Your Friendly Proctologist

You Have No Idea What Pain Truly Is!

• Dr. Albert Chung

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SPEAKER_00

Let's take an ex Let's take a story that I hear. Let's take a story that I hear all the time in the office. A patient sits down in front of a colorectal surgeon, a primary doctor, a GI doctor, and says, I have pain in my anus. And the doctor looks really quickly. Let's take a story. Can I share a story? I'd like to share a st let me share a story that I hear all the time in my office. It's kind of a let me share an unfortunate Let me share a story. Let me share a story that I hear all the time in my office, okay? Every s let me share a story that I hear all the time in my office. It's super unfortunate. And just to say this, let me hear. Let me tell you a story I hear all the time in my office. This is not to knock on any type of doctor, but this is super sad, is what I feel. Let me let me sh let me share a story that I hear all the time in my office. Too many to count, actually. And this is not a knock on any particular specialist or doctor, but you're the let me share a story that I hear all the time in my office. It's super unfortunate. And just to preface this, I'm not trying to knock on any doctors or specialists, but you've probably been in this exact situation, okay? You're sitting in the doctor's office, you finally get the doctor in front of you, you tell him about all the crazy pain that you're having. But because you don't have no. Let me tell you a story that I hear all the time in my office. It's really unfortunate. And I'm not trying to knock on any doctors or specialists with this at all, okay? But I'm sure you've been here once or twice in your life. So you're sitting in your doctor's office and you finally meet and greet the doctor. You tell them about this terrible pain you have in your anus, and of course, it's tough to describe. You almost can hear yourself and you feel like you're a crazy person, but you're trying to get this person to understand you so you can get some help, medication, treatment plan, surgery, whatever it takes to get something resolved. But what happens? The doctor or the nurse gaslights you. They say, Oh, it's just hemorrhoids, you'll be fine. Or, no, I can't prescribe any of that for you. This is this doesn't make sense for this type of treatment. Or it doesn't look that bad. We'll see you in a few weeks or something like that. And I know that this is essentially medical gaslighting because when I see this story and I'm hearing this, I can definitely tell people are struggling. Like, how can you miss that as a human being? You've heard You guys have all heard You've heard this expression before, right? P-I-T-A, right? Paint in the you know where bottom end sun don't shine. And that is probably one of the most common jokes that people tell me in my office, and it's funny every time, but you know, they really are like, yeah, yeah, jokes aside, nice icebreaker. Let me tell you about what's really been happening in my life. And today's video, I want to talk to you about four conditions or four states that uh you know can really cause. We all know the expression P-I-T-A, pain in the you know where sun don't shine, bottom end area. And many people tell me this joke all the time, and it's super funny, but people quickly change gears, right? You have the icebreaker, now it's time to really talk and get serious. I really need some help here. We all know the acronym PITA. It's probably the most frequent joke I get in my office, but it's pain in the you know where sun don't shine bottom end area. And after that icebreaker goes out of the way, people want to get serious and talk about what's really bothering them because they need help. And today I want to talk to you about four conditions or states of your bottom end you could say that are probably the worst pain that any human being could ever experience. It probably goes for any animal too. You know, I bet baboons, um, cheetahs, if they're pain in their PITA, they would probably be seeking out help too. You bet it. You bet it, fuck. Do you know what the acronym P do you know what the acronym PITA stands for? Yeah, you probably have all heard of it. It's the pain in the you know what sun don't shine bottom end area of all things, right? It's the most common joke told in my office. And, you know, I'm not telling that joke, by the way. The patient is. That's the icebreaker. And then it's like, it's time to get serious about my problem because I need you to help me, Dr. Chung. But this I won't. Do you know what the have you ever? We've all heard we all know the acronym P I T A. Pain in the you know what? Sun don't shine, bottom end area, right? And yeah, that's the most frequently told joke in my office. Not by me, by the patient. And after that little icebreaker, everyone gets down and serious. Like, okay, I'm struggling like crazy now, Dr. Chung. Please help me. And there are four conditions or states of your bottom end that I want to talk to you about today that are probably the most painful thing that any human being could ever experience. Like, even more than childbirth, even more than breaking your femur type of pain. And I'd like to bring those to you today. Let's get to it. Do you know the acron? Do you know the acronym PITA? You probably do. I think we all do. Pain in the you know what, sun don't shine where the bottom end area is. And this is probably the most common joke that I hear in this office. Not told by me, by the way, told by the patient. And you know, after that little icebreaker, everyone is like, okay, let's get serious now. I need your help, Dr. Chung. Let's focus, okay? No more joking around. And I'm gonna talk to you about four different states of your bottom end or conditions that your bottom end can be in that are the worst in terms of pain. I'm talking about way worse than breaking your femur, having children, and this is something that any human being does not want to experience because it's the worst thing ever. Did I build did I drill that in enough for you? So, this video we're gonna talk about pain that you like you don't know what. Do you know the acronym P I T A? You probably do. It's the pain in the you know what sun don't shine bottom end area, right? And actually, this is the most common joke that I hear in the office. Not told by me, surprisingly, told by the patient. And after that little icebreaker, people are usually like, okay, Dr. Chones, time joking's over now, okay? Let's get serious. I need help bad. And I want to talk to you today about four states or conditions that your anus can be in that give the worst pain that any human could ever experience. I mean, even more than childbirth, even more than breaking your femur. How do I know? Because people have literally told me that in the office. So, this video, I'm gonna go over those things, and you can tell your friends if you've been through this, you have no idea what pain truly is. Hi there, I'm Dr. Albert Chung, and I'm your expert double board certified colon erectile surgeon. And I am based out in the orange Hi there, I'm Dr. Albert Chung, and I'm your friendly proctologist. I'm an expert double board certified colon erectile surgeon in Orange County, Southern California. And my office is here for consultations. I'm also available online for consultations. If you could like and subscribe to the videos, that'd be very helpful. I've also got information in the description box. Check that out for sponsors and also some Amazon links that my patients frequently use. And I'm so glad. And I'm so glad. And I'm so glad to see And I'm so glad to see all of you again. Hi there, I'm Dr. Albert Chung, and I'm your expert double board certified colon erectile surgeon based in Orange County, Southern California, USA. Just remember that I've got great links in the description box below. How to get in contact with me for video consultations, some Amazon links for you to get some quick supplies and info about my helpful sponsors. And also, if you can subscribe to the channel, like the video, let's further this community and help each other to get better. And today's video is sponsored by Pranicura. This stuff is the bomb. More about this later for your hemorrhoids, itching, and also spasm issues, surprisingly. And and today's video And today's video is sponsored to you And today's video is sponsored by Pranicura, the best cream for your itching, your hemorrhoids, fissures, and even spasm. More on this later. Pain. So the four so the four conditions I'm gonna talk to you about today is pain that you cannot underestimate. This is not a so pain. So the four things I'm gonna go over today is pain. We all know pain is subjective, right? But there are certain conditions where you definitely give someone the benefit of the doubt, right? You broke your femur, like, oh my god, that should have hurt so bad. Well, I'm telling you, these four conditions we're gonna talk about with the anus, yeah, they're they deserve some major sympathy. But this is where a lot of medical gaslighting comes into play. Why? Because you can't see on an X-ray that your anus is broken. You can't really see if the hemorrhoid is really bad or the infection is really bad. And sometimes this stuff is really hard to examine, too. You know, you can look on the outside of somebody's thigh if their femur is broken, but you look on the outside of the anus and the problem's interior, like, do you really have to use the finger? Oh, if you do, please be careful because it hurts so bad. Or we've served, man, we've got to put you to sleep because you know, I've got to know what's in there, what's bothering you, and I can't do it with you awake because you're wincing in so much pain. But how many times? But but if someone gave me a dime for the number of times, but if someone gave me a dime for all the stories that I hear about people ignoring their pain, downplaying their pain, just saying, eh, it's just the hemorrho, you're gonna be fine, toughen up. You know, why are you such a weak little wussy? I would be a zillion trillion dillionaire, okay? Way more than Elon Musk. I mean, I don't care who it is. I mean, anyway, getting off the topic, let's talk about condition number one. Condition number one is severe anal spasm with a chronic fissure. Um, super terrible. Chronic fissures can be an awful source of pain, okay? And usually, like I said in my other videos, the cut is a very searing type of sharp pain, usually when poop is coming out. Okay, if you whenever that anus has to stretch out, can you imagine like somebody placing a giant sword in your anus? That's literally what people tell me it feels like. Okay, just think about that. How sharp that has to be to feel that intense. It feels more sharp than 10,000 daggers hitting your arm and like making a fillet on your forearm. Way worse than that. Now, add on the annu spasms that also can occur for 12 hours, 24 hours at a time. Oh, the spasm pain is something where it can be very, very actually a wide range of symptoms, but burning, like your butt is on fire, pressure, like you have constant swelling, like there's an inner tube in your butt. Maybe you feel like you have a lump there, okay. You barely can stand a lump on your face with a pimple. You gotta keep picking and scratching at it. Imagine it's in your anus, okay, and you can't get rid of the ball. Every time you sit down, it's like you're sitting on something. Okay. The constant, there's some people that have sharp pain with that, okay? It's like having a chronic fissure 24-7. Can you it's amazing the strength of these people, how you can live with that. I've got kids, I've got work, I've got my parents to care for, I've got myself to care for, I want to live, I want to keep going. And this is what is super distressing about it because usually after they poop, that's when the symptoms just fire and flame on. And if you can imagine that, you know, that sensation happening, you can't even think, what day is it today? You can't even process like what was it that I had to do? Like, you remember forgetting your keys in the car? That's some people are like they can't even possibly process what is going around them. Okay, they can't even sleep. That's how bad that pain can be. So that's definitely number one. Number two is Crohn's disease in the anus. We know Crohn's disease is an autoimmune condition in the bacterial. Number two is Crohn's disease that is in the anus. Crohn's disease in the anus can involve abscesses and anal fistula. And the background behind this is that it's an autoimmune condition, and the inflammation from the bacteria and the number two is Crohn's disease in the anus. Crohn's disease is an autoimmune condition. The barrier of the intestinal lining gets broken down because of inflammation. There's many theories on this, which we won't go into that today. But the bacteria can now cross into spaces they shouldn't be. They should be only in the intestines or inside of the anus wall. But when you can break through it, that's where bacteria shows up and can develop into pockets of infection and fistulas. Now, some people with Crohn's can have terrible pain because the abscesses, even though you treat them with surgery or you drain the pus out, the pain stays and keeps coming back more often. Or they keep getting more fistulas, more abscesses because the inflammation is so active and it's not controlled. And you know, these people are on medication. It's not because they're ignoring it, it's because their inflammation is just going a little bit haywire and it's difficult to control. So that is another condition where this chronic infection they can also get spasms because of all of this inflammation going on. It's incredibly difficult to work with. Some people can't go to work, they can't poop, they can't eat because if they go poop, the pain starts to happen all over again in a cycle every single day. Condition the next the next the next super painful condition, the next super painful condition, the next condition, the next super extreme painful condition is internal thrombostemorids. The next super painful condition that I feel really bad for these people, okay, is internal thrombostemorids. We all know about the external thrombostemorids, but this is from the inside, right? What happens is that you have internal hemorrhoids that are thrombosed. The thrombos means you had a bleed from a blood vessel of the internal hemorrhoids. Remember, internal hemorrhoids are blood vessels, so they pop open, the blood comes out because now it is damaged, and the blood then clots and forms hard balls. But the real kicker is the immune system coming in and making a swelling mess of everything inside there. And frequently the internal hemorrhoids get so swollen they actually pop out of the anus. That's a hemorrhoid prolapse. But that's not all, they also continue to spread to the outside with the inflammation and the bleeding. So now you have external thrombosed hemorrhoids with it. I specify this because the external usually don't involve the internals, but the internal, if that's where the bleeding begins, it can have everything inflamed and swollen. I'm talking about half moon of your anus, just huge, on fire, really, really swollen. And up to 360 degrees, a full moon of your anus completely on fire. And oh my, it looks it looks terrible. It really is like someone dropped a bomb on their anus and they're left to deal with it. You are paralyzed, you can't do anything, you can't move. Again, who wants to eat in that condition? Okay, people usually are fasting at that point, but the gaslighting that people get from doctors or ERs, usually they just tell you to go home, go take a sits bath. You know, what did the internet tell you? You know, what do you think I was gonna do for you? Just go home. You get a hemorrhoid just like anybody else. But I'm telling you, I mean, in my opinion, there are procedures that can be done in that instance to try and at least speed up their recovery. And that's another point to make. Last up to three to four weeks. Of course, it goes down little by little, we all hope. But it is super excruciating to be on this type of course for so long. Condition condition number four, which this one is more like a state, obviously. Condition number four. The fourth one on the list. The fourth one on the list that you can tell your friends, if you haven't experienced it, you have no idea what pain really is, is the hemorrhoidectomy and the recovery. This is more of a the fourth one on the list where you can tell your friends if you have not experienced this, you don't know what pain truly is. And that is the hemorrhodectomy surgery and their its recovery. Now, this of course, not everyone is forced into it, like some of the other conditions. You kind of can't help it. You make a decision for a surgery, right? But there are some cases where hemorrhageomy is actually emergent. But in general, this surgery creates a lot of pain. And I'm not trying to guess like other doctors or specialists, okay? Because this is the standard of care. But most doctors, I'm gonna be honest with you, they just don't care about your comfort, your pain after this recovery. They just tell you it's about one to two weeks recovery. Oh, you want to go to work in one week? Yeah, you should be able to do that. Oh, you want to go back to running? Yeah, two weeks should be fine. You can start doing your half marathon training. It's gonna, you're gonna be good. But you call them after your pain medication wears out for three days, right? They gave you like 20 pills, or they're not able to be reached by telephone, and you are sitting at home with these fresh wounds from the surgery that the surgeon created, right? They did some cutting and stitching, and maybe did some burning of hemorrhoids, and your pain is like 50,000 out of 10. And that's in my opinion, that's that's an understatement. Okay, the amount of sensitivity that can come from that area when you do when you go into the surgery is immense. And I think that that's where my research and my office is really trying to change things, okay? Because yeah, some people actually need the surgery, right? It's not like, oh, you did the hemorrhoid acting. Well, that's your fault. You decided to do it. No, there are people that have giant hemorrhoids that are popping out, okay? They as soon as they stand up, the hemorrhoids fall out. How are they supposed to do sports or anything like that? And then there's some people that don't even have hemorrhoids that big, but they want to go play golf. Um, they want to they need to work and carry heavy boxes, but every time they do, they feel this swelling, they feel something, an inner tube opening up in their butt. Or they see the blood in the toilet and they say, like, oh my god, what the heck is this from? This freaks me out every single time. And in my opinion, the hemorrhoid surgery should not be a crazy struggle, and this is where I help people and I coach people in their recovery. I make sure their pain is controlled, I communicate with my patients. My patients actually have my cell phone number. I want to know and I want to help you get through this because this is a specialized recovery. Okay, this is something where the normal tactics may not work, and you need some tips, you need help. And this is the innovation that I make with the innovation that I make with this surgery, and the innovation that I've made with this surgery has been and the innovations that I've made with this surgery, the procedures and the recovery have made a huge difference for my patients. They are recovering faster, they feel confident when they're recovering. Can you imagine that? And I'm using laser, it's been a huge help. I'm using Botox with my special Botox protocol procedure that no one else does because the interest is so low in this part of the field, and I am trying to bring this procedure into the present, okay, and then into the future, of course. But right now, what we want to do is make this a procedure that people can actually feel like they have the confidence of confidence to choose it and get better from it and move on from there. And thanks to all you guys, and thanks to all you guys out there who watch the content, finding out about my new protocols and my way of innovation. There's been people visiting me from all over the world, and not to mention the video consultations from all over, and it's been an amazing experience learning and also meeting. And thanks, and thank you to all of you who have been viewing video consultation, and thanks to all you guys on social media and YouTube. You guys have been contacting me for video consultations, coming here for surgeries and also for con. And thanks to all you guys, and thanks to all you guys on social media in the YouTube space. And thanks to all you guys on YouTube and on social media. You guys have been contacting me for video and in-person consultations from all over the world. People fly in to come and see me. It's been an absolute privilege to meet all of you and help all of you with your issues the best that I possibly can. And I am so, so, I mean, just humbled by it. And I truly appreciate meeting all of you and to share your intimate stories with me. I have I have a cr I have tremendous sympathy for people with bottom end conditions, and I I think that comes from my empathy because I live those issues too. I have again spasm, I have anal fissures recurrent, and I also have hemorrhoids. Okay. Haven't had a hemorrhoid surgery, haven't had a fistula surgery, I do bandings and other things to help, and but I understand you guys, and I think that's what has enabled me to grow and to develop. I gre I greatly sympathize with all of you who have these conditions, and I think that comes from the empathy that I gained through personal experience. Funny enough, I guess. Um I have spasm issues, I have recurrent fissures, I have hemorrhoids, which I've had bandings for, haven't had a fistula surgery, so I can't really be there, you know, saying I know what you're feeling. But having butt issues is is no fun, no matter what the degree is. And I sympathize greatly with all of you. And I sympathize greatly with all of you, and especially those who have had issues like I just talked about, you know, and I think the empathy comes from having personal experience. Funny enough, right? It's got I've got the spasm issues, I've got the fissures recurrent, I have internal hemorrhoids that have been banded, but no, it's no fun for any degree of an anal condition as you can possibly imagine. So I make this video to bring awareness of the anal issues. We gotta keep developing this progress. So I make this video to make progress. So I make the so I'm making this video to create awareness for bottom end conditions. We really need a colored ribbon for this and to have a month dedicated to anal issues because the everyone has had anal issues at some point in their life, and we really need to get better and learn about it and progress this field for sure. If you're if you're struggling one of the if you're struggling with one of those issues that I talked to you about, please get help. And I really hope that you get better, and I wish you the best. Bye. It's being one of the best solutions in the cream version. You know, initially people were using this just for itching and hemorrhoids, but when I've been suggesting this to patients, that actually helps with their anal fissures and even anal spasm. Okay, there is a cool menthol that's included with this cream that gives some distraction, some relief, much needed relief, by the way. The cream also has a very light and airy feel to it, and it's not greasy, which is also great. Um, you can use this every single day, and personally, I'm using it when I have my hemorrhoid issues because of the fact that uh menthol gives me the relief, and I like that it doesn't stick on my butt for 50 hours a day and I can't wash it off. And so I highly recommend you guys check out Pranicura. These guys have been perfecting their formula for a very long time, and I think that you guys may benefit too. Check them out at www.pranicura.com.