A sigmoidoscope is used to examine the rectum and the left side of the colon. This portion of the colon is also known as the lower colon or the sigmoid colon. Sigmoidoscopes can actually be rigid or flexible. However, because flexible sigmoidoscopes extend farther into the sigmoid colon, they are the preferred and more common instrument.
For this exam, bowel preparation is required. The patient may not require sedation. Sigmoidoscopy is a less intense procedure than colonoscopy, but it does not view the entire colon. Therefore, when this procedure is used for cancer screening, it should be done in conjunction with a fecal occult blood test. This type of flexible scope is longer than a sigmoidoscope, so it can examine the full length of the colon.
Therefore, a colonoscope may detect cancer or other problems that are hiding in the far end of the colon. Furthermore, small polyps can be removed during a colonoscopy procedure. Doctors often use rectal instruments to perform surgery in that region.
Minor colorectal surgery procedures can include hemorrhoidectomy for treating hemorrhoids and internal sphincterotomy for treating anal fissures. Doctors can also use surgical tools to obtain tissue samples for biopsy. Colorectal specialists often need specialized proctology instruments for addressing particular concerns. Anal dilation stretches the opening of the anus. These plastic or metal cylinders come in graduated sizes, and patients progress from a smaller size to a larger one as their anal opening becomes more stretched.
These instruments are often rounded on one end to ease insertion. SapiMed Dilatan dilators, for example, have conical ends that widen into cylinders. These dilators can be used hot or cold to enhance the therapy. Dilators can be used to stretch the anus after surgery to prevent the formation of scar tissue and the narrowing of the opening. They can also be useful in the treatment of anal fissures or hemorrhoids. Rubber band ligation is a minimally invasive procedure that is quite effective for the treatment of internal hemorrhoids.
Pain and recovery time are minimal compared to those of many other hemorrhoid removal treatments. In this procedure, a device such as the SapiMed Hemorrhoid Banding Ligator is used to slip a small rubber band around the hemorrhoid.
This disposable device has an angled tip that helps the doctor accurately position the band. Forceps or suction are used to draw the hemorrhoid tissue away from the rectal wall before the rubber band is set in place. The band cuts off blood flow to the hemorrhoidal tissue, so it withers and falls off. Another useful tool for colorectal surgeons is a laser. This instrument can be used to correct a number of colorectal disorders.
Laser ablation can close off the tract of an anal fistula. Treatment with a laser can also shrink a hemorrhoid. Laser treatment typically involves less severe side effects than traditional surgical procedures. They can also offer nonsurgical treatment for some disorders. It may not occur to you to see a colorectal surgeon until another doctor refers you to one. But you may want to ask for a referral if you have symptoms like:. Otherwise, you may go through unnecessary tests or have a delayed diagnosis and treatment.
This can seriously impact your health. Issues related to your rectum, anus, and gastrointestinal tract can be a sensitive area of discussion. But rest assured that this is what a colorectal surgeon does all day, every day. This certification requires ongoing written and oral examinations. Colorectal surgeons must participate in continuing education in the field of proctology. They must also be licensed in the state where they practice.
They work in private practices, clinics, and hospitals. They may have close working relationships with gastroenterologists. To find a colorectal surgeon, start by asking for a referral from your primary care doctor or other healthcare care specialist.
You can also use searchable databases, such as:. If not, you might be less inclined to discuss all your symptoms. During your initial consultation, the colorectal surgeon should be willing to talk about their expertise. Any disorder, problems, check-up related to rectum, anus, colon is handled by a proctologist. Various diseases and conditions related to rectal, colon and anal areas of the body are treated by these.
They are well educated and medical professional that are trained. In some special cases, they work along with the other doctors. Proctologists sometimes work with urologists that are specialists in handling urinary tract and urogenital problems. Commonly, proctologists treat injuries, tears, severe hemorrhoids, constipation, incontinence and anal cancer. Usually, medical issues like constipation, mild or moderate hemorrhoids can be treated by a general practitioner.
In case if the symptoms persist and lasts for several days, then it is better to go to a proctologist. The first thing when you visit a proctologist is to describe the symptoms that you are experiencing, symptoms such as blood in the stools, pain in the anal area, rectal bleeding should be described to the proctologist.
The diagnosis and the treatment will depend on the information provided by the patient. For screening of the colon, the proctologist may provide a test kit. The test kit is used to provide the stool sample to the proctologist. The stool sample is used to check for any blood traces in the stools. If the diagnosis is confirmed, the proctologist will start the treatment for the existing condition. A person expected to go to a proctologist may feel reasonless and unwarranted fear.
The person may feel inconvenient and might postpone the visit to the proctologist for diagnosis and treatment of the condition. Due to this delay, the condition may move to the chronic stage. The person may experience extreme discomfort and pain. Firstly, the doctor takes a medical history of the patient by a detailed conversation, only after this, the doctor conducts the actual examination.
People older than 40 years can visit a proctologist at least once in every two years. People at a younger age can go in case of any complaints. The patient is made to lie on his side for the examination. This side position is same for men and women. A special anesthetic gel is applied by the doctor so that the examination can be painless. Some private proctologists use video diagnostics for inspection. This is called video rectoromanoscopy. With this method of inspection, the patient does not experience any pain.
And the inspection in a good proctologist center should get completed within half an hour. After the examination, once the disease is defined, the diagnosis and treatment can be conducted by the same proctologist. If the hemorrhoid is mild or moderate, then it can be treated by your family doctor. First, the doctor will recommend antihemorrhoid medications. If the hemorrhoid does not respond to medications and there is no improvement in the condition, then it can be checked by a proctologist.
A coloproctologist is usually a male doctor, but just to eliminate discomfort for females there are female proctologists too. For the following conditions, they can be consulted;. All people above the age of 40 are recommended to go for preventive medical check-ups to a proctologist. There are numerous tools used by a proctologist to examine the various parts to do a proper diagnosis.
Proctologists deal with organs that are involved in removing the body wastes. Fine motor skills, sensitivity and compassion is needed by physicians. Usually, patients who go to proctologists have problems of gender, pain, itching, incontinence.
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