The CRH O’Regan System

I was at my gastroenterologist office last week preparing for a colonoscopy and I came across literature for a hemorrhoid procedure called the “CRH O’Regan System”. Ok what is that? From their youtube video, it seems to be simply rubber band ligation:

On their website however, they distinguish their procedure from Traditional and Endoscopic Hemorrhoid Banding:

CRH uses a disposable ligator to create a soft, gentle suction that pulls the appropriate tissue into it. Then, the rubber band can easily and painlessly be placed around the base of the hemorrhoid, where no pain-causing nerve endings are present. (from ).

The CRH O’Regan System claims an improved average time off work of 0-1 days, and no pain medication prescribed, compared to 0-3 days time off-work, and pain medication often prescribed, for Traditional Hemorrhoid Banding.

CRH O'Regan Ligation Hemorrhoid Removal System
CRH O’Regan Ligation Hemorrhoid Removal System

Ultroid 10 Minute Hemorrhoid Procedure

Ultroid is claiming a new non-surgical procedure will cure your hemorrhoids in 10 minutes, and without recovery time. This is interesting stuff. Their procedure has been tested by several hundred physicians in over 100,000 patients. Their proprietary procedure involves the use of a painless low level electrical current to the hemorrhoid. Blood flow to the hemorrhoid is interrupted, and the hemorrhoid shrinks away over the course of 7 to 10 days. Their website claims that many patients “feel relief immediately following the procedure.”

Their list of clinics who provide the service is “coming soon.”


For more information, check out

Preparing for a Colonoscopy

Instructions for Day before Colonoscopy
Instructions – Day before Colonoscopy

Hello folks, this is RG. I’m preparing for a colonoscopy tomorrow. A colonoscopy is when the doctor sticks a camera up your butt to look at your colon. They need to have you cleaned out so they can take a look around.

My instructions for today are liquid diet, and at 2pm take 3 Dulcolax, at 4pm mix 238g of Miralax (that’s 14 doses) into 64 ozs of gatorade or water – drink 10-12 ozs every 15-20m until finished. I’ve guzzled 48 ozs so far and … well nothing yet. Maybe the last 16 ozs will free the beast. Then at 6pm I’ll take 3 more dulcolax.

Interesting to me is that there is nothing in the instructions about protecting my arschenhole from the upcoming onslaught.

I’ve inserted a healthy dose of Preparation H into my bunghole to avoid any irritation. Hemorrhoids are caused by irritation. Irritation is caused by irregularity (constipation or diarrhea). Diarrhea is bound to happen VERY soon. With hemorrhoids, an ounce of prevention is worth a 100 pounds of cure. It is far easier to apply some Preparation H today, than to nurse a hemorrhoid for the next few weeks. I always keep Preparation H in the house, and when I’m irregular, I use it. It’s not just for curing hemorrhoids. I would argue that Preparation H is more useful as a preventative measure against them.

Ok, it’s time for the last glass of sludge (actually, it’s not so bad. I mixed 28 ozs of Gatorade with 36 ozs of water and the 238g of Miralax) and 3 more dulcolax. Any questions let me know. I’ll give an update after the procedure. – RG

Probiotics and Regularity

I still suffer from occasional irregularity. I take metamucil daily, but sometimes that is not enough. I don’t know what a probiotic is, but it has helped me to add yogurt with probiotics to my diet. If you are still suffering from irregularity, I recommend trying it to see if it helps. Any questions please let me know!

PP110 Gel vs Preparation H

A new hemorrhoid treatment tentatively names PP110 is being produced by Peritech Pharma LTD. A test in which it was compared to Preparation H showed PP110 to be more effective in treating bleeding, pain, itching, swelling, discharge and discomfort.

PP110 contains the same ingredients as Preparation H (Pramoxine HCl 0.25 % and Phenylephrine HCl 1 %). Upon application of PP110, however, the volatile materials evaporate leaving the active ingredients attached to the tissue.

Irregular Guy

Howdy, Regular Guy … err … Irregular Guy here. It’s been a while since I’ve posted, I’ve been busy living the hemorrhoid-free dream. But for the last few weeks, I’ve had an upset stomach. Red Flag. I know from experience that irregularity causes hemorrhoids, so I have to get into prevention mode tout suite.

I visited my doctor – since I was blackmailed into buying health insurance, I never like to pass up that opportunity. Everything looked ok and she recommended Gas-X (Simethicone). I’ve tried that with some degree of success. But in the week that ensued, I’ve noticed that my regularity is out of whack. I usually produce one giant soft log per day, but now I’m making 2-3 looser ones. I don’t attribute that to the Simethicone, rather to poor diet and stress.

BRAT diet
BRAT is an acronym for Bananas, Rice, Applesauce & Toast

The last thing I need right now is to nurse a hemorrhoid – so it’s time for action. Imodium (Loperamide HCL) normally works very well for me, so I headed over to Amazon and ordered the Imodium that also contains Simethicone (the active ingredient in Gas-X). Then it was off to the grocery store to get some “BRAT Diet” stuff. If you aren’t familiar with the BRAT diet, I’ll break it down for you. BRAT is an acronym for Bananas, Rice, Applesauce, Toast. Easy on the stomach and easy on the pipes. It’s a good idea to lay off the kung-pao when your not pooping right.

It’s crucial to remember that when it comes to hemorrhoids, an ounce of prevention is worth 10 tons of cure. I get irregular once or twice a year, and for that reason I always keep Preparation H in the house. This week is one of those occasions where I get to use Preparation H for what it does best, preventing hemorrhoids. Before and after every irregular poop, and even for a few days after regularity returns, I’ll be generously using the stuff.

That’s all for now. Make sure you have some Preparation H in the house. It will save you a lot of trouble if you use it during irregular times. Any questions or comments, please let me know what you think.

Why I Keep Preparation H in the House

Why keep Preparation H in the house, even if you don’t have a hemorrhoid?

Never forget that an ounce of prevention is worth a pound of cure. I came down with the flu last month, it was a nasty week of fever and mucus. After 4-5 days I gave in and went to the doctor. I was prescribed the “Z-pak” (a.k.a. Zithromycin), a strong 4-day treatment of antibiotics.

keep preparation-h in the house
Always keep some Preparation H in the house.

As soon as my flu symptoms went away, I had the misfortune of dealing with the Z-Pak hangover. This stuff is brutal. I did not even finish them all – I took 2 the first day, as directed, and 1 on the 2cd day. By the end of day 2 I had had enough. I had not had diarrhea like this in years. I was taking my daily does of Metamucil, but it was not holding everything together like it normally does.

I remembered that I had a rotten case of diarrhea just before my last hemorrhoid, and a frightening thought came over me. What if I start to feel better, but then have to nurse a hemorrhoid? No Thanks. So I grabbed the Preparation H and I lubricated my rear-end for more than a week, until pooping returned to normal. Just to be uber-safe, I still have it nearby. I can only assume that my butt suffered a little damage as a result of the Z-Pak diarrhea.

Would I have a hemorrhoid if I had not used the Preparation H? Who cares is my answer. Although I suspect that yes, I would have. The reality is, I did use it, I did not get a hemorrhoid, and I don’t have to worry about anything today except going to the beach. The best way to cure a hemorrhoid is certainly to prevent it, and the prevention is so much easier than the cure.

Dude Wipes vs Wet Wipes – Which is best?

Dude Wipes are a more macho version of wet wipes, made for men.

I received my shipment from amazon last night, so this morning I had the opportunity to test out my Dude Wipes. The packaging was certainly macho and far less dainty than Huggies wet wipes, but that was nearly the only point scored for the Dude Wipes. I do give the Dude Wipes an additional point for the single travel packaging – you could easily carry a few of them in one pocket and skip the abrasive toilet paper in the public restroom.

Dude Wipes Singles are great for on-the-go wiping.

Now, onto the negatives. Keep in mind, this is based on comparing the Dude Wipes to my favorite wet wipes, Huggies Natural Care Fragrance Free. The first thing I noticed is that the Dude Wipes are thinner than the Huggies. The thickness, or thinness I suppose, reminded me of the wet-naps you get in a restaurant when your face is covered in BBQ sauce. But this was not my face, nor was it BBQ sauce. The Huggies are much thicker, and let’s be honest, thickness counts when wiping your ass. I was also expecting the Dude Wipe to be larger. One of their bullet points on the amazon page is “Huge 44 Square Inch Size.” I can only blame myself for not having any idea how big that actually is, but if you are going to brag that your wipes are “huge,” you might consider making them larger than the competition. The Huggies wipes are larger than the Dude Wipes.

Cost comparison: Dude Wipes vs Huggies Natural Care Wet Wipes.

I buy my hemorrhoid stuff on amazon for 2 reasons: #1 I don’t like walking up to the counter at the drug store with 4-5 items that are obviously hemorrhoid products. #2, I’m cheap. Naturally I want to get the best bang for my wiping buck. Dude Wipes fail once again in this battle. I paid $9.97 for a package of 30 Dude Wipes Flushable Wipes, with Aloe Vera, Singles for Travel. That’s $0.33 cents/wipe. I could save more than 50% by moving from the Dude Wipe Singles over to the dispenser pack, where the wipes cost about $0.15 cents/wipe. But then I would be removing their best attribute of portability.

The Huggies Natural Care Fragrance Free cost as little as $0.04 cents/wipe. That’s less than 1/3rd of the cost of the cheapest Dude Wipes. The packaging is a little daintier, and the dispenser pack is not as portable, but it is a better wipe. For now, I’ll hang on to these Dude Wipes and maybe they will get used eventually, but they won’t be my daily driver. I don’t need to take them to work because I take care of all my business in the morning before I leave the house. Dude Wipes win the battle with macho and portable, but Huggies Natural Care win the war with quality and cost.

Click here to get yourself some Huggies!