Colonoscopy Screening is a Lifesaver

Recent research has shown that over the past 15 years,the death rate due to colorectal cancer has been decreasing. The reason behind it is the increased use of colonoscopy screening which helps to detect cancer early.

During colonoscopy screening, a flexible fibre-optic instrument is inserted through the anus to remove lesions in the colon called polyps. Polyps are usually not cancerous at the time of removal but can become cancerous over time if left in the body.

Colorectal cancer which includes colon and rectal cancers has turn into a second leading cause of cancer death among people. It mostly happened among the age group of 50 and above and the risk increases with age.  Precancerous polyps are abnormal growths in the colon and rectum which turns into colorectal cancer if left in the body. Through colorectal screening, a doctor removes the polyps from the body before they turn into cancer.

Chances of colorectal cancer even if you have no symptoms:

  • If you have a close relative with colorectal cancer history or have had colorectal polyps.
  • Women with a history of breast, ovarian or uterine cancer may have a higher risk of colon cancer.
  • If you have an inflammatory bowel disease like Ulcerative Colitis or Crohn’s disease may put you at higher risk of developing colorectal cancer.
  • Family history of colorectal cancer or polyps puts you at higher risk of colorectal cancer.

Are you looking for Colonoscopy in Los Angeles?

Dr. Karen Zaghiyan is a board certified colorectal surgeon who is practicing minimally invasive colorectal surgery in Los Angeles. She is an expert in the field of both surgical and non-surgical treatments for colon, rectum, and anus related diseases. Dr. Zaghiyan strives to offer the least invasive approach in order to reduce pain, surgical scars, and improve recovery through the techniques such as robotic surgery, laparoscopic and natural orifice surgery.

If you are facing any change in your bowel habits or rectal bleeding, you should make an appointment with Dr. Zaghiyan.She performs colonoscopy in Los Angeles to detect and prevent colorectal cancer in patients. To know more, visit


Robotic Surgery in Los Angeles: An Advanced Approach to Colorectal Surgery

If anyone is suffering from Urological, Gynecologic, Prostate or Colorectal Cancer then most of the Doctors recommend Robotic Surgery. Let’s know about Robotic Surgery:-

What is Robotic Surgery?

Robotic Surgery is a new invasive approach to Laparoscopic Colorectal Surgery. With this new technology, colorectal surgeons can gain more vision and operate with better care and control.

What are the benefits of Robotic Surgery?

Benefits for patients:Robotic surgery offers many benefits to patients compared to open surgery, including:

  • Shorter hospitalization
  • Reduced pain and discomfort
  • Faster recovery time
  • Smaller incisions, resulting in reduced risk of infection
  • Reduced blood loss and transfusions

Advantages for Doctors:Major advantages for surgeons using robotic surgery include:

  • Greater visualization
  • Enhanced dexterity
  • Greater precision

Comparing open surgery with robotic and minimally invasive surgery results in smaller incisions resulting in less pain and scarring.
Robotic surgery allows surgeons to perform complex surgical tasks through tiny incisions using robotic technology. Surgical robots are self-powered, computer-controlled devices. This provides surgeons with better accuracy, flexibility, and control.


Why Choose a Female Proctologist in Los Angeles?

Are you searching a good female proctologist in Los Angeles? Choosing the proctologist with whom you can discuss your health problems comfortably is an important decision. If you are a woman, then it becomes important to consult a female proctologist. Some female patients may feel reluctant to discuss their colorectal health issues with a male doctor and prefer female doctors.

A proctologist or colorectal surgeon is a physician who specializes in the diagnosis and treatment of the rectum, anus, and colon diseases. Some treated ailments such as hemorrhoids, fecal incontinence, rectal cancers, etc. may narrow down your options of finding the right female colorectal surgeon in Los Angeles. However, few female proctologists use cutting-edge technology and surgical methods to treat the most common as well as complex diseases that affect women’s colorectal health.

Finding the Right Female Proctologist in Los Angeles

Finding a female proctologist can be a daunting task if you have no reference. Though the quality of a proctologist depends on several factors, however following are the Must-Have considerations that you must not ignore:

  • Board-Certification
  • Hospital Affiliations
  • Past Experience
  • Specialization
  • Success Rate

When finding a female colorectal doctor, make sure you consider points mentioned above. Starting from here, you can narrow your search and include your personal considerations as well to choose the best option. With these factors, you are searching a proctologist who has experience and expertise in the field of colorectal surgery. You may also want to check if your female proctologist uses robotic-assisted minimally invasive techniques for treating colorectal diseases.

If you are a woman who is looking for the right female proctologist in LA, then do include above points in your research. For women in Los Angeles who are actively seeking a female colon and rectal specialist in the area, Dr. Karen Zaghiyan is an excellent choice. She is one of the top rated colorectal surgeons in LA. She is a board-certified surgeon and performs all her major operations at Cedars-Sinai Medical Center. Book a consultation now to discuss your colorectal health problems!


10 Reasons to Visit a Proctologist in Los Angeles

As the age grows, health issues also start increasing. Things like weak eyesight, sore feet, knee pain, thinning hair, etc. readily come to mind. But who would have every given a thought to visiting a Proctologist every year? Before we can move ahead, let’s discuss who a proctologist is.

Who is a Proctologist?

A proctologist is a surgical specialist who focuses on the treatment of the colon, rectum, and anus diseases. Usually, people pay little attention to their colorectal health. However, with growing age, things like anal pain, hemorrhoids, constipation comes. Visiting a proctologist once in a year will help you minimize the risk of colorectal diseases.

What Will The Proctologist Do?

If you observe problems in your digestive tract, then you can try finding a reliable proctologist in the major cities like Los Angeles. If you are a female and would like to be comfortable while discussing your health condition, then you can find a female proctologist in Los Angeles. Once you visit physician’s office, you will be interviewed by the doctor in a confidential setting where he/she will examine you. Afterward, your proctologist will examine your anal area with a small scope (anoscope) and rectum with a proctoscope. Finally, the physician will check your stool for any microscopic blood.

Now that you know what a proctologist do, you would be wondering why you would need to visit a proctologist. Well, following are some reasons to see a proctologist:

  1. When you see or feel an external anal lump
  2. When you observe a discharge from the anus
  3. When you have rectal bleeding
  4. When you see a change in bowel habits or change in the size of the bowel movement
  5. When you have turned 50+ years and need a colonoscopy
  6. When you have anemia and the source of it is in your colon, anus or rectum
  7. When you have had polyps in the past
  8. If you have a strong family history of colorectal cancer or colon polyps
  9. If you have pain or swelling on the buttocks
  10. When you have irritable bowel syndrome

Where to Find a Good Proctologist?

You can ask for some references from friends or relatives. In addition to this, you can also find best proctologists in Los Angeles through the internet. Schedule a private consultation and discuss your colorectal health with the physician. Ask as many questions as you want and become educated in all the aspects of your problem and its diagnosis.

How to Choose the Best Doctor for Colonoscopy

The colonoscopy is must for families with hereditary colorectal cancer (CRC) syndromes. A colonoscopy is a particular type of procedure which must be performed by a specialist.  You should always visit a colon and rectal physician or a gastroenterologist for the procedure. Now the question comes- how to find the best doctor for a colonoscopy? Well, you may look online to find a colonoscopy specialist in your area or may ask your friends/relatives for a recommendation. However, which doctor is the right one for you? The answer to this question is- the doctor who finds the most polyps.

Relation between Polyp Detection Rate and Colon Cancer Rate

A study by New England Journal of Medicine states that the risk of developing colon cancer is reduced among individuals whose doctors removed a greater number of premalignant polyps or adenomas. As per this study, 1% increase in adenoma detection rate can bring 3% decrease in interval cancer risk and 5% decrease in fatal colon cancer risk.

Factors that affect GI’s Polyp Detection rate

The study by New England Journal of Medicine prompts questions such as: Why there is a difference in the polyp detection rates of physicians? Following factors are accountable for different detection rates:

  • Demographics- A doctor who serves older people is likely to detect more polyps
  • Colon Prep- The detection rate is subject to colon prep and how well the gut has been cleaned.
  • Patient Insurance and Reimbursement- How much the doctor is being reimbursed, also affects the thoroughness of the procedure.

Role of Time Spent by Doctor in the Colon

One of the most significant factors in polyp detection rates is the time that your physician spends in your colon to locate polyps. When a doctor takes the colonoscopy instrument (colonoscope) through the entire colon and thoroughly scopes for polyps near the appendix, the chances of detecting polyps are higher.

Do Ask Questions to Your Physician

If it is your first colonoscopy, do not forget to ask following questions to your doctor:

  • How much experience you have in performing colonoscopies?
  • How much time you normally take to perform the procedure?
  • What is your success rate in detecting adenomas for patients of my age?

Make sure you know about every aspect of colonoscopy and refer above mentioned points. Don’t hesitate to ask questions from your doctor. Do your part of colon prep to get effective results. Find a colonoscopy expert with high detection rates.

Firstly you need to find a good Colonoscopy in Los Angeles and then prepare yourself for colonoscopy.



The word colonoscopy may sound scary to many people. However, regardless of the perception, colonoscopy is an essential screening for people above 50 years age.

If you are 50+ years old, then you must go for a colonoscopy. Firstly you need to find a good Colonoscopy in Los Angeles and then prepare yourself for colonoscopy. If you don’t empty out your colon properly, then your doctor might face difficulties in examining it, and you might have to go for colonoscopy again.

Preparing yourself for colonoscopy can be time-consuming and uncomfortable. In today’s post, you can find some tips for colonoscopy prep.

Tip #1: Get Colonoscopy Prep Instructions before Procedure

The first thing is to receive a copy of instructions from your doctor or clinician before the actual procedure date. Make sure you read it thoroughly and ask questions to your physician. Buy some medicated wipes and skin-soothing product as you will experience high-volume, high-velocity diarrhea.

Tip #2: Clear Your Schedule

Once you read the instructions and start your bowel prep, make sure you stay near your bathroom. If you are responsible for taking care of kids or aging parents, then have someone else to take care of them. Arrange some good reading material for bathroom time 😉

Tip #3: Have Clear Liquids

Until few hours before the colonoscopy procedure, drink extra liquids during and after the bowel preparation. Get a variety of clear liquids such as popsicles, Gatorade, Jell-O, etc. However, avoid taking anything of red, blue or purple color.

Tip #4: Drink PEG (Polyethylene glycol-electrolyte) Solution

Drink a PEG solution during bowel prep. You can add some flavor by adding some lemon or lime juice as the taste PEG is not good. It is better to drink it chilled, or just hold your nose and have it in one go. You can also suck a slice of lemon or a candy afterward to improve the taste of your mouth.

Tip #5: Wear Loose Clothing

It is suggested to wear comfortable and easy-fitted clothing as it will help you relax.


Colon cancer is one of the common diseases that hit 50 year or above age group people. Over 90% deaths from colorectal cancer occur in people of 50 years and above age. The colon cancer is more common among men, and the ideal age for diagnosis is 69 in men and 73 in women. However, how would you know that you are suffering from colon cancer? Following are some prominent signs of having colorectal cancer:

  • Diarrhea or constipation
  • Weight loss
  • Change in the consistency of stool
  • Weakness
  • Rectal bleeding
  • Abdominal discomfort

If you have got any of the above-mentioned symptoms for a longer time, then make sure you visit the colorectal surgeon. Check with your doctor when you should start the screening for colon cancer. Generally, the screenings are recommended at the age of 50 years. Based on your condition, your surgeon may suggest earlier screening as well.

If you are diagnosed with colorectal cancer, then you should not get panic. There are treatment options available to cure cancer. The treatment is subject to the stages of cancer.

Treatment for Stage 1 Colorectal Cancer

In the early stage, cancer has grown but has not spread outside of the colon wall. In this stage, the cancer is treated with a surgery and no additional therapy is required. Approximately 95% of patients are cured with surgery only.

Treatment for Stage 2 Colorectal Cancer

In stage 2, cancer has grown through the colon wall and may affect the nearby tissue but has not extended to lymph nodes. For this stage of cancer, surgery is needed, and radiation therapy may also be needed for treating rectal cancers. Your colorectal surgeon may recommend additional treatments as well.

Treatment for Stage 3 Colorectal Cancer

In stage 3 cancer has grown to lymph nodes however it has not reached to the other body parts. Surgery with chemotherapy is the ideal treatment for Stage 3 colorectal cancer. Based on the location and size of the tumor, your surgeon may suggest radiation therapy as well.

Treatment for Stage 4 Colorectal Cancer

In the 4th stage, cancer has reached to different organs and tissues. Based on the extent of the tumor, your surgeon may suggest chemotherapy along with surgery and radiation therapy.

It is important to find a reliable and trustworthy colorectal surgeon in Los Angeles with whom you can discuss your health condition and treatment options without any hesitation. If you are based in Los Angeles, then consult Dr. Karen Zaghiyan today!


How to find a colorectal cancer specialist in Los Angeles

Fighting with colorectal cancer needs courage, patience, and of course a good colorectal surgeon to handle the treatment of colorectal cancer. You can start your search of finding colorectal cancer specialist by asking your primary doctor who can recommend a good colorectal surgeon in Los Angeles. In addition to this, you can also find experts online and check their websites.

Things to do when finding a colorectal cancer specialist:


Find Experts in Your Local Area

Depending on where you live, finding a colorectal surgeon in a local area may not be easy. It is important to find a specialist as they are more focused and updated with latest treatments of colorectal cancer.

Check Doctor’s Background

While searching a colorectal cancer specialist, make sure you cross check doctor’s credentials such as education, fellowship, and other details. You can also check if the surgeon is board certified or not.

Establish Trust

For successful treatment, it is important that you feel comfortable with your surgeon. Hence, find out a doctor who you can trust.

Your Doctor Should Listen To You

It is important to listen what your surgeon says or suggests. However, it is equally important that your doctor listens to what you say. Find a doctor who listens to your concerns and gives you complete information about the treatment.

Check Doctor’s Experience

You should also check how much experience your surgeon has in treating colorectal cancer. In addition to this, you can also ask following questions from him/her:

–    How many times he/she has performed the procedure that you need?

–    How often he/she performs these procedures?

–    What is the success rate of the surgeon in treating colorectal cancer?

Don’t hesitate to ask questions from the colorectal surgeon. A good and reliable doctor will always listen to your queries and answer them.

So these were some basic considerations that you should not ignore when finding a colorectal surgeon in LA. Getting treatment from the right doctor will treat 50% illness. Choose wisely and discuss your health condition openly with your doctor.

Rectal Bleeding: 3 Things that Your Rectal Surgeon Wants You to Know

Many people think that rectal bleeding is a sign of colon cancer. However, colon cancer is the cause of rectal bleeding only 1 to 2%. There are two reasons of experiencing blood on toilet paper or in the toilet bowl: hemorrhoids and anal fissures. If you suffer from rectal bleeding, then you should not get panic as hemorrhoids and anal fissures are curable. All you need is to find a good rectal surgeon in Los Angeles and discuss your condition.

Following are three things that you should know while consulting rectal surgeon:

  1. Age and family history matter

The first thing is the age and family background as both has a direct link with your health condition. If your age is more than 30 years or you have a family history of colon cancer, then the first step is to get a colonoscopy which is quite easy and painless. On the contrary, if you’re under 30 with no family history of colon cancer, then your surgeon may not suggest a colonoscopy. Your rectal surgeon will examine the condition and advise you accordingly. The need for colonoscopy is subject to initial checkup.

If you are going through pain and bleeding, then it is usually an anal fissure. Some of the common reasons that cause anal fissures are chronic constipation, anal intercourse, and straining. If the rectal bleeding is painless, then it is usually internal hemorrhoids.


  1. Hemorrhoids Surgical Treatment Options

Depending upon your condition, your colorectal surgeon may suggest following surgical options to treat hemorrhoids:

–    Transanal hemorrhoidal dearterialization (THD)

–    Hemorrhoidectomy

–    The Procedure for Prolapse and Hemorrhoids (PPH)

To know more about these procedures, visit:

  1. Over-the-counter remedies

If you have internal hemorrhoids, you might also have external hemorrhoids. Internal hemorrhoids cause bleeding while external hemorrhoids can cause itching, swelling and pain. OTC medications can help in easing the hemorrhoids pain and swelling. Though OTC medicines are safe, yet it is suggested not to take any medication without consulting your physician.

So these were few basic things that you should know if you are suffering from rectal bleeding. In addition to medical treatment, it is important that you change your bowel habits to prevent Hemorrhoids and fissures in the future. If you are based in LA and looking for an experienced doctor, then contact Dr. Karen Zaghiyan, who is one of the leading rectal surgeons in Los Angeles.

Hemorrhoids: Symptoms and Treatment

According to American Society of Colon and Rectal Surgeons (ASCRS), Millions of people in the U.S. suffer from hemorrhoid. The risk of getting hemorrhoid (also called piles) is more in adults aged between 45 and 65. The Hemorrhoid is an unpleasant condition that causes pain and discomfort for people; however there are treatment options available.

In today’s busy and hectic schedule, people often ignore the signs of hemorrhoids. This happens due to lack of knowledge because many people are not aware of hemorrhoids symptoms.

By knowing the signs of hemorrhoids, you can get hemorrhoid treatment on time. The sooner you catch the condition, the sooner you can treat it. This post shares some common symptoms of hemorrhoids. Have a look:

  1. Hard and Painful Lumps by the Rectum

This is the main symptom of external hemorrhoids which you can easily spot.

  1. Bleeding During Bowel Movement

The person with hemorrhoids may notice blood on toilet paper or in the toilet bowl during bowel movements. This sign can be seen in both types of hemorrhoids.

  1. Itching around the Rectal Area

In the internal hemorrhoids, people can experience seep mucus within the intestinal tract. This mucus may cause irritation and itching. In addition to this, Excessive rubbing, or cleaning around the anus area may also cause itching and irritation.

  1. Discomfort

People who suffer from hemorrhoids may also experience discomfort after the bowel movement. After passing the stool, they may feel to pass the stool again. Larger the hemorrhoids, greater the discomfort.

  1. Anal Pain

Anal pain is a critical symptom of hemorrhoids, and one should get emergency treatment right away.

These were five basic and common symptoms of hemorrhoids. If you are having any of these signs, then you should consult a skilled colorectal surgeon immediately for hemorrhoids treatment. Hemorrhoids are life threatening; however they can be quite painful and unpleasant for you.

If you are based in California, contact Dr. Karen Zaghiyan M.D., who is an experienced colorectal surgeon in LA. She provides hemorrhoids treatment in Los Angeles. Schedule an appointment today and discuss your condition.