Podcasts about anorectal

This episode discusses four recent articles about lymphogranuloma venereum (LGV) including the effectiveness of a 7-day doxycycline course and the increasing prevalence of asymptomatic LGV in the era of HIV PrEP. View episode transcript and references at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW) and Program Director of the UW Infectious Diseases Fellowship Program. 

Hirschsprung disease. Anorectal and colorectal malformations. These are some of the most challenging surgical problems encountered in young children. The precision of surgical technique required to achieve optimal outcomes takes many years, if not decades, to develop. Colorectal surgery has become a subspecialty in pediatric surgery, requiring close collaboration with other specialists. At Children's Hospital Colorado, we offer this care through our International Center for Colorectal and Urogenital Care, and our surgical team has some of the most experience in the world.  In this episode, we are joined by Andrea Bischoff, MD, and Luis De la Torre-Mondragon, MD. They both specialize in pediatric surgery at Children's Colorado and are associate professors of surgery and pediatrics with a specialty in colorectal surgery at the University of Colorado School of Medicine. Dr. Bischoff is also the Medical Director of the International Center for Colorectal and Urogenital Care here at Children's Colorado.  Some highlights from this episode include:    The importance of pediatric colorectal programs.  A discussion of when surgical intervention is necessary.  A look at what procedures are offered at Children's Colorado and how they work.  The role primary care providers can play as it pertains to identification, referral and care of patients who might need colorectal surgery.  For more information on Children's Colorado, visit: childrenscolorado.org.    

As stewards of anorectal primary care, colorectal surgeons must be well-versed in treating patients with anorectal sexually transmitted infections (STIs).  Join Avery, Biddy, Jon and Sam as they share stories, cases and insights on how they manage STI-related anorectal pathology.  CO-HOSTS Avery Walker, MD, FACS, FASCRS El Paso, TX Avery Walker is dually board-certified in General Surgery and Colorectal Surgery. He earned his medical degree at the University of Illinois in Chicago, his General Surgery residency at Madigan Army Medical Center in Tacoma, Washington, and his Fellowship in Colon and Rectal Surgery at The Ochsner Clinic in New Orleans. A former active-duty officer in the United States Army, Dr. Walker served 13 years as a general and colorectal surgeon with his most recent duty station in El Paso, TX at William Beaumont Army Medical Center. While there he was the Chief of Colon and Rectal surgery as well as the Assistant Program Director for the general surgery residency program. He currently practices colon and rectal surgery at The Hospitals of Providence in El Paso, TX. Dr. Avery Walker is married and has two daughters aged 13 and 9.     Biddy Das, MD, FACS Houston, TX (Twitter @BiddyDas) Dr. Bidhan “Biddy” Das has board certifications for both colon and rectal surgery, and general surgery. His passion for medical education and medical process improvement has resulted in book chapters and publications, and national and regional presentations on those subjects. Highlighting his medical expertise on fecal incontinence, he has been featured on patient education videos and national and international television and radio as a featured expert on these colorectal conditions. Dr Das also has a particular interest in surgeons redefining their careers -- he serves as both a software consultant and private equity consultant in Boston, New York City, and Houston.     Jonathan Abelson, MD, MS Arlington, MA (Twitter @jabelsonmd) Dr. Abelson was born and raised in Scarsdale, New York in the suburbs of New York City.  He has 2 older brothers and both of his parents are dentists.  Dr. Abelson went to college at University Pennsylvania, took 2 years off between college and medical school to work in healthcare consulting.  He then went to medical school at University of Virginia, returned to New York for general surgery residency at Weill Cornell on the upper east side of Manhattan.  Dr. Abelson then did colorectal fellowship at Washington University in St. Louis and am now at Lahey clinic in Burlington, Massachusetts for my first job after training.  He is 2 years into practice and has a wife and two sons. His wife works in wellness consulting and they have a dog named Foster who we adopted in St. Louis.     Sam Eisenstein, MD La Jolla, CA  (Twitter @DrE_UCSD) Sam Eisenstein is an Assistant Professor of Colon and rectal surgery and director of Inflammatory Bowel Disease surgery at UC San Diego Health.  He has worked there for the past 8 years after graduating both residency and fellowship at The Mount Sinai Medical Center in New York.  Sam is best known as the founder and organizer of the IBD-NSQIP collaborative, a large multi institutional data collaborative examining outcomes after IBD surgery, but he also is involved in several clinical trials for perianal Crohn's and has extensive experience with stem cell injections for anal fistulae. He is also on the scientific advisory board for the Crohn's and Colitis Foundation for his work on the next big IBD data collaborative, IBD-SIRQC (Surgical Innovation, Research and Quality Collaborative).  Sam has a Wife and 3 kids (6,8, and 3) and spends most of his free time running around after them these days, but also enjoys traveling and getting out into nature with his family.

Colorectal and General Surgeon Parry Singh discusses common anorectal conditions, including the history, examination and management of haemorrhoids, perianal hematoma, and anal fissures.

Hosts: Jake Lancaster MD, Chief Medical Information Officer and Amanda Comer DNP, System Director, Advanced Practice ProvidersGuest: Jesse Wright MD, Colorectal SurgeonCME Credit Info:Link to complete brief survey and claim CME credit: https://www.surveymonkey.com/r/C55LKSYCME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.

Host/Editor: Dr. Alla Turshudzhyan, Chief Medical Resident at UCONN. Let's talk about how to work up anorectal disease in the ambulatory setting. As primary care physicians, we have a unique opportunity to be the first ones to recognize anorectal pathology and start appropriate and timely work up. Thank you for listening.

On this episode of the Emoroid Digest Podcast we sit down with an expert on anorectal disorders Dr. Arnold Wald. We discuss his service during Vietnam, his time at Johns Hopkins, and of course the ACG Guidelines on Benign Anorectal Disorders. Enjoy the show and don't forget to leave us a review if you haven't already!!   Dr. Wald is a faculty member of the Division of Gastroenterology and Hepatology within the Department of Medicine at the University of Wisconsin.    Host: Dr. Chuma Obineme (GI Fellow) –  https://twitter.com/TypicallySilent  Guest (Dr. Arnold Wald): https://www.medicine.wisc.edu/people-search/people/staff/575/Wald_Arnold Link to ACG Review: https://pubmed.ncbi.nlm.nih.gov/34618700/ Link to Emoroid Digest visual Summary: https://med.emory.edu/departments/medicine/_documents/tran-acg-anorectal-disorders.pdf Link to Emoroid Digest Website: https://med.emory.edu/departments/medicine/divisions/digestive-diseases/education/emoroid-digest.html

There are a variety of anorectal emergencies that present to the emergency department.  Recently, there were updated guidelines made by the World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST).  In this post, we review some of the updated guidelines including for anorectal abscess, perineal necrotizing fasciitis (Fournier's gangrene), bleeding anorectal varices, complicated rectal prolapse (irreducible or strangulated), and retained anorectal foreign bodies.

ASCRS Clinical Practice Guildelines for Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula

We review the Anorectal emergencies: WSES-AAST guidelines on complicated hemorrhoids that include some practice-changers References: FOAMcast.org Thanks for listening! Lauren Westafer

We've discussed ARM and PSARP plenty of times on this podcast but what if the patient also has a significant cardiac anomaly? What's the best way to proceed? Dr. Marc Levitt and Dr. Jason Frischer discuss the complex considerations with guest Dr. Megan Durham. Host: Rod Gerardo, MD

We welcome Mr. Sebastian King Consultant Paediatric Colorectal Surgeon from Melbourne Australia for this guest special episode on anorectal malformations. We thank Mr. Shehryer Naqvi Senior Registrar at the Evelina London Children's Hospital to have kindly recorded this podcast. We discuss the initial management, operative steps and bowel management for patients with an anorectal malformation. Music: www.purple-planet.com

Perianal disease is essentially a disease of tissue surrounding the anus. It comprises a cluster of diseases that greatly affect quality of life. Common symptoms include anal pain, bleeding, discharge, and pruritus (itching). Inflammatory and vascular anorectal disorders discussed here include hemorrhoids, anal fissures, anal abscesses, perianal fistulas, proctitis, and anal itching. After listening to this AudioBrick, you should be able to: Describe the pathophysiology, clinical features, diagnosis, and treatment of hemorrhoids. Describe the pathophysiology, clinical features, diagnosis, and treatment of anal fissures. Describe the pathophysiology, clinical features, diagnosis, and treatment of anal abscesses. Describe the pathophysiology, clinical features, diagnosis, and treatment of anal fistulas. Describe the pathophysiology, clinical features, diagnosis, and treatment of proctitis. Describe the pathophysiology, clinical features, diagnosis, and treatment of anal pruritus. You can also check out the original brick on Inflammatory and Vascular Anorectal Disorders from our Gastrointestinal collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology. *** If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/

JFK got pegged for sure, rimming in the 8th century was totally fine, Ava had an anorectal fistula, and the Fetish of the Week is partial birth abortions.

Anorectal malformation does not only refer to an imperforate anus, but is a spectrum of abnormalities of rectum/ anus possible. It is also associated with other congenital abnormalities known by the mnenomonic 'VACTERL'. Stanleur Capital-Medical practice and personal financial solutions · Anorectal malformation .pdf — PDF (59.2 KB)

Anorectal malformation does not only refer to an imperforate anus, but is a spectrum of abnormalities of rectum/ anus possible. It is also associated with other congenital abnormalities known by the mnenomonic 'VACTERL'. Anorectal malformation .pdf — PDF (59.2 KB)

9. Gastroenterology | Anorectal by Dr Thomas Perkins

#151 Dr. Crane Holmes is a naturopathic physician who strives to provide high-quality, compassionate and individualized care to discover the underlying causes of system imbalances whether physical or emotional. He has a private practice in Portland Oregon where he specializes in digestive issues and men’s health. He is the owner and operator of the SIBO Testing Center where he strives as a small business owner to educate naturopaths on the treatment and diagnosis of SIBO.  He completed two years of medical residency under Dr. Steven Sandberg-Lewis and NUNM Health Centers focusing on gastroenterology and primary care. His clinical internships included rotations with medical professionals in both the naturopathic and conventional medical fields allowing him to confidently integrate the modalities of nutrition, botanical medicine, homeopathy, nature cure, and pharmaceuticals into achieving optimal wellness. He continues to collaborate with NUNM as an adjunct professor teaching dermatology, minor surgery and gastroenterology and is a board member of the GastroANP focusing on post-graduate education with the ultimate goal of creating a fellowship in naturopathic gastroenterology. In this episode we cover: What are the common Anorectal Disorders Symptoms that may indicate someone may have an anorectal disorder Assessments for anorectal disorders Haemorrhoids - what is it, why does it happen and what we can do about it Anal fissures - what is it, why does it happen and what we can do about it Fecal incontinence - what is it, the different types, why does it happen and what we can do about it Pruritus Ani  And so much more

A high-yield question-based review of anorectal diseases including Hemorrhoids, Fissure, Pilonical disease, Hidradenitis, Perianal abscess, Anal Fistula, and Squamous cell carcinoma of the anus. Rapid Question-Based Review

With Patrick Georgoff (georgoff@gmail.com) and Craig Brown (brcraig@med.umich.edu).   Chasing My Cure by Dr. David Fajgenbaum: https://www.amazon.com/dp/B07LDTZBBD/ref=dp-kindle-redirect?_encoding=UTF8&btkr=1. A MUST READ!!!

This is the first episode of a 13-part series on paediatric surgical conditions with expert guest Professor John Hutson AO, interviewed by A/Prof Sebastian King. Professor Hutson is recognised internationally for his research into testicular descent, disorders of sexual differentiation, and colonic dysmotility in children. In this episode, Professor Hutson discusses his approach to the various anorectal malformations in male neonates. Resources: 1. "Jones Clinical Paediatric Surgery" 7th Edition 2015, Eds. Hutson JM, O'Brien M, Beasley SB, Teague WJ, King SK. Published by Wiley Blackwell, Oxford 2. "Paediatric Surgical Diagnosis: Atlas of Disorders of Surgical Significance" 2nd Edition 2018, Eds. Beasley SW, Hutson JM, Stringer M, King SK, Teague WJ. Published by CRC Press, Taylor and Francis Group, London Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

Professor John Hutson shares his experience with managing anorectal malformations in girls including cloacal abnormalities. Professor Hutson is recognised internationally for his research into testicular descent, disorders of sexual differentiation, and colonic dysmotility in children. Disclaimer: This podcast has been produced by The Education Hub, a collaboration between the Royal Children's Hospital and the University of Melbourne Department of Paediatrics. The producers have made considerable efforts to ensure the information contained in the podcast is accurate, evidence-based and up to date at the time of publication however the information and advice offered is intended as a guide only and does not replace the need for clinical expertise and the application of clinical judgment to each individual presentation. This podcast should not be reproduced without the written permission of The Education Hub (Education.Hub@rch.org.au)

Dan talks with Jonathan Baker about regular HPV screenings, anal sex tips, and how to deal with shit.

http://www.augusta.edu/mcg/medicine/gastro/faculty SIBO And SIFO http://learntruehealth.com/sibo-and-sifo/ SIBO (Small Intestinal Bacterial Overgrowth) and SIFO (Small Intestinal Fungal Overgrowth) are two health conditions plaguing many people today. SIBO stands for small intestinal bacterial overgrowth and SIFO stands for small intestinal fungal overgrowth. Respected expert Dr. Satish Rao is here with us today to explain what SIBO and SIFO are all about and how to treat it. This episode was hard for me to do since Dr. Satish Rao is an allopathic doctor. His way of treating SIBO and SIFO is different from experts in Natural Medicine, but his research about SIBO and SIFO is worth talking about. I have been recently tackling topics about gut health and the best treatment for gut issues. So, I highly recommend everyone to listen to episodes 245 and 247. Family of Physicians Dr. Satish Rao came from a family of physicians. His father was a Professor of Medicine and a University Dean. When he was young, Dr. Satish Rao recalls that his father used to carry around a Sheaffer pen with a white dot on it. He wanted the pen, but his father told him only doctors could have that pen. That apparently became Dr. Satish Rao’s motivation to become a doctor. Dr. Satish Rao pursued medical studies in India and took post-graduate studies in England. He, later on, discovered that deficiency of selenium causes cystic fibrosis and muscular dystrophy. Dr. Satish Rao also learned about gastroenterology and focused on research as well as an essential area of the gut called Neurogastroenterology and motility. That branch of medicine was still in its infancy in the early 80s. Dr. Satish Rao was mentored by two outstanding professors and has helped many patients. “We have been able to understand some key disorders and dysfunctions in the gut and find a remedy to help them. That’s been my journey over the past 25 years,” said Dr. Satish Rao. Understanding Nutrition Medical doctors are not taught nutrition and how food plays a significant role in our gut health. We are just given drug after drug. Dr. Satish Rao, on the other hand, identified a new illness that is man-made because of drugs and over prescription. He’s a very conventional doctor but is treated as an outsider by the community. Dr. Satish Rao says he would love to implement diet and a healthy lifestyle as a solution for health problems. Having practiced in three different continents—India, U.K. and the United States, Dr. Satish Rao feels it is tough to teach people proper nutrition, especially in the United States. “One of the hardest things I found in America is to change people’s behavior, culture and eating habits. Every patient in India, asks me restrictions on their diet,” shares Dr. Satish Rao. “But in the United States, I never get that question. Even when I advise them, it is very hard for people to change.”  He adds,”I do believe there are tremendous things one can do to change their lifestyle and behavior and that can do along with healing. But it has to be done in tandem with other things that we can do as physicians and the prescription drugs. It cannot be done without it.”  Right Mindset Dr. Satish Rao also makes it clear that in the long-term, it is not the drugs that are going to help and conquer the problem. He says it is probably their lifestyle issues that will give the long-term remedy. Unfortunately, American and Canadian cultures are similar. Americans and Canadians are not raised to see that their lifestyle has an impact on their health. Countries like India, on the other hand, is more in touch with Holistic healing. “In the U.K., the patient I had were very willing to institute changes and take on recommendations. In the United States, I don’t think people like to change. They may, under some duress but it’s not going to come soon,” predicted Dr. Satish Rao. We have seen a difference in the last five years. I remember having a demographer on the show who said the millennials—aged 14 to 33, have now outnumbered the baby boomers and the generation in between. Millenials have a different mindset, and I hope they would change their mind before it’s too late. Symptoms of SIBO and SIFO Dr. Satish Rao says he tends to see a challenging group of SIBO and SIFO patients from all over the country and internationally as well. He says people suffering from SIBO and SIFO usually have significant unexplained symptoms of bloating, pain and gas. “To characterize if there was indeed an infection in the gut, we look inside the stomach lining or small bowel lining and see if there is anything unusual. Then we’ll take biopsies. Or if there is celiac disease, we will take biopsies, too,” said Dr. Satish Rao. According to Dr. Satish Rao, there’s also a test wherein it takes 24 hours to study a patient’s gut motility. This is to see if the muscles and nerves are working or not. Another option is taking juice from the small bowel to study if there is an infection in the patient’s small bowel. Dr. Satish Rao then sends the specimen to the microbiology lab to see if it would grow any bacteria or fungal organisms. Test Findings Dr. Satish Rao reveals that he has encountered different findings over the years. In the mid-90s, doctors will treat patients with antibiotics if there is a bacterial infection. Treatment for fungus it is administered in another way. Then fast forward 2005 or 2006, Dr. Satish Rao thought of doing further research on SIBO and SIFO. The results became quite controversial. When Dr. Satish Rao and his team looked at the data carefully, they found that a quarter of the patients had exclusive fungal overgrowth. A quarter had a mix of bacteria and fungus. Another group had pure bacteria, and 30 to 40% of patients were clean. “Then I tried to publish that work. But lo and behold, if you’re ahead of the curve in the medical literature, you get frown upon. No one would accept it. They wanted to publish my work on SIBO thought my research about fungus was rubbish,” said Dr. Satish Rao. In around 2010, Dr. Satish Rao finally found a very reputable journal that was willing to publish his findings. For the first time, the SIBO and SIFO were published as a major G.I. article. Now, there was more recognition that this is a valid entity.  When Should We Be Alarmed? Dr. Satish Rao says that a significant growth pertains to a thousand colony-forming fungi per milliliter of fluid or more. Some of them grow a million or more. Aside from that, Dr. Satish Rao says we should also remember the area from where it is growing. “The stomach is full of hydrochloric acid. It has a strong way of attacking and killing bacteria, fungus, and everything,” explains Dr. Satish Rao. “The duodenum is the tube that comes out of the stomach, and we are sampling within the first 6-9 in of the stomach.”  He adds, “It is an area continuously bathed in stomach acid, and it has a very high exposure to the acidic environment. So, in that area, there should be no bacteria or fungus. If there is, then there is a problem.” Unfortunately, Dr. Satish Rao says, looking at symptoms profiles, we are not able to distinguish who has this condition or not. Those who have and don’t have an overgrowth have very similar symptom profiles. And he says that the only way to separate it is by doing the culture. Understanding Fungus Infection Dr. Satish Rao says that fungus infection can be anywhere in the body. Typically, he says people who have an underlying depressed immune system, like with cancer, lymphoma, leukemia, HIV infection, are strong candidates. “These are a prime group of individuals who don’t have the right immunity to ward off infection from fungus. And fungus is naturally present on our skin, in our mouth and areas exposed to the environment. It is normal for them to be there,” Dr. Satish Rao said.  He adds, “But when something happens inside the body like an infection, diabetes, overuse of steroids or antibiotics, it is a risk for fungus infection. But two factors stood out about our patients. One was the use of proton pump inhibitor and the presence of small intestinal dysmotility. They increase the risk to develop SIFO.” Impact of Drugs It is not surprising that the overuse of drugs has an impact on the gut. According to Dr. Satish Rao, the gut has a very interesting program of small intestinal dysmotility, typically the upper gut. Dr. Satish Rao explains that every 90 minutes or so, as long as you remain fasting, there is a beautiful, strong, sweeping process that goes through the gut and sweeps its way through the colon. It happens every 60 to 90 minutes. If this pattern doesn’t happen, they say you have a problem in your small bowel. This means you no longer have the capability to clean its contents. “The problem of SIBO and SIFO is unfortunately man-made. I have been practicing G.I. for 25 to 30 years, and I don’t believe I’ve seen that many patients with these kinds of symptoms for a long time,” said Dr. Satish Rao. “It’s no question that we recognize it, and we are diagnosing it. But we were never using these powerful drugs for this length of time.” Recommended Treatment Dr. Satish Rao usually tries to eradicate the problem through a 3-week course of antifungal therapy with fluconazole. Fluconazole gets absorbed into the bloodstream and acts on the problem. Dr. Satish Rao explains that he has to maintain people on antibiotics because of the underlying gut motility problem. Plus, patients need long-term treatment. “The other component of treatment gets rid of any potential and incriminating factors. If they have a motility problem, I can try and place them on drugs that stimulate motility. Unfortunately, we don’t have many good drugs, so I try to give those drugs in small amounts,” said Dr. Satish Rao. As for administering intravenous magnesium, Dr. Satish Rao has not used it to treat patients. He says magnesium tends to have a calming effect rather than a stimulating effect on gut motility. So that is why it is not Dr. Satish Rao’s drug of choice for his patients. Role Of Food Dr. Satish Rao recommends more acidic-containing food because the fungus hates an acidic environment. This way, we can kill off the fungal bacteria through acidic foods. “But more acidic food can also trigger reflux symptoms. There should be a fine balance between acidic and alkaline foods. Look also at your tolerance for different food products. I usually have my patients do a three-day food chart then come up with a formula diet,” clarifies Dr. Satish Rao.  Other Concerns Dr. Satish Rao also reveals that people who had surgery in the gut, particularly colon surgery, is the classic set up for SIBO. People who had this surgery have disrupted the normal barriers between the small and large bowel. But despite that, Dr. Satish Rao was quick to explain that he’s not disputing the reason for the surgery. He’s just saying that unfortunately, that group of individuals are highly susceptible and prone to SIBO and SIFO. “Most patients go on lifelong antibiotics because we have no other way of preventing it. But I don’t treat them with large doses. I recommend maintenance doses and the easiest regime usually a week to ten days or after a month. There are only a few who need continuously,” said Dr. Satish Rao. Bio Dr. Satish Rao received his MD from Osmania Medical College, Hyderabad, India, his Ph.D. from the University of Sheffield, U.K., and the Fellowship of the Royal College of Physicians (FRCP) in London, UK, in 1997. Having spent 20 years at Iowa where he was a Professor of Medicine and Director, Neurogastroenterology and GI Motility and Biofeedback Program, University of Iowa Carver College of Medicine, Iowa City, Dr. Satish Rao recently moved to Medical College of Georgia, Georgia Regents University, Augusta, Georgia where he is a Professor of Medicine, Division Chief, Gastroenterology/Hepatology and Founding Director, Digestive Health Center.  Dr. Satish Rao is one of a rare breed of academicians who has excelled as an outstanding researcher, distinguished educator and as a Master Clinician. His research interests focus on the pathophysiology and treatment of IBS, food intolerance particularly fructose intolerance, constipation and fecal incontinence and visceral pain, particularly esophageal chest pain.  Dr. Satish Rao is the only physician to date who has received all three meritorious honors from the AGA: the AGA Distinguished Clinician Award, AGA Masters Award for Outstanding Clinical Research, and the AGA Distinguished Educator Award. In 2005, he received an ACG Auxiliary Research Award, and in 2007 the ACG Novartis Motility research award for the best research paper.  Dr. Satish Rao has edited several books, Disorders of the Anorectum (2001), Anorectal and Pelvic Floor disorders (2008) for Gastroenterology Clinics of North America, Gastrointestinal Motility- Tests and problem-Oriented Approach and GI Motility Testing-a Laboratory and Office Handbook (2010, Co-editor). He has published over 300 articles.  Dr. Satish Rao is an astute clinician with an international reputation and has been selected as one of the “Best Doctors in America” and America’s Top Doctors for over 15 years. He is Past President of the American Neurogastroenterology & Motility society. Get Connected With Dr. Satish Rao: Augusta University Recommended links: Episode 226 – Demography – Kenneth Gronbach Episode 245 – Sunlighten Saunas – Connie Zack Episode 247 – Gut Issue – Evan Brand   The Links You Are Looking For: Support Us on Patreon & Join the Learn True Health Book Club!!! 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Join us for an in-depth discussion of acute anorectal emergencies Dr. Scott Steele, Professor and Chairman of the Department of Colorectal Surgery at the Cleveland Clinic (and co-moderator of the Behind the Knife podcast). We cover anorectal abscess, anal fissure, hemorrhoidal crises, rectal prolapse, rectal trauma and rectal foreign bodies.   Moderated by Drs. Firas Madbak and Carrie Valdez  Supplemental materials:Clinical Practice Guidelines from the American Society of Colon and Rectal Surgeons  

Hear David Rothstein and Mary Fallat discuss the importance of transitioning care for pediatric surgery patients with anorectal malformations to an adult colorectal surgeon. 

This episode of CRACKCast covers Rosen’s Chapter 96, Anorectal Disorders. These complaints are sensitive in nature and are not easily volunteered by patients. A sensitive and thorough history is necessary to help resolve these complaints that can be devastating to quality of life.   What are risk factors for the develop of symptomatic haemorrhoids? Describe 4 degrees of internal hemorrhoids and indicated management options Describe the management of non-thrombosed external haemorrhoid & thrombosed external hemorrhoids List causes of fissures. Which type of fissure is suspicious for underlying disease? Describe the treatment of anal fissures – 5 options Which conditions are associated with the development of abscesses and fistulas? List 5 types/sites of anorectal abscess. Which can be drained in ER? What is a pilonidal cyst? How do you treat it? List 8 causes of fecal incontinence. List 8 causes of pruritus ani Describe 6 rectal STI’s and their management List conditions associated with rectal prolapse. Describe the ED management of rectal foreign bodies     Wisecracks: Mixed bag of anorectal stuff - levator ani syndrome, proctalgia fugax, radiation proctitis, hidradenitis suppurativa, and more...

This episode of CRACKCast covers Rosen’s Chapter 96, Anorectal Disorders. These complaints are sensitive in nature and are not easily volunteered by patients. A sensitive and thorough history is necessary to help resolve these complaints that can be devastating to quality of life.   What are risk factors for the develop of symptomatic haemorrhoids? Describe 4 degrees of internal hemorrhoids and indicated management options Describe the management of non-thrombosed external haemorrhoid & thrombosed external hemorrhoids List causes of fissures. Which type of fissure is suspicious for underlying disease? Describe the treatment of anal fissures – 5 options Which conditions are associated with the development of abscesses and fistulas? List 5 types/sites of anorectal abscess. Which can be drained in ER? What is a pilonidal cyst? How do you treat it? List 8 causes of fecal incontinence. List 8 causes of pruritus ani Describe 6 rectal STI’s and their management List conditions associated with rectal prolapse. Describe the ED management of rectal foreign bodies     Wisecracks: Mixed bag of anorectal stuff - levator ani syndrome, proctalgia fugax, radiation proctitis, hidradenitis suppurativa, and more...

In this episode, Dr. Marc Levitt from Nationwide Children’s Hospital discusses complications of anorectal malformations. This episode is brought to you by the Center for Colorectal and Pelvic Reconstruction at Nationwide Children’s Hospital. Our collaborative team performs more than 1,000 procedures each year for kids from around the world. Visit nationwidechildrens.org/CCPR for more information. Table of contents: 00:00 – Play from the beginning 02:29 – Missed perineal fistula in a male 04:47 – Does surgical correction of a missed perineal fistula improve constipation? 05:57 – Physical exam for perineal fistula 07:27 – Perineal fistula in a female 09:50 – Anal sphincter stimulation 12:12 – Recto-urethral fistula 13:53 – Missed cloaca 16:42 – Common colostomy problems 17:39 – Incompletely diverting loop colostomy 18:28 – Transverse colostomy 19:14 – Dr Levitt’s preferred colostomy 20:53 – Anoplasty techniques 23:17 – Distal colostogram 26:34 – Identifying the distal rectum 29:54 – PSARP vs laparoscopy 32:50 – Rectal prolapse 35:27 – Perineal body dehiscence 38:31 – Problems with laparoscopy 40:12 – Problems with PSARP 41:36 – Postoperative soiling 44:33 – Redo pull-through 45:44 – Closing remarks

Discussion with Dr. Andrea Bischoff and Dr. Todd Ponsky regarding evaluation and management of anorectal malformations. Table of contents: 01:19 - Evaluation of the male baby with an anorectal malformation 03:08 - Distinguishing a normal anus from a perineal fistula 04:39 - Associated anomalies 10:19 - Timing of surgical repair 12:45 - Evaluation of the female baby with an anorectal malformation 13:57 - Evaluation of the older child with an anorectal malformation 16:08 - Evaluation of the male baby with a high anorectal malformation 17:38 - What is the ideal colostomy? 19:31 - Distal colostogram 22:19 - Choice of procedure for different anorectal malformations 24:30 - Evaluation of cloacal anomaly 27:28 - Prognosis after repair of anorectal malformations 32:45 - Enema technique 35:58 - Bowel management for incontinence 39:48 - Malone stoma 41:33 - Bowel management for constipation Please send questions and comments to staycurrentpodcast@gmail.com

Knowing the histology and embryology of the anorectal junction helps you to understand why you should band piles above the dentate line, why cancers in the region have different tissues of origin and spread to different lymph nodes. In this video podcast Susan Anderson takes you though important histological features of the large bowel and contrasts them with the different features of the anal canal. Clinical application of these features is also described Dr Susan Anderson is Associate Professor in Pathology at the University of Nottingham, UK

In this episode of The Model Health Show we're talking about the all too taboo subject of pooping. It's something that everybody does, but most people never talk about it. Your digestion and colon health are truly important keys to longevity and overall wellness. If you're not eliminating waste properly, it's only a matter of time before a huge problem shows up. In today's show we're going to cover some critical tips to improve your digestive health and elimination immediately. One of the biggest issues today is not knowing how to poop in the first place (not kidding). We all poop. It's natural. But in our modern society we're trained to poop in a way that's abnormal and can lead to some serious health issues. From the proper pooping position, to optimal nutrition, to emotional issues surrounding digestion, we've got it all for you right now! In this episode you'll discover: Why talking about poop is such a taboo subject. What the puborectalis muscle is and how it controls your bowels. What our natural pooping position is. Why many people today can't get into the right position to poop. The 6 dangers of sitting on a standard toilet. Why a surprisingly high number of people die on the toilet. How your colon recycles waste back into your system. How your digestive health affects your attitude. The shocking length of time that some people go without pooping. How hemorrhoids become inflamed and why they're a big money-maker. What diverticulosis is and why it's a hidden health threat. What your toilet paper use can tell you about your ability to eliminate properly. How poor elimination is connected to colon cancer. What "epigenetics" means and how it influences your life. What important (and overlooked) functions your colon has. The impact that your colon can have on your adrenal glands and energy. Why laxatives give a false sense of good elimination. What prolapse is and why you NEVER want to have this happen. Why you absolutely must have a squatty potty in your home. How to easily give yourself an "inner bath" to hydrate your internal organs. Why popular fiber cereals are not working the way you think they are. What critical nutrition tips will help you have healthy bowel movements. 3 superfoods that can improve your digestion. The emotional issues commonly related to constipation. Why exercise is important to digestive health. Items mentioned in this episode include: Anorectal angle image The Stall - Seinfeld Episode Dr. Norman Walker - Book featuring colon chart The Truth About Breast Cancer - Podcast Cancer Truth with Ty Bollinger - Podcast  Thank you so much for checking out this episode of The Model Health Show. If you haven’t done so already, please take a minute and leave a quick rating and review of the show on Apple Podcasts by clicking on the link below. It will help us to keep delivering life-changing information for you every week! Click Here to Subscribe via Apple Podcasts Click Here to Subscribe via RSS (non-Apple Podcasts feed)

Dr. Adil E. Bharucha discusses his manuscript "Phenotypic Identification and Classification of Functional Defecatory Disorders Using High-Resolution Anorectal Manometry." To view the print version of this abstract go to http://bit.ly/Zp7Aq2.

A study in the February issue of Gastroenterology sought to characterize phenotypic variation in constipated patients through high-resolution anorectal manometry. Dr. Kuemmerle discusses the results with Dr. Adil Bharucha of the Mayo Clinic.