We will soon be adding a patient portal. Both new and existing patients can use this portal to:
*Access your medical records held with our office
*Pay your bill online and choose to receive e-statements
*Communicate with us electronically
*Schedule an appointment or request for our office to contact you regarding scheduling
*Submit your patient registration packet
*Change your contact preferences with our office- we can now contact you via email, text, phone, or mail.
We hope that offering this service will allow patients to take control of their health and make taking care of yourself easier. This service will start to be available to its full capacity starting mid April, 2015. You will soon see a link on our homepage that will direct you to the patient portal. Until then, you may register your patient portal account here:
Friday March 6, 2015 was national Dress in Blue Day to promote colon cancer awareness. This event is held for one day every March in support of this important cause. Our office celebrates for a future free of colon cancer as well as in support of our patients. We went all out in our blue gear. Also, keep in mind that March is colon cancer awareness month. If you are age 50 or older or have other risk factors, make sure you take care of yourself and get screened! It could save your life. For more information regarding Dress in Blue Day and how you can participate, please visit: Dress in Blue Day- Colon Cancer Alliance
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.
An anal fissure is a small split or tear in the lining of the anal canal. Anal fissures may be caused by constipation, the passing of large, hard stools, or by prolonged diarrhea. An Anal fissure may occur secondary to decreased blood flow or trauma to the area.
Anal fissures are also common in women after childbirth and persons with Crohn’s disease.
An Anal fissure may cause painful bowel movements and bleeding. There may be blood on the outside of the stool or on the toilet tissue following a bowel movement.
Diagnosis and Treatment
To diagnose, your health care provider will perform a gentle inspection of the anus.
Home care treatments:
- A diet high in fiber
- Increased hydration
- Numbing cream, if pain interferes with normal bowel movement
- Warm sitz baths
- Stool softeners
Physician treatments may involve:
- Botox injections into muscle in the anus (anal sphincter)
- Different prescription topical medications
- Surgery if the fissure fails to heal
To prevent fissures:
- Take a fiber supplement daily
- Keep the anal area dry
- Wipe with soft materials or a moistened cloth or cotton pad
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:
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).
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.