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<h3>Understanding Pilonidal Disease</h3> Pilonidal disease is a common condition that affects the area at the top of the buttocks, near the tailbone. It usually begins when hair and skin debris become trapped beneath the skin, leading to inflammation, infection, and sometimes painful abscesses.Although frustrating and sometimes embarrassing, pilonidal disease is highly treatable — especially when managed by a specialist.<h3>&nbsp; Who Gets Pilonidal Disease?</h3> Pilonidal disease most often affects teenagers and adults between the ages of 16–40 and is slightly more common in men. Risk is higher in people who:• Sit for long periods (desk work, driving, gaming, military, etc.) • Have thick or coarse hair • Sweat frequently or exercise actively • Have a deep gluteal cleft • Have had previous infections or abscessesPatients in the Seattle and Eastside communities often present after weeks or months of persistent drainage or repeated flare-ups.<h3>&nbsp; Signs &amp; Symptoms </h3>Pain or tenderness Redness or swelling Drainage of pus or blood Bad odor from drainage Recurrent abscesses Difficulty sitting Chronic non-healing woundsSymptoms may come and go or become chronic without proper treatment.<h3>&nbsp; Acute vs Chronic Pilonidal Disease</h3> There are two main patterns:Acute Pilonidal Abscess – Sudden pain – Redness and warmth – Often requires incision &amp; drainage for immediate reliefChronic Pilonidal Sinus Tracts – Persistent drainage or openings (“pits”) – May form multiple sinus tracts – Sometimes requires minimally invasive procedures or surgery<h3>&nbsp; Treatment Options in Seattle &amp; Bellevue</h3> Treatment depends on severity and whether disease is recurrent.1. Incision &amp; Drainage (I&amp;D)- acute situation Often used for acute abscesses. Provides fast relief but may not prevent future infections if sinus tracts remain.2. Minimally Invasive Pilonidal Procedures Modern approaches such as:• Pit Picking • Debridement / Curettage • Phenol Injection (select cases)Benefits include:Less downtime Less pain Minimal scarring Faster return to work or schoolThese approaches are increasingly preferred by active young patients in Seattle, Bellevue, and Redmond.3. Surgical Correction In more advanced cases, surgical options may include:• Off-midline closure techniques • Bascom cleft-lift procedure • Karydakis flap • Plastic closure • Open healing (select cases)Off-midline procedures offer the best long-term cure rates and reduced recurrence.<h3>&nbsp; Recovery + Prevention</h3> Even after treatment, reducing recurrence is important. Helpful strategies include:Laser hair removal (preferred over shaving) Hygiene and moisture control Avoiding prolonged sitting Weight optimization when indicated Early management of minor flare-upsLaser hair reduction significantly reduces recurrence and is commonly recommended in modern colorectal practice.<h3>&nbsp; When to See a Specialist</h3> You should schedule an evaluation if you experience:Repeat flare-ups Persistent drainage Pain with sitting Non-healing wounds Failed prior treatments Previous ER incision &amp; drainagePatients frequently come to us after being told it will “just keep coming back” — but that’s no longer true with modern treatments.&nbsp; Serving Seattle, Bellevue &amp; the Eastside Our practice serves patients throughout the greater Seattle region including:Bellevue • Seattle • Kirkland • Redmond • Edmonds • Shoreline • Bothell • LynnwoodMany patients are active, working professionals or students who need fast, discreet, and durable care — and we tailor treatment to minimize downtime and disruption.<h3>&nbsp; Frequently Asked Questions (FAQ)</h3> Is pilonidal disease curable? Yes. Modern surgical and minimally invasive options can eliminate chronic infections and significantly reduce recurrence.Does it always require surgery? Not always. Some patients respond well to minimally invasive techniques, sinus debridement, or hair reduction strategies.How long is recovery? Recovery depends on the procedure. Minimally invasive options may require only a few days, while surgical repairs can require several weeks.Can it come back? Yes, recurrence can happen, especially if hair and friction are not addressed. Laser hair reduction can dramatically reduce recurrence risk.Can I just leave it alone? Chronic pilonidal disease rarely resolves on its own and may worsen over time. Early management leads to better outcomes.What if I previously had an ER incision and drainage? ER I&amp;D provides temporary relief but may not cure underlying tracts. Many patients seek definitive treatment afterward. <h3>Schedule a Consultation</h3>Living with pilonidal disease can be painful and disruptive, but you don’t have to. With the right treatment plan, most patients return to normal activity quickly and with low recurrence risk.Schedule a consultation today to learn which treatment option is right for you.

Pilonidal Disease/Cyst

<h2>What Is Anal Rejuvenation?</h2><h3> Anal rejuvenation refers to a range of medical and minimally invasive treatments designed to:</h3>Improve skin quality and tone around the anus Restore elasticity and structural support Address cosmetic concerns such as wrinkling, discoloration, or asymmetry Improve comfort related to mild laxity, irritation, or post‑procedural changes Unlike internet trends or non‑medical cosmetic services, true anal rejuvenation should be performed or supervised by a board‑certified physician with expertise in anorectal anatomy.<h2>&nbsp; Why Do Patients Seek Anal Rejuvenation?</h2><h3> Patients pursue anal rejuvenation for many reasons, including:</h3>1. Aging and Skin Changes Over time, natural collagen loss can lead to thinning skin, laxity, and wrinkling in the perianal area—similar to changes seen in the face or neck.2. Childbirth or Pelvic Floor Changes Pregnancy and vaginal delivery can affect pelvic and perianal tissues, sometimes leading to stretching, loss of tone, or discomfort.3. Prior Anorectal Conditions or Procedures Patients with a history of hemorrhoids, fissures, fistula surgery, or skin tag removal may seek rejuvenation to restore appearance or comfort.4. Hygiene and Comfort Concerns Changes in skin texture or mild laxity can make hygiene more difficult or lead to chronic irritation.5. Confidence and Body Image For some patients, appearance‑related concerns affect intimacy, self‑esteem, or overall confidence.<h2>&nbsp; Types of Anal Rejuvenation Treatments</h2><h3> Treatment plans are highly individualized and may include one or more of the following:</h3>Energy‑Based Skin Tightening Advanced radiofrequency or laser technologies stimulate collagen remodeling, helping improve firmness, texture, and elasticity over time.Injectable Biostimulators or Fillers When appropriate, injectable treatments may be used to restore volume, smooth contours, or improve tissue support. Only medical‑grade products administered by trained physicians should be used in this area.Medical‑Grade Topicals Prescription‑strength creams or compounded formulations may be used to improve pigmentation, skin texture, and comfort.Surgical or Office‑Based Procedures In select cases, minor procedures—such as skin tag removal/revision, hemorrhoid treatment or scar refinement—may be part of a comprehensive rejuvenation plan.<h2>&nbsp; What Anal Rejuvenation Is Not</h2> It is not a one‑size‑fits‑all cosmetic service It is not performed by unlicensed providers or spas It is not a substitute for treatment of active anorectal disease A thorough medical evaluation is essential to rule out conditions such as fissures, infections, inflammatory disease, or malignancy before cosmetic or regenerative treatment.<h2>&nbsp; What to Expect During a Consultation</h2><h3> A professional anal rejuvenation consultation typically includes:</h3>A detailed medical and symptom history Discussion of functional vs cosmetic concerns A focused anorectal and perianal examination Review of treatment options, risks, and expected outcomes A customized treatment plan with transparent pricing Patient comfort, privacy, and dignity should always be prioritized.<h2>&nbsp; Recovery and Downtime</h2><h3> Recovery depends on the specific treatment but is often minimal:</h3>Many non‑invasive treatments allow same‑day return to normal activity Mild swelling, warmth, or sensitivity may occur temporarily Results typically develop gradually over weeks as collagen remodeling occurs Your physician will provide clear post‑treatment instructions tailored to your procedure.<h2>&nbsp; Results and Longevity</h2><h3> Results vary based on age, skin quality, and treatment type. Most patients experience:</h3>Improved skin texture and firmness Enhanced comfort and confidence Natural‑appearing results without an “overdone” look Maintenance treatments may be recommended annually or semi‑annually, depending on the modality used.<h2>&nbsp; Choosing the Right Provider Matters</h2> Because of the complex anatomy and sensitive nature of the anal region, anal rejuvenation should only be performed by a physician with formal training in anorectal anatomy and surgery.<h3>When selecting a provider, look for:</h3><h3>Board certification Extensive experience with anorectal conditions A medical (not spa‑based) setting Transparent discussion of risks and benefits &nbsp; Anal Rejuvenation in Seattle: A Physician‑Led Approach</h3> Patients searching for anal rejuvenation in Seattle often want more than cosmetic treatment—they want medical expertise, discretion, and safety. Seattle patients frequently look for physician-led care that prioritizes health, function, and privacy alongside aesthetic improvement. In a physician‑led proctology practice, anal rejuvenation is approached with a deep understanding of anorectal anatomy, pelvic floor function, and prior anorectal conditions.<h3>Seattle patients frequently seek care for:</h3>Post‑hemorrhoid or fissure treatment changes Skin laxity or irritation affecting comfort and hygiene Aging‑related collagen loss Cosmetic concerns addressed in a medical setting—not a spa Choosing a board‑certified anorectal specialist ensures that cosmetic goals never compromise health or function.<h2>&nbsp; Frequently Asked Questions (FAQ)</h2> Is anal rejuvenation safe? When performed by a qualified physician with expertise in anorectal anatomy, anal rejuvenation is generally safe. A medical evaluation is essential to rule out active conditions such as fissures, infections, inflammatory disease, or other pathology before treatment.Does anal rejuvenation hurt? Most non‑surgical treatments involve minimal discomfort. Topical numbing agents and modern energy‑based devices are designed to maximize comfort. Your physician will discuss pain control options during your consultation.How long does an anal rejuvenation treatment take? Many treatments are completed in 30–60 minutes, depending on the modality used. Most patients return to normal daily activities the same day.Is there downtime after treatment? Downtime is typically minimal. Some patients experience mild warmth, swelling, or sensitivity for a short period. Detailed aftercare instructions are provided to ensure optimal healing.How many treatments are needed? The number of sessions varies based on skin quality, degree of laxity, and treatment goals. Some patients see improvement after one session, while others benefit from a series of treatments spaced weeks apart.Are results permanent? Results are long‑lasting but not permanent. Aging and natural collagen loss continue over time. Maintenance treatments may be recommended annually to sustain results.Can anal rejuvenation help with hygiene issues? Yes. Improving skin tone and reducing mild laxity can make hygiene easier and reduce chronic irritation for some patients.Is anal rejuvenation purely cosmetic? Not always. While cosmetic improvement is a common goal, many patients seek treatment for comfort, irritation, or post‑procedural changes following hemorrhoid or other anorectal treatments.Who is a good candidate for anal rejuvenation? Good candidates include patients with mild to moderate skin laxity, textural changes, or cosmetic concerns who do not have active anorectal disease. A consultation determines candidacy.Why choose a physician‑led practice in Seattle? The anal region has complex anatomy and critical function. A physician‑led practice offers medical oversight, accurate diagnosis, and safer treatment planning than non‑medical cosmetic settings.&nbsp; Schedule a Confidential Consultation in Seattle If you are considering anal rejuvenation in Seattle, a discreet consultation with a qualified specialist is the first step. Modern, physician‑directed treatments can restore comfort, confidence, and appearance—without stigma or embarrassment.Your comfort, confidence, and health matter.<h3>&nbsp; Internal Resources</h3> Patients considering anal rejuvenation often explore related care options:Hemorrhoid treatment and post‑procedure skin concerns Anal skin tag evaluation and removal Chronic irritation or hygiene concerns Prior anorectal surgery recovery and cosmetic refinement Your physician can help determine how these services work together as part of a comprehensive treatment plan.

Anal Rejuvenation Treatment in Seattle: What It Is, Who It’s For, and What to Expect

<h3>Anal Fistula: Symptoms, Causes, Treatment &amp; What to Expect From a Specialist</h3><h3> An anal fistula is one of the most frustrating and painful anorectal conditions a person can experience. It often begins as an infection or abscess near the anus, then forms a small tunnel between the inside of the anal canal and the skin. Many patients feel embarrassed to talk about it—yet it’s far more common than most people realize, and highly treatable with the right specialist.</h3>As a board-certified Colon &amp; Rectal Surgeon, I diagnose and treat anal fistulas every day. The more you understand what’s happening, the faster you can get relief.&nbsp; What Is an Anal Fistula? An anal fistula is an abnormal connection that develops after an infection in one of the small glands inside the anal canal. When that gland becomes blocked, bacteria build up and form an abscess. Even after the abscess drains, a tract may remain—creating a fistula.Common signs of an anal fistula include: Persistent drainage or discharge from the skin near the anus Pain or throbbing, especially when sitting Recurrent swelling or abscesses Bleeding A small opening or bump on the skin &nbsp; Why Do Anal Fistulas Happen? Most fistulas come from a simple infected gland, but certain factors increase risk:History of anal abscess Crohn’s disease Prior anorectal surgery Trauma or infection Radiation or chronic inflammation Many patients blame themselves—but fistulas almost never form because of hygiene or anything a patient “did wrong.”&nbsp; Are Anal Fistulas Dangerous? A fistula that’s left untreated can lead to:Recurrent abscesses Worsening pain Skin irritation or infection Complex branching tracts Early treatment prevents bigger problems and reduces the chance of multiple surgeries.&nbsp; How Is an Anal Fistula Diagnosed? Diagnosis typically includes:A detailed exam by a specialist Gentle inspection of the external opening and internal exam with an anoscopy In complex or recurrent cases: MRI or endoanal ultrasound may be warranted Most fistulas are diagnosed in a single office visit.&nbsp; Treatment Options for Anal Fistula Because a fistula is a physical tract, it cannot heal on its own. Treatment must close the internal opening and remove or neutralize the tunnel. The best option depends on the anatomy of the fistula and how much sphincter muscle is involved.Common treatments include: 1. Fistulotomy For simple fistulas. The tract is opened and allowed to heal from the inside out. High success rate.2. Seton Placement Used when the fistula passes through significant muscle. A small silicone loop is placed to keep the tract open and drain infection safely.3. LIFT Procedure (Ligation of the Intersphincteric Fistula Tract) – a muscle-sparing surgical option for complex cases.4. Advancement Flap Used in higher, more complex fistulas requiring closure of the internal opening with tissue.5. Laser or Biologic Therapies Modern techniques that may be used selectively depending on anatomy.No two fistulas are identical, which is why seeing a specialized surgeon makes such a dramatic difference.&nbsp; Recovery: What to Expect Most patients return to daily activities quickly. Pain is usually manageable, and healing continues over several weeks.Expect:Mild drainage Sitz baths Temporary activity modification based on symptoms Follow-up visits to monitor healing Most patients feel significant relief once the infection cycle is finally broken.&nbsp; When Should You See a Specialist? You should seek evaluation if you notice:Persistent drainage A recurrent abscess Pain with swelling near the anus A visible skin opening or bump The earlier we treat it, the easier the recovery.&nbsp; Why Choose a Colon &amp; Rectal Surgeon? Anal fistulas are complex—and treatment requires specialized training to preserve continence while maximizing cure rates. A board-certified specialist performs these procedures routinely and can offer the full range of modern options rather than a one-size-fits-all approach.&nbsp; Schedule a Consultation If you’re experiencing symptoms of an anal fistula, professional evaluation is the fastest path to relief.📞 425-515-0276Same-week appointments are available for urgent issues.

Anal Fistula

<h3>Anal HPV: What It Is, Why It Matters, and How to Treat It By Dr. Rodney Kratz, Board-Certified Colon &amp; Rectal Surgeon Precision Proctology, Seattle–Edmonds</h3>&nbsp; &nbsp; &nbsp; What Is Anal HPV? Human papillomavirus (HPV) is the most common sexually transmitted infection in the world. When it affects the anal canal or surrounding skin, it’s called anal HPV. Many people with anal HPV have no symptoms at all, yet the virus can still cause important changes in tissue that require expert monitoring.There are two main types:Low-risk HPV: causes anal warts (condyloma). High-risk HPV: causes invisible cellular changes (dysplasia) that can progress to anal cancer if untreated. Who Gets Anal HPV? Anyone can get anal HPV—regardless of sexual orientation or gender. It spreads through skin-to-skin contact, including anal intercourse, genital contact, or even without penetration.Higher-risk groups include:Men who have sex with men People with a history of genital warts Individuals with weakened immune systems Patients with a history of cervical or vulvar HPV Anyone with new or multiple sexual partners But many of my patients are otherwise healthy individuals who simply never noticed symptoms until something changed.&nbsp; Common Symptoms of Anal HPV Some patients feel nothing. Others experience:Small bumps or growths (soft, pink, or flesh-colored) Itching or irritation Minor bleeding Moistness or a feeling of “something there” Changes in bowel habits (rare) Remember: High-risk HPV doesn’t make warts. It causes silent changes you cannot see. That’s why expert evaluation matters.&nbsp; What Do Anal Warts Look Like? &nbsp; &nbsp; &nbsp; Anal warts (condyloma) may appear as:Single small bumps Clusters resembling cauliflower Flat, smooth lesions that are easy to miss They often spread beyond what is visible externally, which is why a colorectal surgeon performing anoscopy is the gold standard for diagnosis.&nbsp; How I Diagnose Anal HPV My exam is extremely quick—typically under 2 minutes—and performed in a private, comfortable setting. It may include:Visual inspection High-resolution anoscopy (HRA) when appropriate Biopsy for any concerning areas HPV testing for high-risk strains You’ll understand your findings immediately and receive a clear plan.&nbsp; Anal HPV Treatment Options Treatment depends on what type of HPV is present and whether warts, dysplasia, or both are found.1. Office-Based Wart Removal Cryotherapy Chemical treatments Electrocautery Infrared coagulation Excision for larger lesions Most are fast, minimally painful, and require no downtime.2. Treatment of High-Risk HPV / Dysplasia If high-risk HPV has caused precancerous changes, I may recommend:Ablation during high-resolution anoscopy Targeted removal of abnormal tissue Ongoing surveillance every 3–12 months My goal: eliminate disease early and prevent progression to anal cancer.3. HPV Vaccination The HPV vaccine is beneficial even for adults and reduces recurrence and future risk.&nbsp; Can Anal HPV Turn Into Cancer? High-risk HPV can lead to anal intraepithelial neoplasia (AIN), which can progress to anal cancer if untreated. Early treatment dramatically reduces the risk.Most patients do extremely well with early detection and expert care.&nbsp; How Long Does Anal HPV Last? In many healthy adults, HPV clears within 1–2 years. However, persistent infection can occur, especially with high-risk strains. Treatment focuses on controlling the virus, removing visible disease, and preventing recurrence.&nbsp; Prevention: How to Reduce Your Risk Get the HPV vaccine Use barrier protection Avoid smoking (slows immune clearance) Treat warts or dysplasia early Schedule annual exams if you’re in a high-risk group &nbsp; When to See a Specialist You should schedule an evaluation if you notice:New anal bumps or growths Itching, bleeding, or discomfort A history of HPV and no recent follow-up A partner with HPV Concerns about anal cancer risk Early evaluation is simple, quick, and reassuring.&nbsp; Expert Anal HPV Care in Seattle – Edmonds As a board-certified Colon &amp; Rectal Surgeon with more than 20 years of experience, I specialize in precision evaluation and treatment of anal HPV, anal warts, and dysplasia with an approach designed for privacy, comfort, and results.Book Your Private Consultation Precision Proctology 📞 425-410-0569 Seattle | Edmonds Discreet, expert care for anal health.

Anal HPV

<h3>Anal Fissures: Causes, Symptoms, and the Most Effective Treatments Specialist Guide by Dr. Rodney Kratz, Colon &amp; Rectal Surgeon – Precision Proctology</h3>Anal fissures are one of the most common causes of sharp anal pain and bleeding, yet they are often mistaken for hemorrhoids. If you’re experiencing pain during bowel movements, burning afterward, or bright red blood on the tissue, you may have an anal fissure — a condition that is highly treatable when diagnosed correctly.&nbsp; What Is an Anal Fissure? An anal fissure is a small tear in the lining of the anus. It can occur after:Hard or large bowel movements Constipation Diarrhea Straining Childbirth Anal trauma Although the tear is small, it triggers spasm of the internal anal sphincter, which reduces blood flow and prevents healing. This “spasm cycle” is the reason fissures cause such severe, sharp pain.&nbsp; What Are the Symptoms of an Anal Fissure? Key symptoms include: Knife-like pain with bowel movements Bright red bleeding Burning or throbbing pain that lasts minutes to hours Fear of having a bowel movement A visible or palpable skin tag (“sentinel pile”) These symptoms are frequently confused with hemorrhoids, but the pain pattern is a major clue that the issue is a fissure.&nbsp; Anal Fissure vs Hemorrhoid: What’s the Difference? Many patients google “hemorrhoid pain” when they’re actually experiencing a fissure.Here’s the distinction:Most Common Symptoms Pain Level-severe Anal Fissure Sharp pain, bleeding, burning, sphincter spasmHemorrhoids Pressure, bulging/prolapse, itching, bleeding Usually mild–moderate A quick evaluation by a colon &amp; rectal specialist can determine the correct diagnosis.&nbsp; What Causes Anal Fissures Not to Heal? Anal fissures become chronic when:Constipation continues The sphincter remains in spasm Scar tissue forms Blood flow is reduced Inflammation persists Many chronic fissures won’t heal without targeted medical therapy or office-based procedures.&nbsp; How Are Anal Fissures Treated? At Precision Proctology, I use a stepwise, proven treatment protocol designed to break the spasm cycle and restore normal healing.1. Non-surgical Treatment Best for acute fissures:Stool softeners Fiber optimization Hydration Sitz baths Gentle hygiene techniques These promote healing by softening stool and reducing trauma.&nbsp; 2. Prescription Medications for Anal Fissures Chronic fissures often require medical therapy, including:Topical calcium channel blockers Nitroglycerin ointments Compounded medications to relax the internal sphincter Pain-reducing topical agents These medications increase blood flow and reduce sphincter tightness, speeding healing.&nbsp; 3. Botox Injection for Chronic Anal Fissures Botulinum toxin (Botox) temporarily relaxes the sphincter and interrupts the spasm cycle. This is an excellent, non-surgical option for many patients and has high healing rates.&nbsp; 4. Surgical Treatment Option Surgery is reserved for fissures that fail medical therapy or are severely chronic.Lateral internal sphincterotomy (LIS) with FissurectomyThe gold standard for chronic fissures High healing rates and long-term successCuitting a small portion of the internal sphincterRemoval of scar tissue to promote healthy healing Combined procedures for patients with fissures plus hemorrhoids or skin tags My surgical approach prioritizes pain relief and continence preservation.&nbsp; How Long Does It Take an Anal Fissure to Heal? Acute fissures: often heal in 1–4 weeks Chronic fissures: may require prescription therapy or interventions After Botox: many heal within 6–12 weeks After LIS surgery: high success rates with rapid symptom improvement Healing time varies based on severity, bowel habits, and underlying anatomy.&nbsp; When Should You See a Specialist? Seek medical evaluation if:You’ve had pain for more than 4–6 weeks You experience severe or worsening pain You’re unsure whether it’s a fissure or hemorrhoids There is persistent bright red bleeding You’ve already tried conservative care without improvement Early treatment prevents fissures from becoming chronic and avoids unnecessary suffering.&nbsp; Why Patients in Seattle, Edmonds, and Mountlake Terrace Choose Precision Proctology Board-certified Colon &amp; Rectal Surgeon with decades of experience Expertise in fissures, hemorrhoids, abscesses, and fistulas Private, discreet specialty practice Same-day treatment plans Precise diagnosis (no guessing or mislabeling hemorrhoids) Follow-up focused on full healing and long-term prevention My goal is simple: help you heal quickly and reduce the chance of recurrence.&nbsp; How to Prevent Anal Fissures From Returning Maintain soft, regular bowel movements Avoid excessive straining Stay hydrated Increase dietary fiber or take a supplement Treat constipation early Protect the area from trauma or irritation Preventive strategy is always part of your treatment plan.&nbsp; Schedule an Evaluation for Anal Fissure Treatment If you’re suffering from sharp anal pain or bleeding, you don’t need to wait for it to “go away.” With the right specialist, fissures are highly treatable.Precision Proctology 6808 220th St SW, Suite 200 Mountlake Terrace, WA 98043 Call: 425-515-0276

Anal Fissure

<h3>Hemorrhoid Treatment in Seattle – Fast Relief with Precision Proctology </h3>Hemorrhoids are one of the most common and most uncomfortable conditions people face, yet they’re also one of the most treatable. Whether you're dealing with itching, swelling, bleeding, pain during bowel movements, or protruding tissue, you’re in the right place. At Precision Proctology, we provide advanced, minimally invasive solutions to get you back to comfort quickly, often with same-week appointments.As a board-certified colorectal surgeon with over 20 years of experience, Dr. Rodney Kratz specializes exclusively in anorectal care. That means you’re not going to a general clinic. You’re seeing a physician whose entire practice focuses on conditions like hemorrhoids, fissures, fistulas, and anal pain. You’ll receive expert evaluation, personalized treatment, and modern procedures designed for fast recovery with minimal downtime.&nbsp; What Are Hemorrhoids? Hemorrhoids are part of normal anatomy inside or outside the anus and rectum. Symptoms are extremely common, affecting nearly half of adults at some point, especially during:Constipation or straining Pregnancy and postpartum recovery Weightlifting Long sitting periods Chronic diarrhea Aging or weakened connective tissue They can be internal, external, or mixed, and symptoms vary—from mild irritation to severe pain.&nbsp; Common Hemorrhoid Symptoms✔ Rectal bleeding on toilet paper or in the bowl ✔ Itching, irritation, or burning ✔ Pain or pressure with bowel movements ✔ Tissue bulging or “something there” sensation ✔ Swelling or a painful lump at the anus ✔ Mucus or moisture leakage ✔ Difficulty cleansing after bowel movementsIf you are unsure, you’re not alone—hemorrhoids are frequently confused with fissures, skin tags, thrombosis, or even HPV-related lesions. A targeted exam provides clarity and peace of mind within minutes.&nbsp; Treatment Options – From Office-Based to Surgical if Needed We tailor treatment to your specific symptoms, anatomy, and goals. Most patients do not need surgery.1. Office Hemorrhoid Banding (Rubber Band Ligation) A quick in-office procedure—no anesthesia required.5–10 minutes Minimal discomfort Most people return to work immediately Best for internal hemorrhoids Bands cut off blood flow, causing hemorrhoids to shrink and fall off naturally over 1–2 weeks.&nbsp; 2. Infrared Coagulation (IRC) A heat-based treatment that shrinks hemorrhoid tissue. Ideal for early internal hemorrhoids and bleeding.&nbsp; 3. Thrombosed Hemorrhoid Treatment If you have sudden severe anal pain with a hard lump, you may have a thrombosis (clot). Early treatment can dramatically reduce pain within days.&nbsp; 4. Surgical Removal (Hemorrhoidectomy) Reserved for large, mixed, recurrent, or advanced cases. Performed by Dr. Kratz in surgical setting with full aftercare support.&nbsp; Why Choose Precision Proctology for Hemorrhoid Treatment? &nbsp;Specialist—Not general GI or primary care &nbsp;20+ years colorectal surgery experience &nbsp;Same-week appointments often available &nbsp;Focus on comfort, dignity &amp; fast return to normal life &nbsp;State-of-the-art treatment with minimal downtimeWhen hemorrhoids affect your daily comfort, sitting, exercise, or intimacy, it’s time to address it—not just live with it.&nbsp; When Should You See a Hemorrhoid Specialist? Schedule an evaluation if you have:Bleeding lasting more than a few days Pain that interferes with work or sleep Recurrent flare-ups A lump that won’t go away Concern about HPV, warts, or fissures You want long-term relief, not temporary fixes Many patients tell us they waited months—or years—before seeking help. Treatment is often easier than expected.&nbsp; Book Your Consultation Getting better begins with a conversation.&nbsp;Precision Proctology – Seattle/Mountlake Terrace &nbsp;Call: 425-515-0276 &nbsp;PrecisionProctologyNW.com &nbsp;Online booking available 24/7Your comfort matters. Your dignity matters. You deserve expert care—from someone who understands hemorrhoids better than anyone.

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Pilonidal Disease/Cyst

Anal Rejuvenation Treatment in Seattle: What It Is, Who I...

Anal Fistula

Anal HPV

Anal Fissure

Hemorrhoids