# Colon & Rectal Surgical Specialists Website: https://www.crssny.com Language: en (UTF-8) Charset: UTF-8 Generated: 2025-11-14T10:33:13-05:00 --- # Detailed Content ## Posts ### Benefits of Robotic Surgery Technology - **URL:** https://www.crssny.com/benefits-of-robotic-surgery-technology/ - **Published:** 2021-02-24 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Colorectal Surgery **Authors:** JULES GARBUS M.D. At the Colon & Rectal Surgical Specialists of New York, we offer treatment for a wide range of conditions. Often we are able to treat patients using non-invasive measures. However, in some cases, surgery is necessary. Even when a patient requires surgery, our colorectal surgeons use the least invasive measures possible, frequently using robotic surgery technology. The benefits of robotic surgery technology provide our Long Island, Garden City, and East Setauket, NY, patients a safer surgical procedure and a smoother recovery period. Our surgeons would like to list many of the benefits and advantages provided by these robotic surgery systems. Improved Precision During a robotic-assisted procedure, surgical instruments are inserted via small incisions. The instruments are attached to cameras that give our surgeons a detailed and magnified view of the surgical site. Using the camera’s images as a guide, surgical tools are manipulated by our surgeons using master controls. The tools respond to our surgeons’ directions, moving with accuracy and precision, so that our surgeons maintain complete control throughout the procedure. Furthermore, because the robotic tools are so small and flexible, colorectal conditions can be treated without affecting surrounding tissues. Less Blood Loss When using robotic surgery technology, our surgeons create one small incision or a series of tiny incisions. This avoids creating one or more large incisions. Smaller incisions benefit patients by reducing the amount of blood loss during surgery and minimizing the risk of post-surgical blood loss and infection. Enhanced surgical precision also helps reduce blood loss. Only necessary tissues are manipulated during a robotic-assisted surgery, so patients don’t have to worry about blood loss from surrounding tissues or organs. Smaller Scars Smaller surgical incisions mean that patients heal with smaller and less visible surgical scars. Many patients find that scar tissue fades so well that it practically blends in with surrounding skin. Because the surgical scars are so small, they can easily be concealed beneath clothing, even if someone is wearing just a bathing suit or underclothes. Reduced Post-surgical Pain Robotic surgery technology allows for a less invasive surgical procedure. This not only means that smaller incisions are required. The improved precision also means that treatment is more targeted. Robotic surgical tools make necessary corrections without disturbing or damaging surrounding tissues. All of this benefits our patients by reducing post-surgical pain, which results in a more comfortable surgical recovery. Shorter Hospitalization and Recovery Smaller incisions and precise surgical manipulation translates to a faster and smoother recovery for patients. Because patients heal quickly, and there is little risk of infection or other post-surgical complications, patients also require a shorter stay in the hospital. In many cases, patients are able to return home the day after their procedure. Once home, it is often just a few days before patients feel well enough to resume many of their usual daily activities, and they are often able to return to work about a week after treatment. Contact Our Surgeons The robotic surgery technology used by the surgeons at the Colon & Rectal Surgical Specialists of New York offers... --- ### Diverticulitis Causes - **URL:** https://www.crssny.com/diverticulitis-causes/ - **Published:** 2020-12-20 - **Modified:** 2024-01-08 - **Author:** admin **Categories:** Diverticulitis Causes BY DEAN PAPPAS M.D. The doctors at Colon & Rectal Surgical Specialists of New York offer advanced treatments for colorectal conditions. We have helped numerous patients at our offices serving Garden City, East Setauket, and other parts of Long Island, NY. Over the years, we have helped patients treat and manage diverticulitis. This inflammation affects the colon. Here, our team will examine the causes of diverticulitis, and also note a number of risk factors for the condition. We should start by defining some terms, since there can be some confusion about the nature of diverticulitis. What Is Diverticulitis? Diverticulitis often gets confused with diverticulosis. Both are types of diverticular disease, but they are very different. Let’s break down the basics. Diverticula are small bulges that develop along the inner walls of the colon. The diverticular can be as small as a pea, though they can also be much larger. The mere presence of diverticula in the colon is known as diverticulosis. When these diverticula become inflamed and infected, that is known as diverticulitis. What Causes Diverticulosis? The exact causes of diverticulosis are unknown. However, scientists speculate that diverticula are caused by constipation. The straining and high pressure in the colon causes the diverticula to develop along weaker areas of the colon wall. This has led some researchers to believe that low-fiber diets contribute to diverticulosis, though recent studies have questioned this. It's also assumed that genetics plays a role in diverticulosis. If your parents or other relatives developed diverticulosis, you are more likely to experience the condition as well. What Causes Diverticulitis? These intestinal pouches can become worn, and tear. If one or more intestinal pouches becomes inflamed or infected, this results in diverticulitis. In essence, the presence of diverticula in the colon increases the risk of developing diverticulitis. Risk Factors for Diverticulitis The following are some common risk factors for diverticulitis: Age - Diverticulitis is more likely after the age of 40. Gender - Men are more likely to develop diverticulitis than women. Body Mass - Diverticulitis is more likely to occur in people who are overweight or obese. Diet - Individuals who consume high-fat, low-fiber diets are more likely to suffer from diverticulitis. The same is true for diets high in red meat. Physical Activity - Individuals who do not exercise and lead sedentary lifestyles are at higher risk for diverticulitis. Use of Tobacco Products - Smokers are more likely to develop diverticulitis. Use of Certain Medications - Diverticulitis is more common among people who take nonsteroidal anti-inflammatory drugs (NSAIDs), opioids, and steroids. Signs and Symptoms of Diverticulitis Some common signs and symptoms of diverticulitis include: Intestinal pain, often along the lower left side of the abdomen Abdominal tenderness Bloating Nausea Vomiting Fever Constipation or diarrhea Blood in your stool If you experience any of the above symptoms, be sure to speak with your doctor as soon as possible. Getting the Treatment You Need With early detection, diverticulitis can be controlled and managed with antibiotics. More invasive procedures can be used if needed. During a consultation with our colorectal specialists,... --- ### How to Choose a Proctologist - **URL:** https://www.crssny.com/how-to-choose-a-proctologist/ - **Published:** 2020-10-22 - **Modified:** 2024-01-08 - **Author:** admin **Categories:** Choosing A Proctologist BY FRANK CALIENDO M.D. People should put a lot of thought into choosing medical professionals. This is especially important when choosing a proctologist. Proctologists, such as those at Colon & Rectal Surgical Specialists of New York, deal with issues that affect the lower digestive tract. Many people find it uncomfortable or embarrassing to discuss digestive tract issues. Choosing the right proctologist is important because it can ensure that patients receive high quality care, while helping them feel more at ease dealing with these sensitive matters. Here we discuss some of the key factors for individuals in Long Island, NY, Garden City, NY, and East Setauket, NY, to consider when choosing a proctologist. Experience and Expertise An important consideration when choosing a proctologist is the doctor’s level of experience and expertise. Proctology is a specialized field, so doctors require training beyond their regular medical degree. The more training and experience a proctologist has, the more secure that patients can feel knowing that they are being cared for by a doctor with a thorough understanding of this area of the body, how it works, and the issues that can affect it. At Colon & Rectal Surgical Specialists of New York, our entire team of doctors meets the highest expertise standards. Each of our doctors is double board certified. In addition, they all serve as educators to future colorectal surgeons, and most serve as chiefs of colorectal surgery at hospitals in the NYC area. Advanced Technology Another thing to look for when choosing a proctologist is the level of technology used in their practice. Proctologists who use advanced technology are most likely up-to-date on the latest field training and techniques. They are able to take advantage of technological advances that allow for better diagnostics, more advanced precision, and smoother recovery - all of which greatly benefit patients. Colon & Rectal Surgical Specialists of New York is a state-of-the-art facility that relies on advanced technology. Some of the benefits we offer our patients include our own surgical center, doctors who are trained in multiple robotic colorectal surgical procedures, and use of the most advanced robotic surgical system. Conservative Treatment Approach When working with a proctologist it is important to understand that surgery is not always the best approach. While some issues require surgical treatment, others may respond well to more conservative approaches. Patients should look for a proctologist, such as those at our practice, who will consider non-surgical treatment plans before resorting to surgery. And when surgery is necessary, it is beneficial to have a proctologist who offers minimally invasive surgical techniques, such as laparoscopic and robotic. Compassionate Care Last, but certainly not least, patients should choose a proctologist who offers compassionate care. As we previously stated, dealing with issues that affect the colon, rectum, and anus can be highly sensitive. It is important to work with a proctologist who makes you feel safe and secure, who answers your questions honestly, and who is discreet in addressing your concerns. Contact Us Today At Colon & Rectal Surgical Specialists of New York,... --- ### Colorectal Cancer Screenings Can Save Lives - **URL:** https://www.crssny.com/colorectal-cancer-screenings-can-save-lives/ - **Published:** 2020-08-24 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Colorectal Surgery BY FRANK CALIENDO M.D. Colorectal cancer affects the colon or rectum and is sometimes called colon cancer. A diagnosis of colorectal cancer can be scary but seeking immediate treatment can help improve the chances of recovery. Early detection is one of the most important tools when it comes to treating colorectal cancer. This is why our team at the Colon & Rectal Surgical Specialists of New York emphasize the importance of colorectal cancer screenings to our patients in Garden City, NY, Long Island, NY, and surrounding areas. The Importance of Colorectal Cancer Screenings According to the Centers for Disease Control and Prevention (CDC), colorectal cancer is the second leading cancer killer in the United States, but through early detection and treatment, survival rates are incredibly good. Accordingly, colorectal cancer screenings play a vital role in saving lives from colorectal cancer. A colorectal cancer screening is a test used to look for cancer before a person has symptoms. During a colorectal cancer screening test, the colon and rectum are checked for precancerous polyps, which are abnormal growths, as well as early-stage colorectal cancer. Through colorectal cancer screenings, it may be possible to detect polyps before they become cancer or detect cancer while it's in its early, most treatable stages in our patients. Types of Colorectal Cancer Screening Tests Colorectal screenings may be done through testing stool samples or by visually looking inside the colon and rectum. It is important to note that stool-based tests are not appropriate for everyone and are generally reserved for those without a family history of colorectal cancer and no personal history of precancerous polyps. Also, if a stool-based test detects an abnormality, visual testing will need to be done. Although the type of screening tests performed will depend on personal history and health needs, one or more of the following screening tests may be used to look for colorectal cancer or precancerous polyps: Stool DNA testing: This test looks at DNA that can make its way into the stool that may indicate precancerous polyps or cancer cells. The test also looks for blood in the stool, which is a possible sign of colorectal cancer. Fecal immunochemical test: Fecal immunochemical test (FIT) is a test that is used to look for small traces of blood in the stool as this can be a sign of cancer or polyps. Colonoscopy: A colonoscopy uses a small camera at the end of a lighted, flexible tube to visually assess the colon and rectum. Polyps are often removed at the time of the test if they are found. CT colonography: A CT colonography uses a CT scanner to take images of the colon and rectum. If any abnormalities are found, a colonoscopy will need to be performed. When Should You Undergo Colorectal Cancer Screening? Colorectal cancer screenings can be lifesaving, especially when they are done as soon as patients reach the age when they are at a higher risk of developing this cancer. For both men and women, colorectal cancer is more commonly found after the age of 50. Because of this,... --- ### Diverticulitis Diagnosis - **URL:** https://www.crssny.com/diverticulitis-diagnosis/ - **Published:** 2020-06-29 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Diverticulitis BY DEAN PAPPAS M.D. Diverticulitis is a condition that affects the colon. The digestive system sometimes develops small pouches, or diverticula, along its lining. Diverticula are often harmless. However, if waste gets trapped in these pouches, they can become infected and inflamed, which is known as diverticulitis. Diverticulitis may cause a number of uncomfortable side effects, including abdominal pain, bloating, nausea, constipation, and fever. At Colon & Rectal Surgical Specialists of New York, serving Long Island, NY, Garden City, NY, and East Setauket, NY, our doctors can run a series of tests to diagnose diverticulitis. A diverticulitis diagnosis allows us to provide patients with treatment that will eliminate infection, alleviate pain, and restore regular bowel functions. Reporting Diverticulitis Symptoms Before diverticulitis can be diagnosed, our patients must report their symptoms to our team of surgeons. Unfortunately, people are sometimes embarrassed to report digestive problems, so they often wait around, hoping that their symptoms will resolve on their own. We want our patients to understand that diverticulitis is a natural and fairly common condition, so they should not hesitate to report potential diverticulitis symptoms. Our number one priority is to offer discreet and effective care that will alleviate symptoms for our patients so they can resume their normal lives, free of pain and digestive problems. The earlier that patients report their symptoms to our doctors, the better. Diverticulitis is a progressive condition. When it is diagnosed early on, it can often be treated with antibiotics and some simple lifestyle changes. If the condition goes untreated, complications may develop, which can result in the need for more invasive treatment. Diagnostic Tests If our doctors suspect a patient is suffering from diverticulitis, there are a number of diagnostic tests that may be run. We always start with the least invasive procedures, and then move forward with additional testing, as necessary, to get an accurate diagnosis. Tests that may be performed to diagnose diverticulitis include: Blood tests Urinalysis Stool test Liver function test X-ray CT scan Rectal exam Female patients may undergo additional testing to rule out pregnancy and pelvic disease, both known to cause abdominal pain, and may include cramping and bloating. All diagnostic testing is done with the patient’s safety and comfort in mind. Although diverticulitis can usually be diagnosed without any invasive testing, we do offer delicate anesthesia for exams and procedures that may involve discomfort. Diverticulitis Treatment Diverticulitis diagnosis is essential, because it allows us to provide our East Setauket patients with treatment that will effectively eliminate infection and relieve diverticulitis symptoms. We personalize each patient’s treatment plan based on how far the condition has progressed. Most often, medication and a specialized diet is sufficient to treat diverticulitis. However, in advanced cases, patients may require surgery. We will discuss an appropriate treatment plan with our patients after we have diagnosed their condition. Contact Us If you are experiencing potential symptoms of diverticulitis, don’t hesitate to reach out to our team of doctors at Colon & Rectal Surgical Specialists of New York. Send us a message at your... --- ### What Are My Treatment Options for Thrombosed External Hemorrhoids? - **URL:** https://www.crssny.com/what-are-my-treatment-options-for-thrombosed-external-hemorrhoids/ - **Published:** 2020-05-14 - **Modified:** 2024-01-19 - **Author:** admin **Categories:** Blood Clot, Colonoscopy, Hemorrhoid, Thrombosed External Hemorrhoid **Authors:** JULES GARBUS M.D. Hemorrhoids are swollen veins in and around the lower part of your rectum and anus. When the walls of the blood vessels become thin, they can bulge out and hurt, especially when you have a bowel movement. Fortunately, the condition can be effectively treated with a thrombectomy. A thrombosed hemorrhoid results from the formation of a blood clot inside a hemorrhoid. While the condition isn’t always considered dangerous, it can be a source of discomfort or pain. If you live in  Nesconset, NY, or East Setauket, NY, and are experiencing the symptoms of this condition, the doctors at Colon & Rectal Surgical Specialists of New York can provide prompt, discreet, and effective treatment to relieve you of those symptoms. Symptoms of Thrombosed External Hemorrhoids This painful form of hemorrhoid often results from straining associated with having a bowel movement, especially if you were constipated. Pregnancy, irregular bowel movements, and sitting for long periods of time (often during travel) are also common causes of thrombosed external hemorrhoids. This type of hemorrhoid almost always causes discomfort and pain. Many patients describe the pain as debilitating. This type of hemorrhoid can make walking, sitting, or using the restroom difficult. Common symptoms include: Blood in stool following a bowel movement Swelling or the presence of a lump near the anus Itching around the anus Difficulty defecating A thrombosed hemorrhoid will not typically heal on its own. If you are experiencing any of these symptoms, one of our doctors can examine you at our Nesconset-area practice to determine if thrombosed external hemorrhoids are causing your symptoms. If this type of hemorrhoid is present, we will most likely schedule a surgical procedure to treat your condition. What Are My Treatment Options? Diagnosis typically includes a series of questions that inquire into your medical history and current symptoms. One of our doctors may use a gloved hand and lubrication to feel inside your anus for signs of growths or lumps. If needed, one of our doctors can perform a colonoscopy or another type of examination. During your procedure, local anesthesia will be used to numb the treatment site. A small cut in the surface of the clot will be made by one of our doctors so the hemorrhoid can be drained. Ideally, this procedure should be performed within three days of the thrombosed hemorrhoid forming. Recovery and Aftercare Discomfort from a thrombosed hemorrhoid should wane in the days following your procedure. Most of our   patients are able to resume light activities and work shortly after their visit, but exercise and strenuous activities should be put off until your body fully recovers. Patients can find relief from sitz baths soon after the procedure. This treatment consists of sitting in a shallow warm bath for 20 minutes three to four times a day to relieve post-surgical discomfort. Over-the-counter medications like acetaminophen or ibuprofen can help manage pain. Avoid any foods or drugs that cause constipation. Schedule Your Appointment to Learn More Today If you are experiencing symptoms of a thrombosed external hemorrhoid, prompt treatment... --- ### Colon Adenoma: Diagnosis and Treatment - **URL:** https://www.crssny.com/colon-adenoma-diagnosis-and-treatment/ - **Published:** 2020-04-29 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Colon Adenoma, Colonoscopy, Polyp, Proctoscope BY DEAN PAPPAS M.D. Colon polyps are small clumps of cells that grow on the inside of the colon. Most of these growths are harmless. During your colonoscopy, one of our doctors will look for polyps and any potential signs of cancerous growths. Colonic adenomas are a small subset of colon polyps, constituting around 10 percent of polyps. Villous adenomas are associated with a high risk of rectal cancer. If one of these types of adenomas is found during your screening, your colorectal surgeon may recommend treatment to remove the potentially cancerous growth. Colon & Rectal Surgical Specialists of New York serves Nesconset, NY, and East Setauket, NY. Diagnosis of Colon Adenomas Colon adenomas are typically found during routine colonoscopies at our Nesconset, NY, office. Regular colonoscopies allow our doctors to detect dangerous growths like villous adenomas while they are in the earliest stages. If your adenoma is cancerous, it will be much easier to treat while it is in its earliest stage. This is why we recommend that anyone 50 years of age and older have a colonoscopy every 10 years. Patients with certain risk factors, such as a family history of colon cancer, should begin screening sooner and more frequently. Unlike polyps, adenomas often blend in with the surrounding colon tissue. Identifying adenomas takes a well-trained eye and advanced equipment. Our colon and rectal specialists have years of experience in this area. What Are My Treatment Options? If an adenoma is found, the growth can be removed during your colonoscopy. The tissue can then be biopsied to look for signs of cancer. Adenomas that are larger than 1 cm are associated with increased cancer risk. If a colon adenoma cannot be removed during the colonoscopy, a follow-up visit will be scheduled. Our office offers laparoscopic and robotic colorectal surgery to safely remove any colon adenomas. Laparoscopic Treatment A laparoscope is a thin tube that has a camera and light at the end. The device allows our surgeons to remove growths without the need for making large incisions. The minimally invasive procedure allows for: Minimal postoperative discomfort Minimal scarring A quick recovery A quicker return to solid foods A fast return to everyday activities Robotic-Assisted Surgery This specialized surgical method uses the da Vinci Xi robotic system to perform the operation. One of our surgeons will use a high-definition screen to view a magnified image of the treatment site. The system is more precise than conventional surgery and allows for unparalleled accuracy, meaning the risk of damaging surrounding healthy tissues is lower. Robotic-assisted surgery allows for a faster recovery compared to traditional surgical methods. Transanal Endoscopic Microsurgery This surgical method does not require incisions to access the colon adenoma. A proctoscope is inserted through the anus and toward the surgical site. Schedule Your Colonoscopy Today Advanced age and a family history of colon cancer are risk factors for villous adenomas. Early detection of these growths can reduce your need for invasive treatment. Early detection can even save your life. To schedule a consultation at Colon... --- ### What Are My Treatment Options for a Perianal Abscess? - **URL:** https://www.crssny.com/what-are-my-treatment-options-for-a-perianal-abscess/ - **Published:** 2020-04-09 - **Modified:** 2024-01-18 - **Author:** admin **Categories:** Anal Abscess BY DEAN PAPPAS M.D. A perianal abscess is a type of anal abscess. The swelling is often the result of infection from the anal glands. The condition is often painful but highly treatable. The team at Colon & Rectal Surgical Specialists of New York offers discreet and effective care for perianal abscess. Our six locations, which include Nesconset, NY, and East Setauket, NY, serve patients throughout the area. Simply visit the office nearest you to receive prompt treatment of your anal abscess or colorectal health problems. Read on to learn more about perianal abscess treatment. Treatment Options for Perianal Abscess A perianal abscess rarely heals on its own. If you are suffering from an abscess (pocket of infection), prompt treatment at one of our six offices is your best bet for finding relief. Once you arrive, your symptoms will be examined and the cause of your discomfort will be diagnosed. Perianal abscess is a common type of anal abscess. Antibiotics are often ineffective as a treatment for perianal abscess. To treat the condition, the abscess will likely need to be surgically drained. Abscess Treatment After numbing the treatment site using a local anesthetic, one of our doctors will make an incision to drain pus from the infected cavity. This step also relieves pressure near the anus and provides relief for the patient. A deep abscess may require an anesthesiologist and hospitalization. However, most patients will be able to return home to recover following the treatment. Fistula Treatment Around half of patients who have an anal abscess will develop a fistula. The tunnel connects the anal glad to the surface of the skin nearby. If a fistula is present, it will need to be treated to prevent the return of a perianal abscess. Correcting a fistula requires surgery. The external and internal openings of the tunnel will be surgically joined. Most fistula surgeries are performed on an outpatient basis. Recovery Recovery from fistula treatment requires a few days of rest. Time missed from school or work is typically minimal, and discomfort can be managed with pain pills. Following your recovery guidelines closely is the best way to ensure that you do not experience severe side effects or complications. After abscess treatment or fistula surgery, the affected area should be soaked in warm water (a sitz bath) three or four times a day. Stool softeners may prevent discomfort. How to Prevent the Return of a Perianal Abscess Once the abscess or fistula heals, the condition typically does not reoccur. Our doctors will provide you with advice on how to prevent the occurrence of a perianal abscess. Patients should know risk factors for perianal abscess, which include: Colitis (a chronic digestive disease) Non-use of condoms during sexual intercourse Crohn’s disease Diabetes Use of certain medications Pelvic inflammatory disease Schedule Your Colorectal Consultation Today A perianal abscess will typically not heal on its own. The doctors of Colon & Rectal Surgical Specialists of New York are board-certified and offer a wide range of services. To schedule your next... --- ### Medications for Anal Dysplasia - **URL:** https://www.crssny.com/medications-for-anal-dysplasia/ - **Published:** 2020-02-29 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Anal Cancer, Anal Dysplasia, Anal Warts BY DEAN PAPPAS M.D. Anal dysplasia is a condition in which the skin cells of the anus transform into abnormal cells. Anal dysplasia is a precancerous condition, which is why early detection and treatment is so essential for lasting wellness. At Colon & Rectal Surgical Specialists of New York, we take anal dysplasia seriously, and encourage patients to undergo screenings to prevent developing anal cancer. Our doctors have helped numerous patients in the Nesconset and East Setauket, NY area suffering from anal dysplasia and anal warts. Below, we want to discuss the use of medications to treat anal dysplasia. This should give you a basic understanding of what they can accomplish and how we determine if the prescribed drugs are effective. Symptoms of Anal Dysplasia First, let’s note the signs of the condition. Commons symptoms of anal dysplasia include: Formation of lumps near the anus Bleeding from the anus Itching of the anus Pain near the anus Sensation of pressure near the anus Changes to a patient's bowel movements Changes to a patient's bowel movement frequency Anal Dysplasia Risk Factors Since many of the above symptoms are similar to those of hemorrhoids, it’s important to note anal dysplasia risk factors. These include: Human papillomavirus (HPV) infection History of anal warts Being HIV positive Inflammatory bowel disease (IBD) Use of tobacco products Use of intravenous drugs Abnormal cervical pap smear Advanced age Speak with a doctor as soon as possible if you notice any of the symptoms and/or experience any of the risk factors. Early screenings could help prevent cancer. How Common Are Drugs for Anal Dysplasia Treatment? Drugs may be recommended to treat anal dysplasia if the condition is diagnosed early and there are lesions and warts present. Rather than resort to more invasive procedures, the use of mediations can help manage the condition, preventing the progression of abnormal cells into cancerous cells while also managing the symptoms that are present. What Kinds of Anal Dysplasia Medications Will I Get? Patients will typically receive either imiquimod 5 percent cream (Aldara) or 5-fluorouracil (5-FU) 5 percent (Efudex). Imiquimod is used to treat genital warts, superficial basal cell carcinoma, and actinic keratosis. Fluorouracil is used to treat different kinds of cancers, including colorectal cancer, stomach cancer, pancreatic cancer, and breast cancer. How Effective Are Anal Dysplasia Medications? Both imiquimod and fluorouracil are relatively effective at treating anal dysplasia, though it can depend on the nature and progression of the condition. These drugs combined with regular screenings may be all the treatment that a patient requires. Additional Treatments for Anal Dysplasia If medications are not recommended for treating a patient’s anal dysplasia, other procedures can be performed instead. This is particularly true if the risk of anal cancer is high. Surgical removal of the lesions or the use of cryotherapy may be recommended. During your consultation process, we can go over these matters with you in much greater detail. Contact Our Team of Colorectal Surgeons If you live on Long Island and want more information about treating... --- ### Retrorectal Tumor Symptoms - **URL:** https://www.crssny.com/retrorectal-tumor-symptoms/ - **Published:** 2020-01-29 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Retrorectal Tumors BY DEAN PAPPAS M.D. The surgeons at Colon & Rectal Surgical Specialists of New York can help diagnose and treat all sorts of health and wellness issues affecting the digestive tract. Early detection and diagnosis is always ideal. That’s why our doctors in Nesconset and East Setauket, NY always cover potential symptoms associated with various colorectal conditions. Patient education is key to lasting wellness. With that in mind, our team would like to discuss retrorectal tumors. We’ll note common symptoms and warning signs of retrorectal tumors, and we’ll also cover risk factors that you should keep in mind. What Are Retrorectal Tumors? Also known as presacral tumors, retrorectal tumors are growths that appear in the presacral area. This presacral/retrorectal region is located between a person’s rectum and spine. There are no organs in this area of the body, with the tissue usually filled by fat. While extremely rare, a person can develop tumors in the presacral area, both benign and cancerous. Given their rarity and the location of these growths, retrorectal tumors can be extremely difficult to detect and diagnose. Many times, the symptoms of retrorectal tumors are mistaken for symptoms of other conditions, which means doctors have to be diligent during screenings. Common Signs and Symptoms of Retrorectal Tumors The most common signs and symptoms of retrorectal tumors include: Pain in the lower back Pelvic pain Pain around the rectum Pain that radiates into the legs Constipation Urinary incontinence Issues with normal function of the lower intestine Weight loss A sensation of heaviness around the presacral area Since symptoms can be difficult to detect, it’s important that you remain mindful of any changes in your bowel movements or issues with pain and discomfort. Risk Factors for Retrorectal Tumors Research has found that retrorectal tumors tend to be more common in women than in men. There may also be congenital factors that contribute to the development of retrorectal tumors. If you’ve previously suffered from colorectal cancer or any other sort of caner of the pelvic area or lower spine, there’s also a risk of the cancer spreading to the presacral area. When Should I Speak with a Doctor? If you notice any of the above symptoms, it’s a good idea to speak with a medical professional for tests and a cancer screening. It’s best to err on the side of caution when serious health issues are involved. Options for Treatment Typically, surgery is a last resort, but it may be an ideal option for treating retrorectal tumors. Since there are no organs in the area, these procedures tend to be relatively straightforward. Radiation therapy and chemotherapy can be used to help ensure the cancer is under control. If the retrorectal tumor is noncancerous, it may not need to be removed unless it seriously affects bowel function and quality of life. This can be discussed as part of the consultation process. Learn More About Retrorectal Tumors If you would like to learn more about retrorectal tumors and how they can be properly treated, be sure... --- ### Anal Dysplasia Symptoms - **URL:** https://www.crssny.com/anal-dysplasia-symptoms/ - **Published:** 2019-12-31 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Anal Cancer, Anal Dysplasia BY DEAN PAPPAS M.D. The doctors and surgeons at Colon & Rectal Surgical Specialists of New York believe in early diagnosis and treatment of any condition. If certain health issues affecting the anus or rectum are not identified as soon as possible, they could develop into cancer. That’s the case with anal dysplasia. Our team of Nesconset and East Setauket, NY colorectal surgeons would like to cover the warning signs and symptoms of anal dysplasia. We’ll also note the most common risk factors of the condition so you can get screened as soon as you notice any symptoms develop. About Anal Dysplasia Anal dysplasia is a pre-cancerous condition that affects the cells of the anus and anal canal. It involves lesions developing within the anus when normal cells change into abnormal cells. The condition is often associated with the human papilloma virus (HPV), which is also a cause of anal warts. Anal dysplasia is sometimes referred to as anal intraepithelial neoplasia (AIN) and anal squamous intraepithelial lesion (SIL). Common Signs and Symptoms of Anal Dysplasia Some of the most common signs and symptoms of anal dysplasia include: Discomfort or pressure in the anus A lump-like sensation in the anus Anal bleeding Itchiness of the anus Increased strain during bowel movements Changes in bowel movement habits Discharging pus or mucus from the anus Note: Anal Dysplasia Symptoms Can Be Difficult to Notice Even though there are symptoms for anal dysplasia, they are not always apparent. Sometimes the symptoms are not noticed until the condition has advanced into full anal cancer. This is just a useful reminder that patients must be mindful about any changes to their body and wellness whenever they occur, especially when it comes to the anus, rectum, colon, and bowel function. Risk Factors for Anal Dysplasia Since symptoms for anal dysplasia can be difficult to notice, it’s important that patients be on the lookout for the risk factors associated with the condition. These include: Being HIV positive Engaging in unprotected anal sex Having an HPV infection of the genitals or anus Abnormal Pap test that indicates HPV Abnormal cervical Pap smear Taking immunosuppressant drugs Smoking and the use of tobacco products Using intravenous drugs Being 40 years old or older Having a high number of sexual partners If any of the risk factors are present, you may want to get regular screenings for anal dysplasia. Regular checks can help the condition be diagnosed early before progressing to cancer. Treatments for Anal Dysplasia When treating anal dysplasia, topical creams and medications can be used so long as the condition is caught early. Colorectal surgeons can also remove the lesions if they will not respond to medication. One option is known as electrocautery (EC). During EC, a device is used to heat and destroy the abnormal cells of the anus. Cryotherapy can also be performed, which uses cold to destroy the abnormal cells and growths. If the anal dysplasia has developed into cancer, more invasive and advanced treatments will be needed to get the... --- ### Hemorrhoid Causes - **URL:** https://www.crssny.com/hemorrhoid-causes/ - **Published:** 2019-11-29 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Hemorrhoid BY DEAN PAPPAS M.D. It’s been estimated that three out of four adults will suffer from hemorrhoids at some point in their life. Dr. Dean P. Pappas and the other doctors at our colorectal surgery offices serving Nesconset and East Setauket, NY can help. There are many at-home and professional treatments available to address this issue. As common as hemorrhoids are, not many people really understand what they are and why they happen. The team at Colon & Rectal Surgical Specialists of New York would like to go over some of the basics regarding hemorrhoids, with a focus on what causes them and common risk factors associated with the condition. What Are Hemorrhoids? Also known as piles, hemorrhoids are clusters of veins just beneath the mucus membranes lining the anus and lower rectum. Internal hemorrhoids are located within the anus, while external hemorrhoids are located along the edge or just outside of the anus. Colloquially, most people use hemorrhoids to refer to the swelling of these clusters of veins, which can causes itchiness, pain, discomfort, and even blood in the stool. The Most Common Causes of Hemorrhoids The most common causes of hemorrhoids include: Diarrhea Constipation Straining on the toilet Sitting on the toilet for long periods of time Low-fiber diets Pregnancy Obesity Strained coughing Genetics Prolonged sitting Heavy lifting Anal intercourse In the cases of straining while on the toilet or sitting on the toilet for long periods of time, these issues typically infer with normal blood flow to the veins of the anus and rectum. This can make hemorrhoids more likely. We should also note that while the actions and conditions above are commonly associated with hemorrhoids, it’s also possible for people to develop hemorrhoids for unknown reasons. Hemorrhoid Risk Factors Age tends to be a major contributing risk factor to hemorrhoids since the tissues supporting the anus and rectum tend to stretch with time, becoming weaker in the process. People who are middle-aged and older are more likely to develop hemorrhoids. Genetics can also play a factor since some people have a predisposition to this condition. Tips for Preventing Hemorrhoids There are plenty of ways to prevent hemorrhoids from occurring that do not require professional attention. That includes the following: Eating a high-fiber diet Using fiber-supplements to avoid irregularity Staying hydrated to prevent constipation Not sitting still for prolonged durations Exercising regularly to maintain a healthy weight Treatments for Hemorrhoids Mild hemorrhoids can usually be managed at home with ease by taking warm baths, using medicated creams and lotions, prescription drugs, and changing your diet. If a person suffers from severe hemorrhoids, a number of professional procedures are available. These include: Injection sclerotherapy Infrared coagulation (IRC) Hemorrhoidal ligation Hemorrhoidectomy During your visit to our practice, we can perform an examination and determine the ideal course of treatment. We’ll also suggest various preventive measures to help ensure the condition does not recur, or if it does that the severity of the condition is manageable. Contact Colon & Rectal Surgical Specialists of New... --- ### Diverticulitis Diet: Treating Flare Ups - **URL:** https://www.crssny.com/diverticulitis-diet-treating-flare-ups/ - **Published:** 2019-10-29 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Diverticulitis BY DEAN PAPPAS M.D. Diverticulosis refers to the formation of small pouches in your digestive tract. This is relatively normal, and people who develop these pouches may not experience adverse health effects. However, when these pouches become inflamed or infected, that results in diverticulitis. There are many treatments for diverticulitis, and the team at Colon & Rectal Surgical Specialists of New York can tailor a treatment plan that’s specific to the needs of the patient and the severity of their flare up. Altering your diet can treat some mild cases of diverticulitis. The teams at our Nesconset and East Setauket, NY offices would like to consider what this dietary treatment for diverticulitis entails. What a Diverticulitis Diet Is Meant to Accomplish A diverticulitis diet is intended to help your digestive tract rest. This in turn will alleviate some of the symptoms of diverticulitis, such as abdominal pain, nausea, vomiting, and bloody stools. How the Diet Works First, patients will have a clear liquid diet for a few days. That means only ingesting the following: Water Gelatin Clear broths Juice without pulp Popsicles Tea Coffee The all-liquid diet should help calm the symptoms you experienced. Once you start feeling better, you can reincorporate low-fiber foods into your diet. This might include: Eggs Fish Poultry Mashed potatoes without skin Well-cooked carrots Cooked spinach Yogurt White rice Pasta Cheese Milk Be sure to continue hydrating properly while you have these low-fiber foods. As your diverticulitis symptoms continue to subside, patients can slowly return to normal eating habits. Foods That You Should Avoid If You Have Diverticulitis If you have a flare up of diverticulitis, you should avoiding high-fiber foods such as: Beans Legumes Raw fruits Raw vegetables Whole grains Nuts Seeds Popcorn Additionally, fried foods, sugary foods, and foods with a high fat content should also be avoided. How Effective Is a Diverticulitis Diet? For people with mild cases of diverticulitis, this temporary change in diet plus the use of antibiotics tends to be quite effective. It also avoids the need for more invasive procedures. That said, if diverticulitis symptoms do not improve or get worse after a few days on the diet, patients should contact their doctor as soon as possible. Be Attentive to the Foods You Eat and How They Make You Feel It’s important that you be attentive to your body and your needs. If your body responds negatively to certain kinds of foods, be sure to avoid them, especially during flare ups of the condition. You may notice that some foods seem to bring about diverticulitis symptoms, which means you should remove those foods from your diet. Similarly, be mindful of the foods that serve your body best, especially when trying to manage your flare ups. This can help create a healthy diet routine to keep the diverticulitis under control. Speak with Our Colorectal Surgeons To learn more about managing and treating diverticulitis, be sure to contact our skilled colorectal surgeons. We have offices in Garden City, Jamaica, Richmond Hill, and additional cities,... --- ### Colonoscopy vs Anoscopy - **URL:** https://www.crssny.com/colonoscopy-vs-anoscopy/ - **Published:** 2019-09-29 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Anoscopy, Colonoscopy According to the Centers for Disease Control and Prevention (CDC), colorectal cancer is the third leading cause of cancer-related death in America. The American Cancer Society estimates that the risk of developing colorectal cancer is around 1 in 22 for men and 1 in 24 for women. This is why undergoing a regular colonoscopy is so important. The team at Colon & Rectal Surgical Specialists of New York performs many colonoscopies each year, though it is not the only diagnostic procedure that allows us to examine parts of the lower bowel. The teams at our Nesconset and East Setauket, NY offices would like to discuss another diagnostic procedure known as an anoscopy, with a focus on how it differs from a colonoscopy. What Is a Colonoscopy? A colonoscopy is a procedure that colorectal specialists perform in order to examine a patient’s colon. The procedure uses an endoscope, which is a thin, flexible tube with a camera on the end of it. Reasons to Perform a Colonoscopy By performing a colonoscopy, doctors can identify cancerous growths and tissues and determine the ideal means of treatment. Early detection of colorectal cancer is always best, and increases the chances of successful treatment and survival. Colonoscopies can also help diagnose serious injuries to the colon, such as tears, perforations, and other abnormalities. Preparing for a Colonoscopy Patients undergo a preparation process a day or two before their scheduled colonoscopy. This will involve cleaning out their colon completely so the tissue can be clearly viewed. Typically this means sticking to a clear liquid diet for a day, followed by ingesting a special laxative to help flush the digestive tract. Regular eating habits can be resumed at the end of the colonoscopy. How Often Should I Get a Colonoscopy? Typically a colonoscopy should be scheduled once every 10 years starting when you turn 50 years old. Given the increased incidence of colorectal cancer in younger individuals, a first colonoscopy may be recommended at a younger age. People who suffer from inflammatory bowel disease (IBD) will be instructed to schedule more frequent colonoscopies given their increased colorectal cancer risk. What Is an Anoscopy? An anoscopy is similar to a colonoscopy in that it allows colorectal specialists to examine the lower bowel. Unlike a coionoscopy, an anoscopy only involves an examination of the rectum and anus. The procedure uses an anoscope, which functions just like an endoscope but is smaller and does not proceed as far into patient’s body. Reasons to Perform an Anoscopy An anoscopy can help diagnose rectal and anal cancer. It is also performed to diagnose tears in the anus or rectum, rectal polyps, anal fissures, and hemorrhoids. Preparing for an Anoscopy Unlike a colonoscopy, an anoscopy does not require a major preparation process. Patients should empty their bladder and their bowels before their doctor visit. If needed, patients may be given a laxative or an enema to help void their bowels before the anoscopy is performed. How Often Should I Get an Anoscopy? Anoscopies are not regularly scheduled like colonoscopies are.... --- ### IBS Symptoms - **URL:** https://www.crssny.com/ibs-symptoms/ - **Published:** 2019-08-29 - **Modified:** 2024-01-19 - **Author:** admin **Categories:** Ibs BY DEAN PAPPAS M.D. IBS, or irritable bowel syndrome, is a gastrointestinal disorder that primarily affects the large intestine. Unfortunately, IBS is a chronic condition with no cure. Our patients in Nesconset, NY, East Setauket, NY, and other areas of New York can undergo treatment at Colon & Rectal Surgical Specialists of New York if they are experiencing IBS symptoms. With diagnosis, our doctors can provide treatment to ease the most common IBS symptoms and improve our patients’ quality of life. Abdominal Pain Abdominal pain is one of the most common symptoms of IBS. Although abdominal pain can affect the entire stomach, it is most common for patients to experience pain in the lower abdomen. Patients may experience general discomfort, or cramping or bloating. Abdominal pain is likely to be persistent in individuals suffering from IBS, but it should ease following a bowel movement. Diarrhea Many adults who suffer from IBS live with frequent diarrhea. Frequent loose, watery stools are a sign that foods are not traveling through the digestive tract normally. Patients with diarrhea-predominant IBS are likely to have 10 or more stools per week, which is about twice as many as a person without IBS. Constipation While diarrhea is a concern for many individuals with IBS, it is even more common for patients to experience constipation. Constipation-predominant IBS is the most common form of this disorder. Roughly half of IBS patients suffer from constipation, meaning that they have fewer than three bowel movements per week. Constipation is the result of slow-moving stool that allows the bowel to absorb more water from the stool, thus making it more difficult to pass. Cycles of Diarrhea and Constipation Many people who suffer from IBS experience either diarrhea or constipation, but some patients cycle through both. These patients may experience diarrhea for several months, and then go through a period where they are dealing with constipation. During either cycle, they will be dealing with consistent cramping and discomfort that is relieved by a bowel movement. Food Intolerance A number of patients find that certain foods exacerbate IBS symptoms. However, food intolerances are unique to each patient, so it is difficult for our doctors to advise patients on which specific foods to avoid. If patients suspect that IBS is triggered by certain foods, they should keep a food diary that includes any resulting symptoms. As patterns develop, patients can attempt to eliminate certain foods from their diet to see if IBS symptoms improve. Fatigue It is common for patients with IBS to complain of fatigue or difficulty sleeping. Although it is not clear why these conditions are linked, it is good for individuals to be aware that lack of energy and stamina, along with abdominal discomfort, may be a sign of IBS. Learn More If you suspect that you may be suffering from IBS, you can contact our experienced team of doctors at Colon & Rectal Surgical Specialists of New York to learn more about this condition. We are committed to helping patients from Nesconset, East Setauket, and other... --- ### Colonoscopy Recovery - **URL:** https://www.crssny.com/colonoscopy-recovery/ - **Published:** 2019-07-29 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Colonoscopy, Sigmoidoscopy A colonoscopy is a diagnostic procedure that allows for the early detection of cancerous and pre-cancerous tissues in the colon. The earlier that colon cancer is diagnosed, the more likely it is that the condition can be treated. In many cases, a colonoscopy can be a life-saving procedure. Despite the benefits of a colonoscopy, many of our patients at Colon & Rectal Specialists of New York are nervous about the procedure and the recovery period that will follow. Here our Nesconset, NY, and East Setauket, NY, patients can learn a little more about what to expect from colonoscopy recovery. Our doctors do their best to make patients feel completely comfortable throughout their examination, as well as during recovery. The First 24 Hours of Recovery A colonoscopy is an outpatient procedure, so after a brief monitoring period, patients will be sent home following their exam. Because a colonoscopy is performed with the patient under the effects of sedation, the patient will need to arrange for a ride home. Once they are at home, patients should allow themselves at least 24 hours to rest and recover. It is common for our patients to experience some mild side effects following their colonoscopy. Some of these side effects are a reaction to the sedation, while others are directly related to the colonoscopy. Possible side effects include: Fatigue Nausea Discomfort Mild cramping or bloating Our doctors provide patients with detailed post-care instructions following their colonoscopy. By following these instructions, patients can minimize the risk of complications and promote a smooth recovery period. The following tips may be especially helpful during the first 24 hours of colonoscopy recovery: Ask for a family member or friend to stay with you the first day of recovery Avoid heavy lifting or other strenuous activities Take all medication as directed, including pain pills and stool softeners Drink plenty of water Take over-the-counter fiber supplements, if needed, to soften stool Do not drink alcohol for at least 24 hours The First Week after a Colonoscopy Following a normal colonoscopy, most patients are ready to return to work and all other routine activities 24 hours after the procedure. However, our patients should not hesitate to take more time to rest if needed. If polyps are found and removed during a colonoscopy procedure, the recovery period will be slightly longer. After polyps are removed it can take up to a week for the patient to fully recover. During this time, patients should avoid all strenuous activities, which includes lifting anything over five pounds. Signs of Complication In rare cases, patients may experience complications following a colonoscopy. It is important that patients monitor their recovery and look out for any potential signs of complication, such as: Chills or fever Vomiting Excessive rectal bleeding (more than a tablespoon) Severe discomfort or bloating An inability to urinate or have a bowel movement Black, bloody stools Irregular heartbeat If any of these symptoms develop, patients should report them to our doctors as soon as possible. Contact Us If you have questions about... --- ### Best Treatments for Hemorrhoids during Pregnancy - **URL:** https://www.crssny.com/best-treatments-for-hemorrhoids-during-pregnancy/ - **Published:** 2019-06-29 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Uncategorized BY FRANK CALIENDO M.D. Hemorrhoids can cause extreme discomfort, including itching, swelling, and pain. Unfortunately, it is common for hemorrhoid symptoms to flare up during pregnancy. At Colon & Rectal Surgical Specialists Of New York, we offer non-surgical hemorrhoid treatment so you can feel more comfortable and enjoy your pregnancy. Headquartered in Garden City, NY, with six locations in Long Island and Queens, our doctors offer compassionate care. Read on to learn more about pregnancy and hemorrhoids. What Are Hemorrhoids? Hemorrhoids are swollen veins in the rectum, resulting in a number of uncomfortable symptoms. If you experience inflammation, itching, or discomfort around the anus, or bleeding, you may have hemorrhoids. Causes of Hemorrhoids during Pregnancy Hemorrhoids can develop at any point during pregnancy, but they are most common in the third trimester. There are a few reasons why hemorrhoids are common in pregnant women: Women experience increased blood flow to the pubic area to support the baby. This can cause the rectal veins to swell. Around week 25, the uterus begins to put pressure on the rectal veins, causing them to bulge. Constipation or straining when going to the bathroom can contribute to or worsen hemorrhoids. In addition, pushing during labor can cause hemorrhoids. Your Non-surgical Treatment Options There are many non-surgical ways to treat hemorrhoids. Avoid Constipation It is important to stay regular to prevent or treat hemorrhoids. Make sure to stay hydrated by drinking at least eight cups of water each day. In addition, eat plenty of fiber, which is good for you and your baby. Fruits, vegetables, and healthy cereals are a good source of fiber. You may also want to talk to a doctor about taking a fiber supplement or stool softener to help you stay more regular. Avoid Sitting or Standing for Prolonged Periods of Time Sitting or standing for a long period of time puts pressure on your rectal veins. Try to move around every 20 minutes or so to relieve this pressure. Take a Warm Sitz Bath Fill a bath with a few inches of warm water, and sit in it for about 20 minutes. Do this once or twice per day when you are experiencing hemorrhoid symptoms. Ideally, patients should take a sitz bath after a bowel movement. Sitting in warm water can encourage blood flow to the area, helping the veins to heal quicker. It can also soothe and relieve pain, swelling, and itching. Use Topical Creams If you are still experiencing discomfort from your hemorrhoids after trying all of these treatment options, ask your doctor about prescribing a topical cream. A topical hemorrhoid cream can reduce itching, burning, pain, and other hemorrhoids symptoms. There are also over-the-counter options available, but these have lower concentrations of hydrocortisone. Always talk to your doctor before using any of these products to make sure they are safe during pregnancy. Contact Our Practice If you are experiencing significant hemorrhoid symptoms during or after pregnancy, contact our practice to schedule an appointment at one of our locations in Long Island... --- ### Dieting Tips for Patients with IBS - **URL:** https://www.crssny.com/dieting-tips-for-patients-with-ibs/ - **Published:** 2019-05-29 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Uncategorized BY DEAN PAPPAS M.D. Irritable bowel syndrome (IBS) is a disorder that affects the large intestine and causes symptoms such as cramps, bloating, and gas. Some patients with irritable bowel syndrome (IBS) can manage their symptoms through diet and lifestyle choices. At Colon & Rectal Surgical Specialists of New York, with offices in Nesconset, NY and other areas of Long Island and Queens, our doctors can diagnose and treat your IBS. By following these simple nutritional guidelines, you can begin to enjoy relief from frequent bowel issues. Learn more about the IBS diet, and then contact our practice to schedule an appointment with us. Foods to Avoid One key to avoiding IBS flareups is to have a good understanding of which types of food can trigger IBS symptoms. Products made from refined grains, including breads and cereals Processed junk foods like chips and packaged snacks Coffee Carbonated drinks Alcohol Protein-rich diets Cheeses and other dairy products Beans Fried foods Cabbage Broccoli Patients may not have adverse reactions to all of these foods. To gain a better understanding of which foods may be causing your IBS symptoms, you can cut out certain foods (breads, for example) then observe your symptoms. You can then reintroduce those items one at a time in order to see if they are the cause of your IBS flareups. Keeping a detailed journal of your observations can result in a list of foods that are safe and a list of foods to stay away from. We can assist our Nesconset area patients in starting a food diary so they have a better understanding of how to control IBS. Foods You Can Enjoy In general, individuals with IBS should strive to maintain diets that are rich in fiber, low in fat, and include plenty of fruits and vegetables. Certain vegetables (cabbage, cauliflower, and broccoli, for example) are known to produce gas during digestion. Most fruits are ok, though some patients with IBS report that removing the skin can reduce flareups. Lean meats are also considered ideal for patients with IBS. Other Tips for Managing IBS While dining out, maintain the same dietary guidelines that you follow at home. Try to avoid fried foods. Portion control is also important. Overeating often triggers IBS symptoms. If your IBS symptoms cause constipation, try gradually boosting your daily fiber intake to 25 grams for women and 38 grams for men. Natural foods like dried plums and prune juice can aid in encouraging bowel movements. Finally, drink plenty of water. Contact Our Clinic Today Over time, and with the help of careful notes, you can learn to manage your IBS symptoms. The doctors at Colon and Rectal Surgical Specialists of New York will be glad to guide you through the process of learning to manage your IBS symptoms. Our clinic provides testing and treatments for IBS. If you are ready to schedule your first IBS consultation at our Nesconset clinic or any of our other locations, contact our office online or call (516) 494-3027. --- ### Sigmoidoscopy vs. Colonoscopy - **URL:** https://www.crssny.com/sigmoidoscopy-vs-colonoscopy/ - **Published:** 2019-04-29 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Uncategorized BY DEAN PAPPAS M.D. According to the American Cancer Society, there will be an estimated 101,420 new cases of colon cancer and 44,180 new cases of rectal cancer this year. Given these numbers, it’s crucial that you undergo regular colorectal screenings. The team at Colon & Rectal Surgical Specialists of New York has numerous locations serving the Long Island area, which can help you get caught up on regular exams. Dr. Dean P. Pappas and his fellow New York colorectal surgeons offer both sigmoidoscopy and colonoscopy to screen for polyps and assist with early colorectal cancer diagnosis. Many patients ask us what the difference is between these two types of diagnostic methods. Let’s compare the colonoscopy to the sigmoidoscopy below. What Is a Colonoscopy? A colonoscopy is a type of endoscopic examination of the entire colon. This is a sure way to check for any cancerous growths in the bowel. To perform a colonoscopy, patients will need to prep a day or two before. This process will involve a diet of clear liquids and ingesting a special solution to help clear the bowels. Why Is a Colonoscopy Performed? A colonoscopy is one of the most common methods of screening for colon cancer. It can also be performed to check other kinds of medical problems affecting the bowels, including injuries, tears, and hemorrhages. A colonoscopy is recommended for people every 10 years starting at age 50, though some people are getting colonoscopies earlier as a practical preventative measure. What Is a Sigmoidoscopy? A sigmoidoscopy is similar to a colonoscopy in that it involves the use of an endoscope to examine the bowel. The difference is that the sigmoidoscope does not check the entire colon. Instead, a sigmoidoscopy is performed to check the lower portion of the colon, predominantly the rectum and sigmoid colon. Even though the sigmoidoscopy is not as extensive, patients will still need to prepare for the screening by cleansing their bowels and adhering to a diet of clear liquids the day before. Why Is a Sigmoidoscopy Performed? A sigmoidoscopy is performed if a person needs only the rectum and lower bowel to be examined. This can help identify underlying health conditions linked to rectal bleeding, changes in bowel function, intestinal problems, and rectal pain. If polyps or cancerous growths are found during a sigmoidoscopy, a colonoscopy is then recommended to check for any further growths and signs of cancer. When Is One Type of Screening Preferable to Another? For regular colon cancer screenings, the best option is a colonoscopy given its ability to fully check the colon for cancerous and precancerous growths. For other issues related to problems with bowel movements and rectal pain, a sigmoidoscopy is generally more prudent. If you suffer from issues related to intestinal discomfort and changes in the function of your bowels, we encourage you to visit our practice for a consultation. We can determine which type of screening method is most ideal and then discuss the preparation process and procedure with you in greater detail. Contact... --- ### Lifestyle Changes to Treat Constipation - **URL:** https://www.crssny.com/lifestyle-changes-to-treat-constipation/ - **Published:** 2019-03-29 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Constipation BY FRANK CALIENDO M.D. Most patients experience constipation at some point in their life. Constipation can cause bloating and abdominal discomfort, among other symptoms. It is important for patients that experience chronic constipation to find treatment that will provide relief and encourage healthy and more regular bowel movements. In some cases, medication or surgery may be necessary to treat the source of chronic constipation. However, some patients can alleviate constipation symptoms and prevent further issues by making some simple lifestyle changes. Here, the doctors at Colon & Rectal Surgical Specialists of New York discuss lifestyle changes that can treat constipation. Increase Fiber Intake Fiber is vital to healthy, regular bowel movements. Insufficient fiber intake is one of the leading causes of constipation. Most people see an improvement in constipation symptoms once they make a conscious effort to increase their fiber intake. The best sources of fiber include fruits and vegetables, such as pears, apples, avocados, berries, broccoli, and artichokes. Whole grains and lentils are other good sources of fiber. This includes foods such as kidney beans, split peas, chickpeas, oats, and popcorn. Drink More Water Nearly every part of the body requires water to function at its best, and the colon is no exception. It is generally recommended that people consume around eight cups, or 64 ounces of water, each day. Unfortunately, few people meet this recommendation. Patients may not consume sufficient fluids, or they choose high-sugar drinks like juices and sodas, instead of water, when they are thirsty. By replacing other beverages with water and meeting daily water intake recommendations, many people are able to alleviate constipation. Get Active A sedentary lifestyle is a common cause of constipation. If you want to encourage healthy movement within the digestive tract, you need to get the rest of the body active. Exercise decreases the amount of time that it takes for food to pass through the large intestine, limits the amount of water that is absorbed from the stool, and stimulates muscle contractions within the intestines, all of which lead to healthier and more regular bowel movements. While aerobic exercises like running, swimming, and dancing are great for colon health, even a 10- to 15-minute walk is beneficial, especially if it is taken an hour after a meal. Listen to Your Body’s Cues It may seem obvious, but one of the best ways to avoid constipation is to go to the bathroom as soon as there is an urge to make a bowel movement. Too frequently, people resist going to the bathroom because they are busy with work, preoccupied by other responsibilities, or not in a location that they feel comfortable using the bathroom. This can make stools more difficult to pass. Contact Us If healthy lifestyle changes have been ineffective in relieving constipation symptoms, you may require medical treatment. The experienced doctors at Colon & Rectal Surgical Specialists of New York can diagnose the cause of chronic constipation, and recommend an appropriate treatment plan. To learn more, contact us online at your earliest convenience or call... --- ### Dysmotility Treatment - **URL:** https://www.crssny.com/dysmotility-treatment/ - **Published:** 2019-02-28 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Colorectal Surgery, Dysmotility, Small Intestines BY DEAN PAPPAS M.D. Any time you experience a possible intestinal blockage, it’s important that you have the matter addressed right a way. Untreated intestinal blockages can lead to worsening abdominal discomfort and serious health problems. At Colon & Rectal Surgical Specialists of New York, our team offers adavanced colorectal treatments for problems affecting the digestive system. With six locations in New York, we will be able to offer you the relief you need. Dysmotility is one possible cause of intestinal blockages. Let’s cover the basics of dysmotility and then consider various treatment options available to patients. About Dysmotility Dysmotility refers to a muscle disorder that affect the digestive tract. The condition negatively affects the strength, coordination, and speed of these muscles as they attempt to digest and pass food through the body. Focusing on small intestine dysmotility, regular muscle contractions help move the food along in the digestive process. When the muscles do not function as they should, this can lead to food getting trapped in the small intestine. Causes of Dysmotility There are two reasons why dysmotility occurs: Myopathy - In these instances, the problem is the result of weakness and/or abnormalities in the muscle of the intestines Neuropathy - In these situations, problems and abnormalities in the nerves that control intestinal muscles lead to dysmotility Myopathy and neuropathy may be caused by genetics, inflammatory diseases affecting the digestive tract, and other medical illnesses such as thyroid disorders, Parkinson’s disease, diabetes, and lupus. Signs and Symptoms of Dysmotility The most common signs and symptoms of dysmotility include: Abdominal pain Bloating Cramping Constipation Diarrhea Nausea Vomiting Because of poor nutrient absorption, patients may also experience symptoms of malnutrition. Changes to Your Diet One of the least invasive ways to address intestinal dysmotility is to have patients alter their current diet. This will help address the obstruction and ensure that patients are able to absorb nutrients properly again. Patients should avoid carbonated beverages and any foods that are difficult to digest. Meal supplement shakes or drinks may be recommended. Be mindful of any food items that cause intestinal discomfort. Medications for Dysmotility If there is a blockage in the intestine that needs to be expelled, doctors may recommend that patients take laxatives. This will help soften and propel any blockages in the intestinal tract and allow patients to digest food in a more normal manner. Additional medications may be recommended as needed. Hospital Treatment for Dysmotility For serious intestinal obstructions, it may be necessary for patients to visit the hospital. This will allow doctors to assist with decompression of the digestive tract. Patients may be fed through an IV to address nutritional deficiencies. Doctors may recommend additional options for at-home care and management. Surgery for Dysmotility Surgery is rarely recommenced to treat or manage dysmotility unless the problems are frequent and/or severe. In these cases, the surgery will resection the intestinal tract so that muscle contraction errors are no longer and issue. Other options for treatment and management will typically be tried before resorting... --- ### Recognizing the Symptoms of Anal Cancer - **URL:** https://www.crssny.com/recognizing-the-symptoms-of-anal-cancer/ - **Published:** 2019-02-08 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Anal Cancer BY DEAN PAPPAS M.D. Anal cancer is relatively rare, but just as deadly as other cancers if left untreated. Fortunately, with early detection, anal cancer is highly treatable. At the Colon & Rectal Surgical Specialists of New York, our team of specialists provides diagnostic exams and treatment for those experiencing anal cancer symptoms in New York. Understanding the symptoms of anal cancer is essential for knowing when to seek a diagnosis and can help detect cancer in its earliest stages. If you experience any of the following anal cancer symptoms, you are encouraged to schedule a consultation with one of our doctors. What Are the Symptoms of Anal Cancer? Anal cancer does not always present symptoms; when symptoms are present, some may mistake them for other benign conditions, like hemorrhoids, anal fissures, and anal warts. This is complicated by the fact that some of the symptoms of anal cancer, like pain and rectal bleeding, are in fact similar to the symptoms of such benign conditions, which can cause symptoms to go ignored until the cancer becomes more severe. Recognizing the symptoms of anal cancer is key to early detection and successful treatment. Those who experience one or more of the following symptoms may have anal cancer and should see a doctor as soon as possible. Rectal Bleeding Rectal bleeding is often one of the first symptoms of anal cancer. Rectal bleeding is also a common sign of hemorrhoids and anal fissures. Sometimes this early sign of anal cancer is mistaken for hemorrhoids or anal fissures, which can lead to anal cancer going untreated. Anal or Rectal Discharge Another symptom of anal cancer to be aware of is the presence of an abnormal discharge coming from the anus or rectum. Abnormal anal discharge includes substances such as pus, mucus, or a combination of the two. Rectal Itching Rectal itching that persists may be an indication of anal cancer in some people. Rectal itching may be constant or made worse by such activities as passing bowel movements or having anal intercourse. A Lump or Mass One possible sign of anal cancer some may discover is a lump or mass at the anal opening. A lump or mass could be formed by cancerous cells and should be tested as early as possible. Pain or a Full Feeling Sometimes anal cancer can cause pain in the anal area. Others may experience a feeling of fullness or pressure in the anal area, while some may feel pain as well as fullness or pressure. In some cases, pain, pressure, or fullness is persistent. In other cases, such symptoms may worsen with bowel movements or anal intercourse. A Change in Bowel Movements Changes in bowel movements can sometimes be a sign of anal cancer. For some, changes in bowel movements may include a narrowing of the stool. Others may notice a change in frequency of bowel movements, with generally more bowel movements. Another change may be increased difficulty or straining. Some people may only experience one change in bowel movements, while... --- ### Relieve Pain with Anal Ulcer Treatment - **URL:** https://www.crssny.com/relieve-pain-with-anal-ulcer-treatment/ - **Published:** 2019-01-10 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Anal Ulcers BY FRANK CALIENDO M.D. Anal ulcers are breaks within the tissue lining the anus, which can cause pain and rectal bleeding, and increase the risk of infection. When anal ulcers develop, it is important to seek treatment as soon as possible. This provides patients with relief and reduces the risk of further complications. At Colon & Rectal Surgical Specialists of New York, our doctors offer a wide range of non-surgical and surgical anal ulcer treatment options to patients throughout New York. To learn more about your treatment options, we welcome you to schedule a consultation. Anal Ulcers and Treatment Anal ulcers are often a complication of Crohn's Disease but may also develop as a result of conditions such as sexually transmitted diseases and chronic anal fissures, which are tears within the anal canal. Without treatment, anal ulcers can lead to rectal bleeding, infection, and pain, especially during bowel movements. There are many treatments for anal ulcers, including surgical and non-surgical treatments. Generally, non-surgical treatments are used first. The type of treatment used will depend on the severity of anal ulcers. However, if ulcers persist and don't respond to non-surgical treatments, then surgical treatment may be recommended. Treating Anal Ulcers with Lifestyle Changes Anal ulcers are sometimes caused by constipation, hard stools, and straining while going to the bathroom. Even when anal ulcers have other causes, constipation, hard stools, and straining while going to the bathroom can all exacerbate ulcers and interfere with healing. Making simple lifestyle changes can help prevent constipation and make it easier to go to the bathroom. Some simple changes that can help relieve pain, promote healing, and prevent anal ulcers from returning: Staying hydrated: Staying hydrated by drinking plenty of water can help prevent constipation. Eating plenty of fiber: Fiber helps keep stools soft, making it easier to pass stools while ulcers heal. Fiber may be added through foods, like fruits, vegetables, and nuts, or from a dietary supplement. Trying not to strain during bowel movements: Straining during bowel movements can cause a healing ulcer to open by placing pressure on the anus. Non-surgical Treatment for Anal Ulcers Topical treatments and medications are often effective at treating anal ulcers. Topical anesthetic creams: Topical anesthetic creams, such as lidocaine hydrochloride, can help ease pain while ulcers heal. Nitroglycerin: Nitroglycerin, most commonly Rectiv, may be externally applied to the anal tissue to increase blood flow within the tissue, helping to promote healing. BOTOX® injections: BOTOX may be injected to help relax the anal sphincter muscle and reduce spasms. Blood pressure medications: Blood pressure medications, like nifedipine and diltiazem, may help anal ulcers heal by helping to relax the anal sphincter. Surgical Treatment for Anal Ulcers When anal ulcers are chronic and do not heal from non-surgical treatment and lifestyle changes, or symptoms are severe, surgery may be the right course of action. The surgical procedure that is usually performed for anal ulcers is called lateral internal sphincterotomy, or LIS. During the LIS procedure, a small area of the anal sphincter muscle is cut. This helps reduce pain, spasms,... --- ### Non-surgical vs. Surgical Hemorrhoid Treatment - **URL:** https://www.crssny.com/non-surgical-vs-surgical-hemorrhoid-treatment/ - **Published:** 2018-12-06 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Hemorrhoid BY DEAN PAPPAS M.D. Hemorrhoids can be an irritating and uncomfortable condition affecting the area around the anus. But what many patients don’t realize is that hemorrhoids are a vascular structures that are located within and around the anus. It is only when these tissues become inflamed or irritated that they begin to cause issues. Hemorrhoids can be quite painful, and can cause a number of other symptoms, including itching and bleeding. At Colon & Rectal Surgical Specialists of New York, our doctors offer hemorrhoid treatment to calm irritated tissues and relieve hemorrhoid symptoms. In most cases, hemorrhoids respond well to non-invasive treatment methods, but when necessary, our doctors do offer surgical intervention. Here we go over the non-surgical and surgical hemorrhoid treatments offered at our Long Island, NY practice. Non-surgical Hemorrhoid Treatment There are homeopathic remedies that can help relieve mild hemorrhoid symptoms. Patients can take warm baths, apply warm compresses to the area, and make dietary changes that can soften the stool so that further irritation does not develop. If these treatments do not work, patients can seek further treatment at our practice. Mild to moderate cases of hemorrhoids tend to respond well to non-surgical treatment methods. Our doctors may recommend non-surgical medical treatment options, such as: Special creams or lotions Medicated wipes Suppositories Steroids Pain medication Surgical Hemorrhoid Treatment If hemorrhoids have failed to respond to non-surgical treatment methods, we may suggest surgical treatment. We offer a number of surgical hemorrhoid treatments that are minimally invasive, yet still extremely effective. Some of the minimally invasive surgical options available to patients include: Injection sclerotherapy: During this procedure, medication is injected directly into the veins. This causes the veins to shrink and stick together, which should relieve inflammation and irritation. Infrared coagulation: During this procedure, a heating tool is applied to hemorrhoid tissues. This causes the formation of scar tissue, which will block the blood supply so that hemorrhoids shrink and stop bleeding. Hemorrhoidal ligation: During this procedure, rubber bands are wrapped around specific veins to cut off the blood supply to internal hemorrhoids. Without a supply of blood, internal hemorrhoids should shrink significantly. The majority of patients respond well to one of these minimally invasive surgical procedures. Often, the patient notices an immediate improvement in hemorrhoid symptoms, but the condition nearly always clears up within a week or two of treatment. In the rare case in which hemorrhoids continue to persist, our doctors can perform a hemorrhoidectomy. During this procedure, the swollen veins within the hemorrhoid are tied off, and the hemorrhoid is surgically removed. The anal area is likely to be sore for two to four weeks after this procedure, but it will effectively alleviate hemorrhoid symptoms. Get In Touch At Colon & Rectal Surgical Specialists of New York, we offer the discreet and professional treatment of a wide range of colorectal conditions. If you would like to learn more about hemorrhoid treatments, and which may be most effective for you, get in touch with our team of experienced doctors. --- ### Rectal Prolapse Surgery Recovery - **URL:** https://www.crssny.com/rectal-prolapse-surgery-recovery/ - **Published:** 2018-11-14 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Recovery, Rectal Prolapse BY DEAN PAPPAS M.D. Following rectal prolapse, surgery may be needed to address the problem. The results of these surgical procedures are quite successful so long as patients follow our instructions for post-op care. This is why the entire team at Colon & Rectal Surgical Specialists of New York take time explaining healing and recovery after women's rectal prolapse surgery and men’s rectal prolapse repair. Overall, recovery from prolapse repair will take about six weeks, though the exact time will depend on the nature and extent of your surgery. Below is a general overview of the recovery process and what you can expect. Our Garden City, NY team can discuss these matters with you in greater detail during the consultation process. Taking Time Off from Work Given the nature of the prolapse repair surgery, it’s imperative that patients take some time off from work. A few weeks may be necessary deepening on the nature of the patient’s job and the duties that are expected of them. This can be discussed during the consultation process. Upon returning to work, you may need to modify some of your duties or request reasonable accommodations from your employer as you are recovering, so please keep that in mind. Common Side Effects After Surgery Following prolapse repair surgery, common side effects may include: Soreness Swelling Bruising Minor bleeding Your surgeon will be able to recommend pain killers and over-the-counter pain medications that can help minimize post-op discomfort. In addition, recommendations will be made regarding sleeping and sitting positions to help reduce soreness as you are healing. Use of Stool Softeners Following surgery, patients will be told to use stool softeners to help avoid excessive straining while moving their bowels. This helps aid in healing, and prevents re-injury of the rectum after it has been repaired. The use of stool softeners will also be essential for pain management in the first days of recovery. Adjusting Your Diet to Aid in Recovery In addition to using stool softeners, patients will also be asked to alter their diet to prevent constipation and straining when moving their bowels. Patients will typically start with a clear liquids diet, transitioning to soft foods and eventually solid foods over the course of a few weeks. High-fiber diets will be ideal during this healing period. Pay attention to all dietary recommendations made by your surgeon. Drink Lots of Fluids In order to help keep stools soft and prevent difficult bowel movements, it’s important that patients drink plenty of fluids and stay well hydrated as they recover. Stick to water and avoid sugary beverages, alcohol, and soft drinks. This is just good advice in general, and an important part of good tip for digestive health and overall wellness. Avoid Heavy Lifting and Strenuous Activity To prevent re-injury and other complications, patients should avoid heavy lifting and all sots of strenuous activity for a few weeks. This includes cardio, squatting, and bending at the waist. Your surgeon will be able to provide you with guidelines on when you can... --- ### Colonoscopy vs. Colostomy: Important Differences - **URL:** https://www.crssny.com/colonoscopy-vs-colostomy-important-differences/ - **Published:** 2018-09-30 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Colonoscopy, Colostomy BY FRANK CALIENDO M.D. When it comes to colorectal health and general wellness, it is important that people undergo a regular colonoscopy to check for polyps and other signs of colorectal cancer. Early detection can save lives. That is why Dr. Dean P. Pappas and the team at Colon & Rectal Surgical Specialists of New York are here to help, offering information, patient education, and checkups. Sometimes patients contact our Garden City, NY practice have questions about common terms they hear related to colorectal health. For instance, “colonoscopy” sounds a little similar to “colostomy,” but each refers to very different things. Let’s define and go over the basics of colposcopies and colostomies. What Is a Colonoscopy? A colonoscopy is a type of exam that allows doctors to check the rectum, colon, and large intestine. This is a good way of detecting cancers or precancerous growths affecting these portions of the digestive tract. Reasons for a Colonoscopy A colonoscopy can help with the detection of colorectal cancer. It’s a good idea to undergo a regular colonoscopy every 10 years starting at age 50, though earlier or more frequent exams may be necessary if you suffer from certain bowel diseases or other kinds of medical conditions. What to Expect During a Colonoscopy The day prior to the exam, certain steps must be taken to empty our your colon. This includes an all-liquid diet and the use of a laxative. Follow these instructions carefully to ensure a proper exam. During the colonoscopy, patients are typically sedated and may be given local anesthetic. A colonoscope will be inserted into the rectum. On the end of the scope is a small camera that will allow doctors to note the lining of the rectum, colon, and large intestine. Samples of the tissue may be taken if needed. On average, a colonoscopy lasts about 30 to 60 minutes. What Is a Colostomy? A colostomy is a surgical procedure in which a healthy part of the large intestine is rerouted and directed to an opening in the stomach. This allows patients to pass gas and eliminate feces through the hole in the stomach, which is known as a stoma. Reasons for a Colostomy A colostomy is recommended when part of the rectum, colon, or large intestine has been injured or damaged as a result of physical trauma or disease. In these cases, the bowels do not function properly, requiring a safe and effective means of eliminating waste from the body. A colostomy may be temporary or permanent depending on your needs. Typically the wast will empty into a sanitary bag. What to Expect During a Colostomy A colostomy is performed with a patient under general anesthesia given the nature of the surgery. The health part of the bowel is rerouted so that it passes through the abdominal wall, allowing for the creation of a stoma. The location and size of this opening will vary from patient to patient. Following the colostomy, a colorectal surgeon will provide detailed information on your diet,... --- ### Colorectal Cancer Statistics: Facts, Figures, and Numbers - **URL:** https://www.crssny.com/colorectal-cancer-statistics-facts-figures-and-numbers/ - **Published:** 2018-09-04 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Colon Cancer, Colorectal Cancer, Rectal Cancer BY DEAN PAPPAS M.D. Regular colonoscopy exams are essential for catching colon cancer and rectal cancer in their earliest stages. Early detection of colorectal cancer increases your chances of survival. It’s something we stress at all Long Island, NY locations of Colon & Rectal Surgical Specialists of New York. Dr. Dean P. Pappas and his team would like to share some illuminating numbers about colorectal cancer in America today. These facts and figures should emphasize the importance of a healthy diet and regular colorectal exams. Unless otherwise noted, the numbers cited below are from the American Cancer Society. How Common Is Colorectal Cancer? Excluding skin cancers, colorectal is the third most diagnosed kind of cancer in the United States. It’s estimated that in 2018, approximately 97,220 people will be diagnosed with colon cancer; in addition, an estimated 43,030 Americans will be diagnosed with rectal cancer. In addition, it is estimated that around 50,630 people will die of the disease in 2018. Colon cancer is more common than rectal cancer. In all colorectal cancer diagnoses, about 71 percent of cases arise in the colon, and the remaining 29 percent in the rectum. Gender Risk of Developing Colorectal Cancer In men, the chances of developing colorectal cancer is about 1 in 22 (4.49 percent). In women, the risk is slightly lower at 1 in 24 (4.15 percent). Keep in mind that gender is just one of many factors that can affect your risk of developing colorectal cancer. Colorectal Cancer and Patient Age The median age for colorectal cancer diagnosis in men is age 68. In women, the median diagnosis age is 72. With both genders taken into account, the median age is 63. While colorectal cancer is commonly associated with advanced age, there has been an increase in colorectal cancer diagnoses in people under the age of 50. According to the Colorectal Cancer Alliance, only 6 percent of colorectal cancer diagnoses were for people younger than 50. In 2013, this number increased to 11 percent. Of this number, most cases of colorectal cancer were diagnosed among people in their 40s (72 percent). Genetics and Colorectal Cancer Risk Genes play a major role in overall susceptibility to disease. People who have a parent or sibling who developed colorectal cancer are two to three times more likely to develop the condition than people who do not have a family history of the disease. Additionally, statistics have found that colorectal cancer was more likely in African Americans than caucasians. Between 2009 and 2013, colorectal cancer incidents were 20 percent higher among the black population than thew white population; the death rates from colorectal cancer among blacks was 40 percent higher than whites. Genes as well as environmental factors may play a role in these findings. Colorectal Cancer Survival Rates Thanks to increased awareness and screenings, survival rates of colorectal cancer have increased. Five-year survival rates for colorectal cancer are as follows: 90 percent for colorectal cancer diagnosed at the local stage 71 percent for colorectal cancer diagnosed at... --- ### Starting Regular Colorectal Exams Before the Age of 45 - **URL:** https://www.crssny.com/starting-regular-colorectal-exams-before-the-age-of-45/ - **Published:** 2018-07-31 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Colonoscopy, Colorectal Cancer, Colorectal Exams BY DEAN PAPPAS M.D. Not counting skin cancers, colorectal cancer is the third most commonly diagnosed cancer in the United States. The American Cancer Society estimates that this year, there will be approximately 97,220 new cases of colon cancer and 43,030 new cases of rectal cancer. For men, the risk of colorectal cancer is 1 in 22; for women, 1 in 24. This is why regular cancer screenings are important as patients reach middle age. Recently, the American Cancer Society and the American Society of Colon and Rectal Surgeons (ASCRS) have issued statements regarding new colorectal exam guidelines. The stances of these organizations addressed the very real rise in colorectal cancer diagnoses in younger individuals. The doctors at our Queens and Long Island, NY centers would like to go over the new ASCRS recommendations regrading colonoscopy and colorectal cancer screenings. Increasing Risk of Colorectal Cancer in People Younger Than 50 According to the Journal of the National Cancer Institute, more people are being diagnosed with colorectal cancer before the age of 50. Adults between the ages of 40 and 54 experienced up to a 1 percent increase in colorectal cancer diagnoses. More troubling is a 1-2 percent increase in colorectal cancer diagnoses in people aged 20-39. Previous Guidelines Regarding Colorectal Exams The previous guidelines for colorectal cancer screenings suggested that people begin regular colonoscopies starting around age 45. This addressed previous cancer rates, and helped with early diagnoses in many people during an at-risk age. However, with changing times and realities regarding diagnosis rates, new recommendations have been made by the American Cancer Society and supported by the ASCRS. New Recommendations for Colorectal Cancer Screenings Given the increase in colorectal cancer cases in younger people, it’s a good idea for individuals younger than 45 to begin undergoing regular colorectal cancer screenings. This will allow dangerous polyps to be identified sooner and be removed before they develop into cancer. These screenings are especially important in people whose families have a history of cancer and individuals who suffer from inflammatory bowel disease. A Focus on Prevention The ultimate goal of these colorectal screenings is early detection and cancer prevention. As noted above, removing polyps before they become cancerous is a way of avoiding lengthy and more invasive cancer treatments. Moving forward, we hope there is greater emphasis placed on prevention with regard to all cancer screenings and diagnoses. Should I Schedule a Colorectal Exam? If you are in your 30s and have a family history of colorectal cancer, or if you suffer from inflammatory bowel disease, it may be a good time to undergo your first colorectal screening. If you are unsure, feel free to discuss matters and any health concerns with your general practitioner. They can offer additional recommendations based on your medical history. Ultimately, you should not feel that it is too early to undergo a colorectal exam and cancer screening. The American Cancer Society and the ASCRS think this pragmatism can save lives. Contact Colon & Rectal Surgical Specialists Of New... --- ### Colon Polyp Types - **URL:** https://www.crssny.com/colon-polyp-types/ - **Published:** 2018-07-12 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Colonoscopy BY FRANK CALIENDO M.D. When a small cluster of cells develop on the lining of the colon, it is referred to as a colon polyp. Most of the time, colon polyps are benign. However, if left undetected, some polyps can lead to colon cancer. A colonoscopy can help detect and identify colon polyps before they progress. Today, our team at the Colon and Rectal Specialists of New York in Long Island, NY discuss colon polyp types and explain how you can better understand the results of your colonoscopy. Do Types Matter? Colon polyps can be classified into different histologic types. Therefore, they exhibit different characteristics when analyzed under a microscope. Understanding the different types of colon polyps is important, primarily because some are more likely to become malignant than others. In the sections below, we will briefly discuss the different types of polyps and explore the characteristics of each one. Adenomatous Polyps The adenomatous, or adenoma, is the most common type of colon polyp. It is also the most common cause of colon cancer. However, when detected early, this type of polyp is less likely to be malignant. In most cases, the larger the polyp, the higher the risk for cancer. In addition, patients with multiple polyps (as opposed to a single polyp) are more likely to develop more in the future. Even if the initial polyps are benign, there is still a chance that malignant polyps could grow later on. Most adenomatous polyps are sporadic, and do not come from a genetic mutation. Even so, there is likely a hereditary factor involved. Hyperplastic Polyps Hyperplastic polyps are the second most common type. Fortunately, there is very minimal risk for these polyps becoming malignant. However, it should be noted that if these polyps are found in the ascending colon, or if they appear serrated under a microscopic examination, then there is a chance for cancer. Patients who have hyperplastic polyps are typically at a higher risk for colon cancer, even if the initial polyps are benign. This is especially true if there is a family history of the disease. Hamartomatous Polyps Considered a developmental error, a hamartoma is an irregular mixture of cells and tissues. Oftentimes, these polyps are discovered by chance, as they grow at the normal rate of the host tissue. These types of polyps are rarely malignant. Juvenile Polyps Juvenile polyps are hamartomatous polyps that are identified before an individual is 20 years old. Most commonly associated with rectal bleeding, juvenile polyps usually present as solitary clusters in the rectum itself. There is a condition known as juvenile polyposis syndrome. Individuals with this disorder usually have at least five polyps present in the colon, rectum, or gastrointestinal tract. While the condition itself is not cancerous, individuals who have it are at a greater risk of developing it in the future. Inflammatory Polyps Generally, inflammatory polyps occur as the result of ulcerative colitis, Crohn’s disease, or other inflammatory diseases. Typically, the risk of these polyps becoming malignant is low. Contact Our Practice to... --- ### Colon & Rectal Surgical Specialists Moves and Opens New Locations - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-moves-and-opens-new-locations/ - **Published:** 2018-06-06 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Colorectal Conditions BY DEAN PAPPAS M.D. Garden City, NY - The team at Colon & Rectal Surgical Specialists is pleased to announce the opening of multiple new locations on Long Island. The move to new facilities and the expansion of the current practice will help many patients in Nassau County, Suffolk County, and parts of Queens to receive much needed medical care. The full list of Colon & Rectal Surgical Specialists locations includes: Garden City, NY Port Jefferson, NY East Hills, NY Jamaica, NY Richmond Hill, NY Melville, NY Remaining at the Current Garden City Location While Colon & Rectal Surgical Specialists is expanding and changing, the office in Garden City will remain in its current location. Open six days a week, maintaining this location will help the doctors keep their current relationships with patients based in Nassau County. The Garden City office for Colon & Rectal Surgical Specialists is located at: 1100 Franklin Ave, Ste 203 Garden City, NY 11530 (516) 217-8626 The office hours for our Garden City, NY office are: Mon: 9:00am - 7:00pm Tue: 9:00am - 5:00pm Wed: 9:00am - 7:00pm Thu: 9:00am - 7:00pm Fri: 9:00am - 5:00pm Sat: 9:00am - 12:00pm Sun: Closed New Office in Port Jefferson The new Colon & Rectal Surgical Specialists location in Port Jefferson will replace the previous location in nearby East Setauket. Open weekdays, the office will ensure that existing patients in Suffolk County can continue undergoing treatment. The Port Jefferson office for Colon & Rectal Surgical Specialists is located at: 200 Belle Terre Road, Ste 600 Port Jefferson, NY 11777 (631) 489-8636 The office hours for our Port Jefferson, NY office are: Mon: 9:00am - 5:00pm Tue: 9:00am - 5:00pm Wed: 9:00am - 5:00pm Thu: 9:00am - 5:00pm Fri: 9:00am - 5:00pm Sat: Closed Sun: Closed New Office in East Hills The new Colon & Rectal Surgical Specialists location in East Hills will allow the doctors to assist people in Nassau County who require treatment for colorectal cancer, inflammatory bowel disease, and other conditions affecting the gastrointestinal tract. The East Hills office will be open six days a week. The East Hills office for Colon & Rectal Surgical Specialists is located at: 2200 Northern Boulevard, Ste 210 East Hills, NY 11548 (516) 219-8552 The office hours for our East Hills, NY office are: Mon: 9:00am - 7:00pm Tue: 9:00am - 5:00pm Wed: 9:00am - 5:00pm Thu: 9:00am - 6:30pm Fri: 9:00am - 5:00pm Sat: 9:00am - 12:00pm Sun: Closed New Office in Jamaica To help the large and diverse community in Rochdale Village and the surrounding parts of Queens such as St. Albans, Colon & Rectal Surgical Specialists offers a facility that will be open on select days through the week. The Jamaica office for Colon & Rectal Surgical Specialists is located at: 169-27 137th Ave Jamaica, NY 11434 (347) 349-3138 The office hours for our Jamaica, NY office are: Mon: 9:00am-5:00pm Tue: Closed Wed: Closed Thu: Closed Fri: 9:00am - 5:00pm Sat: 9:00am - 2pm Sun: Closed New Office in Richmond Hill... --- ### Colorectal Endometriosis Treatment - **URL:** https://www.crssny.com/colorectal-endometriosis-treatment/ - **Published:** 2018-06-05 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Endometriosis BY DEAN PAPPAS M.D. Endometriosis is an uncomfortable condition in which pieces of the uterine tissue grow outside of the uterus, and attach to other areas, such as the fallopian tubes or ovaries. There are different types of endometriosis, as the condition can occur in different parts of the body. In some cases, endometrial tissue grows on or inside the intestines. This is referred to as colorectal endometriosis. Here, our Long Island, NY team discusses colorectal endometriosis treatment. We may first recommend a colonoscopy to rule out other possible causes of your symptoms, or we may recommend surgery to diagnose and treat the condition. Can a Colonoscopy Help Diagnose Colorectal Endometriosis? Colorectal endometriosis can mimic the symptoms of other common diseases, such as irritable bowel syndrome, colon cancer, and Crohn’s disease. Unfortunately, this means that many cases of colorectal endometriosis are misdiagnosed. Usually, one of the first recommendations is a colonoscopy, which scopes the inside of the bowels. However, because endometriosis often occurs on the outside of the intestines, lesions may go unnoticed. However, it is important that patients receive a colonoscopy to help rule out other health concerns. If, after undergoing preliminary diagnostic testing, there is still a suspicion of colorectal endometriosis, laparoscopic surgery can be utilized to obtain a definitive diagnosis. Colorectal Endometriosis Statistics Approximately one-third of all women with endometriosis will develop uterine tissue on their bowels. In most cases, the condition is present just above the rectum, in the lower part of the intestine. This form of endometriosis may also be accompanied by rectovaginal endometriosis, which affects the rectum and the vagina. It is not uncommon for those with colorectal endometriosis to also have the condition in the ovaries, bladder, or the pouch of Douglas (the space between the cervix and rectum). Treatment Options Unfortunately, there is no known cure for endometriosis. However, medications and surgical options can alleviate your symptoms and improve your quality of life. Surgery For most patients, surgery is the most successful and predictable treatment option. Both laparotomy (one large incision) and laparoscopy (several tiny incisions) can be used to treat the condition. The type of procedure recommended for you will depend on your specific needs. Surgical options for endometriosis include: Segmental bowel resection: For larger areas of endometriosis, a section of the intestines is removed. The two remaining sections are then joined through reanastomosis. Over 50 percent of women who undergo this procedure are able to conceive following the treatment. Rectal shaving: Smaller areas of endometriosis can be removed with a procedure called rectal shaving. During this treatment, the endometrium tissue will be removed, and the intestines will be kept intact. Disc resection: Ultra-small areas of endometriosis can be removed with disc resection. This involves removing a small portion of the affected tissue, and then closing the hole. Medication Although hormone therapy will not halt the development of endometriosis, it can alleviate pain and other common symptoms. This type of treatment may include: Birth control Progestin injections Gonadotropin-releasing hormone agonists Over-the-counter anti-inflammatories to alleviate discomfort and swelling Contact Our... --- ### Diverticulitis Symptoms: What Are the Warning Signs - **URL:** https://www.crssny.com/diverticulitis-symptoms-what-are-the-warning-signs/ - **Published:** 2018-04-29 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Diverticulitis BY FRANK CALIENDO M.D. Diverticula are small pouches that can form along the lining of your digestive tract, particularly along the colon. They tend to be more common after a person turns 40, and they generally don’t cause any health problems. However, the diverticula can become infected, which is a condition known as diverticulitis. Knowing the signs and symptoms of diverticulitis can help you prevent the need for surgery and more invasive treatments. The team at Colon & Rectal Surgical Specialists of New York here in Garden City, NY would like to go over some of the basics of diverticulitis and what you should look out for. The Causes of Diverticulitis Diverticula themselves develop when the weak places in your colon give way as a result of pressure, causing these pouches to form. Diverticulitis happens when the diverticular tear or rupture. This leads to inflammation, infection, or a combination of both. Abdominal Pain One of the first key warning signs of diverticulitis is abdominal pain. If your stomach or abdomen hurt frequently, it may be the sign of some sort of problem with your digestive tract. Be particularly mindful of lower abdominal pain on the left or right side. Tenderness of the Abdomen In addition to abdominal pain, many people who suffer from diverticulitis will also notice the their abdomen feels tender or sensitive. This could mean sensitivity when moving in a certain manner or when touching parts of your abdomen. Nausea and Vomiting Both nausea and vomiting tend to be telltale signs of a digestive tract issue. If you are frequently battling bouts of nausea combined with nausea, it’s important that you speak with your physician about what may be wrong. Running a Fever A fever is often a sure sign that something is wrong. If you notice a high body temperature that does not go down even while you are at rest, be sure to seek medical attention to find out what you may be experiencing. Constipation or Diarrhea Diverticulitis can change the consistency and nature of your stools. In most cases, the condition can lead to frequent constipation. While rare, diverticulitis can also result in diarrhea. If you notice problems passing solid stools, this could be a sign of a digestive tract issue. Diverticulitis Risk Factors It’s been found that the following risk factors can contribute to cases of diverticulitis: Advanced age Obesity High-fat diet Low-fiber diet Smoking Sedentary lifestyle/lack of exercise Use of steroid Use of opiates Use of nonsteroidal anti-inflammatory drugs (NSAIDs) Treatments for Diverticulitis For mild cases of diverticulitis, the condition can be treated at home. Doctors will suggest some rest, the use of antibiotics, and a liquid diet for a few days. Over-the-counter pain relievers can be taken as needed to address discomfort. For more serious cases of diverticulitis, antibiotics may need to be administered intravenously for immediate effects. Surgery may even be needed depending on the seriousness of the case. This is why seeking early help is best if you notice a combination... --- ### Abdominal Pain and Crohn's Disease: Understanding Symptoms - **URL:** https://www.crssny.com/abdominal-pain-and-crohns-disease-understanding-symptoms/ - **Published:** 2018-03-29 - **Modified:** 2024-01-18 - **Author:** admin **Categories:** Crohns Disease, Inflammatory Bowel Disease BY DEAN PAPPAS M.D. We’ve discussed colorectal cancer and diagnostic procedures a fair amount on this blog. The team at Colon & Rectal Surgical Specialists believes in early cancer detection and treatment, yet we can address many other kinds of conditions that affect people’s digestive tract. For instance, many patients who come to our Garden City, NY practice suffer from chronic inflammatory bowel disease (IBD), such as Crohn’s disease and ulcerative colitis. We’d like to use this post to focus on Crohn’s disease. While there are many different symptoms of Crohn's disease, our primary focus will be on pain and cramping associated with the condition. There are different options for patients to deal with such discomfort. About Crohn’s Disease Crohn’s disease is a type of IBD that can affect various part of a person’s gastrointestinal (GI) tract. The condition causes your own immune system to attack various parts of your GI tract, which can lead to a number of symptoms, digestive problems, and other difficulties. The exact cause of Crohn’s disease is unknown, though it’s believed it’s the result of various genetic and environmental factors. It’s estimated that 3.2 in 1,000 people in Europe and North America suffer from Crohn’s disease. Pain: A Common Symptom Pain and cramping are some of the most common symptoms associated with Crohn’s disease. The pain is most commonly associated with Crohn’s affecting the small intestine, though cramping of all kinds can occur no matter what part of your GI is inflamed. Many patients will experience abdominal pain on the lower right side of their abdomen or around their navel, typically occurring 1 to 2 hours after eating. The severity of the pain increases as the patient experiences a flare up. Evaluating Abdominal Pain If you suffer from Crohn’s disease, your doctor may suggest keeping a journal related to various symptoms of the condition. When it comes to pain, you can note the time your experienced pain and the part of your abdomen affected. It’s also a good idea to rate the pain on a 1 to 10 scale. Consulting this journal can help identify flare ups and help with modifying treatment and management techniques. Treating Your Abdominal Pain For most patients, the ideal way to manage the pain is to use recommended pain relievers. This often means acetaminophen or COX-2 inhibitors. These kinds of medications are preferable to non-steroidal anti-inflammatory drugs (NSAIDs), which can lead to flare ups. Opioids are generally not prescribed for Crohn’s disease abdominal pain since they can have unpleasant digestive tract side effects and they are highly addictive. Noting the Causes of Abdominal Pain Self-care and self-awareness are an important part of pain management. Using your journal, you can identify any foods, food combinations, or situations that triggered various symptoms. Whenever possible, you can modify your diet or lifestyle to help manage the symptoms of the condition. Be sure to consult with your doctor about any patterns or flare ups you’ve noticed. They can offer additional insight and guidance. Abdominal Pain... --- ### Preparing for Colonoscopy: Tips and Guidelines for Patients - **URL:** https://www.crssny.com/preparing-for-colonoscopy-tips-and-guidelines-for-patients/ - **Published:** 2018-02-28 - **Modified:** 2024-01-18 - **Author:** admin **Categories:** Colonoscopy, Colorectal Exams BY DEAN PAPPAS M.D. Colorectal cancer is one of the most commonly diagnosed cancers in men and women. Early detection can save lives, which is why regular colorectal exams are crucial as you reach middle age. A regular colonoscopy could mean the difference between early detection of precancerous growths and costly medical treatments during later stages of cancer. The colorectal specialists at our Garden City, NY medical center would like to go over some basics regarding the preparation for a colonoscopy. This should give patients realistic expectations of what to expect. Why Preparation Is Important Preparing for a colonoscopy helps improve the quality of the doctor’s exam. Cleaning out the colon entirely of any residue means a better ability to examine the tissues and lining of the colon and rectum unobscured. Preparation is a bit of a process, but patients can do quite a bit to make the preparation period much easier. Foods You Can Eat 4 Days Before Your Colonoscopy In order to ready your digestive tract for a major cleansing and clearing, you’ll want to modify your diet three to four days before your colonoscopy. Doctors suggest patients eat light for the days leading into the exam, and to predominantly eat low-fiber foods that are easy to digest and pass. This includes: Rice Pasta White bread Simple cooked vegetables without skin Fruit without skin or seeds Lean meats Eggs Foods to Avoid 4 Days Before Your Colonoscopy As you’re eating foods that are simple to digest, you’ll also want to avoid certain foods that take a while for your body to process. Some examples of these kinds of foods include: Popcorn Seeds Nuts Whole grains Tough meats Fatty foods Raw vegetables Patients will especially want to avoid corn, broccoli, beans, peas, and cabbage. The Day Before: Fasting as Colonoscopy Preparation The day before your colonoscopy, you’ll be asked to switch to an all-liquid diet. Do not consume any solid foods whatsoever. Instead, you'll want to fluids without pulp. This includes: Water Sports drinks Apple juice Grape juice Broths Clear soda Coffee and tea (without milk or cream) Popsicles and gelatin can also be consumed, but avoid anything that is colored red, blue, or purple as these food dyes can affect the results of a colonoscopy. The Night Before: Clearing Your Digestive Tract The evening before the colonoscopy, you will be asked to take strong laxatives to help purge any solid matter that is in your digestive tract. Patients will usually drink about a half gallon of liquid laxative at night. Six hours before the colonoscopy, the patient will ingest another half gallon of the liquid laxative. If the flavor of the liquid laxative is off-putting, you can use a drinking straw to bypass the tongue. You may also want to mix the laxative with a sports drink, or use powdered drink mix to make the flavor a bit more palatable. Two Hours Before: Avoid Eating or Drinking Anything Two hours before your colonoscopy, be sure to avoid eating or drinking... --- ### Diagnosing IBD - **URL:** https://www.crssny.com/diagnosing-ibd/ - **Published:** 2018-01-29 - **Modified:** 2024-01-19 - **Author:** admin **Categories:** Colorectal Conditions, Inflammatory Bowel Disease BY FRANK CALIENDO M.D. Inflammatory bowel disease (IBD) is not a single disease, but a term used to describe a number of disorders that cause chronic inflammation of the digestive tract, such as Crohn's disease and ulcerative colitis. IBD has many possible symptoms, including diarrhea, fatigue, bloody stools, and abdominal pain, all of which can mimic the symptoms of other health problems, such as colon cancer. Without a diagnosis, it is not possible to be certain of the cause of the symptoms or what treatments are necessary. Once diagnosed, inflammatory bowel disease may be treated with medications or surgery to help reduce pain and restore quality of life. If you would like more information about diagnosing IBD and live in or around Garden City, NY, please contact the Colon & Rectal Surgical Specialists of New York to schedule a consultation. When diagnosing IBD, our specialists use one or more advanced techniques to pinpoint the source of abdominal pain and intestinal issues. Let's take a moment to consider some common techniques used to diagnose IBD. Blood Tests Different types of blood tests may be used to help diagnose irritable bowel disease. Blood tests may be used to check for anemia or infection. Anemia, a condition in which the body does not produce enough red blood cells to carry adequate supplies of oxygen, is a common complication of IBD. IBD often predisposes patients to infection, which is why the blood is often checked for signs of viral or bacterial infection. Fecal Occult Blood Test Another type of blood test may be performed called a fecal occult blood test. With this method, a stool sample will need to be provided. The sample is then tested for trace amounts of blood hidden within the stool. Colonoscopy A colonoscopy is an endoscopic procedure that makes it possible to visually observe inside the colon. To do this, a thin, flexible tube with a small light and camera on the end, called an endoscope, is inserted into the colon. A tissue sample may be taken to provide a definitive diagnosis. Flexible Sigmoidoscopy As with a colonoscopy, an endoscope is used to evaluate the colon from the rectum to the sigmoid, which is the lowest portion of the colon. A flexible sigmoidoscopy may be performed instead of a full colonoscopy in situations where the colon is severely inflamed. Balloon-Assisted Enteroscopy Sometimes endoscopes can't reach far enough to see sufficiently into the small bowel. In such cases, balloon-assisted enteroscopy may be used. With balloon-assisted enteroscopy, balloons are used to compress the walls of the gastrointestinal tract to provide access to areas that are difficult to reach. Capsule Endoscopy A capsule endoscopy may be performed to assess the small intestine. During a capsule endoscopy, a small capsule with a camera inside is swallowed. The camera takes images and transmits them to a recorder worn at the waist. After the capsule has moved through the digestive tract, it is released painlessly through a bowel movement. Upper Endoscopy With an upper endoscopy, an... --- ### Colon Polyps Removal - **URL:** https://www.crssny.com/colon-polyps-removal/ - **Published:** 2017-12-29 - **Modified:** 2024-01-23 - **Author:** admin **Categories:** Colonoscopy BY DEAN PAPPAS M.D. The primary risk factor for developing colon polyps is being over the age of 50. That is why routine colonoscopies are recommended for individuals within that age group. If you are diagnosed with this condition, colon polyps removal can eradicate the problem at its source. The doctors at Colon & Rectal Surgical Specialists in Long Island, NY have outlined what to expect during your upcoming treatment. Colon Polyps: A Brief Overview A colon polyp is defined as an abnormal growth or bump on the colon lining. Polyps can range drastically in size; some are as small as one millimeter, while others can grow to be several centimeters wide. The majority of colon polyps are not pre-cancerous. However, with a significant link between specific types of polyps and colon cancer, the most recommended treatment for polyps is removal, or a polypectomy. When Is a Polypectomy Performed? Generally, if colon polyps are found, they are removed during your routine colonoscopy screening. This is because a polypectomy does not necessitate any additional anesthesia or sedation. Therefore, if polyps are discovered, you can have the problem conveniently addressed during the same appointment. If your doctor discovered polyps during a flexible sigmoidoscopy, then a colonoscopy will be performed in order to remove the abnormal tissue. How Is a Polypectomy Performed? To perform your colonoscopy, the doctor will insert a colonoscope, a thin, flexible tube with a camera, into your rectum. This will allow the doctor to visualize all portions of your colon. The method of polyps removal performed will depend on the type of abnormalities discovered. However, on average, the procedure takes less than one hour to complete. Polyps that are less than five millimeters in diameter can be easily removed with biopsy forceps. Larger polyps are often removed using the snare method. A snare polypectomy involves wrapping a heated wire around the base of the abnormal tissue. Any residual tissue is then cauterized. If a polyp is especially large or in a challenging location, it can be removed using endoscopic submucosal dissection (ESD) or endoscopic mucosal resection (EMR). During ESD, a saline injection is administered deep inside the tissue, and the polyp is then removed in one piece. In EMR, the fluid injection is given, and then the polyp is removed in multiple sections, one piece at a time. Extremely large polyps may require bowel surgery. What Happens Next? Once the polyps have been removed, they will be submitted to a pathology lab for further analysis. The pathology lab will then issue a report to your doctor. This process generally takes between three to seven days. If the polyps are small and benign, you may not require further monitoring, aside from routine colonoscopies. If the polyps were large in size, your doctor may wish to see you for more frequent follow up visits, even if the tissue was benign. If cancerous or pre-cancerous tissue is identified, your doctor may refer you to an oncologist for further assessment. Healing and Recovery Due to the sedation, patients should... --- ### Medications for Crohn’s Disease - **URL:** https://www.crssny.com/medications-for-crohns-disease/ - **Published:** 2017-11-29 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Crohns Disease BY DEAN PAPPAS M.D. Crohn’s disease is a condition in which the gastrointestinal tract is chronically inflamed. This disease can result in a number of uncomfortable side effects, including abdominal pain, diarrhea, nausea, weight loss, and fever. Although Crohn’s disease can be difficult to diagnose, the experienced doctors at the Colon & Rectal Surgical Specialists of New York have the expertise to accurately diagnose the condition so it can be properly treated. Crohn’s disease treatment will be customized to the unique needs of each patient, and may include medication, bowel rest, or surgery. Here, patients can learn more about the medications for Crohn’s disease that may be prescribed at our Long Island, NY practice to control Crohn’s disease symptoms and provide our patients with an improved quality of life. Antibiotics Patients suffering from mild to moderate cases of Crohn’s disease are likely to be prescribed antibiotics. Antibiotics can be used to treat infections or to address certain complications of Crohn’s disease, such as abscesses and fistulas. In addition, antibiotics significantly reduce the number of harmful bacteria in the intestine. It is widely believed that reducing bacteria in the intestine can be helpful in controlling the symptoms of Crohn’s disease. Depending on the specific needs of each patient, antibiotics may be prescribed during times of a flare-up, or as a preventative measure to keep symptoms at bay. Anti-Inflammatory Drugs The most common cause of Crohn’s disease symptoms is inflammation in the intestines or other areas of the gastrointestinal tract. Anti-inflammatory drugs cannot cure Crohn’s disease, but they do slow down and reduce inflammation, which can be useful in preventing flare-ups. With the proper use of anti-inflammatory medication, patients can go years without experiencing the painful symptoms of Crohn’s disease. The most common anti-inflammatory medications used in the treatment of Crohn’s disease are classified as 5-ASA drugs, which stands for 5-aminosalicylic acid. These medications are most effective in controlling mild to moderate cases of Crohn disease affecting the large disease or the last part of the small intestine. Immune System Drugs In certain cases, our doctors may choose to prescribe medications that curb the immune system. There are many complicated processes that take place in the body and contribute to inflammation. Immune system drugs, used in conjunction with antibiotics or steroids can halt the processes that cause inflammation. This can be useful in controlling Crohn’s disease symptoms and preventing flare-ups. Biologics When other medications are not producing the desired results, biologics treatment may be recommended. Biologics are prescription drugs that are made from living organisms. Like immune system drugs, biologics affect the immune system and are meant to control Crohn’s disease symptoms and reduce the number of flare-ups. Biologics differ in that they target specific proteins that are known to cause inflammation. Biologics may prove useful in controlling mild to severe forms of Crohn’s disease. Schedule an Appointment If you are suffering from the symptoms of Crohn’s disease, it is time to learn more about the treatment options available at Colon & Rectal... --- ### Identifying Ischemic Colitis Symptoms - **URL:** https://www.crssny.com/identifying-ischemic-colitis-symptoms/ - **Published:** 2017-10-30 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Ischemic Colitis BY FRANK CALIENDO M.D. Ischemic colitis is a potentially painful condition that occurs as a result of decreased oxygen in the digestive system. This deprivation of oxygen is directly caused by reduced blood flow to the colon, often due to narrowed or blocked arteries. Fortunately, our doctors at the Colon and Rectal Surgical Specialists of New York in Long Island, NY are experienced in treating ischemic colitis symptoms, and can help you address your discomfort and regain your quality of life. Symptoms of Ischemic Colitis Unfortunately, ischemic colitis usually causes varying degrees of discomfort, and can occur gradually or rapidly. This condition can be indicated by: Abdominal pain, tenderness, or cramping Blood in your stool Passage of blood Diarrhea Fever Nausea or vomiting Reoccurring need for a bowel movement Typically, ischemic colitis causes pain and discomfort on the left side of the abdomen. Patients who experience symptoms on the right side of the abdomen are at higher risk of complications. Because the arteries that nourish the right side of the colon also nourish a portion of your small intestine, severe pain on the right side of your abdomen could indicate blockage of the small intestine as well. If blockage does indeed occur, it can lead to rapid necrosis (death) of the intestinal tissues. This condition will require surgery to clear the blocked intestine and remove its damaged portions. Who Is at Risk for Developing Ischemic Colitis? While patients of any age, gender, or ethnic background can develop ischemic colitis, it is most common in women over the age of 60. High cholesterol can also cause an increase in plaque buildup, leading to clogged arteries. Additionally, patients who have blood-clotting disorders or abnormalities may have a higher risk of developing ischemic colitis. What Happens if Ischemic Colitis Is Left Untreated? If left untreated, ischemic colitis can lead to several complications. These include: Obstruction of the bowels Inflammation Persistent intestinal bleeding Perforation of the intestines If treated appropriately, patients with ischemic colitis typically experience improvement within a few weeks. Patients who respond well to initial treatments are more likely to enjoy a positive long-term prognosis. When to Seek Medical Treatment If you experience severe abdominal pain, it is important to visit your local emergency room right away. By seeking immediate care, you can receive proper treatment and avoid any long-term, serious complications. Some patients with ischemic colitis may experience only occasional, moderate abdominal pains. However, if these episodes are prolonged or occur with increased frequency, it is recommended that you make an appointment with one of our doctors. Tips for Preventing Ischemic Colitis While some patients are simply genetically predisposed to ischemic colitis, there are a few recommendations that can help prevent symptoms from occurring. Some of these suggestions include: Drinking plenty of water Eating a high-fiber, low-fat diet Eliminating medications that could exacerbate ischemic colitis Exercising regularly Attending routine checkups Contact Us to Learn More about Ischemic Colitis If you suffer from intense abdominal pain, bleeding, or other unusual symptoms, schedule an appointment at the... --- ### What Causes Proctitis? - **URL:** https://www.crssny.com/what-causes-proctitis/ - **Published:** 2017-09-30 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Proctitis BY DEAN PAPPAS M.D. Proctitis is condition that causes inflammation within the lining of the rectum; it can be very painful for many sufferers. At Colon & Rectal Surgical Specialists of New York, our doctors offer conservative treatment options for proctitis and other colon and rectal health issues to help patients enjoy the quality of life they deserve. Treating proctitis may be as simple as making lifestyle changes or taking anti-inflammatory medications, while some people with severe issues may require surgery. The right course of action will depend on the cause of proctitis. Let's take a moment to consider some common proctitis causes in this overview from our Garden City, NY based colon and rectal surgical specialists. About Proctitis Proctitis is a disease that causes inflammation of the lining of the rectum, the muscle at the end of the colon. Inflammation may resolve after a short period of time or may be a chronic condition. The muscles of the rectum help push stool out of the body, which is why it's common for people with proctitis to feel as though they constantly need to have a bowel movement. Other signs and symptoms of proctitis include: Rectal pain and bleeding Diarrhea Pain during bowel movements Passing mucus A full feeling in the rectum Abdominal pain on the left side of the body What Causes Proctitis? Proctitis can develop for a variety of reasons. Some possible causes of proctitis include: Inflammatory bowel disease: Inflammatory bowel disease, including Crohn's disease and ulcerative colitis, is a common cause of proctitis. Cancer radiation therapy: Radiation therapy used to treat cancer in areas near the rectum can cause the lining of the rectum to become inflamed. Proctitis caused by radiation therapy may only last during treatment, but can occur several years later. Sexually transmitted infections: Proctitis can occur as a result of sexually transmitted infections, including genital herpes, chlamydia, and gonorrhea, especially with anal intercourse. Other infections: Infections related to food borne pathogens, including salmonella and shigella, as well as infections linked to HIV can cause inflammation of the rectum. Food protein-induced proctitis: Some infants may develop proctitis from being fed cow's milk or soy-based formulas. Breastfed babies may also develop proctitis from dairy products eaten by the mother. Eosinophilic proctitis: Children under the age of two may develop a form of proctitis called eosinophilic proctitis. This form of proctitis is caused by a buildup of white blood cells in the lining of the rectum. Antibiotics: Taking antibiotics can end up eliminating helpful bacteria in the bowels and in doing so sometimes allows harmful bacteria to grow in the rectum. Harmful bacteria can cause inflammation and lead to proctitis. Treating Proctitis If left untreated, proctitis can cause serious damage to the digestive tract, potentially causing sores and scarring. This can lead to chronic pain as well as malnutrition. Treatment is essential to protect the digestive system and end the discomfort of proctitis. In order to treat proctitis, it is important to determine the underlying cause, which may be done through a colonoscopy and other... --- ### How Do You Prepare for an Anoscopy? - **URL:** https://www.crssny.com/how-do-you-prepare-for-an-anoscopy/ - **Published:** 2017-08-31 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Anoscopy BY JULES GARBUS M.D. At Colon & Rectal Surgical Specialists of New York, our surgeons offer a comprehensive range of diagnostic tests designed to accurately identify colorectal disorders even in their earliest stages. This timely identification of disorders allows us to provide the most effective and conservative treatment possible under the circumstances as quickly as possible. Among the tests available at our practice is anoscopy, which is used to diagnose abnormalities in the gastrointestinal tract. Fortunately, preparing for anoscopy at our Long Island, NY colorectal surgery practice is an extremely simple affair, as the procedure is straightforward and usually painless. In many cases, patients are not required to make any special preparations for anoscopy. Your surgeon will discuss what you can expect in terms of your specific procedure during your consultation at Colon & Rectal Surgical Specialists. We invite you to schedule your initial consultation with one of our acclaimed colorectal surgeons today. What Is an Anoscopy? An anoscopy is a diagnostic procedure used to identify and diagnose abnormalities in the gastrointestinal tract, specifically in the inside of your anus and rectum. The procedure is effective in helping our surgeons diagnose a number of colorectal conditions, including hemorrhoids, anal fissures (tears in the lining of the anus), rectal polyps, abscesses, and, though they rarely appear in this region, certain types of cancer. The anoscope itself is a long, rigid tube that is hollow inside. It contains a light on one end to allow our surgeons to see clearly inside the anus and rectum. The anoscope is inserted directly into the anus with the aid of a lubricant. We usually perform an anoscopy in conjunction with other diagnostic tests, or possibly as a response to the findings of other tests. In some cases, we perform a biopsy, or the taking of a small sample of tissue for testing, during the anoscopy. How to Prepare for an Anoscopy Unlike many other procedures, there is no special preparation necessary prior to an anoscopy. You will, however, want to make sure that you empty your bladder and your bowels before your procedure. Doing so will help to make you more comfortable during your anoscopy. If necessary, we can provide you with a laxative or an enema prior to your procedure to help ensure that your bowels are completely empty. When you arrive at our office for your anoscopy, you will be guided to the room where your procedure will be performed at your appointed time. You will be asked to remove your underwear and either lie on or bend over the table for the insertion of the anoscope. Anoscopy is a simple outpatient procedure that is painless for most patients. You should be able to drive yourself home, so it is unnecessary to arrange for a ride to and from our office ahead of your appointment unless you would prefer to do so. Learn More about How to Prepare for an Anoscopy If you would like to learn more about how to prepare for an... --- ### How to Prepare for Flexible Sigmoidoscopy - **URL:** https://www.crssny.com/how-to-prepare-for-flexible-sigmoidoscopy/ - **Published:** 2017-07-30 - **Modified:** 2024-01-18 - **Author:** admin **Categories:** Flexible Sigmoidoscopy BY FRANK CALIENDO M.D. The team at Colon & Rectal Surgical Specialists of New York offers a wide array of services to help address and diagnose a number medical conditions. Our Long Island team uses both tired-and-true and state-of-the-art tools, which are important for proper exams and treatment. While many people are familiar with colonoscopies, there's another type of exam that's important for colorectal conditions. This is known as a flexible sigmoidoscopy. Let's consider the basics of this diagnostic procedure and how patients can prepare for their exam. About Flexible Sigmoidoscopy A flexible sigmoidoscopy is a type of test performed to examine a person's rectum and lower colon. This type of test is commonly performed when people notice issues with rectal bleeding, chronic diarrhea, changes in the nature of one's bowel movements, and so forth. Flexible sigmoidoscopy is also common among people who suffer from serious health conditions that affect the digestive tract or the bowels, such as Crohn’s disease, ulcerative colitis, colorectal cancer or the risk of colorectal cancer, and anal ulcers. The Basics of Preparation and Why It's Necessary In order to prepare for a flexible sigmoidoscopy, it's important that patients clean out their colon. By cleaning the colon of fecal residue and matter, it allows colorectal specialists to have an unobscured view of the patient's rectum and colon. This helps with diagnostic tests and screenings, and allows for greater accuracy when performing this test. Common Ways of Emptying Your Colon There are a few ways that a patient may go about cleaning their colon, which can be discussed during the consultation process prior to a flexible sigmoidoscopy. You may be asked to do a combination of these actions before the flexible sigmoidoscopy is performed. Follow Special Dietary Rules – The day before your exam, it's important to avoid all solid foods. Patients are allowed to drink clear, pulp-free liquids, such as water, broth, and tea or coffee without milk. Take a Laxative the Night Before Your Exam– The night before the exam, it's important to take an over-the-counter laxative to clear out the bowels. Use an Enema Kit – Either the night before the exam or in the hours before the exam, patients are asked to perform an enema at home. This will again help with a proper and more accurate exam. Adjust Use of Medications If Directed to Do So If you take any medications, your doctor may ask you to adjust dosage in the week before your exam. Certain kinds of over-the-counter medications, such as aspirin or iron supplements, will also need to be discussed prior to your flexible sigmoidoscopy. What to Expect During a Flexible Sigmoidoscopy At the flexible sigmoidoscopy itself, patients will be asked to lie on their side. The sigmoidoscope will be inserted into the patient's rectum. A little bit of air will be pumped into the colon for a better view of the tissue lining. Using an external monitor, the doctor will be able to examine the lining of the colon and identify any... --- ### Chemotherapy for Colorectal Cancer Treatment - **URL:** https://www.crssny.com/chemotherapy-for-colorectal-cancer-treatment/ - **Published:** 2017-06-30 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Chemotherapy, Colon Cancer, Rectal Cancer BY DEAN PAPPAS M.D. Not counting skin cancers, colorectal cancer is the third most common type of cancer in the United States. Thankfully there are many options to consider if you are diagnosed with colorectal cancer. Our Long Island practice offers state-of-the-art treatment for colorectal cancer, aimed at removing cancer cells and prolonging the lives of patients. While surgery is the first treatment option for colorectal cancer, chemotherapy may have an important role to play in the process for some patients. What Is Chemotherapy? Chemotherapy essentially means the use of anti-cancer drugs to help eliminate cancer cells in a patient's body. These drugs may be taken orally or intravenously. There are two approaches to chemotherapy. Systemic Chemotherapy – Systemic chemotherapy involves anti-cancer drugs enter the bloodstream and circulating throughout the patient's body. These anti-cancer drugs can be taken orally or by injection. Regional Chemotherapy – Regional chemotherapy involves anti-cancer drugs injected into an artery that leads to the part of the body in which a tumor is located. By using regional chemotherapy, the anti-cancer drugs are concentrated in the area that requires treatment. The ideal approach to treating your colorectal cancer will be determined as part of the consultation process. How Chemotherapy Is Used to Treat Colorectal Cancer Chemotherapy can be used in different ways when treating cancer. It is rarely a solution in and of itself, but rather part of a combination of therapies that helps remove cancer cells. Chemotherapy is typically used in later stages of colorectal cancer. There are three potential applications for chemotherapy with regard to colorectal cancer: Adjuvant Chemotherapy – This is when chemotherapy is given following surgical removal of the cancer. Adjuvant chemotherapy essentially tries to eliminate any cancer cells remaining that the surgery was unable to address. Neoadjuvant Chemotherapy – This is when chemotherapy is performed prior to surgery in order to shrink the size of a tumor and make it easier to remove. This form of chemotherapy is sometimes paired with radiation therapy. Palliative Chemotherapy – In advanced cases of colorectal surgery, the cancer will have spread to other parts of the body. Palliative chemotherapy helps fight cancer cells through the body and prolong a patient's life. Drugs Used in Colorectal Cancer Treatment There are many drugs that may be used as part of chemotherapy to fight colorectal cancer. The most common anti-cancer drugs are: Capecitabine (Xeloda) Fluorouracil (5-FU, Adrucil) Irinotecan (Camptosar) Oxaliplatin (Eloxatin) Trifluridine/tipiracil (TAS-102, Lonsurf) 5-Fluorouracil is typically the first choice drug uses to treat colorectal cancer. 5-Fluorouracil is often combined with leucovorin (folinic acid) in order to enhance the effectiveness of the drug. New drugs used to fight colorectal cancer include Aflibercept, Avastin, Erbitux, and Vectibix. Side Effects of Chemotherapy There are many potential side effects that chemotherapy patients experience. These include: Loss of hair Oral sores Nausea Vomiting Loss of appetite Fatigue Rashes on hands and feet Bruising easily How Effective Is Chemotherapy? Chemotherapy can be effective for treating colorectal cancer in its later stages, particularly when combined with surgery. Early detection and advances... --- ### Colon Polyps: Symptoms and Warning Signs - **URL:** https://www.crssny.com/colon-polyps-symptoms-and-warning-signs/ - **Published:** 2017-05-30 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Colon Cancer, Colon Polyps BY DEAN PAPPAS M.D. People on Long Island know that they can count on our team of doctors for expert insight and advice about colorectal health. We at Colon & Rectal Surgical Specialists of New York pride ourselves on our ability to help patients achieve wellness through proper diagnosis and advanced treatment. Colon polyps could be a warning sign of cancer, which is why we always inform patients of the potential warning signs. We'd like to take a moment to go over the symptoms and risk factors of colon polyps so you know what to look for and when to seek medical attention. About Colon Polyps A colon polyp refers to a small clump of cells that forms along the lining of a person's colon. In many cases, a colon polyp is harmless. It is possible for some colon polyps to develop into colon cancer. This is why it's important to monitor the growth and development of any polyps. Common Symptoms of Colon Polyps The most common signs and symptoms of colon polyps include the following: Bleeding from the Rectum – A number of conditions that affect the colon and the rectum tend to result in rectal bleeding. Changes in Bowel Movements – Sometimes colon polyps can lead to constipation or diarrhea that persists for longer than a week, as well as general changes in bowel habits. Changes in Stool Color – Blood can wind up in your stool, often causing your stool to appear black or much darker in color. Anemia and Iron Deficiency – Colon polyps that bleed can lead to iron deficiency, resulting in fatigue and shortness of breath. Cramping, Nausea, and Vomiting – Large polyps in the colon can lead to bowel obstructions, causing cramps, pain, nausea, and vomiting. Be sure to see a doctor if you notice blood in your stool, abdominal pain, or changes in your bowel habits that last longer than one week. Risk Factors for Colon Polyps The following are considered risk factors for developing colon polyps: Advanced Age – The risk of developing colon polyps increases after the age of 50. Inflammatory Bowel Disease – People with Crohn's disease or ulcerative colitis are more likely to suffer from colon polyps later in life. Family History – Your risk of colon polyps goes up if you have family members who have also developed them. Race/Ethnicity – People of African-American descent have shown a great risk of developing colon polyps. Use of Tobacco Products and Alcohol – Use of tobacco products and alcohol contributes to a number of health conditions. Obesity – Obesity and sedentary lifestyles can make colon polyps far more likely. If any of the above risk factors are present, be sure to discuss regular colon or rectal exams with your general practitioner. Early detection and diagnosis can make a major difference in your general wellness moving forward. Treating Colon Polyps Treating colon polyps can be a simple process. In many cases, the polyps can be removed through a biopsy that uses forceps as part of a bowel examination. Larger polyps that... --- ### When Is an Anoscopy Performed? - **URL:** https://www.crssny.com/when-is-an-anoscopy-performed/ - **Published:** 2017-04-30 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Anal Cancer, Anal Fissures, Anoscopy, Hemorrhoid BY FRANK CALIENDO M.D. Our Long Island colorectal surgery specialists believe that advanced technology and the latest diagnostic tools are a crucial part of proper treatment. Advanced testing techniques will help us determine the proper treatments to consider, and help enhance patient wellness in the process. An anoscopy is a type of test that can prove essential in diagnosis and treatment of various health problems. Let's take a moment to consider why an anoscopy is performed and how it's performed. What Is an Anoscopy? An anoscopy is one of many tests that can be performed in order to examine a person's anus. The procedure involves the use of a small lighted tube that's inserted into the anus, which provides colon an rectal specialists with a detailed look at tissues that help diagnose various problems or concerns. Common Reasons to Perform an Anoscopy The most common reasons why an anoscopy are performed typically involve persistent feelings of pain and discomfort of the anus. Patients may notice blood in their bowel movements, burning or irritation when passing stools, discomfort when sitting or moving their bowels, and so forth. All of these are reasons to have an anoscopy exam performed. Conditions That an Anoscopy Can Help Diagnose and Uncover An anoscopy can diagnose the following conditions that affect the anus, colon, and rectum: Abscesses – An abscess is a pus-filled sore that might be the result of an anal fissure, a sexually transmitted disease, an infection, or some other problem. Anal Fissures – An anal fissure is a tear in a person's anus that's often the result of constipation, diarrhea, or inflammatory bowel disease (IBD). Anal Cancer – Colon and rectum cancers are more common than anal cancer, though it's still possible for this condition to develop, which is why screenings are so important. Hemorrhoids – Hemorrhoids refer to swollen veins around the anus and rectum that can cause bleeding as well as severe discomfort. Polyps – Polyps are small growths that are often harmless though may be cancerous in certain situations. Screenings can help prevent the spread of cancer. Preparing for Anoscopy If you are going to have an anoscopy performed, you will be asked to prepare for the procedure ahead of time for the most accurate results of the test. This means emptying your bladder and your bowels before the procedure. An enema may be needed in some cases. Since only the anus is examined during the procedure, a full cleanse the day before is not necessary. Anesthetic or sedation is not necessary during these kinds of exams. What to Expect During an Anoscopy During the anoscopy, patients are asked to lay on their side. The doctor will then gently insert the scope into the patient's anus. Light will be shines through this scope, allowing the doctor a detailed view of the tissues in the anus. Additional tests may be performed if the doctor notices issues during the anoscopy. Learn More About Anoscopy To learn more about anoscopy and other tests that can help address your overall health... --- ### Colon Resection Surgery Recovery: What to Expect - **URL:** https://www.crssny.com/colon-resection-surgery-recovery-what-to-expect/ - **Published:** 2017-03-30 - **Modified:** 2024-01-19 - **Author:** admin **Categories:** Colon Resection BY DEAN PAPPAS M.D. Those who suffer from colon health issues, like Crohn's disease, diverticulitis, or colon cancer, may find relief through colon resection surgery. Colon resection surgery can help restore quality of life for those who battle painful issues with their digestive system and may even help some avoid the future need for a colostomy bag. If you need colon resection surgery, you may be wondering what to expect during recovery. Although each patient's recovery is unique, the following overview explains what to expect with colon resection surgery recovery. For answers to your specific questions, contact the Long Island, NY practice, Colon and Rectal Surgical Specialists of New York. What Is Colon Resection Surgery? The colon is a part of the digestive system attached to the large intestines. It is responsible for absorbing water from digested foods and moving waste out of the body. Trauma or disease to the colon can cause dehydration, constipation, or other serious issues. In such cases, colon resection surgery may help. Colon resection, also called a colectomy, is a surgical procedure used to remove a portion of the colon and reattach the remaining portions of the digestive system to allow the body to remove waste. Conditions Treated with Colon Resection There are many health issues that may require treatment with colon resection surgery. Some conditions that may benefit from colon resection surgery include: Uncontrolled colon bleeding Colon cancer Crohn's disease Bowel obstruction Diverticulitis Ulcerative colitis What to Expect during Recovery after Colon Resection Surgery Colon resection may be performed as an open procedure or via laparoscopy. With laparoscopic colon resection surgery, small incisions are made through which a laparoscopic camera and surgical tools are passed to allow the surgeon to view and treat the colon without creating a large incision. The length of time needed to recover will vary based on whether an open or laparoscopic colon resection was performed (laparoscopic colon resections generally have a shorter recovery) combined with personal healing times. Regardless of the type of colon resection surgery, patients will be kept in the hospital until bowel function returns, which may take several days to a week. After surgery, patients are generally not given solid foods. Instead, nutrients may be given intravenously to allow the intestines to recover. Shortly after surgery, intravenous nutrients may be replaced with clear liquids. As the intestines heal, patients will be advised when to reintroduce solid foods. In some cases, a colostomy will be performed along with colon resection. If performed, patients will meet with a nurse to learn how to care for their stoma, which is created in the abdomen to allow the removal of waste from the body, and how to change the colostomy bag, which is used to collect this waste. Patients are allowed to leave the hospital once they have regained bowel function. However, the recovery process will continue at home. Most patients will be fully recovered after six weeks but should expect to feel sore around the incisions, and may feel weak for... --- ### Tumors and Anal Pain - **URL:** https://www.crssny.com/tumors-and-anal-pain/ - **Published:** 2017-02-28 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Colorectal Conditions, Tumors BY DEAN PAPPAS M.D. It’s safe to say that no one wants to live in pain. However, when anal pain is the problem, many individuals feel hesitant to seek treatment. Understandably, anal pain can be a difficult subject to discuss. However, it is important to seek treatment for anal pain so that the cause of the discomfort can be diagnosed and treated before the problem worsens. Cancerous and non-cancerous tumors are often a source of anal pain. We have the best chance of treating rectal tumors and relieving anal pain when the tumors are still small enough to be successfully operated on. When it comes to tumors and anal pain, we urge our Long Island, NY patients to seek early treatment. The experienced and professional team of doctors at Colon and Rectal Surgical Specialists of New York offer effective treatment options, while keeping comfort and discreetness a top priority for our patients. When to Seek Treatment It’s not fun to deal with physical pain. However, the good thing about pain is that it often serves as a warning sign to let a person know that there is some sort of problem in the body. Although it is normal for a person to experience occasional anal pain as a side effect of constipation or hard stools, chronic pain is not normal. Any patient who has experienced anal pain for more than 48 hours should schedule an appointment with one of our experienced specialists so that the cause of discomfort can be diagnosed and treated. Anal and Rectal Tumors There are many possible causes of anal pain. One potential source is tumors. Tumors can develop in the anus or rectum. These tumors can be cancerous or benign. Even a benign tumor can cause discomfort. Initially, a tumor may not cause any pain. But as the tumor grows larger, pain and pressure are more likely to develop. Other symptoms of anal and rectal tumors include rectal bleeding, itching, discharge from the rectum, or changes in bowel movements. All of these symptoms are indicators that treatment is needed. Treating Anal Tumors There are many potential treatment options for anal pain. Ideally, our doctors will be able to rely on non-invasive treatment methods to relieve anal pain. Unfortunately, that is not always possible. In the case of anal and rectal tumors, surgery is likely to be necessary. If the tumor is detected early on, it should still be small enough that it can be completely removed through surgical treatment. Removing the tumor will relieve pressure and eliminate pain. If the tumor is cancerous, follow-up treatment may be necessary. Each treatment plan is personalized to meet the unique needs of our patients, so it is important to consult with one of our specialists for further details. Schedule an Appointment If you are experiencing anal pain, our doctors can help you find an effective treatment to relieve discomfort. Schedule an appointment with one of the skilled doctors at Colon and Rectal Surgical Specialists of New York at your earliest convenience to... --- ### Hemorrhoidal Ligation: Treatment for Hemorrhoids - **URL:** https://www.crssny.com/hemorrhoidal-ligation-treatment-for-hemorrhoids/ - **Published:** 2016-12-30 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Hemorrhoid BY DEAN PAPPAS M.D. Hemorrhoids are swollen veins that occur either internally or externally around or in the anus or rectum. They typically cause intense itching and pain in the area. While most patients can find relief with at-home treatments, some patients require additional treatment. Our doctors can perform a hemorrhoidal ligation at our Long Island, NY office to alleviate their pain. What Causes Hemorrhoids? There is no single cause of hemorrhoids. Potential causes may include: Excess strain during bowel movements Chronic constipation Sitting for an extended length of time, particularly on a toilet Genetic predisposition Hemorrhoid Symptoms The most common symptoms of hemorrhoids are intense itching and pain around the anus. You may also notice swelling or lumps around the anus that itch or cause discomfort. Other symptoms include: Anal seepage Bowel movements that are extremely painful Blood around the anus after a bowel movement Hemorrhoidal Ligation For patients with internal hemorrhoids who have not found relief through other treatment methods, we may recommend hemorrhoidal ligation. This procedure involves the use of rubber bands to cut off the hemorrhoid’s blood supply. On an outpatient basis, we can typically only treat one to two hemorrhoids at a time with ligation. If you have multiple hemorrhoids, we may treat them all at once after placing you under general anesthesia. If there are additional areas that require treatment, we can do so four to six weeks after the first ligation. The Procedure To perform the hemorrhoidal, or band, ligation, we will insert an anoscope into the anus. This anoscope allows us to view the internal area of the anus. Then, another instrument is inserted to hold the hemorrhoid. One or more rubber bands are placed at the base of the hemorrhoid where they will remain for a week or more. What to Expect after Ligation The bands will feel tight and uncomfortable, but should not cause pain. If you experience any pain, we can inject medication into the hemorrhoid(s) to numb it. Over the course of the next week or so, the bands around the hemorrhoid cut off its blood supply. This will cause it to shrink and eventually die. The band(s) and the dead hemorrhoid will fall off and no further action is needed. A scar will eventually form where the hemorrhoid was once located. This will prevent veins from obstructing the anal canal. You may experience bleeding when the hemorrhoid falls off. This is normal and is usually minimal. Preventing Hemorrhoids If you do not take preventive measures, you can develop hemorrhoids again in the future. You should consult with your doctor to determine exactly how you can prevent hemorrhoids. We may recommend increasing your fluid or fiber intake. Stool softeners can also help improve bowel movements and eliminate strain. Avoiding a sedentary lifestyle that involves a lot of sitting can also help in the prevention of hemorrhoids. Contact Us Today If you are suffering from painful hemorrhoids, contact our office today to schedule an appointment and find out if hemorrhoidal ligation can help. --- ### Treating Skin Problems That Affect the Anus - **URL:** https://www.crssny.com/treating-skin-problems-that-affect-the-anus/ - **Published:** 2016-11-30 - **Modified:** 2024-01-18 - **Author:** admin **Categories:** Anal Pain, Skin Problems BY DEAN PAPPAS M.D. If you suffer from irritation or itchiness of the anus, the condition can be extremely uncomfortable. It may seem like a minor annoyance, but in fact, it can lead to a number of disruptions of your daily life. You should not have to deal with this kind of discomfort, particularly when there are numerous treatments that are available. Our Long Island colorectal health experts have years of experience treating anal pain and discomfort. In many cases, health problems that involve the colon and rectum tend to manifest themselves first as itching around the anus. About Anal Itching (Pruritus Ani) Anal itching refers to a wide spectrum o conditions that causes irritation and itchiness around your anus. In the vast majority of cases, the itchiness is often the sign of some sort of irritation or inflammation that needs to be treated. Left untreated, the anal itching can result in serious pain and burning sensations. Common Causes of Anal Itching (Pruritus Ani) There are many different causes of anal itching. Some of these include the following: Pinworms Hemorrhoids Anal fissures Skin tags Irritants in foods that are in our stool (e.g., chemicals from spicy foods) Moisture around the anus from diarrhea and loose stools Yeast infection of the anus Psoriasis Combinations of these conditions can exacerbate the irritation you experience. When to See a Doctor about Anal Itching (Pruritus Ani) In some cases, the itching will clear up on its own, but it's important to see a doctor about your condition if the symptoms worsen or do not abate. Persistent itchiness, burning, or irritation are generally signs of a medical problem. If you notice blood along with itching or a worsening of pain, it is definitely time to consult doctor about your situation. Diagnosis of Anal Itching (Pruritus Ani) During an exam, your anus will be checkd for any abnormalities that point to infection, hemorrhoids, fissures, and so forth. Your doctor may also check your rectum, since irritation, pain, and itchiness around the anus may be signs of health problems that affect the rectum. It's important that the exact cause of the irritation be identified so the proper treatment can be administered for relief. Treatments for Anal Itching (Pruritus Ani) There are numerous ways for your irritation to be dealt with, and obviously the ideal treatment address the root cause of the problem. Patients are encouraged to practice better hygiene practices to help alleviate itchiness. For example, a doctor may recommend that patients use baby wipes after bowel movements to help keep their anus clean. During showers, patients may be instructed to avoid using a washcloth when cleaning their anus to avoid harming the sensitive tissue. Various medications may be prescribed or recommended to address the inflammation. This could include creams or even oral medications in cases of serious infections. Patients should follow instructions closely. More advanced treatments will be recommended for serious issues that affect colorectal health. The ideal treatment for you can be discussed as part of... --- ### How Infrared Photocoagulation for Hemorrhoids Works - **URL:** https://www.crssny.com/how-infrared-photocoagulation-for-hemorrhoids-works/ - **Published:** 2016-10-30 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Hemorrhoid BY FRANK CALIENDO M.D. There are many reasons why our practice is one of the leaders in colorectal surgery and advanced treatments of colon and rectum conditions on Long Island. Our focus on patient education and patient wellness is chief among them. We also offer state-of-the-art treatments for various conditions that reduce the risk of complications and improve the chances of successful treatment. Many of our patients suffer from internal and external hemorrhoids. Thankfully there are many treatments to help address these problems. Let's consider the basics with regard to hemorrhoids and then focus on infrared photocoagulation treatment. What is a Hemorrhoid? Also known as piles, hemorrhoids refer to swollen veins found in the lower rectum and anus. They are comparable to varicose veins, and it's estimated that three out off four adults suffer from hemorrhoids occasionally. While hemorrhoids may occur without serious discomfort, they can lead to bleeding, itchiness, and even pain. Causes of Hemorrhoids Hemorrhoids are most often caused by various kinds of pressure and strain. The most common reasons they occur include: Straining while making a bowel movement Chronic diarrhea Chronic constipation Sitting on the toilet for long stretches of time Low-fiber diet Anal intercourse Both obesity and pregnancy have been shown to increase one's risk for developing hemorrhoids. About Infrared Photocoagulation Also known as coagulation therapy, infrared photocoagulation is a treatment designed to address small and medium-sized internal hemorrhoids. The infrared light used during photocoagulation creates scar tissue and cuts off the blood supply to the hemorrhoid, effectively reducing its severity. Ideal Candidates for Infrared Photocoagulation Good candidates for infrared photocoagulation are people who suffer from internal hemorrhoids that cause pain and irritation and that do not respond to other kinds of lifestyle changes or non-invasive treatments. Similarly, the hemorrhoids may be such that other minimally invasive therapies may be ineffective. What to Expect During Infrared Photocoagulation During infrared photocoagulation, patients may experience sensations of pain and heat. Following treatment, it is not uncommon for patients to feel an urge to move their bowels or have a feeling of fullness. Patients will notice bleeding from their anus roughly 7 to 10 days after treatment, which is the result of the hemorrhoid falling out. How Many Coagulation Therapy Sessions are Needed? In general, one infrared photocoagulation treatment is necessary to address a hemorrhoid. However, only one hemorrhoid can be treated during a single session. This is done to help reduce the potential of side effects. Additional hemorrhoids can be treated in another coagulation therapy session roughly 10 to 14 days later. The Results of Infrared Photocoagulation Infrared photocoagulation is generally quite successful at treating internal hemorrhoids. Approximately 7 in 10 patients who undergo coagulation therapy experience positive results from treatment. That said, people who have serious issues with recurring hemorrhoids may still require surgery to properly address their problem. Is Infrared Photocoagulation Right for Me? During the consultation process, we will be more than happy to discuss all of these matters in greater detail. We will help you... --- ### Anal Dysplasia: Knowing Your Treatment Options - **URL:** https://www.crssny.com/anal-dysplasia-knowing-your-treatment-options/ - **Published:** 2016-09-30 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Anal Dysplasia BY DEAN PAPPAS M.D. The team at Colon & Rectal Surgical Specialists of New York believes in advanced care, emphasizing prevention and early detection. Whenever patients complain of chronic anal pain, soreness, or discomfort, they can come to our Long Island medical specialists to get the answers and treatment that they need. We field a number of questions about anal dysplasia, which is often mischaracterized as cancer. Let's consider what the condition really involves and examine some treatment options for the problem in different stages. About Anal Dysplasia Anal dysplasia is not cancer per se, but it is a precancerous condition. It occurs when there are changes in the squamous cells that line the anus. If the abnormal cells are not treated in a timely manner they can develop into cancer. In the vast majority of cases, anal dysplasia is caused by the human papillomavirus, which you may know better as HPV. Signs and Symptoms of Anal Dysplasia The most common signs and symptoms of anal dysplasia include the following: Bleeding from the anus Mucus discharge from the anus Anal pain or pressure A mass forming at the opening of the anus Changes in bowel movement frequency Increased strain experience when moving bowels Swelling in the glands of the groin or anus Anal Dysplasia Risk Factors Risk factors for anal dysplasia include the following: Exposure to HPV Anal intercourse HIV/AIDS Previous issues with anal warts Previous issues with sexually transmitted diseases (STDs) Use of immunosuppressant drugs Advanced age Long-term smoking Treatments for Anal Dysplasia (Low-Grade Lesions) For low-grade lesions, anal dysplasia treatments typically involve diligent medical monitoring of the squamous cells and topical treatment of the lesions themselves. These topical treatments will be able to alleviate the bleeding or the sensations of plain and itchiness caused by the condition. Treatments for Anal Dysplasia (High-Grade Lesions) For more serious cases of anal dysplasia, treatment will continue to involve diligent monitoring of the cells as well as treatment of the lesions. Topical treatment of generally small lesions may include the use of liquid nitrogen, bichloroacetic acid, trichloroacetic acid, and other solutions to get them under control. For lesions too large for topical treatment, infrared coagulation therapy may be considered for treatment and removal. There are also surgical removal procedures that can performed, some of which use laser treatment and therapy. Any lesions treated will be examined to note the nature of the squamous cells and to assess any increase in cancer risk. Treatments for Anal Cancer Should anal cancer occur, we can work aggressively to fight the cancer and restore wellness. Chemotherapy and radiation therapy are often the first wave of treatment, with advanced surgical treatment considered should chemo and radiation treatments prove ineffective. Again, if caught early and properly monitored, anal dysplasia can be treated, and cancer risk can be minimized. Contact Colon & Rectal Surgical Specialists of New York For more information about anal dysplasia and how we can effectively treat the condition, be sure to contact our team of colorectal surgery... --- ### Colonoscopy and Age: When to Schedule Your Screenings - **URL:** https://www.crssny.com/colonoscopy-and-age-when-to-schedule-your-screenings/ - **Published:** 2016-08-31 - **Modified:** 2024-01-23 - **Author:** admin **Categories:** Colonoscopy, Colorectal Cancer BY DEAN PAPPAS M.D. The team here at Colon & Rectal Surgical Specialists of New York believes in preventative care and early detection. That is why our team of experienced colorectal specialists always emphasize the importance of regular colonoscopies. Regular checks for colorectal cancer can save lives. With that in mind, we would like to consider the right age to begin regular colorectal screenings. As you are about to read, the issue of age really has a lot to do with the specific health needs of the patient. What Is a Colonoscopy? A colonoscopy is a crucial screening performed to detect polyps and cancerous growths of the bowel. It's one of the most effective means of detecting colorectal cancer and initiating treatment. During the procedure, a colorectal specialist is able check for abnormal growths, take tissue samples, and help enact preventative care or proactive treatment. When Should People Start Getting Regular Colonoscopies? It's been estimated that 1 in 20 Americans will be diagnosed with colocrectal cancer in their lifetimes. Keep in mind that cancer is the leading cause of death in people age 65 and older, and colorectal cancer is treatable with early detection. In the vast majority of cases, people should start getting a colonoscopy starting at age 50. By a person's 60s, regular screening should be underway. How Often Should I Undergo a Colonoscopy? For most people, a colonoscopy should be performed every 10 years. If patients show a higher risk of developing colorectal cancer, a colonoscopy may be recommended every 5 years. This can be discussed with your general practitioner during your physical. Colonoscopies and the Young: When Is a Screening Necessary? Sometimes people who are younger than age 50 will undergo regular colorectal cancer screenings. In these cases, the patient may have a heightened risk of colorectal cancer, such as a family history of the condition. If a person suffers from inflammatory bowel disease (e.g., Crohn's, ulcerative colitis), early colonoscopies may be recommended as well. Colonoscopies and the Elderly: Is There an Age Limit? There has been some debate regarding if patients in their 80s should undergo colonoscopies. The concern is that there may be negative effects on an elderly patient's health from frequent colonoscopies. The fact of the matter is that this has to be considered on a case to case basis. Sometimes patients who are 75 or older will not need to undergo additional colonoscopies, though this is if they are healthy, have no family risk of the condition, and have exhibited no risk factors (e.g., polyps) in previous colonoscopies. If there is a potential risk of colorectal cancer present into a patient's mid-70s, screening should continue. Early Detection and Treatment Is Always Best We want to stress again that early detection is a key to successfully treating colorectal cancer. We encourage you to meet with us if you are due for a colorectal cancer screening or you have concerns about family risk. We will be able to discuss the procedure in greater detail and offer... --- ### Dr. Frank Caliendo and Dr. Dean Pappas Awarded Castle Connolly Top Doctors for 2016 - **URL:** https://www.crssny.com/dr-frank-caliendo-and-dr-dean-pappas-awarded-castle-connolly-top-doctors-for-2016/ - **Published:** 2016-07-30 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Colorectal Surgery BY FRANK CALIENDO M.D. The team at Colon & Rectal Surgical Specialists of New York is always committed to patient wellness and comfort. This focus on health and long-term wellness is what has made use some of the leading colorectal specialists on Long Island. Dr. Dean Pappas and I are pleased to announce that we have been named 2016 Top Doctors by Castle Connolly in the specialty of colon and rectal surgery. This means that Dr. Pappas and I are among the most esteemed doctors in New York and the nation. About Castle Conolly Castle Connolly is a highly esteemed and respected organization that helps connect people in need of medical care with top-rated specialists in their area. One of Castle Connolly's most well known publications is the America's Top Doctors series, which involves a peer reviewed survey of leading medical specialists in the country. This updated list has been around for more than two decades. To be named in this publication is a great honor, and one that means a lot to doctors and their peers as well as patients who are looking for different medical specialists. The Nomination Process The nomination process is the heart of the Castle Connolly Top Doctor honors. In order to be named a Top Doctor, a peer must nominate you through Castle Connolly itself. This peer must be a licensed physician. Medical professionals are prohibited from nominating themselves for the award. Each year Castle Connolly receives nearly 100,000 peer nominations. With all the nominations in, a physician-led research team then reviews each nominated physician. This team carefully considered the credentials of each nominee, noting education and training, board certifications, achievements in a respective field of medicine, and even malpractice claims filed against them. From this assessment of credentials, national and regional Top Doctors can be selected. A Distinction Among Other Specialists To be able to do something well that benefits others is an honor and privilege in itself. Yet there's something to be said about recognition from Castle Connolly. To be named a Top Doctor means we have achieved a level of distinction that is unique among our peers. They believe in us like our patients believe in us, and we hope to continue this high level of excellence for many years to come. Exceptional Colon and Rectal Surgery on Long Island Many of the Castle Connolly's Top Doctors in the field of colon and rectal surgery are based around New York City and the five boroughs. This is why our names being recognized is such an honor. We believe strongly in helping people throughout Long Island with their health issues, and we feel that great medical care shouldn't just be in the NYC area. We have offices in Garden City, Setauket, and Great Neck, which allows countless patients to come to one of our offices in order to receive high-quality care and close attention. What This Honor Means for Patients For old patients and current patients, being name Top Doctor just underlines the... --- ### Preparing for a Colonoscopy: The Pre-surgical Diet - **URL:** https://www.crssny.com/preparing-for-a-colonoscopy-the-pre-surgical-diet/ - **Published:** 2016-06-30 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Colonoscopy BY DEAN PAPPAS M.D. A colonoscopy is a potentially life-saving diagnostic procedure that gives our colorectal surgeons the opportunity to examine our patients’ colons and identify both pre-cancerous and cancerous tissues in their earliest stages. Our surgeons can also detect non-cancerous tumors, ulcers, and other abnormal tissues, all using minimally invasive, endoscopic methods. Patients who undergo routine colonoscopies are being admirably proactive in terms of preserving their health. Colon cancer is one of the more aggressive cancers; however, it is survivable if it is caught and treated in its earliest stages. While it is important that people undergo a colonoscopy at least every ten years once they reach the age of 50, and earlier than that if they are at risk for colon cancer, it is also important that they know what a colonoscopy appointment involves. There is preparation that must go into a colonoscopy appointment. Patients must adopt a special diet in the days leading up to their colonoscopies. Our colorectal surgeons discuss the colonoscopy diet with patients specifically during consultations at our Long Island, NY colon and rectal surgery center; however, the following blog post will give you some idea of what to expect. For further information about colonoscopy and the preparation process leading up to surgery, please schedule your initial consultation with one of our colorectal surgeons today. Two to Three Days before Your Colonoscopy Two to three days before your colonoscopy, you will be limiting your diet to foods that are low in fiber. This means that you cannot eat: Whole grains: Including brown rice, whole grain breads and cereals, and high-fiber cereals and muffins. Nuts: Including peanuts, almonds, walnuts, chunky peanut butter, and breads or cereals that contain these or any other nuts. Seeds: Including sunflower seeds and fruit that contains seeds. Dried or raw fruits: Including berries, oranges, apples, watermelon, and raisins. Certain vegetables: Including peas, onions, lima beans, corn, tomatoes, and vegetables with seeds. Beans: Including kidney beans, pinto beans, and lentils. During this time, you are allowed to eat: Dairy: Including milk, butter, cheese, cottage cheese, yogurt, ice cream, and sour cream. Low-fiber, non-whole grains: Breads made with white flour, white rice, saltines, and corn flakes. Lean meats: Including turkey, chicken, fish, and lamb. Certain fruits: Including fruit juices without pulp, apple sauce, peaches, cantaloupe, and apricots. Certain vegetables: Including peeled carrots, mushrooms, turnips, and potatoes (not potato skin). Certain other foods: Creamy peanut butter, vegetable oil, mayonnaise, broth, coffee, tea, soda, sugar, honey. The Day before and the Day of Your Colonoscopy On the day before and the day of your colonoscopy, you will not be allowed to eat solid foods. You will be placed on a clear liquid diet; in essence, if you cannot see through what you are drinking, you should not be drinking it. During this time, you cannot drink: Milk Alcohol of any type Orange juice Tomato juice Citrus juices Soup (as opposed to clear broth, which is allowable) Red and purple juices, popsicles, or gelatin Smoothies or milkshakes You are allowed to drink: Water Black coffee (no cream, milk, sugar, or artificial sweetener)... --- ### Why Should I Schedule a Colonoscopy? - **URL:** https://www.crssny.com/why-should-i-schedule-a-colonoscopy/ - **Published:** 2016-05-31 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Colonoscopy, Colorectal Cancer BY DEAN PAPPAS M.D. The team at Colon & Rectal Surgical Specialists of New York believes in proper treatment as well as preventative care. This focus on wellness is what makes us a leading center for colorectal health on Long Island, and why so many patients place their trust in us and our expertise. As you get older, you and your physician may discuss the need for a colonoscopy, an important test for cancer prevention. Many people take routine colonoscopies for granted, but they shouldn't. We want to go over some reasons why you should schedule a colonoscopy in the near future. What Is a Colonoscopy? A colonoscopy is a type of diagnostic test that allows doctors to examine the inner lining of your rectum, particularly the colon and rectum. A colonoscopy is helpful for detecting colorectal cancer, polyps, tumors, and potential colorectal bleeding. Why Colonoscopies Are Important A colonoscopy is a important part of the detection and prevention of colorectal cancer. Doctors can check for cancerous and precancerous growths, and take tissue samples as needed as part of preventative and proactive care. It's ideal for people to undergo regular colonoscopies every 5 to 10 years starting around age 50. Early colonoscopies may be recommended if there is a family history of colon cancer or you suffer from inflammatory bowel disease such as Crohn's disease or ulcerative colitis. Similarly, more frequent colonoscopies (i.e., every 5 years) may be recommended if there is a heightened colorectal cancer risk. How Common Is Colorectal Cancer? Colorectal is the third most diagnosed cancer in both men and women, though men run a greater risk of colorectal cancer. It's been estimated that 1 out of every 20 Americans will be diagnosed with colorectal cancer during their lifetime. You May Have a Family History of Colorectal Cancer Those with a family history of colorectal cancer should not skip getting a colonoscopy. It's particularly important that you undergo regular colonoscopies when a parent or close relative was diagnosed with colorectal cancer. If your parent experienced colorectal cancer at age 50, it's generally recommended that you undergo a colonoscopy at age 40 (i.e., 10 years before the onset of your relative's colorectal cancer). Older Men Run Greater Risk of Colorectal Cancer As we noted above, men are more likely to develop colorectal cancer than women. Because of this, men should regularly undergo colonoscopies during middle age based on the recommendations of their general physician. Early Detection Is Always Ideal If there is a cancerous or precancerous growth found during a colonoscopy, aggressive treatment can be initiated, which means the colorectal cancer can be eliminated. Early detection increases the chances of successful cancer treatment. Many People Have Not Undergone a Colonoscopy But Should Even though colorectal cancer is so common, there have been some studies that estimate roughly 30 million Americans have not undergone a colonscopy even though they would benefit from one. Be sure to schedule an exam if you're middle aged or have a family history of colorectal... --- ### Treating Anal Abscesses to Alleviate Pain - **URL:** https://www.crssny.com/treating-anal-abscesses-to-alleviate-pain/ - **Published:** 2016-04-30 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Anal Abscesses BY FRANK CALIENDO M.D. The team at Colon & Rectal Surgical Specialists of New York is always focused on addressing pain and restoring wellness to patients no matter what condition they suffer from. Serving all of Long Island, countless patients have turned to us when facing serious medical problems that affect the colon, rectum, and digestive tract. Abscesses can be a cause of serious anal pain and other medical problems. Let's take a moment to consider the causes and symptoms of anal abscesses and how they can be professionally treated. About Anal Abscesses An anal abscess occurs when pus accumulates and develops around a person's anus. The most common type of anal abscess is a perianal abscess, in which a boil-like swelling of tissue develops near the anus. These abscesses may appear red and feel warm to the touch. Keep in mind that it's atypical for abscesses to develop in deeper tissues near or in the anus. Roughly half of all people who experience an anal abscess will face a subsequent problem known as an anal fistula. In essence this means a small passage that forms between the anal abscess and the patient's skin. Anal abscesses and fistulas can be very painful, and will often require professional attention for treatment. Causes of Anal Abscesses and Potential Risk Factors The most common causes of anal abscesses include: Infection Blocked anal glands Sexually transmitted infections There are certain factors, actions, and conditions that can make anal abscesses more likely. These risk factors include the following: Diabetes Colitis Inflammatory bowel disease (e.g., Crohn's disease, ulcerative colitis) Pelvic inflammatory disease Anal intercourse Diverticulitis Research has shown that using a condom during anal intercourse can reduce the chances of developing an abscess and/or fistula. In addition, frequent diaper changes and proper hygiene can help reduce the risk of anal abscesses affecting babies and toddlers. Signs and Symptoms of Anal Abscesses The most common signs and symptoms of anal abscesses include: Constant and throbbing pain, especially when sitting Irritated skin near the anus Swelling Redness Tenderness Pus or discharge Constipation Anal abscesses that affect deeper tissues of the anus can also lead to chills and fever. Treatment Options for Anal Abscesses In the vast majority of cases, treatment for an anal abscess will involve surgical drainage. When a person suffers from a superficial anal abscess such as a perianal abscess, the drainage procedure can be performed using local anesthetic in the doctor's office. When the anal abscess affects deeper tissues or is particularly large, the drainage procedure may require general anesthesia and hospitalization. Following the surgical drainage, patients will be typically be given pain relievers to aid in the recovery process. If a fistula is present, sometimes that can be addressed at the same time as the drainage of the abscess. In most cases, the fistula may develop weeks or months after the abscess is treated, requiring a separate surgical treatment. Schedule a Consultation at Colon & Rectal Surgical Specialists of New York To learn more about... --- ### Knowing the Risk Factors of Anal Fissures - **URL:** https://www.crssny.com/knowing-the-risk-factors-of-anal-fissures/ - **Published:** 2016-03-30 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Anal Fissures BY DEAN PAPPAS M.D. Here at Colon & Rectal Surgical Specialists of New York, we offer state-of-the-art treatment for a number of health matters that affect the colon, rectum, and digestive tract. Our commitment to advanced care has helped numerous residents of Long Island achieve comfort and wellness, even when facing serious medical problems. In addition to offering advanced surgery, we can also offer treatment and preventative care for conditions such as anal fissures. Since many people have a poor understanding of anal fissures, we'd like to go over the basics and consider some risk factors for this common problem. About Anal Fissures An anal fissure is a tear that appears in the tissue (mucosa) that lines the anus/lower rectum. Anal fissures typically do not lead to more serious health issues, though they can be uncomfortable and irritating, and in some cases very painful. Anal fissures that last for more than two months are considered chronic fissures. When a person suffers an anal fissure, they will often experience a sharp or burning sensation during bowel movements. Bleeding is not uncommon in some cases, and many people will also notice an itchiness around their rectum and anus while a fissure is present. Causes of Anal Fissures There are many different causes of anal fissures. The most common causes of anal fissures tend to be passing large stools or hard stools. There are a number of risk factors to consider that may make anal fissures more likely. We've listed several below. Risk Factor: Infancy Though medical experts have yet to figure out why, many infants experience anal fissures in their first years of life. Risk Factor: Advanced Age As people grow older, blood circulation tends to slow down. This can lead to an increased risk of anal fissures later in life. Risk Factor: Constipation Any time you have to strain during a bowel movement, this makes anal fissures more likely. This is why people often suffer from fissures after passing hard or large stools. Risk Factor: Recent Childbirth After a woman gives birth, she is typically more prone to experiencing anal fissures. Risk Factor: Crohn's Disease and Inflammatory Bowel Disease Crohn's disease and other conditions that lead to inflammation of the bowel can lead to a number of issues with the health of the digestive tract. These can make anal fissures more likely. Risk Factor: Anal Intercourse Given the strain and trauma that the rectal tissue experiences during anal intercourse, it should come as no surprise that anal fissures are more likely as a result. Treatments for Anal Fissures In most cases, anal fissures will heal on their own after a few weeks. If you suffer from an anal fissure, be sure to increase your intake of liquids and to get a lot of fiber in your diet. Sometimes having a soak in warm water for 10 to 20 minutes can be very helpful for easing irritation and relaxing the muscles of the sphincter. When the anal fissure is chronic, various medications may... --- ### Cancerous Tumors of the Anus or Rectum - **URL:** https://www.crssny.com/cancerous-tumors-of-the-anus-or-rectum/ - **Published:** 2016-01-30 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Anal Pain BY FRANK CALIENDO M.D. At Colon & Rectal Surgical Specialists of New York, our team of board-certified colorectal surgeons provides diagnostic testing and treatment for a comprehensive range of colorectal conditions, helping patients find relief from excruciating anal pain while restoring their health and improving their quality of life. We are especially proud to offer state-of-the-art care for people who are suffering from cancerous tumors of the anus or rectum at our Long Island, NY practice. Such treatment can be life-saving; however, time is truly of the essence, as it is when treating cancer of any kind. If you are experiencing any of the symptoms described in this blog post, it is absolutely crucial that you schedule an appointment at Colon & Rectal Surgical Specialists of New York, or at a reputable colorectal surgery practice near you, as soon as possible. Cancerous tumors of the anus and rectum are most effectively treated in their earliest stages. If caught early enough, it may even be possible to remove tumors without the need for a colostomy. We urge you to read the following information about cancerous tumors of the anus or rectum, and then contact our Colon & Rectal Surgical Specialists of New York today to schedule your initial consultation with one of our esteemed colorectal surgeons. What Is an Anal Tumor? The anus is the opening through which feces passes at the lower end of the intestines. It is connected to the rectum via a passage called the anal canal, which is lined by a substance called mucosa. The mucosa is where most anal tumors start to form. Many anal tumors that we diagnose end up being benign; however, we often identify warts and other growths that are potentially pre-cancerous. The most common type of cancerous anal tumor, by far, is squamous cell carcinoma. This type of tumor originates in the anal canal. What Are the Symptoms of Anal Cancer? The symptoms of anal cancer include: A lump or mass of skin at the anus Anal pain or itching Bleeding from the anus A sustained increase or decrease in bowel movements Discharge of pus or mucous from the anus Narrow stools What Is a Rectal Tumor? The rectum comprises the last six inches of the colon, or the large intestine. The rectum is connected to the anus via the anal canal. Most rectal tumors are adenocarcinomas, meaning that they begin in the intestinal gland cells that line the inside of the rectum. These types of tumors are extremely aggressive and must be treated equally aggressively and in a very timely fashion. What Are the Symptoms of Rectal Cancer? The symptoms of rectal cancer include: Rectal pain Abdominal pain Stomach cramps Gas pains Changes in appetite and unintended weight loss Diarrhea or constipation An inability to fully empty the bowels Narrow stools Bloody stools Fatigue Learn More about Cancerous Tumors of the Anus or Rectum To learn more about cancerous tumors of the anus or rectum, please contact Colon & Rectal Surgical Specialists of New... --- ### Treating Sexually Transmitted Diseases That Affect the Colon/Rectal Area - **URL:** https://www.crssny.com/treating-sexually-transmitted-diseases-that-affect-the-colon-rectal-area/ - **Published:** 2016-01-01 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Sexually Transmitted Diseases BY DEAN PAPPAS M.D. Patients all over Long Island know that they can trust the team at Colon & Rectal Surgical Specialists of New York with their health. We offer professional, discreet care of multiple colorectal conditions and diseases. This includes sexually transmitted diseases (STDs). We'd like to take a moment to consider treatment for STDs contracted through anal intercourse. We'll start with herpes as it is one of the more well-known STDs, and then cover other potential STDs and how they can be successfully treated, managed, and prevented. About Anal Herpes and Warts Anal herpes (anal warts) are related to the herpes family of viruses. Anal herpes is the result of the herpes simplex virus (HSV), particularly HSV-2 or HSV-II. This differs from HSV-1, which is the virus that most commonly causes oral herpes. Anal herpes can potentially cause serious pain and discomfort. These warts and growths need to be removed since they can grow in size. Left untreated, anal herpes can increase your risk of developing colorectal cancer. HSV-2 is contagious and can be spread by multiple partners through sexual contact. Signs and Symptoms of Anal Herpes The primary indication that you have contracted anal herpes are growths and blisters around the anus. These may take the form of small red or white bumps at first. These growths can multiply and enlarge, potentially covering the entire anal area. While unsightly, anal herpes may or may not cause discomfort in some patients. Certain patients may notice the growths cause itching, and the growths have been known to bleed or discharge mucus in some cases. Other Sexually Transmitted Diseases That May Affect the Anus In addition to anal herpes, patients should be aware of other STDs that can affect the colorectal area. Syphilis – A bacterial infection, syphilis contracted through anal intercourse may result in rectal pain, spasms during bowel movements, and sores or growths that can be unsightly and uncomfortable. Chlamydia – A bacterial infection, chlamydia conducted through anal intercourse may cause only mild symptoms, and sometimes no symptoms. Potential signs include pain during bowl movements, cramping, bleeding, and diarrhea. Gonorrhea – A bacterial infection, gonorrhea contracted through anal intercourse can cause soreness, bleeding, anal discharge, itchiness, and diarrhea. Treatment Options for Sexually Transmitted Diseases Treating STDs that affect the colorectal area will typically involve the use of oral medications to control the condition as well as some degree of surgery if there are growths that need to be removed. Keep in mind that people who contract anal herpes will require ongoing antiviral treatments to control and suppress outbreaks. The long-term treatment also helps prevent infecting future sexual partners with the disease, though future partners should practice safe sex in order to ensure they do not contract HSV. How to Reduce Your Risk of Contracting STDs If you are sexually active, the best way to prevent contracting STDs is to use a condom or a protective barrier of some kind whenever you have sexual contact with someone else. This includes any time you... --- ### The Risk Factors of Inflammatory Bowel Disease (IBD) - **URL:** https://www.crssny.com/the-risk-factors-of-inflammatory-bowel-disease-ibd/ - **Published:** 2015-12-01 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Crohns Disease, Ibs, Ulcerative Colitis BY DEAN PAPPAS M.D Serving Long Island, Colon & Rectal Surgical Specialists of New York has helped numerous patients. We work to alleviate pain and restore total wellness, offering state-of-the-art treatments as well as offering sound advice for management and prevention of various kinds of colorectal conditions. Inflammatory bowel disease (IBD) can be quite serious, which is why we'd like to consider the basics of IBD as well as some risk factors of which to be aware. About Inflammatory Bowel Disease (IBD) Inflammatory bowel disease is a condition in which part or all of a person's digestive tract is inflamed. This includes conditions such as Crohn's disease, ulcerative colitis, and collagenous colitis. IBD can result in major health issues, and the conditions experienced may be life-threatening in some cases. Signs and Symptoms of Inflammatory Bowel Disease (IBD) Common signs and symptoms of inflammatory bowel disease include the following: Abdominal pain Diarrhea Blood in stool Fever Fatigue Changes in appetite Weight loss If you experience any of the above and note any of the risk factors below, it's important that you speak with your doctor and/or gastroenterologist about your condition. Family History: Ethnicity and Genetics There are two primary genetic factors that come into play when a patient may have IBD. First of all, the risk of having or developing IBD is higher if an immediate relative suffered from the condition. Secondly, it's been noticed that those of Caucasian descent are more likely to suffer from IBD than non-whites. Those of Ashkenazi Jewish descent have an even higher risk rate of IBD than other Caucasians. Age of the Patient Most people with IBD are diagnosed before they turn 30 years old. It's also possible for people to develop IBD later in life, such as their 50s and 60s. The Dangers of Smoking There have been studies that have shown risk of developing IBD is linked to smoking. In particular, smoking has shown an increased risk of causing Crohn's disease. Use of Isotretinoin and Non-Steroidal Anti-Inflammatory Drugs Taking certain kinds of medications also increases risk of IBD. This includes the use of isotretinoin medications and nonsteroidal anti-inflammatory medications. Isotretinoin drugs include Accutane, Amnesteem, Claravis, and Sotret. Nonsteroidal anti-inflammatory medications include ibuprofen, diclofenac sodium, and naproxen sodium. It should be noted that studies have shown conflicting evidence on if isotretinoin directly causes or boosts risks of IBD. Impact of the Environment Most interesting, studies have found that the environment a person grows up in can affect the likelihood of IBD. People living in industrialized societies and northern climates have a higher risk of IBD, for instance. This may also be a result of consuming many refined foods or having a diet that's high in fat. Treating Inflammatory Bowel Disease (IBD) There are many different medications and lifestyle adjustments that can be considered in order to properly treat IBD. This will reduce pain and ease inflammation. Surgical treatments will be a last resort and avoided if possible. During a consultation with your specialist, you can... --- ### Permanent Relief from Pain: Surgical Diverticulitis Treatment - **URL:** https://www.crssny.com/permanent-relief-from-pain-surgical-diverticulitis-treatment/ - **Published:** 2015-10-30 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Diverticulitis BY DEAN PAPPAS M.D. At Colon & Rectal Surgical Specialists of New York, we provide exceptional care for a full range of colon conditions, including diverticulitis. Diverticulitis can cause a variety of symptoms, ranging from the negligible to the extremely painful. In some cases, the condition can even be debilitating, making it impossible to live life to the fullest. Our specialists use the most advanced technologies and techniques available to treat diverticulitis when surgery becomes the necessary course of action. It should be noted that surgery is not always the recommended course of treatment for diverticulitis. Surgical diverticulitis treatment at our Long Island, NY practice may be recommended if more conservative treatment options have been attempted but failed to yield adequate results. There are also instances in which the inflammation or infection is so severe that surgery is clearly the best course of action to provide relief. Diverticulitis Explained Diverticula are actually quite common, yet most people who have them are unaware that they do. These tiny pouches that form in the digestive system, and most often in the lower part of the colon, are usually harmless. However, if they become infected or inflamed, problems can begin to develop, including: Nausea Vomiting Pain and tenderness in the abdomen Fever Diarrhea Constipation Diverticulitis generally does not require aggressive treatment, with the vast majority of cases resolving on their own. Rest is often all that is required, although dietary changes and a course of antibiotics may also be advised. Diverticulitis Surgery Surgery should generally be considered a last resort as a treatment for diverticulitis. You may require diverticulitis surgery if your condition involves: A blockage in the colon Ruptured diverticula The formation of an abnormal passage called a fistula between parts of the bowel or between the bowel and the bladder The development of an abscess Is recurrent If necessary, our surgeons can perform laparoscopic primary bowel resection surgery, during which the diseased portions of your colon are meticulously removed, and the healthy portions are attached to one another. Because this surgery is performed using laparoscopic tools and methods, the removal of the diseased parts of the colon and attachment of the healthy parts are accomplished through extremely small incisions, thereby ensuring the quickest and smoothest recovery possible. This also makes for a safer surgery. While no surgical procedure is free from risks, laparoscopic primary bowel resection has an exceptional record of safety and success, with most patients being able to return to their normal routines within two weeks. Indeed, most patients find themselves experiencing a dramatically improved quality of life, free from the pain that kept them from enjoying life as much as they would have liked prior to surgery. Learn More about Diverticulitis Treatment If you would like to learn more about diverticulitis treatment, or if you wish to schedule a consultation with one of our renowned surgeons, we encourage you to contact Colon & Rectal Surgical Specialists of New York today. We would be pleased to answer any questions you might have... --- ### Understanding and Screening for Colorectal Cancer Symptoms - **URL:** https://www.crssny.com/understanding-and-screening-for-colorectal-cancer-symptoms/ - **Published:** 2015-09-30 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Colorectal Conditions BY DEAN PAPPAS M.D. Your colon is one of your most important, but also most vulnerable, parts of your body. Colorectal cancer is the second most common cause of cancer death among American adults. For this reason, the U.S. Preventive Services Task Force and the Centers for Disease Control and Prevention recommend that all men and women undergo routine screenings beginning at age 50. One of the most comprehensive diagnostic tests is a colonoscopy, an advanced procedure during which a colorectal surgeon uses a tiny camera to explore your colon for signs of disease. Blood analysis and other procedures can also help you identify cancer. Many patients put off these tests, but they could save you time, money, hassle, or even your life. In the following blog post, we’ll cover common colorectal cancer symptoms and explain how our Long Island team of colorectal specialists can help you detect them so you can pursue proper treatment. What Is Colorectal Cancer? Colorectal cancer refers to the development of abnormal, unhealthy cells and tumors within the large intestine. The colon is the primary portion of the large intestine, while the rectum encompasses the lower six inches of this organ. As with many cancers, doctors aren’t exactly sure what causes this condition, but age, diet, congenital conditions, and other factors may increase your risks. Our doctors can help you determine if you have a higher chance of developing colorectal cancer. According to recent research, about five percent of people suffer from this condition in their lifetimes. Why Early Detection Matters The sooner we diagnose your colorectal cancer, the more easily and successfully we can treat it. If you’ve been putting off your screening, consider the following statistics: Approximately 50,000 people die from colorectal cancer every year in the United States More than 90 percent of patients who are diagnosed in the early, localized stage of colorectal cancer survive for over five years, while just 13 percent of patients with more advanced, widespread conditions do. Only 40 percent of colorectal cancer cases are identified at the localized phase, but this number can increase with more aggressive testing. Common Colorectal Cancer Symptoms Everyone over the age of 50 should come in to our practice for screening. However, even if you are under 50, you should schedule an appointment if you experience any of the following: Blood in your stool or around your rectum Exhaustion Inexplicable weight loss Consistent cramps, gas, or abdominal discomfort Irregular bowel function, such as constipation, diarrhea, or changes in stool texture The sense that your bowel isn’t entirely empty, even after you have defecated The above are clear signs that you may be suffering from colorectal cancer. However, it’s important to note that you may suffer from the early stages of this condition without having these symptoms. This is why proactive testing is key. Our Screening Procedures Our doctors can screen you for colorectal cancer using several methods. These include: A rectal exam. During this procedure, our doctors will look at and palpate the region around the anus, then insert a... --- ### The Causes of Anal Ulcers and What Can Be Done to Treat Them - **URL:** https://www.crssny.com/the-causes-of-anal-ulcers-and-what-can-be-done-to-treat-them/ - **Published:** 2015-09-01 - **Modified:** 2024-01-23 - **Author:** admin **Categories:** Anal Fissures, Anal Ulcers BY DEAN PAPPAS M.D. The team at Colon & Rectal Surgical Specialists of New York has helped countless patients on Long Island and from the New York City area achieve wellness and good health. Our advanced training and experience makes us experts in treating colorectal problems and alleviating anal pain, with an added focus on long-term care and prevention. With this in mind, we'd like to consider the issue of anal fissures, noting their causes and then discussing various methods of treatment and prevention. About Anal Fissures Anal fissures are tears in the moist tissue (mucosa) that lines a person's anus. These can be painful and uncomfortable. Anal fissure are common with infants, though people of any age can experience these problems. Most Common Causes of Anal Fissures The most common causes of anal fissures include the following: Passing stools that are large or hard Constipation Strain while moving your bowels Chronic diarrhea The childbirth process Inflammation related to irritable bowel syndrome, Crohn's disease, or ulcerative colitis Anal fissures may also occur as a result of serious systemic conditions and diseases, such as anal cancer, HIV/AIDS, herpes, syphilis, and tuberculosis. Signs and Symptoms of Anal Fissures The most common signs and symptoms of anal fissures include: Pain and discomfort during bowel movements Pain after having a bowel movement Blood in your stool or on toilet paper Irritation or itchiness around the anus Cracks in the skin around the anus Lumps of skin near or around the anal fissure Anal Fissure Risk Factors Anal fissures are more likely to occur when the following risk factors are present: Infancy and advanced age Frequent constipation Problems with irregularity Childbirth Problems with inflammatory bowel disease Treatment Options for Anal Fissures Treatments for anal fissures vary, but many times these will heal themselves on their own after a few weeks. Patients should consider improving their diet so that it is fiber rich to help promote soft stools. Sometimes soaking in warm water helps relieve irritation and promotes healing as well. If healing naturally is not an option, the use of topical creams and other kinds of external medications may be considered for pain relief and irritation relief. Only in severe cases of anal fissures with surgical procedures be required. During a consultation at our practice, we will be able to determine the best treatment option for the patient's needs. We will always start by working conservatively and only turn to major treatments when less invasive procedures are no longer viable. How can I prevent anal fissures? The best way to prevent anal fissures is to eat a balanced, high-fiber diet that is ideally rich in fresh fruits and vegetables. Since certain conditions that affect the bowels may be aggravated by certain diets, it's important to find the best dietary solution to your problem that accounts for your nutritional and fiber needs. This can be discussed in greater detail during your visit to the practice since prevention is an important part of long-term treatment and wellness of... --- ### The Symptoms of Inflammatory Bowel Disease (IBD) - **URL:** https://www.crssny.com/the-symptoms-of-inflammatory-bowel-disease-ibd/ - **Published:** 2015-07-31 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Inflammatory Bowel Disease, Risk Factors, Symptoms BY DEAN PAPPAS M.D. Here at Colon & Rectal Surgical Specialists of New York, we offer diagnosis, treatment, and relief to people on Long Island who suffer from serious problems that affect their digestive tract. This includes treatment options for colon, rectum, and anal pain of various kinds. Some of the most serious conditions we treat involve inflammatory bowel disease (IBD). Let's go over the basics of IBD and note some symptoms and risk factors of which people should be aware. About Inflammatory Bowel Disease (IBD) Inflammatory bowel disease (IBD) is a condition in which a person experiences chronic inflammation of part of their digestive tract. Sometimes the entire digestive tract is inflamed. There are two kinds of IBD that are typically diagnosed: Ulcerative Colitis (UC) - UC results in major inflammation and sores that form around the inner lining of the large intestine, colon, and rectum. Crohn's Disease - Crohn's disease typically affects the lining of the digestive tract, affecting the small intestine, large intestine, and sometimes both. Common Signs and Symptoms of Inflammatory Bowel Disease (IBD) The most common signs and symptoms of inflammatory bowel disease (IBD) include the following: Diarrhea - This is one of the most common symptoms of IBD, whether it involves ulcerative colitis or Chrohn's disease. Abdominal Pain and Stomach Cramps - Pain in the abdominal area often accompanies the other symptoms of IBD. Nausea/Vomiting - It's not uncommon for bouts of nausea to be associated with IBD. Blood in Stool - Blood that's visible in the toilet or in your stool is common with IBD, and it's possible for there to be blood in the stool that is not immediately visible. Changes in Appetite - As a result of the pain and nausea, a person's appetite may not be what it usually is. Loss of Weight - Weight loss can occur as a result of poor appetite and issues with diarrhea. Fever - Fevers are typically low-grade for people who suffer from IBD. Fatigue - As a result of the various other symptoms, patients with IBD often notice low energy or general fatigue. Risk Factors for Inflammatory Bowel Disease (IBD) The following are important risk factors to keep in mind if you should notice any of the above symptoms and signs of inflammatory bowel disease (IBD): Genetics/Family History - If relative suffered from IBD, you are more likely to experience the condition as well. Patient Age - IBD is typically diagnosed when a person is younger than 30. While not as common, some people who develop IBD in their 50s and 60s. Race/Ethnicity - People of Caucasian descent are more likely to suffer from IBD than people of other other races. Those of Ashkenazi Jewish descent are particularly high risk for IBD. The Area You Live - People who reside in urban areas or industrial areas are more likely to suffer from IBD than people who live in other areas. This suggests a number of environmental factors making the condition more likely. When should I see a doctor? Persistent issues with the symptoms should be brought to the... --- ### Risk Factors for Developing Hemorrhoids - **URL:** https://www.crssny.com/risk-factors-for-developing-hemorrhoids/ - **Published:** 2015-06-30 - **Modified:** 2024-01-18 - **Author:** admin **Categories:** Hemorrhoid BY DEAN PAPPAS M.D. The team at Colon & Rectal Surgical Specialists of New York believe that patients deserve the best care possible. This means providing patients throughout New York City and Long Island with the information that they need to prevent potential conditions. With regard to prevention, one such matter that comes up a fair amount involves risk factors for developing hemorrhoids. Also known as piles, hemorrhoids refer to veins in the anus and lower rectum that have become swollen and inflamed. They may be located in the rectum or under the skin located around the anus. They are most commonly caused by increased pressure or strain placed on the veins of the anus. Common Risk Factors for Hemorrhoids Some of the most common risk factors for hemorrhoids include the following: Being Overweight or Obese – Studies have found that obesity and being overweight can often increase the risk of developing hemorrhoids. Advanced Age – Hemorrhoids become more likely in people who are age 50 and older. Family History – If other people in your family have experienced hemorrhoids, it is likely that you will also have similar issues. Persistent Constipation or Diarrhea – Both constipation and diarrhea can place a great deal of strain on the veins in the lower bowel and rectum. Over time, this can result in hemorrhoids. Pregnancy – Being pregnant places a good deal of pressure on the veins of the rectum, which means that developing hemorrhoids is more likely as a result. Low-Fiber Diet/Poor Diet – A diet that is low in fiber or generally poor can result in strained or irregular bowel movements, increasing hemorrhoid risk. Liver and Heart Disease – People who suffer from liver and/or heart disease often report issues with hemorrhoids as well. Irritable Bowel Syndrome (IBS) – IBS affects roughly one in five Americans, and it can cause issues with bowel movements. Ulcerative colitis, another type of IBS that rarer, can also increase your risk of hemorrhoids. Crohn's Disease – An autoimmune disease, Crohn's disease involves the inflammation of a person's gastrointestinal tract, with symptoms that, over time, increase hemorrhoid risk. Other Factors That Can Make Hemorrhoids Worse In addition to the above risk factors, these two other matters can also make hemorrhoids more likely: Sitting or Standing for a Prolonged Time – Both sitting for too long and standing for too long can cause blood to pool in the area of the anus, resulting in increased pressure to the veins. Frequent Heavy Lifting – Pressure to the blood vessels can increase as a result of heavy lifting, particularly if you hold your breath while lifting a heavy object. Treatment Options for Hemorrhoids The best options for treating hemorrhoids tend to be lifestyle changes that result in improvements to diet that, in turn, result in better digestive health and improved general wellness. Medications and minimally invasive therapies can be performed as needed. The ideal treatment for you and your needs can be discussed in more detail during your visit to the practice. Learn More About Treating and Preventing Hemorrhoids To... --- ### We Can Diagnose and Treat Pilonidal Disease - **URL:** https://www.crssny.com/we-can-diagnose-and-treat-pilonidal-disease/ - **Published:** 2015-05-30 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Colorectal Conditions BY DEAN PAPPAS M.D. Tissue irritation in and around the buttocks can be uncomfortable and embarrassing. It can make sitting difficult and make you feel self-conscious about your body. The Colon & Rectal Surgical Specialists of New York understand the nuances of colorectal conditions, so they can help identify and remedy these issues. Our experienced doctors have undergone extensive training in this field to help patients enjoy outstanding colon, rectal, and general health. Unfortunately, there are many things that can go wrong in this area of the body, from organ inflammation to chronic infection. For example, we often treat pilonidal disease at our Long Island practice. Read on to learn more about this condition and how we help our patients remedy it to improve their quality of life. What Is Pilonidal Disease? Pilonidal disease is a low-grade, persistent infection in the buttock crease, typically characterized by cysts, which are small, fluid-filled growths. These cysts and the tissue around them may become swollen, red, and infected, creating an abscess. Most often, pilonidal disease occurs in irritated or ingrown hair follicles. Severe pilonidal disease typically manifests in the formation of a large, uncomfortable abscess at the top of the buttock fold, near the tailbone. Who Is at Risk? Anyone can develop pilonidal disease, but you may be at higher risk for this condition if you: Are male. Most pilonidal disease sufferers are young men. Spend prolonged periods of time sitting. Bicyclists, truck drivers, and horseback riders are more vulnerable to pilonidal disease. Are obese. Excess fat in the buttock region does not allow sufficient airflow to the tissue and allows sweat to accumulate there, making it an ideal breeding ground for bacteria. In addition, overweight patients may have greater difficulty cleaning this area, exacerbating the issue. Have a lot of long, thick body hair in your buttock area. These hair follicles can form cysts and the hair itself may irritate the tissue. Do not maintain proper bodily hygiene. You should thoroughly wash this region of the body at least once per day to keep it clean and sterile. In its earlier stages, pilonidal disease often presents no symptoms, so if you fall into any of the above categories, you should be especially conscientious about cleansing your buttock regularly and looking for signs of cysts. Symptoms of Pilonidal Disease You may suffer from pilonidal disease without realizing it until this condition becomes severe enough to cause discomfort. The most common symptoms of pilonidal disease include: Inflammation Redness Small bumps along the buttock crease A larger, sensitive pink or red growth along the fold or near the tailbone Pus, blood, or liquid oozing from cysts or abscesses A poor smell from the infection Discomfort when sitting, resting against the tailbone, or walking If you suffer from any of the above, do not hesitate to contact us for a consultation. We can typically diagnose pilonidal disease with just a simple, minimally invasive examination. Our Treatment Options We offer a variety of treatments for pilonidal disease. If... --- ### Recognizing Anal Ulcer Symptoms and Seeking Treatment - **URL:** https://www.crssny.com/recognizing-anal-ulcer-symptoms-and-seeking-treatment/ - **Published:** 2015-04-30 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Anal Pain BY DEAN PAPPAS M.D. Anal pain is a very real condition that many people feel ashamed to discuss. However, anal pain can be a symptom of several different health problems, so it is important for patients to be open and honest when discussing anal pain with a doctor. The doctors at Colon & Rectal Surgical Specialists of New York understand the possible causes of anal pain. We can discuss symptoms with patients in order to diagnose anal and colon health problems so we can offer effective treatment. One possible symptom of anal pain is anal ulcers. We can discuss the symptoms of anal ulcers and anal ulcer treatments for our Long Island patients. Symptoms of Anal Ulcers Anal ulcers range in severity and as a result, patients may experience different symptoms, or experience those symptoms to a different degree. While exact symptoms may vary by patient, below are some possible symptoms of anal ulcers: Anal pain Straining during bowel movements Constipation Feeling as though bowel movements are incomplete Incontinence Rectal bleeding or a passing of mucus from the rectum Pain in the pelvis A bloated or “full” feeling around the pelvis If any of these symptoms are experienced, it is important to schedule an appointment with a doctor as soon as possible to receive diagnosis and discuss treatment. Treatments Because each case is unique, treatment will vary by patient. There are many treatments to consider and the best treatment will likely be determined after considering a patient’s symptoms and examining his or her condition. Below are some treatment options for patients with anal ulcers: Behavioral modification: In the most minor cases of anal ulcers, behavior modification may help to alleviate symptoms. These modifications involve teaching patients to better control rectal muscles and relax anal muscles during bowel movements. Medication: In many cases, even those patients with mild symptoms of anal ulcers can benefit from medicinal treatment. Medical treatment options include the use of topical steroids, medicated enemas, and BOTOX® injections. Surgery: If anal ulcer symptoms are severe or if alternate treatment options fail, surgery will likely be necessary. There are two surgeries that may be considered in the treatment of anal ulcers. The first is a rectopexy. A rectopexy is performed when anal ulcers are the result of rectal prolapse, where the rectal walls protrude from the anus. This procedure is performed to secure the rectum in its correct position. The second surgical option is a procedure to remove the rectum. This procedure is often only considered in the most severe cases of anal ulcers. Schedule an Appointment If you are experiencing anal pain or have other symptoms of anal ulcers, it is important to see a doctor who specializes in colorectal care. Our team of doctors at Colon & Rectal Surgical Specialists can diagnose health problems involving the colon and rectum to relieve you of the discomfort of anal pain. Schedule an appointment with one of our skilled and understanding doctors at your earliest convenience. We look forward to hearing from you. --- ### What Are Common Symptoms of Hemorrhoids? - **URL:** https://www.crssny.com/what-are-common-symptoms-of-hemorrhoids/ - **Published:** 2015-03-31 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Hemorrhoid BY DEAN PAPPAS M.D. Hemorrhoids are a surprisingly common problem among patients, affecting roughly 40 percent of all people in the United States at one point or another. Despite this prevalence, hemorrhoids are often overlooked or untreated, leading to persistent or worsening symptoms over time. With the right treatment, this problem can be addressed easily and non-invasively in most cases, allowing patients to avoid further discomfort. At our Long Island center, we want our patients to be able to recognize any symptoms of potential problems as soon as possible. To this end, we offer the following information on the common symptoms of hemorrhoids. Types of Hemorrhoids All hemorrhoids are essentially swollen blood vessels and vein walls that have become irritated due to friction, usually because of bowel movements in conjunction with other factors. Depending on where they are, though, they are separated into one of two categories: internal and external. Internal hemorrhoids are not usually seen or even felt, as they lie discreetly within the rectum. External hemorrhoids, being near or on the outside of the anus, are generally noticed more frequently. Although neither type is inherently more dangerous, and a vast majority of hemorrhoids pose little health risk, it is useful to understand that internal and external hemorrhoids tend to be noticed and diagnosed in different ways. Symptoms of Hemorrhoids Hemorrhoids are most commonly noticed and diagnosed in the following ways: External hemorrhoids: Due to their proximity to nerve endings, external hemorrhoids are more often felt than internal ones. They can be painful or itchy, especially during or right after bowel movements. The anus may also seem swollen or irritated at times, usually concentrated near one or more distinct lumps. At times, external hemorrhoids may also bleed when further irritated. Internal hemorrhoids: There are fewer nerves within the rectum, making internal hemorrhoids more difficult to notice at first. In most cases, their presence is only known via blood in one’s stool. When internal hemorrhoids continue to grow and are strained, they may protrude near the opening of the anus, resulting in some irritation or discomfort. Hemorrhoids are not generally considered dangerous to one’s health, but if they are left untreated and continue to grow, their symptoms may worsen. If an external hemorrhoid allows a blood clot to form, the patient will experience even more severe pain and inflammation, calling for more direct treatment. Rectal Bleeding and Hemorrhoids Rectal bleeding, particularly during a bowel movement, is a common sign of hemorrhoids and can be an integral part in their diagnosis. However, do not assume that bloody stool is necessarily an indication of hemorrhoids, as other (often more serious) problems may also present with this symptom. Ulcers and certain cancers, for example, may result in darkened stool or rectal bleeding, both of which require a much different course of action. If you experience any blood in your stool, it is important to speak with a professional as soon as possible so that you may receive the appropriate treatment in a timely fashion. Seek... --- ### Find Relief from Anal Pain due to Fistulas - **URL:** https://www.crssny.com/find-relief-from-anal-pain-due-to-fistulas/ - **Published:** 2015-02-28 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Anal Pain BY DEAN PAPPAS M.D. If you have previously had an anal abscess and are currently experiencing anal pain, there is a high probability that you are suffering from an anal fistula. Approximately half of all anal abscesses develop into fistulas, or small tunnels that connect infected glands inside of the anus to the skin on the buttocks outside the anus. At Colon & Rectal Surgical Specialists of New York in Long Island, our surgeons are experts in treating simple and complex fistulas Fistulotomy is a safe procedure with a long history of success, especially when performed by experienced surgeons such as Drs. Dean P. Pappas, Jules Elliott Garbus, Steven Pelaez, and Mala M. Balakumar of Colon & Rectal Surgical Specialists of New York. If you are suffering from anal pain, we urge you not to wait another moment to have your condition diagnosed and treated.  If you are suffering from another condition, we can provide you with timely diagnosis and treatment. Whatever the case, we can help you find relief from your pain. Risk Factors for Anal Fistulas As stated above, about half of all anal abscesses develop into fistulas, and that accounts for the vast majority of all cases of anal fistulas. However, you may also be at risk of developing an anal fistula if you have: Recently sustained a trauma Tuberculosis Cancer A sexually transmitted disease Crohn’s disease Diverticulitis Anal Fistula Symptoms You should contact Colon & Rectal Surgical Specialists of New York immediately if you are experiencing any of the following symptoms, especially if they are accompanied by fever or chills: Recurring anal abscesses Anal pain Anal swelling Painful bowel movements Drainage of blood or pus from the anus Anal irritation due to drainage In some cases, anal pain may subside after drainage; however, you should not mistake this as a sign that you are no longer affected by a potentially harmful condition. It is essential that you seek diagnosis of your condition even if your pain subsides. Timely treatment is essential to ensuring that a potential infection does not spread to other areas of your body. Surgical Treatment of Anal Fistulas A fistulotomy is one of many options available to treat your fistula.  Fistulotomy involves the opening of the fistula tunnel so that it forms an open groove. The groove can then heal from the inside out. In more complex cases, it may be necessary to insert a drain into the fistula for a period of time before performing the fistulotomy. In most cases, anal fistulas do not return after fistulotomy. Some discomfort is likely for up to a week after the procedure, but this can generally be managed with prescription pain medication. Most patients are able to return to their normal routines within a week or so. In addition to fistulotomy, other options are available such as the placement of an anal fistula plug, trans-anal advancement flap, the application of special glues and the "lift" procedure. The surgeons at CRSSNY are experts in performing these procedures... --- ### Customizing for Comfort: Colonoscopy Prep - **URL:** https://www.crssny.com/customizing-for-comfort-colonoscopy-prep/ - **Published:** 2015-01-31 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Colonoscopy BY DEAN PAPPAS M.D. At Colon & Rectal Surgical Specialists of New York, we understand that most people dread the thought of undergoing a colonoscopy, despite the fact that the diagnostic procedure has the potential to save their lives. This is why we use the latest technology and techniques to make colonoscopies as comfortable and non-intimidating as possible. Regular colonoscopies are necessary to maintaining good health as well as the early detection and timely treatment of pre-cancerous and cancerous tissues. We want patients to view colonoscopies not as something to dread, but as part of their routines - certainly not something to look forward to, but no more painful than any other basic medical exam. One of the reasons that so many people dread colonoscopies is that the preparation stage is generally so unpleasant. The cleaning out of the colon traditionally requires frequent visits to the bathroom, painful cramping, the ingestion of a foul-tasting liquid, and other less-than-savory experiences. While there is no way to make colonoscopy prep an entirely joyful experience, our physicians are able to customize prep plans to make them as comfortable as possible for each individual patient. During consultations at our practice in Long Island, colonoscopy prep is discussed in detail so that our physicians are able to provide solutions tailored to the unique needs of the patient; the custom plan is then laid out in exact detail so that it can be followed to the letter prior to the colonoscopy. This will help to ensure that the colonoscopy is a success. What does colonoscopy prep entail? As stated above, your colonoscopy prep plan will be created specifically for you and will be based on your needs. However, the goal of all colonoscopy prep plans is precisely the same: to flush all waste material out of your colon. In order to perform a colonoscopy, our physicians must have a completely clear view of your large intestine and your colon. Whatever else your custom plan comprises, there are certain elements of colonoscopy prep that you should expect to experience, including: You will not be able to consume solid foods for 24 hours before the procedure. You will be able to consume only clear fluids for 24 hours before the procedure, including water, clear broths, teas, and ice pops and gelatins that are not red or purple. We may recommend Gatorade, which has proven effective in helping to flush the colon while helping the body to remain properly hydrated. You will have to take an agent to promote the cleansing of your colon. While this used to mean that you had to consume approximately a gallon of a liquid solution - which remains an option - there are many other options (that require much less to drink!) that we can employ, if desired. These methods can be discussed during your consultation. Learn More about Colonoscopy Prep Ultimately, while colonoscopy prep may not be the most pleasant experience, we will work to make it as comfortable as possible and -... --- ### Anal Pain- What causes it? - **URL:** https://www.crssny.com/anal-pain-what-causes-it/ - **Published:** 2015-01-15 - **Modified:** 2024-01-23 - **Author:** admin **Categories:** Uncategorized BY STEVE PELAEZ MD Anal pain is a very common problem we see at CRSSNY. Frequently  patients will attribute the pain to hemorrhoids. Hemorrhoids can be one of the more common reasons for anal pain. Specifically the most common reason for hemorrhoidal pain is a thrombosis of the external hemorrhoid, which often appears as a sudden swelling/lump along the outside of the anus. It usually is hard and tender to the touch. Abscess Another cause for pain is an abscess which develops around the anus, and may be  severe and constant. It commonly develops from an infection of the anal glands. The swelling and pain progressively worsens, and the treatment in most cases is drainage of the abscess which can provide immediate relief. Anal Fissure Another anal pain that we commonly see and and treat at CRSSNY is an anal fissure. A fissure is likened to a tear of the anal lining that can result in pain and sometimes bleeding associated with bowel movements. Your Evaluation These are the more common reasons for anal pain. There are other reasons for anal pain but for those described above and less common causes they all require proper evaluation and treatment that is targeted to its unique cause. Schedule For more information on how we help determine your anal pain, call or contact us today! --- ### Sclerotherapy Injections for Hemorrhoids: Common Questions - **URL:** https://www.crssny.com/sclerotherapy-injections-for-hemorrhoids-common-questions/ - **Published:** 2014-12-30 - **Modified:** 2024-01-16 - **Author:** admin **Categories:** Hemorrhoid, Sclerotherapy BY DEAN PAPPAS M.D. At Colon & Rectal Surgical Specialists of New York, we provide patients with ample information about any medical care that they need to undergo. This is what makes us on of the most trusted medical centers for colorectal surgery in the Long Island area. This is particularly helpful for patients suffering from hemorrhoids, and we offer numerous treatments for hemorrhoids that relieve pain and discomfort quickly and effectively. We've previously looked at sclerotherapy as a treatment for hemorrhoids on this blog, but we'd like to revisit the issue by answering some common questions we've received from patients about this treatment option. What are hemorrhoids? Hemorrhoids are blood vessels in the anus that help with stool control. They are a kind of cushion that are important for proper bowel function. When the hemorrhoids become inflamed, they swell and can be very uncomfortable. Generally the term "hemorrhoids" is known for this painful condition rather than just the blood vessels per se. What is sclerotherapy? Sclerotherapy is an injection treatment that helps shrink blood vessels in the body. The treatment is well known in cosmetic surgery practices as a way of treating spider veins. Why is sclerotherapy a good treatment option for hemorrhoids? Given the nature of the injections, sclerotherapy has also proven quite effective as a minimally invasive treatment for hemorrhoids. Rather than resorting to surgery outright, a medical specialist can use a minimally invasive therapy to address the painful condition. What can I expect during sclerotherapy treatment? During the sclerotherapy treatment, the doctor will inject the sclerosant into the area around the hemorrhoids. Multiple hemorrhoids can be treated at once. Patients should notice shrinking of the hemorrhoids and significant reduction in discomfort within a day or so. How effective is sclerotherapy at treating hemorrhoids? Sclerotherapy is quite effective at treating first-degree and second-degree hemorrhoids and is often a go-to treatment for the condition since it is minimally invasive and does not require a significant recovery period. Is sclerotherapy covered by health insurance? Yes. In many cases, sclerotherapy is covered by insurance plans to treat hemorrhoids. Since insurance policies vary, it's important to check directly with your insurance provider. Is sclerotherapy eligible for flexible spending account (FSA) reimbursement? In many cases, sclerotherapy may be eligible for FSA reimbursement when used to treat hemorrhoids. Hemorrhoid creams and medications are similarly covered by FSAs. As with insurance policies, we encourage you to check directly with your FSA provider for more information. Are there alternatives to sclerotherapy for treating hemorrhoids? Yes. If patients do not respond well to non-invasive and minimally invasive treatments for hemorrhoids, there are other options to consider. Alternatives to sclerotherapy include infrared coagulation (IRC), hemorrhoidal ligation, and, hemorrhoidectomy, the last of which tends to be used only when other treatments prove ineffective. We will discuss all options for care in greater detail during your visit to the practice. Schedule a Consultation at Colon & Rectal Surgical Specialists of New York For more information about treating hemorrhoids and other... --- ### Rectal Prolapse - **URL:** https://www.crssny.com/rectal-prolapse/ - **Published:** 2014-12-02 - **Modified:** 2021-04-09 - **Author:** admin **Categories:** Rectal Prolapse BY DEAN PAPPAS M.D. Rectal Prolapse What is rectal prolapse? It is a condition in which the rectum, which is the lower part of the colon and connects to the anus, becomes stretched out and eventually protrudes out of the anus.  Anal sphincter weakness is often associated with rectal prolapse, leading to leakage of mucous or stool.  Although it is seen in both sexes, it is common in women. Why does it happen? There are many factors that contribute to the development of rectal prolapse.  It can come from prolonged straining to have a bowel movement over a long period of time, as one of the later consequences of childbirth, a genetic predisposition, or part of the aging process in which the ligaments supporting the rectum in the pelvis become stretched in addition to the weakness of the anal sphincter muscle.  Pelvic floor dysfunction can lead to rectal prolapse.  Sometimes it can be associated with urinary incontinence and pelvic organ prolapsed as well.  Neurological problems can also lead to prolapse.  However, in most instances, there are multiple causes for the rectal prolapse. Is rectal prolapsed the same as hemorrhoids? They are not the same but can present with similar symptoms. Bleeding and /or tissue protruding from the anus can be seen in both, but rectal prolapse involves protrusion of the bowel located higher in the body while hemorrhoids protrude from near the anal opening. How do you make the diagnosis of rectal prolapse? With a carefully history and complete anorectal examination we can often diagnose the condition in the office.  In the office you may be asked to sit on the toilet and “push” as if you having a bowel movement to demonstrate the rectal prolapse. If it is an “internal” prolapse or “hidden”, the diagnosis may require further studies such as defecography or dynamic pelvic floor MRI. Other examinations could also include anorectal manometry and endorectal ultrasound to evaluate the function of the muscles around the rectum as they relate to having a bowel movement and to look at the sphincter complex if there is an element of incontinence and stretching of the anal sphincter. How is it treated? Initially the constipation and straining need to be addressed as they contribute to the rectal prolapse; usually this is not enough once this has developed and surgery will be required to treat the prolapse. There are 2 approaches to surgery:  an abdominal approach and a rectal approach.  An abdominal approach can often times be done laparscopically or robotically and may include a resection of the redundant intestine. The decision on which approach will be recommended is determined by many factors, including age, physical condition, the extent of prolapse, the results of the various studies, and any other associated pelvic floor problems. How successful is the treatment for rectal prolapse? The majority of patients have their symptoms competely resolved or are significantly helped by the appropriate procedure for rectal prolapse.  It depends on many factors, including the status of the patient’s... --- ### Treating Rectal Bleeding at its Source - **URL:** https://www.crssny.com/treating-rectal-bleeding-at-its-source/ - **Published:** 2014-12-01 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Hemorrhoid BY DEAN PAPPAS M.D. When it comes to health conditions involving the rectum or anus, many patients feel embarrassed about having open conversations with their doctor regarding symptoms or areas of concern. At Colon & Rectal Surgical Specialists of New York, our doctors are trained to care for colorectal disorders. We urge patients to be open and honest regarding issues such as rectal bleeding or anal pain, which may be a sign of a serious health problem. While these conditions need not be a source of embarrassment, they should be a source of concern. If rectal bleeding is a problem, patients should seek professional advice from one of our doctors as soon as possible. We offer our Long Island patients information regarding rectal bleeding causes and treatment and diagnose the source of their bleeding so that appropriate treatment can be offered. Causes Patients should understand that, although rectal bleeding should be a cause of concern, it need not be a reason to panic. There are many possible causes of rectal bleeding, several of which are minor health problems that can be easily treated. Below are the most common causes of rectal bleeding: Anal fissures, or small tears in the skin of the anus Hard stools or chronic constipation Hemorrhoids While one of the above conditions can usually account for rectal bleeding, rarely it is a symptom of a serious disease or health condition, which is why prompt medical attention is always advised when rectal bleeding has been experienced. Below are some diseases and other health problems that may be a cause of rectal bleeding: Certain cancers, such as colorectal cancer and anal cancer Colon polyps Chron’s disease and Ulcerative Colitis Diverticulitis Colon or rectum inflammation Treating Rectal Bleeding Rectal bleeding is treated on a case-by-case basis, with our doctors treating the cause of rectal bleeding in order to eliminate this problem at its source. When rectal bleeding is caused by anal fissures, hemorrhoids, or constipation, the bleeding will be temporary and should subside with non-invasive treatment and at home care to ease the pain that may be associated with rectal bleeding. Treatment may involve the use of topical and/or internal medication (only use those prescribed by our doctors), an increase in fiber intake, and the consumption of at least 10 glasses of water daily. In rare cases, anal fissures may be unresponsive to non-invasive treatment and will require surgery. While rectal bleeding treatments vary, in the cases of cancer or other diseases, invasive treatments will likely be necessary. For instance, colorectal cancer is likely to require surgery to remove any tumors and may also require chemotherapy or radiation treatment. Schedule an Appointment When disease or other chronic health conditions are causing rectal bleeding, our team at CRSSNY is happy to discuss possible treatments for eliminating rectal bleeding and any associated anal pain. Schedule an appointment with one of our colorectal surgeons at your earliest convenience to determine the source of rectal bleeding and learn more about your treatment options. We look forward to... --- ### We Proudly Announce The Opening Of Our New Location In Setauket - **URL:** https://www.crssny.com/we-proudly-announce-the-opening-of-our-new-location-in-setauket/ - **Published:** 2014-11-06 - **Modified:** 2024-01-24 - **Author:** admin **Categories:** Locations BY DEAN PAPPAS M.D. Our new Suffolk County  office is conveniently located at 3400 Nesconset Hwy, Ste 101, Setauket, NY 11733. New Location in Suffolk County! At CRSSNY,  we strive to make your visit to the practice as smooth as possible. Our new location in Setauket, will enable our patients who work or reside in Suffolk County to have easy access to our practice Contact Us For more information on how we can help you, contact us today! --- ### Welcome to our Blog! - **URL:** https://www.crssny.com/welcome-to-our-blog/ - **Published:** 2014-10-16 - **Modified:** 2024-01-18 - **Author:** admin **Categories:** Uncategorized BY DEAN PAPPAS M.D. Welcome to our Blog! More to come soon! --- ### At What Age Should Patients Undergo a Colonoscopy? - **URL:** https://www.crssny.com/at-what-age-should-patients-undergo-a-colonoscopy/ - **Published:** 2014-10-16 - **Modified:** 2024-01-17 - **Author:** admin **Categories:** Colonoscopy, Colorectal Cancer BY DEAN PAPPAS M.D. Colorectal cancer is the most preventable kind of cancer, and a key to prevention is proper screenings and testing. At Colon and Rectal Surgical Specialists of New York here in Garden City, we are committed to helping every patient who visits by providing excellent general care and detailed information. Undergoing a colonoscopy can prevent colorectal cancer and allow for removal of polyps. It's important that people understand when a colonoscopy should be performed, which is what we'd like to go over right now. About Colonoscopy A colonoscopy is a diagnostic procedure that allows colorectal specialists to examine the colon and bowel. The procedure is done by inserting a small tube with a camera at the into the anus. The patient will be sedated while undergoing the colonoscopy in order to minimize pain and discomfort. Prior to undergoing a colonoscopy, the patient will need to pass all solid matter and ingest only clear liquids and a special solution designed to irrigate the bowel. When should I begin getting tested? The vast majority of Americans are recommended to get colonoscopies starting at age 50, with another colonoscopy every 10 years. This applies to most men and women, who have a 1 in 20 risk of developing colorectal cancer. If a person suffers from inflammatory bowel disease (IBD) such as ulcerative colitis or Crohn's disease, the risk of colorectal cancer is higher and screening recommendations will differ. Be sure to consult with your physician about these matters. Why age 50? Cancer risk increases with age, and more than 90 percent of colorectal cancer cases occur in people who are older than 50. Colorectal cancer tends to begin as polyps that take at least 10 years to develop into full-blown cancer. This schedule for testing is a common sense measure. An additional colonoscopy or other diagnostic procedures for the bowel can performed in the intervening years in case of risk or concern. Should I wait on getting a colorectal exam if I'm of average risk? No. Even if your family does not have a history of colorectal cancer, you can still develop colorectal cancer. Getting tested as recommended allows for proper cancer prevention and removal of polyps. Even though colorectal cancer is the most preventable kind of cancer, research finds that it affects approximately 150,000 Americans every year. If more people underwent colonoscopies as recommended, this number would be lower. Is there a cap on patient age for colonoscopy? Generally, colonosopies are not recommended for patients who are older than 85 years old. Sometimes patients may not undergo a colonoscopy at age 80, though this depends on the overall health and wellness of the patient. This should be discussed with your physician if you are older than 75. Learn More Colorectal Surgery For more information about colorectal cancer, prevention of cancer, and special medical care needs for conditions that affect the bowel and digestive tract, be sure contact our colorectal surgery specialists today. We will provide each patient with the information they... --- ## Pages ### Colon & Rectal Surgical Specialists Near Yaphank NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-yaphank-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Wyandanch NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-wyandanch-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Wincoma NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-wincoma-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Wildwood NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-wildwood-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Wheatley Heights NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-wheatley-heights-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Westhampton Dunes NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-westhampton-dunes-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Westhampton Beach NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-westhampton-beach-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Westhampton NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-westhampton-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near West Islip NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-west-islip-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near West Hills NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-west-hills-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near West Babylon NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-west-babylon-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Water Mill NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-water-mill-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Wainscott NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-wainscott-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Wading River NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-wading-river-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Upton NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-upton-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Woodside NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-woodside-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Woodhaven NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-woodhaven-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Whitestone NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-whitestone-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Terryville NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-terryville-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Sunnyside NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-sunnyside-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Springfield Gardens NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-springfield-gardens-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Sunken Meadow NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-sunken-meadow-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Strongs Neck NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-strongs-neck-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Stony Brook NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-stony-brook-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Speonk NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-speonk-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Southold NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-southold-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Southampton NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-southampton-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near South Haven NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-south-haven-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near South Richmond Hill NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-south-richmond-hill-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near South Ozone Park NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-south-ozone-park-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Saint Albans NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-saint-albans-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Rosedale NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-rosedale-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Rockaway Park NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-rockaway-park-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Ridgewood NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-ridgewood-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Richmond Hill NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-richmond-hill-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Rego Park NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-rego-park-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Queens Village NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-queens-village-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Ozone Park NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-ozone-park-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Sound Beach NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-sound-beach-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Smithtown NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-smithtown-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Shoreham NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-shoreham-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Shirley NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-shirley-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Shelter Island Heights NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-shelter-island-heights-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Shelter Island NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-shelter-island-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Setauket NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-setauket-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Selden NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-selden-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Scotts Beach NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-scotts-beach-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Oakland Gardens NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-oakland-gardens-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Middle Village NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-middle-village-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Sayville NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-sayville-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Maspeth NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-maspeth-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Long Island City NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-long-island-city-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Little Neck NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-little-neck-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Kew Gardens NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-kew-gardens-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Jamaica NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-jamaica-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Jackson Heights NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-jackson-heights-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Howard Beach NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-howard-beach-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Hollis NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-hollis-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near San Remo NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-san-remo-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Glen Oaks NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-glen-oaks-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Saltaire NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-saltaire-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Fresh Meadows NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-fresh-meadows-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Forest Hills NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-forest-hills-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Flushing NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-flushing-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Saint James NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-saint-james-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Elmhurst NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-elmhurst-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Sagaponack NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-sagaponack-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near East Elmhurst NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-east-elmhurst-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Sag Harbor NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-sag-harbor-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Corona NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-corona-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Ronkonkoma NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-ronkonkoma-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Rocky Point NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-rocky-point-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near College Point NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-college-point-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Cambria Heights NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-cambria-heights-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Riverhead NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-riverhead-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Breezy Point NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-breezy-point-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Bellerose NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-bellerose-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Bayside NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-bayside-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Ridge NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-ridge-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Remsenburg NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-remsenburg-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Quogue NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-quogue-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Astoria NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-astoria-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Quiogue NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-quiogue-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Arverne NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-arverne-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Promised Land NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-promised-land-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Port Jefferson NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-port-jefferson-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Poquott NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-poquott-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Point O Woods NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-point-o-woods-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Pine Neck NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-pine-neck-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Pine Air NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-pine-air-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Peconic NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-peconic-ny/ - **Published:** 2021-05-27 - **Modified:** 2021-05-27 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Patchogue NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-patchogue-ny/ - **Published:** 2021-05-26 - **Modified:** 2021-05-26 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Queens NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-queens-ny/ - **Published:** 2021-05-26 - **Modified:** 2021-05-26 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Panamoka NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-panamoka-ny/ - **Published:** 2021-05-26 - **Modified:** 2021-05-26 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Orient Point NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-orient-point-ny/ - **Published:** 2021-05-26 - **Modified:** 2021-05-26 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Orient NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-orient-ny/ - **Published:** 2021-05-26 - **Modified:** 2021-05-26 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Suffolk County NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-suffolk-county-ny/ - **Published:** 2021-05-26 - **Modified:** 2021-05-26 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Old Westfield NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-old-westfield-ny/ - **Published:** 2021-05-26 - **Modified:** 2021-05-26 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Old Mastic NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-old-mastic-ny/ - **Published:** 2021-05-26 - **Modified:** 2021-05-26 - **Author:** Brian Winum --- ### Colon & Rectal Surgical Specialists Near Nassau County NY - **URL:** https://www.crssny.com/colon-rectal-surgical-specialists-near-nassau-county-ny/ - **Published:** 2021-05-26 - **Modified:** 2021-05-26 - **Author:** Brian Winum --- --- # Navigation - [Main Documentation Index](https://www.crssny.com/llms.txt): Return to the main documentation overview