EXTERNAL Hemorrhoid Rubber Banding?
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- เผยแพร่เมื่อ 26 ก.ย. 2024
- 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!!
Dr. Chung, your voice cadence is perfect. The commenter can speed up replay from 1.25X to 2X
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!
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!
Great delivery of the information. Just the right pace.
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 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!
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 🙏
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
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!
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.
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 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.
When you speed this up you would not even notes that you did. He really does speak in slow motion.
Why can't these be removed and cauterized at the same time as polyps are removed during a colonoscopy?
❤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?
Thank you doc so much for this excellent video. The information was very helpful
I think you are doing well. Thank you for posting this.
I appreciate you saying so!
Thank you so much , I really appreciate your great explanation.
Thank you for sharing your knowledge and information!
I had a doctor band my external emma freuds once and, although it was painful, it worked.
Thank you for clearing up the difference! Now I know I can’t band
THANK YOU SO MUCH DR. CHUNG
VERY INFORMATIVE THANKS THIS CHANNEL.
Im currently suffering with external right now and thank you for i found your videos, i dont know what to do 😢
How are you
Run away as soon as you can.. 😂 that's funny imagining a patient running away from a doctor.
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 !
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
Love your videos and glad you speak slowly so we can all get it 🙏
Excellent advice.
Thank you so much doctor 😊
Thank you for sharing this information with us 😊
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.
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.
Love this guy!
So easy explanation love it
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
Thank you.
You are so great dr.thanks
The bummer is you can’t take pain meds postbanding because they constipate you making the situation worse …
It's scary but thanks for help ❤❤
I have a hemorrhoid that popped out weeks ago and has shrunk since but has not gone away. I have had several in the last 15 years and had to be cut out because of bleeding. When shown to me looked like a raisin. This one is not bleeding and does not hurt just irritating that it is there. Can be pushed up into the anus and will stay mostly until I have bowel movement. Can this kind be banded to get rid of it or do I need to have it cut out again?
You are a good doctor and some time s funny ❤😊
The one I have on the outside now, grade 4, is completely dark purple. Does that mean it thrombosis? Or thrombotic? If that’s even a word, lol. It will not go or stay at all anymore.
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
Answer: it doesn't work and it is very painful. Watch video in 1.5 speed no problem with understanding. Click three dots on top right to change speed.
This guy's answer, is a real pain in the ass 😂😂😂
How does the pain and recovery of having surgery for external hemorrhoids compare with that of a hemorrhoidectomy?
Hello Doctor, do you know if scelotherapy is an option for external hemmoroids also?
Once the external hemorrhoid is removed does it come back? Also is the surgery covered by health insurance?
Wish you were closer to Menifee California can’t find a proctologist in my medical group
sir how about laser surgery on external hemmoroids, because even cutting and stiches will be painful
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.
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
I banded a external with dental floss and a constrictor knot and it did work but WOW it hurt for about 2 weeks. I was eating alot more pain killers than what is healthy but it worked. Definitely not for the faint hearted.
Does it work
Answer the question lad 🙂
Yeah did it work
I think I answered your question in my original comment
My wife is mad at me for considering this but we found your comment and affirmed my suspicions thanks bro. Ten years ends today
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?
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 ...
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 ?
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
Do you get a referral to a Proctologist? Just ask your GP? I may need to investigate this procedure.
First Point. Often it takes months to see a specialist at least it does in Canada so if one rejects banding as suggested by the surgeon.....and try finding a second opinion...we are looking at a year if you can find second one. ...proctologists seem to be a rare breed. and private are nonexistant practically...Secondly I wish there was more discussion of laser treatments as an alternative to using a knife, i have read that recovery is less painful with laser...dont know if thats actually true
Cross the border to America and pay out of pocket. New laser treatment for external hemorrhoids looks the most promising.
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.
Hi Doc, after removing the external hemorrhoid via surgery, will the itching and burning go away?
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!
I got banded for a medium size external hemorrhoid also the doctor cut my anal hole and but cheeks. I’m in so much pain . I can’t use the bathroom without severe pain and bleeding. It’s unbelievable.
Great thanks
My doctor gave me a Banding for my haemorrhoid that is both an internal and also external. Is the doctor right? I still feel the pain after the banding but not as intense as before.
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?
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.
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??
Your right,I’d rather have them out than banding and not working,and then they’d be gone for good 👍
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.
Hi doctor, What do you think of HAL RAR (hameroidpexy) on external hemorrhoid, thanks?
Can’t find a doctor in my area that will remove external hemorrhoids. Can I find one online?
I saw a proctologist/surgeon today who today said he can band my external hemmroids. When i asked "but i thought external ones can't be banded?" He said "i was taught that in school as well until a patient begged me to try and it worked well so ive been doing it for years" so we are going to try 🥴
Don’t do it. I think he lacks experience
@flyandshy00 I was really concerned about that as well ! but he has been a proc/surgeon for 49 years. I asked his nurse/office manager (in private), along with my midwife at a completely different office, all said "oh yes I've seen external ones banded! It works" so I'm on the fence. I decided to wait until after I'm no longer pregnant to try having him band one internal one but I'm feeling desperate after having reoccurring thrombosed hemmroids 😫 from what I'm gathering it'll hurt like heck, if he doesn't band it tight enough the band will fall off too soon wasting your time (and pain) and that the chances off it not working is possible due to infection from the skin being thicker but he is also a wound specialist so I'm just at a loss from what to do because he swears I don't want the hemmroidectomy due to the pain that will cause.
The first artificial heart transplant was done in Kentucky
Sir can I remove santinal skin tag, formed by chronic fissure in ano by rubber band ligation ??
My wife is suffering so bad from this recent procedure. Is this normal?
The creams doesn’t work ??
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?
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.
Thoughts on infrared light
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
This video got me so disappointed 😞 I was calming down today when a doctor told me it's a non painful treatment and it's gonna be effective,the hémorroïde will die
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.
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!
Hello , what about Infrared coagulation ?
Thanks !
What does work for external ones, I’m desperate
What are your top recommendations for external hemorrhoids?
my name is Dr Hanif Setiawan and I am from Indonesia. Several patients came to me and has internal or external hemorrhoids. and I have banded external hemorrhoids on certain patients, patients who have hemorrhoids that are not inflamed or when touched the hemorrhoids do not hurt, you can tie them using a small piece of rubber, in fact you can tie them yourself at home. In most of my patients within 1, 2 days their hemorrhoids shrink and eventually disappear.
You can use dental rubber band size 1/8 , 6,5 oz , you must make sure that it clean 😀
I have a surgeon who is saying he has been banding external hemmroids for over 20 years and offered to band mine. I'm super nervous it will be pointless!
@dfc41 I only bind exte hemorrhoids in certain hemorrhoid patient conditions so that failure will be small. but believe me binding hemorrhoids is very effective and the results are fast. After tying, you must stop activities that put pressure on the back of your body because it can grow new hemorrhoids.
@hanifsetiawan4800 good to know! The Dr said I have 3 internal and 3 external. The external are very large but skin toned (not red or angry looking) almost look more like skin tags.
@hanifsetiawan4800 other then infection or it just simply not working what's the worst that could happen? Any advice if it's atleast safe even if not effective? Also it sounds like I should wait until I'm no longer pregnant then so they aren't as inflamed from the weight of the baby
@@dfc41 There are several patients like you whose condition improves within a few months and some recover without surgery or binding, but I don't know for sure your condition but the best way I can suggest according to my previous patient is to change your lifestyle, don't sit. for too long, eat more fiber, maybe you can consume jelly mixed with fruit or something else, it's very good for digestion and change your sleeping position, don't lie on your back.
what aboit rubber band?
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.
I have a hemorroid that is just on the inside of my anus I believe. It has been there for about three weeks now, it doesn't hurt really, just irritating that it is there. Its not bleeding and can be pushed back in easily and stays most times unless I have a bowel movement or strain. I can walk, run and exercise without issue, can I get it banded or does it need surgery to get rid of it. Also no problem wiping my butt either. Let me know your opinion please,
Thanks Richard
did you fall off a bike? I notice the scrapes and bruising.
thank you doc for saving my wife's ass. No banding for external.
What about stage 4 hemroids?
dr. chung over here suprised people try and band their own roids when there are people out there using fishing line to split their tongues haha
i also wish i had this info BEFORE i went in for my banding surgery cause i thought they were going to be taking care of the external ones and when i came out of surgery i was mad because i thought i got put under just for them to do nothing!
I don't think that you talk too slowly, I think you talk at an acceptable rate for someone to understand you properly.
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 !
Do you accept Texas insurance?