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Glades Road Medical Center 9250 Glades Road Suite 207 Boca Raton, FL 33434 (561) 487 4110 http://www.bocaratongastro.com/colonoscopy-and-colon-cancer-screening/ At the South Florida Gastroenterology Associates P.A. Boca Raton office, Drs. Hillel Cohen and Ronald Levy are committed to providing high quality and compassionate care to all of our patients. Our board-certified physicians deliver personalized, comprehensive digestive healthcare as well as preventive colon cancer screening. Our practice specializes in the treatment of diseases and conditions of the gastrointestinal tract, including the esophagus, stomach, gallbladder, liver, pancreas, small intestine, large intestine, and rectum.
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Facts To Know Before Opting For Colonoscopy in Boca Raton
Many do not know the meaning of Colonoscopy in Boca Raton or the fact that what it is used
for. Well, a Colonoscopy is a procedure that allows your gastroenterologist to examine the
inner lining of the large intestine that is the anus and colon. It is done by the method of thin
and flexible tube that is called colonoscope to analyze the colon. Thus, colonoscopy is
initiated to assess any colon polyps, ulcer, tumor or bleeding and inflammation that have
taken place in the colon. This process also allows a specialist to extract sample of tissues or
operate any abnormal growth.
Details Of The Colonoscope
With the help of Colonoscopy in Boca Raton, screening of the colon to assess precancerous
growth or cancer can be evaluated. It is designed in a way so that it becomes easy for the
equipment to get through the rectum. It is made of a flexible and narrow tube that usually
ranges from forty-eight to seven two inches. A small camera is attached at one of the tubes
that can take video of the large intestine or colon. Various types of colonoscopy help to
examine whole part of colon or its different part.
Preparation Before Colonoscopy
Before the Colonoscopy in Boca Raton, several preparations are taken to make sure that the
procedure is carried out correctly. It takes one to two days to take preparation depending
on which type of colonoscopy your physician has recommended. One of the most primary
methods that are mandatory for this procedure is cleaning out the colon that is also known
as colon prep. The prep tends to be challenging for most of the people as it might be
uncomfortable only to survive on a liquid diet as the feeling of hunger is quite common.
During the colon prep, you might experience frequent and loose stools which are a sign that
your colon is clearing up for the test.
Reasons For Colonoscopy
Many specialists and medical groups recommend routine Colonoscopy in Boca Raton for
people that have attained the age of fifty. Doctors may also recommend it frequently if you
are highly susceptible to colorectal cancer. In case you are experiencing dark stool or blood
in the stool, colonoscopy can be carried out to detect the cause. Diarrhea and anemia due
to iron deficiency, also calls for this procedure. Doctors can get to the root of these
problems with this system. This procedure is also included in the routine follow-up test
after you have gone through MRI, CT scan and have reported with abnormal results.
Precautions That Are Taken
The procedure of colonoscopy is itself time-consuming and complex, and thus, there are
certain precautions that a patient must abide by and take advice of the doctor before
initiating it. Patients that are already suffering from diabetes and arthritis and is under
medication must consult the doctor before a colonoscopy. People suffering from bleeding
problems and is already under medication like aspirin and blood thinners will be unable to
take to proceed with this procedure and must consult the doctor first.
Hillel Cohen Gastroenterology For Laser Coagulation And Hemorrhoidal Banding
Infrared photocoagulation, also known as coagulation therapy is the medical procedure that
is used by Hillel Cohen in Gastroenterology to treat patients suffering from small to
medium-sized piles. This treatment is only carried out for internal hemorrhoids. During this
procedure, the procedure uses equipment that delivers infrared light with intense beam. The
heat that is created by the infrared beam causes the tissue to scar, which on the other
hand, stops the blood supply. The piles die and a scar is formed on the anal canal wall. Also,
this scar tissue holds the surrounding veins in place so that they do not bulge in anal canal.
After Effects Of The Therapy
Though not all doctors have the experience or the right equipment to carry out this
procedure, but Hillel Cohen in Gastroenterology has expertise in this field. There are certain
things that you must prepare yourself for after this procedure is complete. Bleeding from
anus will take place for about seven to ten days as it will mark the falling off, of the piles.
However, the bleeding stops all by itself. Consult your doctor and take pain relievers that
are mild and take sitz bath for fifteen minutes to relieve the discomfort. Do not take aspirin
as it might heighten the risk of bleeding.
Rubber Band Litigation
There are very few doctors that have expertise in both coagulation therapy and
hemorrhoidal banding like Hillel Cohen uses astreatments inGastroenterology. Rubber band
litigation is the procedure of treating internal hemorrhoids where it is tied at the base with
bands to cut off blood flow to the piles. An anoscope is inserted through the anus to carry
out this procedure. The structure is held and at the same time with the help of a device, a
rubber band is placed around the base of the piles. After this procedure, the structure
shrinks and dies. It takes about a week for it, to fall off.
Other Things To Know
This process is carried out in the office of Hillel Cohen ofGastroenterology and being an
expert doctor, the patient will be asked about placement of the rubber, whether it is too
tight or loose. If the rubber band is causing extreme pain for the patient, then a medicine is
injected into the tied up hemorrhoids to numb them. Though the treatment is limited to one
to two at a time but several can be treated if the patient is under anesthesia. The patient
might feel a sensation in the lower abdomen with a feeling of bowel movements as well.
After Effects Of Banding
People tend to respond differently once the procedure is done. There are some that return
to normal activity but lifting heavy items is prohibited and the patient needs two to three
days bed rest. However, the pain might linger for two to three days after rubber band
litigation is carried out. Sitz bath is recommended to get relief from the pain. Doctors
usually recommend stool softeners for smooth bowel movements as straining during
defecating might make the hemorrhoids come back.
Diagnosis And Treatments Followed In Hemorrhoids Boca Raton
In simple words, Hemorrhoids in Boca Raton is the name of the vascular structure present
in the anal canal. When they are in the normal state, it acts like cushion and helps in bowel
movement. However, their swollen and inflamed stage is regarded as a disease. The
location of the hemorrhoids or piles depends on the symptoms and signs. Likely, when the
piles have formed internally, it is painless accompanies with rectal bleeding that occurs
during defecating. Similarly, the ones that are formed outside is accompanies with swelling
and pain in the region of anus. Bleeding due to external piles is darker in color.
Causes Of The Disease
There are no exact causes of Hemorrhoids in Boca Raton, but it is believed that many
factors have some role to play that give rise to this movement. These factors include
irregular bowel movements like constipation or diarrhea, lack or no exercise, low-fiber or
unhealthy diet and high intra-abdominal pressure like pregnancy. The factor of aging and
genes also play a role. During pregnancy, the pressure put by the fetus on abdomen and
other hormonal changes leads the hemorrhoidal vessels to get enlarged. And similarly, the
course of delivery and the birth of the baby also increase intra-abdominal pressure leading
to piles.
Diagnosis Of Piles
Physical examination is initiated to diagnoseHemorrhoids in Delray Beach. Only visual
examination of the rectum and its surrounding areas help in the diagnosis of the external
hemorrhoids. Also, a rectal examination is carried out to diagnose any possible polyps,
tumors or enlarged prostrate. Sedation is usually provided to the patient to perform the
diagnosis as it is related with pain. In case of internal hemorrhoids, visual confirmation is
done by help of an anoscopy. Some person may also experience the version of both
internal and external hemorrhoids, and the condition is then more likely to be anal fissure.
Treatment For Hemorrhoids
If you are experiencing or have been diagnosed with Hemorrhoids in Delray Beach, then
prevention of constipation is must, as it aggravates the situation. High fiber diet is a
potential solution that will help you avoid constipation, thus, your snacks and meals must
consist of fruits, nuts, vegetables and whole grains food. There should be no or limited
space for processed food and meat in your diet. Introduce the food gradually in your diet to
avoid the formation of gas. If you are unable to consume high fiber diet, then you can also
opt for stool softeners. But that does not mean that you will opt for laxatives that might
cause irritation to the swollen veins.
Other Facts About Hemorrhoids
When your hemorrhoids attain a stage of severity, then home remedies tend to be futile,
and a physician takes other extensive methods to cure the piles. Surgery is a common
procedure for both internal piles and extremely inflamed external ones. When you are
experiencing piles like thrombosed hemorrhoids, they are much painful to live with. Thus, a
doctor usually opts for surgery. There are also other procedures available depending on the
type of piles like, injection for the internal ones that closes off the piles and banding that is
carried out on Prolapsed hemorrhoids.
Treatment Methods Used By Gastroenterologist in Boca Raton
The digestive system is an important part of the human body, and the specialist, who
focuses on treating any kind of problem related to this area, is called the Gastroenterologist
in Boca Raton. The working method of this area is extremely complex, and there are several
organs related to it. Understanding the whole thing is a job of a professional, but you must
be aware of the time it takes to complete the entire process. The organsadhered to this
track, which starts with mouth and ends in anal, work efficiently to absorb the nutrition part
of the food particles. Discomfort can occur any moment, and you need to rely on the
professional for this matter.
Methods Of Endoscopic Ultrasound
The Endoscopic ultrasound is a commonly heard term, and many people, who have the
problems regarding the digestive system, have to go through the process. In this process,
the Gastroenterologist in Boca Raton has to scrutinize the organs related to the tract, such
as pancreas and the gallbladder. The doctor examines the starting point of the tract to the
end. In this process, a long wire which can detect waves is entered to the mouth or anus,
and it produces picture of the tract, this helps to identify the problem inside it.
About Endoscopic Retrograde Cholangiopancreatography
In this process of ERCP or the endoscopic retrograde cholangiopancreatography, the
Gastroenterologist in Boca Raton uses a wire like flexible element into the patient’s mouth.
This process is quite similar to the EUs process. The wire has a camera attached in front of
it, and it shows the condition of the duodenum, esophagus, and the stomach. With the help
of this system, taking X-rays is also possible, and it is generally done when the endoscope
takes its position in the papilla. This technique is efficient, as it helps to detect the tumor or
the gallstone.
Being Aware Of Liver Biopsy
People, who consume fast food, unhealthy eatables, and alcohol, can undergo tremendous
stomach pain. With the help of such an expert, you will be able to go through the process of
liver biopsy. Unlike the EUS and ERCP, the patient stays wide awake during the process.
Local anesthesia is used to freeze the sensation around the liver area. With the help of the
latest machine, a tiny hole is made, and tissue is collected from the liver for further
examination by the Gastroenterologist in Boca Raton.
Flexible Sigmoidoscopy Treatment
In this segment of the gastroenterology treatment, the doctor examines the sigmoid colon
and the rectum when the problem occurs. The sigmoidoscope is 60cm long tube, which is
inserted in the anus in a gentle method, and progresses slowly towards the lower colon and
rectum. This process is adopted, when you haverectal bleeding. You can also take help from
the doctor when you suffer from chronic diarrhea. The camera is there to help the doctor
examine the problem, and you too can watch the problem as it is displayed on the screen.
To get the proper result, the stool is clearedcompletely from the rectum so that you can
have a smooth process of treatment.