Beverly Hills Gastroenterologist Analysis

A gastroenterologist is a doctor who specializes in digestive problems which affects parts such as liver, pancreas, colon, stomach and esophagus. To become a Beverly Hills gastroenterologist, one is required to undergo the necessary training and acquire the relevant licenses before being allowed to operate as gastroenterologist. The entire training takes a minimum of thirteen years which comprises both the classroom study and on the job training. After successful training, the aspiring gastroenterologists are then required to apply for certification and licenses from the relevant authorities. If they meet all the relevant qualifications, then they are given the license which shows that they are competent enough to treat any patient suffering from any of the relevant digestive problems.

Gastroenterologist must offer their services in professionally equipped. This is specifically meant to ensure that the patients care and safety is upheld at all time. Majority of the gastroenterologists uses modern and hi-tech equipments which are more efficient than the traditional equipments. The professional equipments ensure that the patients are treated in the stipulated ways without application of questionable equipments. To ensure that the equipments meet the required standards, the facilities in which the gastroenterologist uses to treat their patients are regularly inspected.

Beverly Hills' patients suffering from any of the conditions in which gastroenterologists diagnoses and treats can get a good doctor through checking on the yellow pages or on various promotional websites. The patients can also contact other patients who had been suffering from similar conditions in the past so as to get information on the best doctors. The different gastroenterologists charges varying fees with the prestigious doctors charging higher than the ordinary ones. Thus it is important for a patient (especially the ordinary and low class patients) to compare the different prices so as to ensure that they do not pay exorbitant prices to a doctor while there is another doctor who would have provided similar treatment at a much lower cost.

A Glance At Anal Fissure

Anal fissure is a tear or cut around the anus and may even extend upwards the anal canal also called the anoderm. Men and women are both affected and even the young and the adults. This is severely painful and may at times bleed.

The cause of the anal fissure may arise after an anal injury. The passage of a hard constipated stool is its most common cause. Other causes of the condition occurs after having diarrhea, giving birth, inflammatory bowel disease (Crohn's)and, sometimes, certain medical procedures like the insertion of endoscope or ultrasound probe can cause trauma, resulting to fissure.

The fissure can either be chronic or acute. It heals within a period of six weeks, if it does not, it is called chronic anal fissure. An acute onset fissure quickly resolves.

The symptom of this condition is characterized by a sharp or burning pain in and around the anus which may be accompanied by blood during bowel movement. A sentinel pile can be seen on the edge of the anus below the fissure. This is a tag of skin and is not a hemorrhoid.

Diagnosis by a doctor is done by gently parting the buttocks to see if there is a fissure. If there is no visible fissure, a cotton swab may be gently inserted into the anus to detect the source of pain. Doctors may refer a patient to a colorectal surgeon if he thinks a situation calls for that.

Most anal fissure heals spontaneously without the need of surgery.
Some very practical methods that can be done are dietary management like incorporating fiber rich food in the diet, stool softeners and frequent warm baths. To reduce the pain during defecation, topical anesthetics like xylocaine, lidocaine, tetracain, and pramoxine are applied. To reduce inflammation a small amount of steroid may be combined with the anesthetic cream.

If surgery is indicated, a sphincterotomy is recommended. Done under anesthesia, the operation involves cutting the anal opening with the division of the lowest part of the sphincter muscle of the anus. It will relieve the spasm and will enable healing of the fissure. The rarest complication of a surgery would be the loss of control of bowel movement.