Colonoscopy with anal Fissure or Hemorrhoid flareup...can I wait? I'm so afraid they'll get worse!

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If interested, please email: [e-mail]
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.

[@kathysharp7551]

If only all docs were as ethical and logically practical as you.

[@yourfriendlyproctologist]

I'm a patient too!!

[@gardenjohn1]

@@yourfriendlyproctologist Show me the Money, most if not all doctors are not happy enough !

[@joshuamerica]

@@yourfriendlyproctologist I. Notice when I poop I. Sometimes have bleeding from my. Bottom end is. That. Normal?

[@bethbonome1226]

Finally, a physician who's ethics determine what treatment is most appropriate for the patient. There is a huge conflict of interest in healthcare today. Thank you for your courage in speaking out about this.

[@unforgettxxle]

I was really lucky I was in pain due to fissure was going to get surgery that day i went to the colonoscopy room but my doctor was kind enough to understand my pain and bcoz of my pain they decided not to do a colonoscopy on me

[@carolynwilliams3502]

Thank you much 4 being there ,we learn so much when we visit your channel.

[@kranch173]

Thanks for the honesty. What I know now vs 4 years ago. Hemorrhoid issue do not waste time or money on a gastroglist. Right off the bat-you need a colonoscopy. I said you can see the Hemorrhoids-but his response was need to make sure not other bleeding going on up there. I said, I don't qualify for colonscopy because I am to young for insurance to cover. Finally went to a colorectal doc and he said I will do whatever you want. Hoping the banding procedure works .

[@actioncamsports]

Less than a week ago, I just had colonoscopy with flare / recent bleeding. To put it mildly, I was *very* apprehensive about the whole thing. On my own, I started soft foods and lots of liquids before they told me to start the prep. During the prep, BMs were soft and I quickly went into passing liquids. I pretty much figured out I didn't have a fissure because the liquid and contractions were not roughing anything up, and there was virtually zero bleeding. I was certain that the instruments would rough things up, and prepared at home in advance for a recovery. That didn't happen...I was fine though the whole thing. So, it's possible that you can get through it OK...was for me!

[@olaikintel]

I have extremely painful diarhea rn and endoscopy in a few hours… Idk if i can do it

[@actioncamsports]

@@olaikintel I hope it worked out for you

[@olaikintel]

@@actioncamsports it went really well, didnt feel a thing :)

[@parthosarathimaxotek]

I have had 3 colonoscopies. First in 2014 for IBS, second in 2021 for rectal pain, and third in 2022 for rectal pain (diagnosed as Proctalgia) at age 35. The last one was quite uncomfortable for a week with bloating, some pain, and digestive issues. Doctors here in Kolkata, India do colonoscopies on the same day they prescribe them. They don't even trust their own 1-year-old test report. Ultimately, it is our choice but desperation causes people to undergo these procedures despite the known risks. I wish we had more doctors like you, Dr. Chung.

[@parthosarathimaxotek]

@@dedisorong I have learned to relax my muscle by scrolling through the various streams on my mobile. I would not suggest it to anyone as it goes against the recommended technique of quick in and quick out. But, I am unable to get it to work after years of living a sedentary lifestyle. What I can recommend is sitting straight and using the left hand to slightly grip the left knee and bend backward while trying to pass the stool. This has helped me tremendously. I remember a video Dr. Chung posted where he talked about the angle of the muscle. Some people find it easy to pass stool by bending forward while others feel better bending backward. I don't take any meds anymore. The problem has not completely gone away (like the 10 other chronic problems I have slowly developed after contracting the Delta variant). However, the intensity has lowered a lot and I can go through my day without constantly thinking about it and trying to manage the pain.

[@siasipakistani]

Dr Chung you are very honest and professional.

[@douglasa.5039]

Very Good question because i have a colonoscopy coming up soon. My stress level went down by hearing your calming voice and information. Thank You Dr. Chung for your HONESTY.❤

[@SomeGal]

Excellent video. Thank you for empowering patients. Doctors have too much power.

[@Rogerramjet4321]

Thank you for your honesty. It’s so refreshing.

[@katarinahagberg5491]

Thank you so much for empowering us! This is exactly the conclusion I came to when facing the decision to make a colonoscopy or not. Now I am reassured I made the right decision to skip doing it for the moment.

[@markpinera415]

Hi everyone. I’ve had an anal abscess drainage in ER, 2 anal fistula surgery’s and currently I think I have a fissure and hemorrhoid together. 😅 these videos give me some hope and wish I saw these before all my butt problems. Good luck everyone.

[@sagartripti]

How are you now? @markpinera415

[@millward434]

I’m 38 and went in with blood and mucus in stool and a couple internal hemorrhoids. Dr offered colonoscopy or less invasive treatment with suppositories and creams….i chose colonoscopy. They removed 2 pre cancerous polyps that doc said would have been cancer in 1-2 years….well before age 45.

[@Julia-xf5ps]

I really appreciate this info Dr. Chung. Especially knowing the actual statistics/chances or rectal, anal, colon cancers are so low. It seems everything I read leads us all to believe that cancers are so common place! I have a hard time believing that. It does get me irritated that now colonoscopies are being recommended to folks starting at age 45 (I think) and every 5 years after the age of 60 if your risk of cancer increases…….well who decides that?! The whole medical philosophies and scare tactics just blow my mind. 🤯 and of course this whole thing is in every specialty…. Some of my best physician visits have been with older and experienced doctors, who’ve been around the block so to speak. The young ones seem to be supportive of all the bad thinking, perhaps to save their butt? (rant completed for now 😂) thanks again, you’re not old but you are one of the good ones!

[@rongiovagnoli7560]

It’s all about the money the healthcare system is money driven that’s the reason they scare people to do these procedures. Most of healthcare is unethical period

[@geraldinesarmiento-pableo8666]

Thank you Doctor, you are the first doctor that really makes sense to me. And I’m a nurse

[@sunilkapoor6300]

Sir you are so so comforting in your opinion while many others just give you chilling remarks

[@Sweetie_744]

Thank you so much for the video! I feel so much better.

[@actioncamsports]

Dr Chung: Have you ever heard anyone say that you should do colonoscopy to check for IBDs before treating hemorrhoids? Several years ago, I had a surgeon tell me he wouldn't look at hemorrhoids first...he had to do colonoscopy because if he found some kind of IBD, treatment would be different. I've never heard you mention possibility of inflammatory bowel disease, so I wonder how you weigh in on this.

[@wandamanske8667]

Thank you. One time I needed blood work done and had to fast then the doctor wanted my colonoscopy done. I was so dehydrated and still pooping then at my house I fainted and hit a coffee table that broke both my jaws!

[@gavinnaylor1428]

Thank you Dr Chung for the professional help

[@michaelkyriacou7026]

Sound advice mate,thanks again so much for sharing!! 👍

[@brianharris4275]

They tried to bully and scare me into colonoscopy. Big bucks

[@lisabourque1321]

Thank you Dr. Chung this really helped ease my fears.

[@mukeshbharadwaj4768]

Hello doctor I see all your videos and I have got to learn so much and it has helped me to overcome my fears. Just wanted to have a small request that can you please make a video for erectile disfunction caused after hemorrhoids surgery..

[@tarrozasharvie5983]

thank you with all your efforts to explain everything to us. really helpful Doc.God bless you

[@laurainfinity1390]

Thank you for this info very comforting ☺️

[@nathanieldeans1226]

This only doctor I trust I might save up and go to this doctor to get my hemorrhoids done

[@kathcares]

Would you recommend discussing a non-invasive test like Cologuard instead? If the doctor refuses to consider it, maybe the patient should look for another doctor.

[@yourfriendlyproctologist]

it's an option, but cologuard is a colon cancer/polyp screening tool. When a patient comes in with bleeding the testing is now for diagnostic purposes and the colonoscopy would be the best test in that scenario.

[@kathcares]

@@yourfriendlyproctologist I remember you talking about insurance and what they'll pay for. I just thought that it would help decide the degree of urgency in performing the more invasive procedure, given the information you laid out in the video. If you're going to let a patient spend time healing an anal fissure before a colonoscopy, it would be assuring for the patient to get a more immediate result in a noninvasive manner. Given the odds of there being something other than the anal fissure causing the bleeding, I would think that would be a good option. I realize that the tests are fairly new, but I understand that they look for genetic material, not just blood cells. It always takes a period of time for new technology to be accepted, though.

[@sandracardenas9428]

So glad I found you

[@pedrotheminidashhund6055]

Had colonoscopy, diagnosed with fissure my poop is staying soft...forever. Not going through the pain again. Amen!

[@donnabradley765]

I was getting a barium test and the thing they put into you had sharp edges on it and I told the girl and she said I was over reacting and was just rougher with her insertion! I had a bloody mess when she was done and it took me weeks to heal! I have nightmares about it to this day!

[@thirstyboots6711]

Oh my goodness. So wrong.

[@yourfriendlyproctologist]

Awful!

[@Julia-xf5ps]

This sounds miserable, I’m so sorry. 😢

[@brianharris4275]

Had this happen with Pelvic MRI when the dope put the coil up rectum the contrast needle collapsed the vein .Luckily two other Radiologists came running over and took over . The dope just left without saying anything.I may seek legal counsel

[@brianharris4275]

70% of polpys are found in lower section ? So what's wrong with the sigmoidoscopy? 400 $ instead if 3000$ ? Did Anthony Fauci lie to us?

[@terra_cotta6319]

Why cant every dr be like you 😪

[@FourEyedLadyOriginal]

Dr Chung, can you do a video on Exact Sciences Cologuard & how it compares to the colonoscopy?

[@thirstyboots6711]

Salt on an open wound? I trust you Doc. but I am fearful of this on my raw bottom. Crohn's, fissures, & hemorrhoids PLUS regular colonoscopy prep EQUALS a heck of a lot of discomfort & pain.

[@monasjourney8690]

I'm using regular indian rock salt..it equally works

[@karenwilson3248]

I've recently had the same done to me went to my GP with lumps around my anus and was referred to the lower GI clinic where they was insisted on me having a colonoscopy or flexible sigmoidoscopy worried me crazy to the point i got up one morning and started feeling dizzy and passed out i wish i had a doctor like dr albert chung

[@bmcsma417]

I had a colonoscopy done in October and 3 weeks later. I’ve had a lot of pain during bowel movement’s and blood. The reason I had gotten the colonoscopy done was because of blood in my stool. Now after the colonoscopy I have blood and my stool and extremely hard stools. My colonoscopy and endoscopy results came back negative. What could be the issue?

[@saticritatis2503]

go to another doctor, I'm sure you have a hemorrhoid or a small fissure. take stool softeners and drink room temp water not cold. I also received negative results but a week later it got worse then I got tested somewhere else and turns out i have a acute fissure.i noticed some doctors only test for cancers in most cases.

[@bmcsma417]

@@saticritatis2503what are you taking for your fissure?

[@tss8929]

​@@bmcsma417 Pain during bowel movement indicates you have a fissure or Haemorrhoid. Take laxatives to avoid hard stool and try topical creams to numb the area.

[@brianharris4275]

Magnesium Citrate capsules and soft fiber better for me than stool softener.

[@kellyferguson4999]

Hello Dr. Chung. I wish I would have found you some time ago as I've been struggling for the last 5.5 years. I've had 15 rubberband litigations in 2018 along with a hemorrhoidectomy (3 internal). Another hemorrhoidectomy in 2019 (3 internal) and another hemorrhoidectomy just 4 weeks ago. (2 external 1 skin tag) All completed by the same General Surgeon. I now have another external hemorrhoid because of what I think is the stool is missing the backdoor and pushing up against my pelvic bone and causing bleeding from the pressure. It could take as much as 10 mins of trying to expel the 1st release. My stool is a 3/4 on the Bristol Chart so I am confident that is not entirely the issue. I have been on Restoralax for the last 3 days to see if there will be any change to my daily bowel moment. Is it possible that stool can pass the door and push up against my pelvic bone? Very painful experience. Do you offer any phone consultations/information as I am at a loss and losing steam? Thank you

[@shakrmaker]

So good.

[@WOLF-ib7xx]

What you do, is change what you eat.

[@kristinalapid6793]

Oh I wish I had a doctor like you. Doctors at my hospital treat me like a number 😢

[@Annyd27]

Ohhh Dr. You are my bottomGuru, thanks to your videos it help me to pass my most horrible fissure time, my dad passwd away of colon cancer and since then we have a colonoscopy every 5 years, twice drs find polyps and reduce to every 3 years, next year I have to get one and I am sooooo scared bcs of my fissure, its other way to find out what they want to see??.. a CT.. or whatever else???… and it has to be done every 3 years???…

[@azimhatami8051]

Hi doctor actually it's near 2 months that i have fissure and also visit a doctor and use nefidipine and lidocaine cream and also antibiotics and laxative solution and sitz bath also avoiding spicy, oily and non veg food only using fruits and veg food and only 20%improvements but suddenly it reoccurred worst than before and i obligated to use 2 Ibuprofen tab 400mg to reduce the pain now there is more burning sensation and pain and swelling It possible to tolerate the pain give advice for burning sensation which is killer

[@Annyd27]

Hi Azim, sorry for your pain, it was my worst nightmare, the only thing that really worked for me was get a position at the edge of my bed, kneeled, my head as low on the bed and my bum up, and deep breathing exercises, i know it looks horrible but it works for me, hope it can maybe help you…

[@akashgupta9522]

use jatyadi oil brother it will work

[@sagartripti]

How are you now , did the fissure heal?

[@emilydriscoll609]

Dr. Chung, what is your opinion on flexible sigmoidoscopies as opposed to full colonoscopies as a compromise? @yourfriendlyproctologist

[@soumyadiptamajumder8795]

can I reuse finger cots meant for applying ointment to the haemorrhoids after washing them with soap water???

[@mukeshbharadwaj4768]

Hello doctor, Just wanted to ask that if laxatives help get relief to patients who have narrow bottom end due to trauma caused by wrong surgery then the anus is really narrow in such a case?

[@dianem5406]

I am a 73 year female who had genital shingles 4 months ago. They have healed. No other pain like it as you can imagine. I have since been experiencing post neuralgia pain but mostly near up the back and in front of the rectum and under the buttock area. All on thr right side. I can not sit straight up and still cannot drive or lie flat. I am being followed by my dermatologist who has me on Neurontin for the past 4 months. It appears to be getting somewhat better My question as embarrassing as it is to ask, as a surgeon ever heard of someone having shingles and the neuralgia in this area lasting this long or should I seek out a rectal doctor. Even just you insight or opinion would be appreciated. Thank you

[@Thefunone88]

currently have Iron Deficiency Anemia. Doc wants to send me in for a colonoscopy. I do have some bleeding at times, but its usually post hard stools. Otherwise 0 other symptoms. I didnt even know I had an iron deficiency. Currently taking daily fiber tablets as well as iron and vitamin d3..will go to re-test in a month. Kicking all alch to the curb as well. Not a heavy drinker but Fridays/Sats always put down a few so that could be a contributing cause as well. Guess we will see what happens

[@prabha9349]

I have constipation and fissures and laxatives aren't working and doctors have suggested colonoscopy but I'm quite reluctant :(

[@davidfayfield6594]

Thanks doc for very informative videos. I’ve had rectal bleeding on and off for 20 years. If I’ve had a normal colonoscopy less than 4 yrs ago can I be fairly (I know nothing is certain) reassured that my current rectal bleeding is hemorrhoid origin?

[@judelhernandez980]

I just have a colonscopy done last january 23. may doctor diagnose me to ha an hypertropied anal papilae. he gave me medicine but it still painful when I poop? Can you advise or help me heal may problem. tnx doctor chung

[@DianeLindenberger]

I AGREE....DOCTORS WANT TO DO ALL OF THESE PROCEDURES THAT YOU DON'T NEED JUST TO MAKE MONEY......

[@navneet2649]

@08:53 Lots of love to you and you may get my 2 yrs of life 💖💖💖💖🪔🪔🪔🪔🙏🏼🙏🏼🌱🌱

[@AmalAli-dd9tt]

but what if the pain and stool blood keeps going on for 1 year? no matter what i do the fissure comes back .. i start suffering from this when a doctor prescribed me anti biotic to heal a tooth infection.. the clindamicyn...i am 46 and healthy and fit never smoked or drank... but this damn think wil never heal and its painful as hell when i use the bathroom and for me its out of question to do colonoscopy i rather die then do it..they did an MRI they said they found nothin but the doctors are not able to confirm its a fissure and why i am not healing from it even if am doing amazing with diet and everything..plz doctor can u help me figure this out and save my life from this calamity? can i contact u by phone?

[@drh9494]

how are you now? same with me i hd taken clindamycin and iam struck with anal fissure forever , what did u do after that?

[@AmalAli-dd9tt]

@@drh9494 same..am not healing from it and i eat only soft food and salad ..its been one year now its worse thing ever. u just suffer in silence no one can understand..i tried to sue de company for that medication and they keep telling me to report it online and i know they wont do nothing about it.. i dont know what to do..the doctor keeps telling me to go for a procedure to see why its not healing but i wont listen to them cause they love to do procedures and i will not risk my life..how long u had this fissure for? can i contact u to ask u about it cause i feel am the only one going through this and i want to ask u some questions..thank u for letting me know

[@terra_cotta6319]

Dr. Chung why dont drs do sigmoidoscopy or recral ultra sound??

[@brianharris4275]

They did that to me went in for hemorrhoids after 20minutes Cancer ,Chemo, radiation, after Colinoscopy scarred me death. Drink antifreeze etc.

[@lazaromanyanga7931]

And im going to hospital

[@MrKinser01]

i think some not all doctors want to preform undo tests so they can drive a new BMW

[@edhollett7039]

Yes it did😰

[@terra_cotta6319]

My GI nurse wasnt able to get rhe scope in me for an exam and she said i havd pelvic floor dysfunction and i need a colonoscopy bc i need to be sedated. Maybe if she took the time to go slpw i could have relaced for her to get the scope inside! So frustrating

[@tss8929]

I have a question. How should you start driving after surgery. Butt will be sore even after two weeks. How should you avoid pain while driving.

[@gagetanner1066]

Question, I’m 31 , I have bright red blood coming out and I have also mucus diarrhea. What could that be?

[@aradhanapaswan9799]

Hey, doctor. I'm 22 and from India, about 20 days ago i had experienced 4-5 drops of blood from my butt but it was painless, then the next day i had normal poop, no pain but a single drop of blood when i was taking a piss. It's been 20 days and I have no bleeding and discomfort, but yesterday I had hard poop and there was some pain for some time in my asshole and this morning while washing my butt i felt something small stick out of it which went back in after sometime. Should I get colonoscopy?? And what do you think it is

[@Haha99944]

Did you get colonoscopy? whats the reason behind it. Thank you!!

[@floram9072]

It maybe hemorrhoids or anal fissures

[@floram9072]

I think u must consult a proctologist to diagnose your condition

[@bmcsma417]

Also what would be the cause for light brown poop? Is that normal?

[@rafaelcano5593]

Hi Doc, can i do bath sitz with just epson salt if have hemorrrhoides and anal fissure, im afraid the salt will produce burning sensation because the anal fissure

[@rosemaryandrews1001]

Thanks doctor my but always on fire 😂❤

[@brianharris4275]

Colonoscopy the Gold Standard?

[@Papogonz]

Is it possible to get pelvic floor problem with the colonoscopy?

[@yourfriendlyproctologist]

Yes!

[@lazaromanyanga7931]

Hello ihave problem of stomac

[@floram9072]

What problem?

[@brianharris4275]

3000 for colonoscopy 400 for sigmoidoscopy?

[@LennoxHopkins-sx4ef]

Thanks so much, watching them melt away within 48 hours felt so good, and yes, I used what I mentioned the other day. It actually took a bit more to make them totally disappear, I just go’ogled Melissa Thanderski and days after I still can't believe the comfort.

[@anupmondal4274]

I get pain from fissure even when i get the urge to poop.. Is that normal??

[@sunny4lady]

If you have pain on urge to poop, I’d talk to a doctor! I had a fissure and had pain during and after poop but not on urge!

[@floram9072]

Yes even I have the same issue

[@duckyh9712]

I get pain maybe like 10 mins before I officially poop.

[@floram9072]

@@duckyh9712 I'm healed from fissure within 3 weeks ... Those three weeks were dangerous and horrendous and like a nightmare come true can't forget the pain... Thank God He healed me

[@brianharris4275]

Hectorommny 10,000 bucks

[@yourfriendlyproctologist]

🌟ReVIVOL-XR - sitz bath salts for hemorrhoid, anal fissure, anal itching care: Amazon link: amzn.to/3X4yKS6 Coupon: DOCCHUNG ******UPDATE: the coupon is working! Please make sure you are signed into your Amazon account for the coupon to work.

[@jocelynkarle2859]

Your code doesn't work, Dr. Chung🤔

[@joshuamerica]

I. Notice when poop sometimes I. Bleed from my. Bottom end. Is. That. Normal?

[@yourfriendlyproctologist]

@@jocelynkarle2859 Thank you for letting me know. ReVIVOL-XR is working with Amazon on this issue right now!

[@jocelynkarle2859]

Thank you, Dr Chung.. I got it !!!

[@joshuamerica]

@@yourfriendlyproctologist hi. Doctor Chung. I. Notice when I. Poop I. Would bleed. A. Little from. My. Bottom end is that. Normal??

[@southpawlibranine3511]

Can you have bleeding on tp when hard poops but not when its very soft.

[@southpawlibranine3511]

Can diarhea or fissures cause high calprotectin levels

[@edhollett7039]

Yes it did😰