Brian Chandler, Author at Adler MicroMed

Brian Chandler

Author Archives: Brian Chandler

How to Improve Patient Comfort During Rectal Exams

Rectal exams are an important part of diagnosing hemorrhoids, fissures, fistulas, masses, inflammation, and other anorectal conditions. Yet even when an examination is medically routine, patients may approach it with anxiety, embarrassment, or concern about discomfort. Understanding how to improve patient comfort during rectal exams requires more than simply performing the examination quickly. Communication, privacy, […]

CO2 Laser Condyloma Treatment: Advantages Over Traditional Excision

Anal and perianal condylomas can present a difficult treatment challenge for colorectal surgeons. Lesions may be isolated and superficial, but they can also be multifocal, circumferential, recurrent, or extend into the anal canal. Treatment must remove visible disease while preserving the sensitive anoderm and minimizing unnecessary tissue injury. For appropriately selected patients, CO2 laser condyloma […]

Rubber Band Ligation Complications: What to Watch For and How to Avoid Them

Rubber band ligation is a common office-based treatment for symptomatic internal hemorrhoids. During the procedure, a clinician places a small elastic band around the base of the hemorrhoidal tissue. The band interrupts blood flow, causing the treated tissue to shrink, separate, and eventually leave a small area of scar tissue. Most patients recover without experiencing […]

Anoscopy Procedure Steps: A Practical Guide for Clinicians

Anoscopy is a focused examination of the anal canal and distal rectum used to evaluate concerns such as rectal bleeding, anorectal pain, internal hemorrhoids, inflammation, condyloma, masses, and other distal pathology. The procedure can often be performed without bowel preparation or sedation, but reliable results depend on careful preparation, controlled insertion, systematic visualization, and complete […]

Early Signs of Anal Fistula: When to Refer for Treatment

Anal fistulas can be easy to underestimate in the beginning. A patient may describe a sore spot near the anus, a “boil” that drained, intermittent swelling, or irritation that keeps coming back. In a busy primary care, GI, or colorectal setting, these symptoms may initially resemble hemorrhoids, fissures, folliculitis, or routine skin irritation. However, recognizing […]

Benefits of Outpatient Colorectal Procedures for Patients and Providers

Outpatient care has become an increasingly important part of modern colorectal treatment. For the right patient and the right condition, many anorectal procedures no longer require a traditional hospital admission. This shift can create a better experience for patients while also helping colorectal surgeons use time, staff and clinical resources more efficiently. The benefits of […]

Hemorrhoid Banding Side Effects: What Patients and Doctors Need to Know

Hemorrhoid banding is one of the most common minimally invasive treatments for symptomatic internal hemorrhoids. Also known as rubber band ligation, the procedure involves placing a small band at the base of the hemorrhoid tissue to restrict blood flow. Over time, the treated tissue shrinks, separates, and passes naturally. For many patients, banding offers meaningful […]

Sigmoidoscopy vs Colonoscopy: Key Differences for Diagnosis and Patient Care

When patients hear that they may need a lower GI endoscopic procedure, two terms often come up: sigmoidoscopy and colonoscopy. While both procedures allow clinicians to examine part of the lower digestive tract, they are not the same. Understanding sigmoidoscopy vs colonoscopy is important for colorectal surgeons, GI providers, and patients because each procedure serves […]

How Long Does Rubber Band Ligation Last? What Patients Should Expect

Hemorrhoids are a common condition that can cause discomfort, bleeding, and disruption to daily life. For patients seeking a minimally invasive solution, rubber band ligation (RBL) is often recommended. But one of the most important questions patients ask is: how long does rubber band ligation last? Understanding both the short-term recovery and long-term effectiveness of […]

Rectal Exam Tools: What Clinicians Use and Why It Matters

Rectal exams are a fundamental component of colorectal care, playing a critical role in diagnosing and monitoring a wide range of conditions. From identifying hemorrhoids and fissures to detecting early signs of colorectal cancer, these exams provide valuable clinical insights. At the center of every effective exam are the rectal exam tools clinicians rely on […]

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