Google + Hemorrhoids = WOW!

Happy New Year! I just came across this interesting Huffington Post article and wanted to share!

It speaks of how the search term “Hemorrhoid” has more than doubled on Google since 2008.

Experts say the trend in search is influenced by a number of reasons, primarily including:

  1. People are becoming more comfortable with searching online for medical conditions

  2. It’s a condition that isn’t easy to talk to a doctor about

  3. More advertising is being put into Hemorrhoid treatment services are becoming more common

The article also speaks about what hemorrhoids actually are and how to treat them, which you can also read here on my website.

I highly agree with Dr. Jesse Moore, an assistant professor of surgery at University of Vermont College of Medicine, when he says, "Over-the-counter stuff that people see advertised for hemorrhoids have never been shown in any good scientific study to help hemorrhoids.”

To all my current patients, it’s very important that you come see me (or your primary doctor, to outside readers) if you see blood in your stool (or any kind of discomfort in your rectal area).  I can diagnose the situation and make sure it is indeed a hemorrhoid or fissure, and nothing worse, like a tumor in the colon.

It’s 2014 — a new year to live happy and live healthy.   If you’re suspicious about anything abnormal to your body, call me today, or email me privately!

The internet is a powerful tool for finding solutions to medical conditions, but don’t spend another day procrastinating a treatment once you’ve found your answer.

I got you!

— Dr. Dale

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http://www.huffingtonpost.com/2013/10/11/hemorrhoids-google-searches-information_n_4085099.html

Hemorrhoid Google Searches Skyrocketed Since 2008

By Bahar Gholipour, Staff Writer Published: 10/11/2013 08:19 AM EDT on LiveScience

The number of Americans searching online for information on hemorrhoids and how to treat them seems to have skyrocketed since 2008.

Data gathered from Google searches show that interest in the term "hemorrhoids" more than doubled between 2008 and 2013, according to a LiveScience analysis using Google Trends, a tool that shows how often a particular search term is entered in the search engine, relative to the total search volume in a specific country.

The term "hemorrhoids" was searched about 40,000 times weekly between 2004 and 2008, but this number started to rise during mid-2008, crept up to about 80,000 weekly searches in 2010, and reached nearly 120,000 during some weeks in 2013.

But what does the trend mean?

"My first guess would be that people are becoming more comfortable with the Internet, and they are going to look up more and more things, and hemorrhoids are a common condition," said Dr. Jesse Moore, an assistant professor of surgery at University of Vermont College of Medicine, and attending surgeon at Fletcher Allen Health Care in Burlington, VT.

In fact, one in three American adults have reported going online to try to figure out what medical condition they or someone else might have, according to a national survey conducted earlier this year by Pew Research Center.

It seems possible that conditions such as hemorrhoids might be among the most searched-for online because people may be embarrassed to talk about them with a doctor. But perhaps they shouldn't be: Technically, everybody has hemorrhoids. [7 Embarrassing Health Problems]

What are hemorrhoids?

"One of the misconceptions about hemorrhoids is that 'nobody has it but me.' Actually, everybody has hemorrhoids, but not everybody has symptoms of hemorrhoids," Moore told LiveScience.

Hemorrhoids are normal parts of the human anatomy, and they serve a purpose. These little blood vessels act like water balloons inside the lower rectum, and help people control bowel movements.

But sometimes, hemorrhoids can become swollen or inflamed, causing symptoms such as bleeding or pain.

"I see a lot of people in my office with complaints of hemorrhoids. Only about half of the time is it actually that they have hemorrhoids that are symptomatic," Moore said. Because other conditions can cause the same symptoms, many people mistakenly think they have hemorrhoids.

The most common condition that people mistake for hemorrhoids are fissures, Moore said. Both can cause bleeding.

Fissures, which are tears in the skin of the lower rectum, are usually treated with topical medication applied to the surface of the fissure. However, some patients need surgery, he said.

Dr. Jeffrey S. Aronoff, a colorectal surgeon at Lenox Hill Hospital in New York, said he suspects people may be increasing searching for hemorrhoid information because advertisements about hemorrhoid treatment services are becoming more common.

"It's important that people be aware where they educate themselves about medical issues," because some health websites have inaccurate information, Aronoff said.

The best way to avoid getting symptomatic hemorrhoids or fissures is to avoid constipation and prolonged straining on the toilet. People should eat a high-fiber diet, consuming about 30 grams of fiber, as well as drinking about 2 liters of water a day, Moore said.

Fruits such as apples and pears (with skin) have about 4 to 5 grams of fiber. A bowl of a high-fiber cereal might have up to 8 grams, and a cup of cooked peas, lentils or beans has up to 15 grams of fiber. But there are certain foods that are constipating and should be avoided if people start having problems (bananas, for example).

When too much pressure is positioned on the blood vessels in the rectal area, hemorrhoids may bulge or become swollen. Pregnancy, heavy lifting, and long hours of sitting can increase blood flow into the hemorrhoids and result in their engorgement, increasing the risk of developing symptomatic hemorrhoids, Aronoff said. [9 Conditions That Pregnancy May Bring]

How can hemorrhoids be treated

Hemorrhoids come in two types; there's internal and there's external hemorrhoids, Moore said.

Internal hemorrhoids cause painless bleeding. One treatment option for internal hemorrhoids is to use what is called "rubberbanding," which is strangling the hemorrhoid by tying a rubber band at its base, cutting off the blood flow to the hemorrhoid. This is an outpatient procedure that a doctor performs in the office.

External hemorrhoids happen when hemorrhoids become irritated, and blood clots form under the skin. This is called a thrombosed, or clotted, hemorrhoid, and is painful and can bleed. The usual treatment for external hemorrhoids is to excise them.

"Over-the-counter stuff that people see advertised for hemorrhoids have never been shown in any good scientific study to help hemorrhoids," he said.

Generally, if people see blood in the stool, it's important to see a doctor, especially if they are over 40 years old. A doctor could help make sure the blood is from a hemorrhoid or a fissure, and not from a tumor in the colon, doctors said.

Also, when people experience discomfort in their rectal area, which could be caused by symptomatic hemorrhoids, fissures, warts or other conditions, it's a good idea to see a doctor who can help diagnose the problem.

"A lot of times it's not actually hemorrhoids, and would respond to different treatments," Moore said.

Reminder: Aspirin + Everyday = Lower Risk for Colon Cancer

Q U I C KN O T E

I just wanted to remind everyone that taking a baby aspirin, or 81mg per day, helps lower the risk of colon cancer by 30%.

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Cancer.org

Screening still crucial

One proven method for preventing colon cancer is to get screened for the disease. "It is still very important to get screened for colorectal cancer so that colorectal polyps can be detected and removed before they ever turn into cancer," says Eric Jacobs, PhD, strategic director of epidemiology at the American Cancer Society.

The American Cancer Society recommends regular colon cancer screening for men and women starting at age 50. People who are at a higher-than-average risk of the disease (such as those with a family history of colon cancer) may need to begin getting tested earlier, or have more frequent tests.

That goes even for people who take aspirin regularly for other reasons, Jacobs notes. "Aspirin use will not prevent most cases of colorectal cancer."

New 3-D colonoscopy eases detection of precancerous lesions

This is exciting! http://www.eurekalert.org/pub_releases/2013-07/miot-n3c073113.php

New 3-D colonoscopy eases detection of precancerous lesions

New technology offers three-dimensional images, making it easier to detect precancerous lesions

Cambridge-- MIT researchers have developed a new endoscopy technology that could make it easier for doctors to detect precancerous lesions in the colon. Early detection of such lesions has been shown to reduce death rates from colorectal cancer, which kills about 50,000 people per year in the United States.

The new technique, known as photometric stereo endoscopy, can capture topographical images of the colon surface along with traditional two-dimensional images. Such images make it easier to see precancerous growths, including flatter lesions that traditional endoscopy usually misses, says Nicholas Durr, a research fellow in the Madrid-MIT M+Vision Consortium, a recently formed community of medical researchers in Boston and Madrid.

"In conventional colonoscopy screening, you look for these characteristic large polyps that grow into the lumen of the colon, which are relatively easy to see," Durr says. "However, a lot of studies in the last few years have shown that more subtle, nonpolypoid lesions can also cause cancer."

Durr is the senior author of a paper describing the new technology in the Journal of Biomedical Optics. Lead author of the paper is Vicente Parot, a research fellow in the M+Vision Consortium. Researchers from Massachusetts General Hospital (MGH) also participated in the project.

In the United States, colonoscopies are recommended beginning at age 45, and are credited with reducing the risk of death from colorectal cancer by about half. Traditional colonoscopy uses endoscopes with fiber-optic cameras to capture images.

Durr and his colleagues, seeking medical problems that could be solved with new optical technology, realized that there was a need to detect lesions that colonoscopy can miss. A technique called chromoendoscopy, in which a dye is sprayed in the colon to highlight topographical changes, offers better sensitivity but is not routinely used because it takes too long.

"Photometric stereo endoscopy can potentially provide similar contrast to chromoendoscopy," Durr says. "And because it's an all-optical technique, it can give the contrast at the push of a button."

Originally developed as a computer vision technique, photometric stereo imaging can reproduce the topography of a surface by measuring the distances between multiple light sources and the surface. Those distances are used to calculate the slope of the surface relative to the light source, generating a representation of any bumps or other surface features.

However, the researchers had to modify the original technology for endoscopy because there is no way to know the precise distance between the tip of the endoscope and the surface of the colon. Because of this, the images generated during their first attempts contained distortions, particularly in locations where the surface height changes gradually.

To eliminate those distortions, the researchers developed a way to filter out spatial information from the smoothest surfaces. The resulting technology, which requires at least three light sources, does not calculate the exact height or depth of surface features but creates a visual representation that allows the colonoscopist to determine if there is a lesion or polyp.

"What is attractive about this technique for colonoscopy is that it provides an added dimension of diagnostic information, particularly about three-dimensional morphology on the surface of the colon," says Nimmi Ramanujam, a professor of biological engineering at Duke University who was not part of the research team.

The researchers built two prototypes — one 35 millimeters in diameter, which would be too large to use for colonoscopy, and one 14 millimeters in diameter, the size of a typical colonoscope. In tests with an artificial silicon colon, the researchers found that both prototypes could create 3-D representations of polyps and flatter lesions.

The new technology should be easily incorporated into newer endoscopes, Durr says. "A lot of existing colonoscopes already have multiple light sources," he says. "From a hardware perspective all they need to do is alternate the lights and then update their software to process this photometric data."

The researchers plan to test the technology in human patients in clinical trials at MGH and the Hospital Clinico San Carlos in Madrid. They are also working on additional computer algorithms that could help to automate the process of identifying polyps and lesions from the topographical information generated by the new system.

 

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The research was funded by the Comunidad de Madrid through the Madrid-MIT M+Vision Consortium.

Written by Anne Trafton, MIT News Office