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Brooke Gurland, MD

Brooke Gurland, MD, is a surgeon with the Department of Colorectal Surgery at Cleveland Clinic.

How You Can Deal With Anal Fissures

Anytime you have pain, bleeding and itching in your anal area, you’re going to worry. First, these are all uncomfortable sensations — there’s no getting around that. And second, they can be scary and make you wonder, “What’s going on?” Many patients will assume hemorrhoids are to blame, but there’s another common culprit behind symptoms … Read More

When Fistula Interferes With Your Life, Get Help

If your bowels and urinary tract are like a plumbing system, a fistula is like an untrained plumber. It connects things that should not be connected. Fistula is a condition in which organs or vessels in your body form abnormal passageways. For example, a connection forms between the anus and vagina or the bladder and … Read More

4 Simple Ways You Can Prevent Hemorrhoids

If you have hemorrhoids, you have plenty of treatment options at your disposal. However, if you have hemorrhoids, you’d probably advise others to avoid getting them in the first place. Hemorrhoids — swollen, inflamed venous cushions in the anal canal — are often painful and itchy and can cause bleeding. But you can avoid these … Read More

You Can Improve Accidental Bowel Leakage

If you experience accidental bowel leakage, don’t shy away from talking about it. It’s not the most pleasant of topics — or experiences — but it is also much more common than you might think. For example, in a 2012 study, nearly 19 percent of women surveyed reported an episode of accidental loss of gas … Read More

Sitting Pretty: Answers to 4 Questions About Hemorrhoids

You have hemorrhoids, even if you don’t know it. In fact, we all have hemorrhoids as a part of our normal blood vessel anatomy. Hemorrhoids, in the more typical and negative sense of the word, happen when these normal vessels in the anal area become swollen or inflamed. If this happens, you may have pain, … Read More

The Scoop on Poop: 5 Facts You Should Know

Your bowels communicate. That may sound strange, but here’s what I mean: Signs of everything from diseases to stress may show up in your bathroom habits. The key is knowing what to look for — and what the signs may mean. There is no normal People are different. So are bowel movements. The size, shape … Read More

Colon Cleansing: Is It Safe?

Colon cleansing, also called colonic hydrotherapy and colonic irrigation, is promoted for digestive troubles such as bloating, colitis, constipation and indigestion. It is also touted for completely unrelated problems. These include arthritis, alcoholism, allergies, lethargy, asthma and skin conditions. While this popular complementary treatment offers a great option for some patients with specific problems, I … Read More

Hemorrhoids: Treatments and Tips

Most people think that any problems in the anal area are hemorrhoids. Whether they experience anal pain, discomfort or even bleeding, they self-diagnose a case of hemorrhoids and put off proper treatment. The problem may well be hemorrhoid-related. But if you have persistent anal pain or see blood on the tissue or in the toilet, … Read More