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    <title>NetWellness Colorectal Diseases</title>
    <link>http://www.netwellness.org/healthtopics/colorectal/</link>
    <description>Latest NetWellness content for Colorectal Diseases</description>
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    <lastBuildDate>Fri, 20 Nov 2009 03:12:10 PST</lastBuildDate>
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	<title>Colonoscopy repeat schedule</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: Had a colonoscopy 10 years ago, where one small polyp (size of little fingernail) was removed. 
&lt;p&gt;The interval for repeat colonoscopy under this scenario used to be 10 years, now it is 5-10, I think? 
&lt;p&gt;My question is this... I dislike the procedure so much that I obviously avoid it at all costs . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: The 10 year interval has been calculated by review of many studies, and examination of the natural history of the average polyp. Most polyps grow slowly, and take years to degenerate into cancer. Therefore a 10 year interval for colonoscopy should be acceptable in a person with no symptoms of a prob . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Janice Rafferty MD, Colorectal Diseases</description>
<link>http://www.netwellness.org/question.cfm/76041.htm</link>
    	<author>Janice Rafferty MD</author>
        <pubDate>Sat, 14 Nov 2009 21:11:00 EST</pubDate>
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	<title>Internal hemorrhoid</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I had prolapse internal hemorrhoid band three times the last was 2 weeks ago. I wonder when is the hemorrhois shrink completely because my is still pop out every time I went to the restroom and also. I having very irriate after passed stool feel like burning and urge to want to go the restroom secon . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: The rubber band should pinch off the hemorrhoidal tissue included in it after 7-10 days. If you are still prolapsing tissue after 2 weeks, have the doctor that banded your hemorrhoid take a look and see what the exact issue is. &lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Janice Rafferty MD, Colorectal Diseases</description>
<link>http://www.netwellness.org/question.cfm/75861.htm</link>
    	<author>Janice Rafferty MD</author>
        <pubDate>Thu, 05 Nov 2009 00:11:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75861.htm</guid>
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	<title>Rectal bleeding</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I am 45 yrs old with a family history of colon cancer. My father had stage 3B colon cancer. I had an episode of bright red bleeding with small clots,It was not painful but have had none since ( at least that I can tell). With only seeing this once- should I be concerned or just wait and see if it ha . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: You need a colonoscopy, both for diagnosis of the cause of the bleeding, and because of the increased risk for colorectal cancer in your family. There are different substances to take for the prep, but all cause large volume loose stool, which is necessary to clean out the colon for good visualizati . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Janice Rafferty MD, Colorectal Diseases</description>
<link>http://www.netwellness.org/question.cfm/75848.htm</link>
    	<author>Janice Rafferty MD</author>
        <pubDate>Wed, 04 Nov 2009 00:11:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75848.htm</guid>
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	<title>Abdominal Pain and Rectal Bleeding</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: For the last few years, I have had lower abdominal pain on my left side. At one point, I did have rectal bleeding (again years ago) for a day. For months now, I have had no pain, but this morning (after a hard work out the previous day and night out to dinner with drinks) I experienced the pain agai . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Yes, you should be concerned enough to seek evaluation by a local physician. The cause may be anything from diverticulitis, to inflammatory bowel disease, to a malignant lesion in the colon. It may also be related to hemorrhoidal disease or an infectious process. In any case, your complaints deserve . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Janice Rafferty MD, Colorectal Diseases</description>
<link>http://www.netwellness.org/question.cfm/75616.htm</link>
    	<author>Janice Rafferty MD</author>
        <pubDate>Fri, 23 Oct 2009 10:10:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75616.htm</guid>
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	<title>Headaches and bowel movements</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I am 61 and postmenopausal. Sometimes I get a headache that preceeds, and seems to be relieved by, a bowel movement. I can`t tell if the headache is causing the BM or the BM is causing the headache. Have you heard of this? And do you know what I can do to prevent the headaches? &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: No, I have not heard of this.&amp;nbsp; &lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Janice Rafferty MD, Colorectal Diseases</description>
<link>http://www.netwellness.org/question.cfm/75561.htm</link>
    	<author>Janice Rafferty MD</author>
        <pubDate>Mon, 19 Oct 2009 20:10:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75561.htm</guid>
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	<title>After a sphyncterotomy</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I am a 30 year old male that had a sphyncterotomy 4 months ago. I had an anal fissure and this was the prcedure my doctor performed. However, the pain gain got better but then about 3 months after surgery I was still having bleeding and pussing come from my anus. My doctor looked at it and could not . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: You may have developed an abscess in your surgical site. This can be difficult to see in the office, and may require an exam under anesthesia to clearly delineate. &lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Janice Rafferty MD, Colorectal Diseases</description>
<link>http://www.netwellness.org/question.cfm/75400.htm</link>
    	<author>Janice Rafferty MD</author>
        <pubDate>Sun, 11 Oct 2009 18:10:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75400.htm</guid>
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	<title>Impacted bowel</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: what is the best way to relieve an impacted bowel at home.also what would help to relieve the pain? &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: Fecal impaction can often be relieved with enemas. There are many types of enemas, but all have to be administered very carefully. Since the stool in an impaction is likely to be dry and firm, an enema containing a lubricant and a stimulant often works well. The best step to take however is preventi . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Janice Rafferty MD, Colorectal Diseases</description>
<link>http://www.netwellness.org/question.cfm/75409.htm</link>
    	<author>Janice Rafferty MD</author>
        <pubDate>Sat, 10 Oct 2009 21:10:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75409.htm</guid>
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	<title>Anal fistula</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: I had a cyst after my delivery(2yrs ago) that end up to anal fistula. I want to do surgery,seton, is it good idea? how long it takes? shall i do it? i scare! please help me. I am in pain, that i had it for long time &lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: A Seton keeps the external portion of the fistula open so that infection cannot accumulate under the skin. Occasionally it is done in the office, but often requires anesthesia to be placed. See an expert in proctology, so you can discuss all your options for treatment of this condition; there may be . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Janice Rafferty MD, Colorectal Diseases</description>
<link>http://www.netwellness.org/question.cfm/75348.htm</link>
    	<author>Janice Rafferty MD</author>
        <pubDate>Thu, 08 Oct 2009 15:10:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75348.htm</guid>
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	<title>Is C.diff colitis contagious</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: My mother has been suffering with C.diff colitis for several months. She has been on Flagyl and Vancomycin. It returns after discontinuing anti-biotics. Some medical staff say it isn`t contaigous, some say it is. I`ve read only 3% of the population carry the c.diff spores. My question is, do you thi . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: C. diff. is definitely contagious; those who are in contact with anyone who has it should adhere to strict handwashing techniques, and possibly even wear gloves- especially if they are at higher risk for acquiring infection (on steroids, immunosuppressed by medications, etc). &lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Janice Rafferty MD, Colorectal Diseases</description>
<link>http://www.netwellness.org/question.cfm/75308.htm</link>
    	<author>Janice Rafferty MD</author>
        <pubDate>Wed, 07 Oct 2009 12:10:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75308.htm</guid>
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	<title>Sphincterectomy</title>        
<description>&lt;b&gt;Question&lt;/b&gt;: i had a sphincterectomy 10 weeks ago. I am not back to normal 100%...not yet. redness around the anus, tingling, light pain, feeling of wetness around the anus ...all things that contribute to my discomfort. I suspect the incision that was made to cure the fissure has not healed yet. how long does i . . .&lt;p&gt;&lt;b&gt;Answer&lt;/b&gt;: In general you can return to normal activity when you feel up to it, as long as your surgeon agrees. Make sure to maintain healthy toileting habits- soft stools that pass without the need to strain- so your fissure does not recur! Even with the best of operations, a fissure may recur if hard compact . . .&lt;p&gt;&lt;b&gt;Ask an Expert&lt;/b&gt;: Janice Rafferty MD, Colorectal Diseases</description>
<link>http://www.netwellness.org/question.cfm/75286.htm</link>
    	<author>Janice Rafferty MD</author>
        <pubDate>Mon, 05 Oct 2009 19:10:00 EST</pubDate>
		<guid isPermaLink="true">http://www.netwellness.org/question.cfm/75286.htm</guid>
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