7/26/2017
Tina Bruefach, PA-C, is one of the best ligation experts in the area.  Our practice uses rubber band ligation, a fast and nonsurgical approach to hemorrhoid treatment.  Unlike a hemorrhoidectomy done by a colorectal surgeon, hemorrhoid banding does not require fasting, sedation, or post-procedure care. It is done in the office and takes just a few minutes.  We believe that the CRH O'Regan System offers the best, quickest, safest, most effective and most comfortable solution for our hemorrhoid patients. 

If you are experiencing internal hemorrhoid pain or bleeding, please give us a call at 407-395-7040 to make an appointment with TIna.  At your visit, she will examine you and confirm your diagnosis.  If she determines that the CRH System hemorrhoid banding procedure is right for you, depending on your insurance and authorization process, you may begin treatment immediately or on a subsequent visit. 

During the procedure, she will use a gentle suction device to place a small rubber band around the base of the internal hemorrhoid where there are no sensitive nerve endings.  The entire process usually takes less than 60 seconds.

Once the banding is in place, it cuts off the blood supply to the hemorrhoid, causing the banded tissue to fall off, typically within a few days.  You will probably notice when this happens.  The hemorrhoid will shrink, relieving your symptoms.

There are typically no restrictive hemorrhoid recovery regimens to follow.  You can resume your normal activities as tolerated.  Simply avoid heavy lifting, rigorous exercise or strenuous activity on the day of treatment.  You may resume all normal activity the next day.

What are you waiting for?  Give us a call, and put an end to your hemorrhoid discomfort.



View More
3/2/2017

Colorectal cancer is the world’s second leading cancer killer – but it doesn’t have to be. If you are 50 years old or older, make it a point to get screened this year. More than 90% of colorectal cancers occur in people aged 50 and older. Precancerous polyps and colorectal cancer does not always cause symptoms, and this is why getting a colonoscopy is so important. Call us today to schedule your consultation and help us make this disease "preventable, treatable, and beatable."


View More
12/28/2016


The start of a New Year is the perfect time to make positive changes that will bring health, happiness and prosperity. For GERD sufferers, that could mean adopting a new diet to prevent the occurrence of heartburn. Many cases of GERD can be controlled through dietary changes, but knowing which foods to eat and which ones to avoid can feel overwhelming. Luckily, it just takes a little bit of guidance and encouragement to put you on the right track. Here are some tips to get you started.

Identify your trigger foods

Trigger foods, or foods that “trigger” heartburn, are unique to each individual. What bothers you may not bother someone else, so it’s important to understand which foods affect you personally. Some of the most common trigger foods include:

  • Garlic
  • Onions
  • Tomatoes
  • Peppermint
  • Chocolate
  • Citrus fruits
  • Spicy foods
  • Fatty or fried foods
  • Alcohol
  • Caffeine
  • Carbonated beverages

Keeping a food journal can help you identify your personal trigger foods. Write down what you eat for each meal, and be sure to document any symptoms you have afterwards. This will make it easier to narrow down the cause of your heartburn.

Incorporate foods that fight reflux

Some foods have natural qualities that prevent the symptoms of reflux. Ginger acts as a natural anti-inflammatory, while fennel aids in digestion. Some other reflux fighting foods include (Source: WebMD):

  • Oatmeal
  • Leafy greens
  • Whole grain bread or pasta
  • Bananas
  • Potatoes
  • Lean protein, such as chicken or fish
  • Egg whites
  • Parsley


Change your eating habits

Even if you eat all the right foods, poor eating habits can still contribute to reflux. Practice portion control at the dinner table to prevent overeating, which places pressure on the stomach and increases the likelihood of heartburn. Avoid lying down after meals, which can encourage digestive fluids to creep back into the esophagus. Finish all meals two to three hours before bedtime, and avoid late-night snacking.

Any change to your diet can be difficult, but when it comes to managing GERD, these changes come with long-term rewards. Make this New Year your best one yet by resolving to adopt a new heartburn-friendly diet. It won’t be long before your new behaviors become regular habits, and you can spend the rest of your year – and the years to come – enjoying life instead of battling reflux.

Read more at Foods that Fight Heartburn from WebMD and  http://www.morethanheartburn.com/


View More
12/28/2016

Wishing Everyone a Happy and Healthy 2017!

The start of a New Year is the perfect time to make positive changes that will bring health, happiness and prosperity. For GERD sufferers, that could mean adopting a new diet to prevent the occurrence of heartburn. Many cases of GERD can be controlled through dietary changes, but knowing which foods to eat and which ones to avoid can feel overwhelming. Luckily, it just takes a little bit of guidance and encouragement to put you on the right track. Here are some tips to get you started.

Identify your trigger foods

Trigger foods, or foods that “trigger” heartburn, are unique to each individual. What bothers you may not bother someone else, so it’s important to understand which foods affect you personally. Some of the most common trigger foods include:

  • Garlic
  • Onions
  • Tomatoes
  • Peppermint
  • Chocolate
  • Citrus fruits
  • Spicy foods
  • Fatty or fried foods
  • Alcohol
  • Caffeine
  • Carbonated beverages

Keeping a food journal can help you identify your personal trigger foods. Write down what you eat for each meal, and be sure to document any symptoms you have afterwards. This will make it easier to narrow down the cause of your heartburn.

Incorporate foods that fight reflux

Some foods have natural qualities that prevent the symptoms of reflux. Ginger acts as a natural anti-inflammatory, while fennel aids in digestion. Some other reflux fighting foods include (Source: WebMD):

  • Oatmeal
  • Leafy greens
  • Whole grain bread or pasta
  • Bananas
  • Potatoes
  • Lean protein, such as chicken or fish
  • Egg whites
  • Parsley

Change your eating habits

Even if you eat all the right foods, poor eating habits can still contribute to reflux. Practice portion control at the dinner table to prevent overeating, which places pressure on the stomach and increases the likelihood of heartburn. Avoid lying down after meals, which can encourage digestive fluids to creep back into the esophagus. Finish all meals two to three hours before bedtime, and avoid late-night snacking.

Any change to your diet can be difficult, but when it comes to managing GERD, these changes come with long-term rewards. Make this New Year your best one yet by resolving to adopt a new heartburn-friendly diet. It won’t be long before your new behaviors become regular habits, and you can spend the rest of your year – and the years to come – enjoying life instead of battling reflux.


View More
12/28/2016
Wishing Everyone a Happy and Healthy 2017!
View More
Page:[1]23456