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Abdominal Pain
Abdominal pain has a number of causes and generally does not last a long time or require testing. If it persists, a physical exam and imaging studies such as a CT scan or x-ray of the abdomen may be required.
Anal Abscess and Fistula
This condition usually starts as an abscess (infection) of one of the anal glands that then grows to the outside. It initially is treated with antibiotics. If the condition continues then surgery is often needed.

Anal Fissure
This is a tear in the lining of the anus, which can be painful and is associated with rectal bleeding. A fissure can be treated successfully with conservative measures, but sometimes surgery is required.

Anal and Rectal Bleeding
Hemorrhoids might be the cause of rectal bleeding, or there may be any number of other reasons. Don’t ignore bleeding. We will work with you to find the cause and treat it.

Anal Rectal Pain
Hemorrhoids sometimes cause pain, but other diseases such as fissure, abscess, fistula, pruritis ani, and muscle spasm are painful. We will find the reason underlying cause of your pain and treat it.

Bowel Obstruction
This is a blockage that keeps food or liquid from passing through the large intestine (colon), caused by surgical adhesions, diverticulitis, hernias and tumors. This is a serious condition that requires prompt medical care.

Colorectal Cancer
Nearly all of these cancers start as a polyp, which can be detected and removed with a colonoscopy. If a polyp is too large to be removed or is found to contain a cancer, then surgery is necessary.

Colonoscopy
This is a painless procedure with very little risk of complications, and is the only screening procedure that can be therapeutic as well as diagnostic, meaning if a polyp is found, it can be taken care of immediately.

Condylomata Anal Warts
The majority of anal warts are caused by benign HPV (human papilloma virus). The warts can be treated in the office or if severe, with surgery. There are medications that treat HPV infections and vaccines to prevent them from occurring.

Constipation
Having fewer than three bowel movements per week is considered "constipation." Most constipation is treated by adding more fiber and water to the diet. In rare cases colon disease may prevent the movement of stool, which is treated with surgery.

Crohn’s Disease
This is an inflammatory bowel disease (IBD) that causes inflammation of the lining of the digestive tract. There is no known cure but symptoms can be managed with drug therapy or surgery.

Diverticulosis and Diverticulitis
Diverticula are pouches that form in the bowel wall, caused by hard stool (not seeds, nuts, popcorn, etc.). The stool gets stuck and erodes through the lining, causing bleeding and/or perforation (diverticulitis). Stool softeners are effective and sometimes surgery is required.

Fecal Incontinence
This is the inability to hold stool or gas in the rectum, sometimes caused by muscle weakness. We have a specially trained therapist to help rebuild strength in the pelvic floor muscles. In rare cases surgery is required.

Gall Bladder – Cholecystitis
This is inflammation of the gallbladder, most often caused by gallstones, bile duct problems and tumors. This can lead to serious complications and often involves gallbladder removal.
Gall Bladder – Gallstones
These are hardened deposits of digestive fluid that can form in your gallbladder. This is a common condition, and people who experience symptoms usually require gallbladder removal surgery.

GERD (Gastroesophageal Reflux Disease)
This chronic disease occurs when stomach acid or stomach content flows back into the esophagus, irritating the esophagus lining and causing GERD. It can usually be managed with lifestyle changes and over-the-counter treatments, but sometimes stronger medications or surgery are needed.

Hemorrhoids
This common condition can be treated conservatively with fiber and fluids. When severe, we can offer treatment in the office or surgery, including non-invasive Transanal Hemorrhoidal Dearterialization (THD).

Hernia – Hiatal
This occurs when part of the stomach pushes upward through the diaphragm. A large hiatal hernia can allow food and acid to back up into the esophagus, causing heartburn. It usually is treated with drug therapy or surgery.

Hernia – Inguinal
This is when the soft tissue lining the abdominal cavity or intestine protrudes through a weak point in the abdominal muscles. It can repair itself, but if not surgery is recommended.

Hernia – Umbilical
This occurs when the intestine protrudes through an opening in the abdominal muscles. In children, umbilical hernias that don’t disappear on their own or those that reappear during adulthood may need surgery.

Irritable Bowel Syndrome (IBS)
IBS is a common disorder that affects the large intestine (colon) and causes cramping, abdominal pain, bloating, gas, diarrhea and constipation. IBS is a chronic condition that is managed long-term.

Laparoscopic Surgery
This uses small incisions, high definition camera, and specialized equipment to work through tiny holes in the abdomen. Pain and recovery time are much less than a large incision.

Non-Healing Wounds
These typically are wounds that do not improve after four weeks or do not heal in eight weeks. People with diabetes, circulatory problems, or compromised immune systems are most vulnerable. A non-healing wound poses the risk of infection, and should be treated.

Pilonidal Cyst
This is an abnormal pocket in the skin that contains hair and skin debris, usually located near the tailbone. If it becomes infected, a painful abscess can form that needs to be removed surgically.

Skin Cancer
This is the abnormal growth of skin cells, often associated with sun exposure. It can also occur on areas of the body not ordinarily exposed to sunlight. Early detection and treatment of skin cancer provides the greatest chance for recovery.

Soft Tissue (Benign) Tumors
These can occur anywhere in the body but are most frequent in the lower extremities, trunk, abdomen and upper extremities. They rarely metastasize. Benign tumors may be very large and deep but are usually soft. If the tumor is painful or bothersome it can be surgically removed.

Ulcerative Colitis
This is an inflammatory bowel disease (IBD) that causes long-lasting inflammation and ulcers (sores) in the digestive tract. It usually is treated with drug therapy or surgery.

Upper GI Endoscopy
This procedure visually examines the upper digestive system using with a tiny camera on the end of a long, flexible tube. It can diagnose and sometimes treat conditions that affect the esophagus, stomach and upper part of the small intestine (duodenum).

Vascular Access (for Chemo)
In this procedure, a small medical appliance ("port") is installed beneath the skin. A catheter connects the port to a vein. Drugs can be injected and blood samples drawn many times through the port, usually with less discomfort than the typical "needle stick." Ports are used mostly to treat hematology and oncology patients.