Congratulations, it’s a GIRL… and a pregnancy Hemorrhoid!

Copyright © 2019, Gray Space www.grayspacefl.com.  Artist Debbie Draws Funny.

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!

Weightlifters and Hemorrhoids

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. 

Cologuard vs Colonoscopy – Which is Better?

Running with Hemorrhoids [Those irritating, painful, often bloody annoyances that can make marathon running less enjoyable.]

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.


www.ColoradoColon.com

What’s that Pain in My Butt? [It may be something other than sciatica if it’s in your anal area or tailbone]

Hemorrhoids are a common culprit. They can be either inside or outside your rectum, and they really hurt when they’re angry!

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.

10th Annual UndyRunWalk – June 23rd

Join Colorado Colon & Rectal Specialists for the 10th Annual UndyRunWalk! This event will be held on June 23rd, 2018, at City Park in Denver. Help us support the Colorectal Cancer Alliance and increase awareness for their cause. Visit undyrunwalk.org to find more information.

Blue Hope Bash Denver – Colorectal Cancer Alliance

March 2, 2018 – More than 200 people dressed in blue attended the 1st annual event held downtown Denver at the magnificent McNichols Civic Center Building. Buildings, including the Colorado State Capitol Building, were lit blue to raise awareness of colon cancer. Colon cancer is the #2 cancer killer, and 1:20 will be diagnosed with it. The #1 Symptom = No Symptoms.

With generous support we were able to raise $132,000. This incredible success is only possible because of big-hearted people in Colorado and beyond. 

The inaugural Blue Hope Bash Denver is a signature event of the Colorectal Cancer Alliance. It unites both individuals and corporations that are passionate about supporting a mission to end colorectal cancer within our lifetime.

Congrats!

2018 CHAIRS
Kim Kronenberger & Rusty Hogan

Why Does My Butt Itch? [Practical information you need]

bear scratching butt

Pruritus Ani is Latin for “itchy anus”, and is a bothersome irritation of the skin around the anus. Numerous factors can cause anal itch, and it is treatable. Factors that can put you more at risk include dietary factors, fecal matter on underwear, diabetes, antibiotic use, skin conditions such as psoriasis and seborrhea, and excessive sweating. It could also be your hemorrhoids itching!
When you scratch, you irritate the skin even more. So, what can you do to stop the embarrassing itchy anus?

Is it what I’m eating? Sure, it may play a role with pruritus ani. Coffee, tea, energy drinks, citrus fruits, spicy food, beer, dairy products, and nuts can contribute. That’s because certain foods can make your stool irritating. Try eliminating one of these at a time for several weeks, and see if it helps.

Is it what I’m using down there? Yes, scented toilet paper, soaps and creams, and detergents can contribute to your problem. Avoid soaps to anal area, use plain white toilet paper, and keep the area dry. Check with your doctor about over-the-counter ointments and creams—the wrong one can make the itch worse!

Is my chronic diarrhea causing the itch? Good question, because stool is very irritating and a common cause of pruritus ani. Keep the area clean—plain water rinses are good—and gently wipe and dry after every bowel movement. Do not scrub, and avoid scratching as much as possible. Cool compresses can be soothing, too.

What other conditions can cause itchy anal itching? Sexually transmitted diseases, fungal and yeast infections, parasites, precancerous lesions, and tumors can be primary to your itching. That’s why it is so important to be examined and treated by a board certified colon & rectal surgeon. Don’t be embarrassed, and please don’t wait!

Contact Dr. Lisa A. Perryman, a board certified colon & rectal surgeon in Denver at (303)840-8822, or request an appointment at www.ColoradoColon.com.

Congratulations to Dr. Perryman – 2017 United Healthcare Premium Care Physician

United Healthcare has awarded Lisa A. Perryman, MD, FACS, FASCRS, its 2017 Premium Care Physician designation for providing quality and cost-efficient care. Dr. Perryman is a board-certified colon and rectal surgeon serving patients throughout the Denver metro area. The UnitedHealth Premium program helps members make informed choices for their medical care. Premium Care Physician is UnitedHealthcare’s highest physician designation. Dr. Perryman specializes in cancer prevention colonoscopies, hemorrhoid treatments, and other colorectal conditions.

9NEWS Colorectal Cancer Awareness Month

9NEWS/NBC selected Colorado Colon & Rectal Specialists’ Dr. Lisa A. Perryman, FACS, FASCRS, to launch Colon Cancer Awareness Month in March 2017. It marked the return of the popular 9NEWS Buddy Check9, which highlights different types of cancer each month. March is colorectal cancer awareness month, and like breast cancer has its own special color—BLUE.

Dr. Perryman appeared on the Emmy Award-winning show Colorado & Company with 9NEWS host, Denise Plante. Colon Cancer Alliance, based in Washington, D.C., sponsored the segment below.

Colon Cancer is the Second Leading Cause of Cancer Death and Strikes 1:20 People

Dr. Perryman was also featured in this year’s colon cancer awareness public service announcement encouraging people to get screened for colon cancer. 9NEWS/NBC sent the television clips and PSA to 46 markets across America and released 1.5 million (yes, million) mobile apps throughout Colorado. The message was clear: get screened for colorectal cancer today!

Important Fact: Early Colon Cancer Usually Has No Symptoms

To learn more, please visit our colon cancer awareness page or call our office at (303) 840-8822 to schedule a consultation, colonoscopy, or to speak with our medical staff if you have questions or concerns. You may also request an appointment on our contact page.