectalspecialists.com/hemorrhoids-treatment/.
You just created life, you should be able to enjoy your own. Speak up, tell us about your hemorrhoids and also, congrats on that baby!
When it comes to fitness and health, lifting weights regularly paired with good nutrition can create lasting results. Being dedicated to this method of exercise can benefit our entire mind, body and spiritual health. It can control body weight issues, keep us focused and relaxed, and make us strong. Sounds pretty positive, right? Sure, but are there any negatives to lifting weights?
Lifting Weights Can Lead to Hemorrhoids
Incorrect movement can cause injury and unnecessary pain. Regularly lifting heavy objects that our bodies can’t handle may lead to obvious pulled muscles and aching bones. There’s also something else that most of us don’t like to talk about. Hemorrhoids! Yup, those pesky “piles” that come with unpleasant circumstances (bleeding, itching, pain) can be caused by improper weight lifting.
How Hemorrhoids Develop from Lifting Heavy Objects
Weight lifting itself isn’t the cause of hemorrhoids – they are a result of poor technique! It is more difficult than we think to lift weights correctly. People frequently hold their breath and strain as they lift heavy weights. Holding your breath and grunting (you know, you’ve heard that person at the gym) will force the air down into your lungs while increasing the pressure on your internal organs, thus creating the veins near your rectum to swell into hemorrhoids.
The process of creating unwanted pressure in your abdomen is similar to the strain you may have experienced when trying to have an uneasy bowel movement (which is also one of the most common causes of hemorrhoids). This lack of proper breathing can happen when lifting heavy objects in your everyday life, too, not necessarily barbells or weights, but a piece of furniture perhaps. Sometimes we think we can handle more weight than our body can, which can cause the straining mentioned above.
How to Prevent Hemorrhoids When Lifting Weights–Just Breathe!
Learning how to breathe properly during weight training is very important in reducing the risk of hemorrhoids. Certified personal trainers and exercise professionals are trained on the mechanics of proper breathing during exercise, so make sure you ask a professional. If you lift on your own, or have already been educated on these breathing methods, remember to consistently inhale and exhale. We often take for granted the power of a simple breath.
So, 1) don’t think you’re Hercules, and 2) breathe when lifting something heavy.
Can I lift weights with hemorrhoids?
If you are currently experiencing painful hemorrhoids, weight lifting is not recommended.
Lifting with hemorrhoids will only prolong the healing process, and can make those bothersome hemorrhoids worse. However, other exercise such as walking, stretching, or even a yoga class may even relieve some of the symptoms.
Anytime you have bleeding, feel a lump in the anal area, or have rectal pain you should see a colorectal specialist to rule out a more serious condition. More than likely these issues are symptomatic to hemorrhoids, but it is always good to check with your doctor. If you have already been diagnosed with hemorrhoids, and your symptoms are lingering–schedule an appointment.
What are hemorrhoids? What are the symptoms? When should you see a colorectal specialist?
Hemorrhoids are enlarged blood vessels in and around the anus and lower rectum. Hemorrhoids may be internal or external. Symptoms include:
- Bleeding during bowel movements
- Protrusion of skin around the anus during bowel movements
- Itching in the anal area
- Pain in the anal area
- Sensitive lump(s)
For more detailed information on hemorrhoids go to: https://coloradocolonandrectalspecialists.com/ hemorrhoids-treatment/.
Caring for Hemorrhoids at Home
Although hemorrhoids will never go away on their own completely, you might try some of these tips at home to reduce inflammation and provide temporary pain relief:
- Sit in a tub of warm water for 15 minutes at a time.
- Wrap a cold pack with a towel. Carefully sit on it for 20 minutes at a time to reduce hemorrhoidal inflammation.
- Don’t strain or sit on the toilet for too long. This puts more pressure on the area and can increase pain.
If the above measures aren’t working for you and those unwanted hemorrhoids rear their ugly heads (pun intended), Dr. Perryman is here to discuss personalized treatment options while making you more comfortable to live your life as YOU want to!
For now, keep your squats low, your standards high, and remember to always BREATHE!
Contact Dr. Lisa A. Perryman, board certified colon & rectal surgeon at (303)840-8822, or request an appointment on our contact page.
What do Beijing, Berlin, Boston, Chicago, Dubai, Gold Coast, London, NYC, Prague, and Tokyo have in common? In addition to being home to the world’s top 10 marathons, they’re home to hemorrhoids….hundreds and hundreds of hemorrhoids.
Running with hemorrhoids can be a painful experience for some. Understanding what hemorrhoids are, and why running can increase your chances of getting them can help you find a solution that won’t keep you away from the finish line.
Important message to all sneaker jocks out there: Running in itself does not cause hemorrhoids.
What are hemorrhoids? They are cushions of vascular tissue in the anal canal, and can be very painful when they flare up. There are two kinds of hemorrhoids—internal and external. Few runners are aware that around 50 percent of adults have hemorrhoid symptoms. They can hurt, bleed, itch, and oftentimes are especially irritating for athletes. Although hemorrhoids are not generally life threatening, you should still see a colon & rectal specialist if you are experiencing bleeding to rule out serious illness, such as colon cancer.
Colon Cancer is the #2 cancer killer, yet it’s preventable.
What causes runners to have hemorrhoid symptoms? Increased pressure and engorgement of hemorrhoids can be the culprit. Marathon running stresses the gastrointestinal system, and runners often experience flatulence, runners’ diarrhea, excessive sweating, and other aggravations. Let’s be clear: running does not cause hemorrhoids. However, several dynamics associated with long distance running may trigger hemorrhoid symptoms—constipation is common with marathoners who tend to skimp on water consumption. This creates hard stool that makes straining in the bathroom a problem—hard stool puts pressure on the hemorrhoids during bowel movements and inflames this tissue.
Exercise actually offers therapeutic value to hemorrhoid sufferers because it increases intestinal muscle contractions. This can help promote regular, easier bowel movements. Exercise can also help you lose weight that may be contributing to your hemorrhoid symptoms.
If hemorrhoids are forcing you to consider hanging up your running shoes, consider staying better hydrated, increasing the fiber in your diet, and sitting in a warm bath several times daily.
Make an appointment with a board certified colon & rectal surgeon if these simple remedies don’t bring relief. They may suggest a painless rubber banding procedure that takes less than 10 minutes in the office. People with severe cases of hemorrhoids should consult their doctor before jogging and running to avoid a worsened condition, such as prolapse.
Some say Napoleon Bonaparte was forced to ride side saddle because of hemorrhoids.
Most don’t know that hemorrhoids are normal, and that we have them from birth. They exist to provide anal tone and cushion the anal sphincter muscle. During bowel movements, the hemorrhoidal veins pad and protect our anal openings. It’s only when hemorrhoids become swollen—itch, hurt, and bleed—that they become a problem. The most common symptom is bright red blood—on your stool, toilet paper, or in the toilet bowl. Hemorrhoids aren’t usually life threatening and can go away. Most of the time they return, and the symptoms are often worse than before. It’s important to see your doctor to rule out conditions that have similar symptoms, such as colon cancer. That pain might be more than just your hemorrhoids.
About 89% of us will be bothered by hemorrhoids at some time in our lives. Runners, cyclists, weight lifters, construction workers, people who sit for prolonged times, people with diabetes, wheelchair bound individuals, and women who are pregnant or have given birth, are likely to suffer the irritation and pain of hemorrhoids…almost all of us are prone to hemorrhoids.
Fortunately, hemorrhoids are most often easy to treat.
Today there’s painless hemorrhoid removal that’s done in our office.
Rubber banding is a widely used, cost effective technique for eliminating internal hemorrhoids. Dr. Perryman uses a special instrument that simply fits a rubber band over the hemorrhoid tissue, which cuts off blood flow to it. About a week later it easily falls off and is eliminated during a bowel movement. The procedure itself takes less than 5 minutes.
Hemorrhoids can also be external.
External thrombosed hemorrhoids can be extremely painful. They are best examined by a proctologist or board-certified colon & rectal surgeon within the first few days symptoms appear. Symptoms often include painful swelling and a lump outside the anus. This is caused by a blood clot that forms inside the external hemorrhoid.
Dr. Perryman will carefully examine the area, and make medical determination whether to remove it through simple excision in the office. Most often this relieves pain from swelling instantly. Other recommendations may include: increasing dietary fiber, soothing sitz baths, and no straining or prolonged sitting on the toilet. Removing a thrombosed external hemorrhoid in the office only takes 10 minutes.
Tailbone pain can also be associated with hemorrhoids. That’s because muscles and bones are full of pain nerves down there. When you’re suffering from the pain of hemorrhoids, it can translate into pain and spasms throughout that area of your body. Be sure to be evaluated by a colon & rectal surgeon to be sure that nothing else is causing the pain.
Board certified colon & rectal surgeons are highly specialized and have many years of extensive training. They are experts in diagnosing and treating all problems related to the colon, rectum and anus.
Contact Dr. Lisa A. Perryman, FACS, FASCRS, board certified colon & rectal surgeon in Denver,
at (303)840-8822, or request a confidential appointment at www.ColoradoColon.com.