EXTERNAL Hemorrhoid Rubber Banding?
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- เผยแพร่เมื่อ 14 ธ.ค. 2021
- This was a very popular question and requested many times. Here is my take on the topic.
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
I had a doctor band my external hemorrhoid and I did not know and I thought I met my maker. (He told me I was being dramatic and only 1-2% of people feel pain) He scheduled me for a return appointment and I canceled it and went to another doctor. I'm getting surgery now because I was in worse shape than the original doctor let on. Had I known banding on external was NOT a thing I would've spoken up for myself. I ended up in the ER as a result of pain and they had to put me on a drip because I was NOT doing okay. Thank you for your passion and explaining this!
Exactly!!! My wife is so much pain right at this moment from this procedure!!
Thank you Dr. for your explanation of this important and sensitive subject.
It is very comfatable listning to you when you talk slowly it is easier to follow the information. Thank you again 🙏
I’m so glad I found your channel. Thank you for sharing this information.
Wow! After I got my colonoscopy, I was told banding was my only option for my external hemorrhoids! He then said it would probably just come back. So basically this doctor has no idea what he's doing! So glad I found this out! Thank you!
Dr. Chung, your series of videos are the most informative I have ever seen. I have recommended your channel to lots of people now. What is so special about your procedure for removing external hems?
Thank you for your clarification on this subject. I had a doc tell me the same thing and I didn't want to believe him and was even considering finding someone to band the external ones. So glad I didn't and also so glad that I found the proper name for a doctor in this particular field 🙌 I found an amazing woman in my area. Thank you 😊
Glad it was helpful!
Your videos are always a great help, with what can be an uncomfortable topic, in more ways than one! 😲 You provide a very valuable service with your videos.
Thanks for the feedback. It's what I set out to do!
This is the best Doctor i have ever consulted via video!!! I love you Doc
Thankyou doc...i learned a lot here!!i just done mine.i suffered a lot.now i am so free.thanks for this idea.
Dr. Chung, your voice cadence is perfect. The commenter can speed up replay from 1.25X to 2X
Great video Doc...Good information to know for sure... Talking faster doesn't make you smarter... some people think so... You talk fast enough for many... I can tell you think about the words and explanations you use... Very in-depth. Don't change...
Thanks 👍
Thank you doc so much for this excellent video. The information was very helpful
Dr. Chung your videos are very informative. Im glad i came across this one. Ive had both rubber band and hemmeroidectomy. Not pleasant. The rubber band procedure was painless. But the hemmeroid kept coming back. Rach year for 4 years. Finally a few months ago i had to have the hemmeroidectomy because it tripled in size and ihad à fistulotomy ad well. 😢😢 Worst pain ever . Im still recovering because im also a diabetic, type 1.
Pay attention people to this dr he is so right.
Thank you so much , I really appreciate your great explanation.
Good to know. I need to go get something done on my external hemroid and I will heed your warning about doctors who suggest banding. That is so disappointing since it sounds nicer than surgery and stitches.
Thank you for sharing your knowledge and information!
I think you are doing well. Thank you for posting this.
I appreciate you saying so!
THANK YOU SO MUCH DR. CHUNG
VERY INFORMATIVE THANKS THIS CHANNEL.
Thank you for sharing this information with us 😊
Love your videos and glad you speak slowly so we can all get it 🙏
some at work just give me advice about it so i end up watching this ....
im so happy i ddint listen to him .Thank you sir !
❤Thank you for caring so much, Dr. Chung! I will NEVER let anyone band my external hemorrhoid! Thanks to your videos I know for sure what I have and how to treat it. I may have to take that 2 hour drive down to see you one day. You made something scary easy to understand and I no longer fear my bottom end issues!
I'm so glad to hear it, Kathy!
@@yourfriendlyproctologist Thank you for your informative videos. My CR Doc wants to do a band on my grade 1 hemorrhoid. However she states it's and I quote.. it's an internal hemorrhoid with a corresponding external hemorrhoid. What are your thoughts?
Great info --- Thank you! I have a very painful sentinel tag on an external hemorrhoid that I almost want to band myself...but probably won't. ☹️
How are you now bro
Its calming that you speak slowly. Some of us are in pain. You do a good job of making videos, remind yourself and everyone that youre a doctor not an actor. It doesnt have to be perfect.
Thanks for your feedback!
good reply Danny... Talking faster doesn't make you smarter... some people think so...
@@yourfriendlyproctologist Great video Doc...Talking faster doesn't make you smarter... some people think so... You talk fast enough for many...
I started following him specifically because of how he talks. I wish all my doctors were this informative and cheerful!
Thanks Doc that was very informative
After watching so many of your videos and having been recently told I have a prolapsed hemorrhoid that needs to be removed and several internal ones that need to be banded, I'm considering flying from Ecuador to come and see you.
Excellent advice.
Thanks for the info appreciate the knowledge
Thank you so much- this is priceless info.
"Transform your health and wellness with our proven hemorrhoid cure, combining the power of healthy eating and yoga."
visit my channel for Amazon Kindle eBook link for the diet plan and yoga plan . Just follow that for 1-2 month and change your life.
Thank you Dr. Chung for your videos,I find it very helpful.However I'm confused when at 11:52 min. you're saying that the procedure is painful but you write on the screen that the actual procedure is painLess. Please explain. By the way,I like it that you put in the effort of speaking slowly,even if it isn't how you naturally speak.
Thank you so much doctor 😊
Thank you for clearing up the difference! Now I know I can’t band
Wow never knew about this. My dad had his surgically removed but I've just had to learn how to live with mine and calm the flare down or eliminate minor flares from becoming what I dealt with in my younger year's. I'm 33 now and had them since I was 13. Scary seeing poeple struggle with them because I remember what I went through trying to graduate Marine Corp boot camp with a massive flare. I've never been to a doctor just used to minor methods I stumbled upon when I was 22-24 range. Ones kinda extreme and painful and only as a last resort but instantly works. Then the other prevents flares and stops massive flares and is zero pain. So I just learned how to live with it and avoid doing things to cause flares aswell stopping it from becoming a flare.
You are so great dr.thanks
I actually appreciate the slow talking lol it's a pretty good pace lol nothing is worse than going to a video and they are either talking so fast that not even speedy Gonzalez can keep up with but also so slow that the ice in Antarctica would melt before they finish their first sentence. I like a nice normal in-between pace where I can properly and crystal clear understand of what people are saying as many people have a tendency to either twist words confuse words or say the typical: huh? Lol thank you for sharing this with us ☺️
LOL! thanks for saying so!
Okay, I went to three doctors and two say they are stage one (internal) even though one bled. One said the bleeding was a fissure and the other said to use hydrocortisone acetate, as needed--and that they can do a lot at this stage--after he did the colonoscopy. The third was ready to use the O’Regan method after a colonoscopy and have me come back several times, even though he only spent three minutes with me and did not examine me, charging $450 for the three minutes. Three doctors with three outcomes. I went with door #2.
Two of them definitely Crooks
Makes sense , I just had my internals banded with the new CRH O Regan system . I cant really tell a difference because I have external ones as well and that was my main issue . I was hoping those would reduce but apparently not 😢 . I would love to get those removed but he advised me against it .
I also have an issue with that. I'd really like to remove them as well
Many youtubers speak way too fast! One reason I enjoy your videos is because you speak slowly enough for me to fully understand what's being said. Thanks! Please don't change!
Im currently suffering with external right now and thank you for i found your videos, i dont know what to do 😢
How are you
So easy explanation love it
Hi Dr Chung! 👋
Can you please elaborate- what is the special technique you mentioned at 11:43?
Is that different than hemorrhoidectomy surgery?
And if so- can this treatment replace the need for full hemorrhoidectomy for external haemorrhoids?
Thanks!
Btw- I love your channel!
it's great how you provide this super important information in such a pleasant manner 😊
It's my technique I have developed to remove external hemorrhoids in my office. It is not the same as the hemorrhoidectomy surgery. I'm glad you are learning from the vids! Thank you.
@@yourfriendlyproctologist Thanks for answering!
As someone who is deeply afraid from the hemorrhoidectomy surgery- can you share a bit more about this procedure?
Do you accept patients outside the US in your clinic?
If not- are there any details about this procedure you can share so I can ask a local surgeon to perform it?
Thanks!
@@yourfriendlyproctologist Are you saying you are the only doctor doing that surgery? You cannot be the only one ................unless you hold some kind of ownership to it? Are you teaching other doctors to do it? I am desperate to know as I will never have a hemorrhoidectomy. My mother did years ago and I watched as she suffered so much. Help us out here!
@@yourfriendlyproctologist can you tell me doctor how u remove external
@@yourfriendlyproctologistis this a technique that can be done by another dr? I live in TX and just cancelled a hemorrhoidectomy surgery for fear of long recovery and pain.
When you speed this up you would not even notes that you did. He really does speak in slow motion.
Love this guy!
Thank you.
It's scary but thanks for help ❤❤
Hello Dr. I've recently had a colonoscopy and had 4 polyps removed. The surgeon told me that I also have 4 hemorrhoids, 2 internal and 2 external as well as diverticulosis ( lucky or what ?)
My question is: who would be the best type of specialist to perform surgery/banding or something else ?? My GP is quite hopeless at discussing anything - he still thinks COVID 19 is going to jump out and get him--- no office visits, only referrals and phone call up-dates. YIKES !
Find another MD
Hi Doc, I’ve heard that if you’ve had a thrombosed external hemorrhoid that has left a loose skin fold, it’s better to remove this skin fold/external hemorrhoid as it will continually fill with blood with bms and cause problems. Any advice?
I would recommend seeing a specialist. It's difficult for me to say without seeing it.
I have the same issue. Wish there was a clear answer. Did you end up getting it removed?
@@dagrynchsame did you see anyone?
Hello Doctor, do you know if scelotherapy is an option for external hemmoroids also?
You are a good doctor and some time s funny ❤😊
Hi doctor, What do you think of HAL RAR (hameroidpexy) on external hemorrhoid, thanks?
Hi Doc, after removing the external hemorrhoid via surgery, will the itching and burning go away?
Doc wish you were in virginia, love your vids
You speak perfectly. Quite relaxing/calming anyways ngl i like your vids and how you speak.
Great thanks
Do you get a referral to a Proctologist? Just ask your GP? I may need to investigate this procedure.
Once the external hemorrhoid is removed does it come back? Also is the surgery covered by health insurance?
I just had 2 internal hemorrhoids banded, today, I had a list of things I need after surgery as far as creams etc. and I did tell the doctor I wanted Exparel injection along with the other injection and my surgery was about 12:10 PM today August 21 and I am still numb in my anal area at the time of 8:22 PM. I still don’t feel no pain as of yet.
Why can't these be removed and cauterized at the same time as polyps are removed during a colonoscopy?
Traduccion en español, porfavor mil gracias
sir how about laser surgery on external hemmoroids, because even cutting and stiches will be painful
Your right,I’d rather have them out than banding and not working,and then they’d be gone for good 👍
I think I may have a Thrombosed hemorrhoids. I see dark purple some dark bright red. It looks truly frightening. Does this need laser surgery. What should be my path to recovery. Help!
Doctor thanks for the information I go through surgery 8months ago but still paining me because my doctor just banding my external hemorrhoids and I problem with sitting down what can I do? Please help me ...
Hi, Dr. Chung
I am a Asian-American living in Louisiana and I have an internal hemorroid. A year ago I went to see a doctor and they told me that I needed to get a surgery and I did. They put me to sleep when I woke up they told me the hemorroid has been removed but when I got home I still see it hanging and I thought they lied to me. As an Asian living here in america I feel like they don't take me seriously about many thing from the banks, restaurants and especially doctor offices. Do you have any ideas on this? I feel super safe when I am around Asian doctors and i wish all doctors in america were Asian. I apologize for my language because I don't know much about English grammar I wish you the best Dr. Chung.
I wish all doctors in America were aryan. Maybe you should move to asia
@@NwoDispatcher they used Google translate or something, obviously. I doubt he was purposely trying to be racist, chill.
@@Mustaches4017 I love racists
He was deff racist and probably a troll
Nice swastika on your profile picture there, buddy.@@NwoDispatcher
Hello , what about Infrared coagulation ?
Thanks !
My hem doesn’t hurt it’s just annoying and recently it has been bleeding and after I have noticed it has been less prominent. I’ll have get partner to see what colour that bad boy is.
Based on my own experience, DIY infrared ray therapy at home works so well for your external hemorrhoid. Twice a day, 15 minutes each..on the third turn you see so significant result.
Can u share detail please
I am suffering from external hemorrhoids 💔
@@sadafbashirsiddiqi3512 you buy infrared lamp first, then take off your pant stand on your knees and bend over. Let your external hemorrhoid be directly exposed to the infrared ray for max, 15 mins..do it twice a day consistently..on the third turn you will sense significant result
@@BP-ii5wdi have infeared bulb. Will try it
I have few external hemorrhoids. What should I do? Even not feel pain or bleed but I feel uncomfortable with it. Hope you can advise me.
So I just had my first external hemroid. Had to go to emerge They put me on table. Injected freezing. I screamed like you wouldn’t believe and they cut it open. Let it bleed out the pressure. Put some gauze on it. No stitching. And off I went. 3 days now. Changing cause and it keeps oozing and bleeding slowly lessening every day.
I still have pain but allot les pressure than before. Should I see a doctor to get the vein removed ?
My current doctor is telling me I shouldn't get my external ones removed because of the pain, and having to be put to sleep, and that they can come back. Do they really come back after having them cut off? I really don't want to be put to sleep for it in a hospital either. So I'm waiting to do more research.
It must suck to have your job. You're definitely worth every penny you get. I've had banding below the dentate line twice, that sure is painful. That was from two different CRSs with over 20 years of experience.
I love my specialty because it is the BEST specialty!! love my job. Yes, banding is not a fool-proof procedure! It takes someone with skill to do it right.
Did banding help you to get ride of external hmorrhoids
@@sagarbutt6551 No, banding doesn't help with external hemorrhoids, only internal.
What type of local anesthesia/ nerve blocking do you use for in-office exterior hemorrhoid removal?
I use a combination of lido and marcaine along with my special technique!
Should one get rid of external hemorrhoids or can one "live with it"? I have had these for over a year and am worried that it could become cancer?
Do you think chronic use of topical diltiazem for anal fissure can loosen your anal spinchter muscles and make your external hemorrhoid worse?
Thank you!
I do not believe so.
Are there other doctors with a similar technique - compared to your special technique - so that people can avoid hemorrhoid surgery? (Living in Texas for example)
The end goal is removing the hemorrhoid. Ive developed my own version which is essentially painless!
@@yourfriendlyproctologist share the love doc! Share the love lol.
Sir can I remove santinal skin tag, formed by chronic fissure in ano by rubber band ligation ??
My doctor said he had to put me under anesthesia to remove my external hemorrhoid and that he couldn’t just do the external one but had to also do the internal ones. Is it possible to just have the external one removed with a local anesthetic?
Hi doctor, I'm from the doctor today and they refused to remove my extanal hemorrhoids saying they too severe and they can't do anything. They grade 4 n I wanna knw if I can piece them and drain out the blood to decrease the pain?
How to prevent recurrence? I got my hemorrhoids removed with laser 5 years ago and now they have reappeared 😢 Will I need an operation every 5 years??
How does the pain and recovery of having surgery for external hemorrhoids compare with that of a hemorrhoidectomy?
Can’t find a doctor in my area that will remove external hemorrhoids. Can I find one online?
Thank you, now it all makes sense.. my appointment was tomorrow for external banding and canceling..
Will question katerina heavily about the procedure she plans
What was the outcome? Same thing with me my apt is Wednesday for external
Glad i saw this. They just told my boyfriend they want to band his external hemorrhoid
Banding works for the inside because theres no skin covering over the pink shiny intenstinal lining whereas on the outside, it has that skin which renders external banding useless
Run away as soon as you can.. 😂 that's funny imagining a patient running away from a doctor.
Wish I knew this earlier 😢
The first artificial heart transplant was done in Kentucky
It's not being passionate about it, you losing money because if others do it, then what you gonna do, that's, that's your job, and that's how you make money !
Also do you recommend a gastrointestinal doctor for his procedure?
Only procto surgeons do it
Doctor can you tell what is procedure that you do for external I have stage 2
I can only give recommendations for treatment after I have seen you in my office.
Thoughts on infrared light
Will HemWell work on external hemorrhoids?
The bummer is you can’t take pain meds postbanding because they constipate you making the situation worse …
Wish you were closer to Menifee California can’t find a proctologist in my medical group
My wife is suffering so bad from this recent procedure. Is this normal?
All I know..is when it gets bad enough, bleeding in your pants, bleeding when you poop..its time to go get something done.
Do you accept Texas insurance?
If hermoid is in grade 3 can I go with band technique?
What about THD procedure for external hemorroids?
THD is on the list. Stay tuned!
What is the best for external pils
What is special technique for external hemorrhoid? What is the name of the instrument that u showed in this video
It's called a rubber band ligature.
Hello Dr.Chung!
Where is your office? Kindly share a location with us because I suffer a lot of this problem from last 4 years I did surgeries and banding but still I feel hurt when I sit down.