Benign Colorectal Disease Treatment

Young woman with pain

Benign colorectal diseases are non-cancerous conditions affecting the colon and rectum. At the Colorectal Division of North Carolina Surgery at UNC REX in Raleigh, NC, benign colorectal diseases are diagnosed and treated by our board-certified colon and rectal surgeons.

Why Choose Us

Choosing the Colorectal Division of North Carolina Surgery at UNC REX offers access to highly specialized care for benign colorectal diseases, supported by a team of experienced surgeons. They provide comprehensive diagnostic and treatment options tailored to each patient, utilizing advanced surgical and non-surgical techniques. Our colorectal physicians use a personalized approach to ensure high-quality outcomes in a comfortable and supportive environment.

Common Types of Benign Colorectal Diseases

Some of the most frequent benign colorectal disorders we encounter are:

Diverticulitis

Diverticulitis is a condition where small pouches in the colon, known as diverticula, become inflamed or infected, possibly due to a low-fiber diet. This can cause abdominal pain, fever, and digestive issues.

Diagnosis is typically done using a CT scan to evaluate the extent of the inflammation. Treatment varies based on severity, ranging from antibiotics for mild cases to surgery in more serious or recurrent instances, where removing the affected part of the colon may be necessary.

Colonic Inertia

Colonic inertia, also known as slow transit constipation, occurs when the colon’s muscles or nerves do not function properly, causing chronic constipation. It may be triggered by:

  • Nerve or muscle damage
  • Certain medications like opioids
  • Conditions such as thyroid disorders

Diagnosis usually involves a physical exam and tests like a transit time measurement. Treatment options range from dietary changes and medications to surgery, such as a colectomy, in severe cases where conservative treatments fail.

Polyps

Polyps are abnormal growths in the lining of the colon or rectum that can vary in size and shape. While most polyps are benign, some could develop into cancer.

Causes may include genetic factors, a high-fat diet, and age. Diagnostic tools typically involve colonoscopies, which allow doctors to visualize and remove polyps for biopsy. Regular screenings are recommended to prevent progression to colorectal cancer.

Hemorrhoids

Hemorrhoids are swollen veins in the lower rectum or anus, often caused by straining during bowel movements, chronic constipation, or prolonged sitting. Symptoms include itching, pain, and bleeding during bowel movements.

Diagnosis is typically done through a physical examination or a colonoscopy. Treatment options range from lifestyle changes and over-the-counter remedies to more advanced procedures such as rubber band ligation or surgery.

Anal Fissures

Anal fissures are small tears in the lining of the anus, often caused by passing hard stools or chronic constipation. They can result in sharp pain, bleeding, and discomfort during and after bowel movements.

Diagnosis is typically made through a physical examination of the affected area. Treatment options include using topical creams to relax the sphincter muscle and, in more severe cases, surgical procedures such as lateral internal sphincterotomy to promote healing.

Inflammatory Bowel Disease (IBD)

IBD encompasses two main chronic conditions: Crohn’s disease and ulcerative colitis. Crohn’s disease can affect any part of the digestive tract, causing inflammation through all layers of the bowel wall, while ulcerative colitis is limited to the colon and rectum, affecting the innermost lining.

The exact cause of IBD is believed to involve a combination of genetic, immune, and environmental factors. Diagnostic tools include colonoscopies, imaging, and blood tests. Treatment options range from anti-inflammatory medications and immunosuppressants to surgery in severe cases.

Contact Us Today

If you believe you may be dealing with a benign colorectal disease in Raleigh, North Carolina, it’s crucial to receive a diagnosis early to prevent the risk of more severe complications. Contact us today to schedule your first appointment.