Totally agree with your presentation. After a GI performed colonoscopy on me, they diagnosed Grade IV hemorrhoids, and referred me to a proctologist for surgery. The Proctologist examined me using an anoscope and determined that I had Grade II roids that could be managed without surgery. Two years later, I had another flare up, and wanted the proctologist to do another anoscopy. Unfortunately, he had left the area, and we no longer have a proctologist. The GI, of course, now wants to do another colonoscopy, and refused to do anoscopy. It’s obvious that colonoscopies bring in much more money than the in-office anoscopy. So, I’ll probably drive 90 miles to visit a proctologist. Business people are running most doctor’s practices in our area, forcing private practitioners to merge or leave the area. Aggravating!
Great information, I had a similar situation where it was easier to get an appointment with a Gastroenterologist, but I waited for an opportunity with a colorectal surgeon. Since there will be follow up visits, it is worth getting the right diagnosis and treatment started with the best doctor. I also agree Gastroenterologist are easy to find, colorectal surgeons are not- at least where I live.
the thing that worries me is the possibility that some surgeons are blind to see and address the rootcause of illness. their immediate (and maybe only,) solution is surgery.
I wish I knew this you mention my experience I did not know where to go because I thought I had hemorrhoids, they had a list of what office did, my surprise was when I saw the surgeon he told me I needed a specialist in rectum, I got a little scared because why I need to see a surgeon, besides that I had 2 rectal exam now I am going to the 3rd one. I wish I had found your video before since my insurance doesn't require referrals
I just went to a GI MD/PHd and she said I had a hemorrhoids and she recommended a colonoscopy since I hadn't done one and she wasn't sure. I find it very traumatizing to be put into "twilight" for such a procedure. Now I have to find someone to pick me up and drop me off. : (
I had the same experience when all the doctor wanted to talk about was colonoscopy which wasn’t going to solve the hemorrhoids so why on earth can’t they just be honest when you call to ask questions
I’m so sad, my operation did in charity which is government help me and we don’t need to pay the surgeon, unfortunately after 5 days of my surgery there’s a bump appeared on my anus they said it’s normal but now im 3months post op it became hemorrhoids said by new doctor when I get checked up. I can’t contact the surgeon who did my surgery anymore, she didn’t care about me because it’s free.
GI doctors are useless if you need help with your colon. I've had colorectal cancer and hemorrhoids. The ONLY thing the GI doc has useful for is a colonoscopy. That was useful in finding the cancer very early stage 1 age 43). The GI docs gave me so much incorrect information about hemorrhoid care and colon health that it's astounding! I've seen 5 over the last 6 years. The last told me to get my internal hemorrhoids banded, and for the external, go to the ER! They do not want to talk about colon health. They want to do colonoscopies. That's it!
I have a 3 cm intersphinscteric fistula ..laser surgery was done on 06 August 2022 the wound is only 1 cm .the internal opening is fully closed and the external side left the open..even after 10 days of operation still pus ,some stool piece and gas is coming from the wound (external opening).is it normal ? or internal stiches become open so the reason pus'stool and gas in coming from the external wound .my surgery is done in Dubai ...please guide in this scenario...🙏🙏🙏🙏
Hi doc. Can you please give your opinion on anal streching or dilation in theatre by a surgoen for anal fissures and hemorrhoids. Can you also perhaps explain why when i eat foods that i am sensitive to like dairy and gluten i have severe anal pain. I have kept a food diary and the pain only occurs with these foods and i am suspecting that, that is what is preventing my fissure from fully healing. Have an anal fissure now for 10 months.
"GI doctors are limited and can only treat small hemorrhoids" - banding is perfectly reasonable and recommended up to and including grade 3 hemorrhoids. Only grade 4 or external absolutely require surgery. The vast majority of hemorrhoids are neither external nor grade 4. So to say GI doctors can only treat "small hemorrhoids" is misleading to say the least.
You're entitled to your own opinion. I'm biased and I openly admit it! But try telling that to the hundreds of patients that come to see me after seeing many GI doctors. You might be surprised in what you hear. Do what is right for you!
There's a difference between what is possible and what is optimal. If you have watched Dr. Chung's videos on hemorrhoid banding you would understand that larger hemorrhoids aren't treated as successfully with banding. A colorectal surgeon like Dr. Chung can assess the probability of a positive outcome based on the size and shape of the hemorrhoid better than a G.I., who has no experience or expertise in surgery. The G.I can only perform banding; what are the odds that they would recommend anything else? Dr. Chung has also admitted that there are surgeons who may not be as experienced and honest as he is and perform unnecessary surgeries, with poor outcomes. He has heard his patients' horror stories enough to caution them against following the advice of a G.I. or G.P.; I would trust him!
@@kathcares There are other office procedures GI can do like sclerotherapy, injection, infrared therapy (proctologists can do these as well). But the main idea is the same. These procedures cannot treat large hemorrhoids and the patients will end up being referred to a surgeon. Not trying to put GI or other medical doctors down. BUT! Everyone deserves a chance to hear more information and make a decision for themselves. We all have CHOICE!
@@yourfriendlyproctologist I needed Carpel Tunnel surgery on both my hands. The first doc I saw wanted to put me under general anesthesia and perform both surgeries simultaneously! Great for her, expensive and difficult for me. Possible, but definitely not optimal. The second doc performed the surgeries with a nerve block in his surgical center 3 months apart. My pain and inconvenience were minimal. And the cost was significantly lower. The other issue was that the first doc scheduled the procedure without my consent, and was upset when I refused! Both were qualified surgeons, but the second was a hand specialist. Big difference! And you would think that the hand specialist would have been more expensive.
Totally agree with your presentation. After a GI performed colonoscopy on me, they diagnosed Grade IV hemorrhoids, and referred me to a proctologist for surgery. The Proctologist examined me using an anoscope and determined that I had Grade II roids that could be managed without surgery. Two years later, I had another flare up, and wanted the proctologist to do another anoscopy. Unfortunately, he had left the area, and we no longer have a proctologist.
The GI, of course, now wants to do another colonoscopy, and refused to do anoscopy. It’s obvious that colonoscopies bring in much more money than the in-office anoscopy. So, I’ll probably drive 90 miles to visit a proctologist.
Business people are running most doctor’s practices in our area, forcing private practitioners to merge or leave the area. Aggravating!
The truth hurts for sure.
You are the best proctologist!
Thank you for your honest opinion! Your patients are so fortunate to have you, as are we!😃
Thank you Dr. Chung! I have been making calls to GIs all day after my primary recommended I speak with one. This video has been a great help.
Great information, I had a similar situation where it was easier to get an appointment with a Gastroenterologist, but I waited for an opportunity with a colorectal surgeon. Since there will be follow up visits, it is worth getting the right diagnosis and treatment started with the best doctor. I also agree Gastroenterologist are easy to find, colorectal surgeons are not- at least where I live.
Thank u so much i was so confused this helps a lot
Finally!!!!! Someone to explain this so clearly! Thank you. I hope your videos go viral!
Great information Doctor. I enjoy learning about the difference between Proctologist and GI doctors. Thanks. 🙌🏽
I just made a video on that very recently.
appreciate e transparency on such insight info! Dr Chung is indeed brilliant
the thing that worries me is the possibility that some surgeons are blind to see and address the rootcause of illness. their immediate (and maybe only,) solution is surgery.
Get multiple opinions!
Oh, how I wish you were in the Omaha area! Thank you for all of hemorrhoid videos. I’m learning a lot! 🙂
I was blest to find a hospital practice that has GI & Colorectal doctors that work together.
My butt has been hurting for 2 weeks straight! OTC stiff not helping. Feeling unwell. Have to wait 7 more days to get into the surgeon
I wish I knew this you mention my experience I did not know where to go because I thought I had hemorrhoids, they had a list of what office did, my surprise was when I saw the surgeon he told me I needed a specialist in rectum, I got a little scared because why I need to see a surgeon, besides that I had 2 rectal exam now I am going to the 3rd one. I wish I had found your video before since my insurance doesn't require referrals
I just went to a GI MD/PHd and she said I had a hemorrhoids and she recommended a colonoscopy since I hadn't done one and she wasn't sure. I find it very traumatizing to be put into "twilight" for such a procedure. Now I have to find someone to pick me up and drop me off. : (
I had the same experience when all the doctor wanted to talk about was colonoscopy which wasn’t going to solve the hemorrhoids so why on earth can’t they just be honest when you call to ask questions
Hello Doc, what's your thoughts on electrotherapy for haemorrhoids?
That moment when even GI doctors are not available in your damn country and your only option is internal medicine doctors 😔🤦🏻
Correct, must choose a proctologists
Gi ain’t it :/
I’m so sad, my operation did in charity which is government help me and we don’t need to pay the surgeon, unfortunately after 5 days of my surgery there’s a bump appeared on my anus they said it’s normal but now im 3months post op it became hemorrhoids said by new doctor when I get checked up. I can’t contact the surgeon who did my surgery anymore, she didn’t care about me because it’s free.
As far as Colonoscopies go, who should we consult? A colorectal surgeon or a GI?
GI doctors are useless if you need help with your colon. I've had colorectal cancer and hemorrhoids. The ONLY thing the GI doc has useful for is a colonoscopy. That was useful in finding the cancer very early stage 1 age 43). The GI docs gave me so much incorrect information about hemorrhoid care and colon health that it's astounding! I've seen 5 over the last 6 years. The last told me to get my internal hemorrhoids banded, and for the external, go to the ER! They do not want to talk about colon health. They want to do colonoscopies. That's it!
I have a 3 cm intersphinscteric fistula ..laser surgery was done on 06 August 2022 the wound is only 1 cm .the internal opening is fully closed and the external side left the open..even after 10 days of operation still pus ,some stool piece and gas is coming from the wound (external opening).is it normal ? or internal stiches become open so the reason pus'stool and gas in coming from the external wound .my surgery is done in Dubai ...please guide in this scenario...🙏🙏🙏🙏
Hi doc. Can you please give your opinion on anal streching or dilation in theatre by a surgoen for anal fissures and hemorrhoids. Can you also perhaps explain why when i eat foods that i am sensitive to like dairy and gluten i have severe anal pain. I have kept a food diary and the pain only occurs with these foods and i am suspecting that, that is what is preventing my fissure from fully healing. Have an anal fissure now for 10 months.
Can a GI refer me to a proctologist?
Hi doctor, what do you think of horse chestnut supplements for hemorrhoids? I read so many times that it is beneficial, do you recommend it?
I'm not aware of the benefits with chestnuts.
What specialist to see if having rectum & anus pressure?
I wish you could be in my insurance network
Are all proctologists able to do laser surgeries for fissures and hemorrhoids?
You will need to ask your specialist.
Hello dr
May I question is can hemorrhoids do flat stools?
no, they do not.
"GI doctors are limited and can only treat small hemorrhoids" - banding is perfectly reasonable and recommended up to and including grade 3 hemorrhoids. Only grade 4 or external absolutely require surgery. The vast majority of hemorrhoids are neither external nor grade 4. So to say GI doctors can only treat "small hemorrhoids" is misleading to say the least.
His right, you’re wrong
You're entitled to your own opinion. I'm biased and I openly admit it!
But try telling that to the hundreds of patients that come to see me after seeing many GI doctors. You might be surprised in what you hear. Do what is right for you!
There's a difference between what is possible and what is optimal. If you have watched Dr. Chung's videos on hemorrhoid banding you would understand that larger hemorrhoids aren't treated as successfully with banding. A colorectal surgeon like Dr. Chung can assess the probability of a positive outcome based on the size and shape of the hemorrhoid better than a G.I., who has no experience or expertise in surgery. The G.I can only perform banding; what are the odds that they would recommend anything else? Dr. Chung has also admitted that there are surgeons who may not be as experienced and honest as he is and perform unnecessary surgeries, with poor outcomes. He has heard his patients' horror stories enough to caution them against following the advice of a G.I. or G.P.; I would trust him!
@@kathcares There are other office procedures GI can do like sclerotherapy, injection, infrared therapy (proctologists can do these as well). But the main idea is the same. These procedures cannot treat large hemorrhoids and the patients will end up being referred to a surgeon.
Not trying to put GI or other medical doctors down. BUT! Everyone deserves a chance to hear more information and make a decision for themselves. We all have CHOICE!
@@yourfriendlyproctologist I needed Carpel Tunnel surgery on both my hands. The first doc I saw wanted to put me under general anesthesia and perform both surgeries simultaneously! Great for her, expensive and difficult for me. Possible, but definitely not optimal. The second doc performed the surgeries with a nerve block in his surgical center 3 months apart. My pain and inconvenience were minimal. And the cost was significantly lower. The other issue was that the first doc scheduled the procedure without my consent, and was upset when I refused! Both were qualified surgeons, but the second was a hand specialist. Big difference! And you would think that the hand specialist would have been more expensive.