November is GERD Awareness Month, and this week at Premier Surgical Associates in Knoxville, TN, we’re highlighting the importance of recognizing and treating Gastroesophageal Reflux Disease (GERD). Affecting approximately 30-40% of American adults, GERD is a chronic condition that occurs when stomach acid frequently flows back into the esophagus. This backward flow, known as reflux, is caused by a malfunction in the lower esophageal sphincter (LES)—a valve between the esophagus and the stomach. For GERD sufferers, this valve does not close properly, allowing acid to irritate the lining of the esophagus and cause discomfort. 

The most common symptom of GERD is heartburn, but it’s not the only one. People with GERD may also experience a sore throat, frequent swallowing, chest pain, persistent coughing, and even dental erosion. If you experience acid reflux or heartburn twice a week or more, it could indicate GERD, and addressing it early can prevent complications. For some, dietary changes and medications may provide temporary relief. However, when these treatments are not effective or when symptoms persist, surgical intervention can be a powerful, long-lasting solution.

Surgical Solutions for GERD at Premier Surgical in East Tennessee

At Premier Surgical Associates in Knoxville, Cleveland, and Johnson CIty TN, we offer a range of advanced surgical treatments to help those with severe or persistent GERD symptoms. Our team specializes in procedures that can effectively restore function to the LES and provide relief from acid reflux. Here are some of the innovative options we offer:

1. Nissen Fundoplication: This procedure is designed to tighten the LES by wrapping the upper part of the stomach around the lower esophagus. It recreates the “valve” function to prevent acid from moving back into the esophagus. Our surgeons typically perform this procedure laparoscopically, using small incisions and a camera to guide the surgery. Laparoscopic surgery allows for quicker recovery, less pain, and a reduced risk of complications.
2. LINX Reflux Management System: The LINX device is another excellent, minimally invasive option for many patients. This small bracelet of magnetic beads is placed around the LES, allowing food to pass into the stomach while blocking acid from refluxing into the esophagus. The LINX procedure usually takes less than an hour and is performed as an outpatient procedure, allowing patients to return home the same day. 
3. Transoral Incisionless Fundoplication (TIF): The TIF procedure is a completely incisionless option that treats GERD by reinforcing the LES. Using a flexible device through the mouth, the surgeon reshapes the LES to prevent acid reflux. TIF is ideal for patients looking for an effective, minimally invasive solution without any incisions.
4. Hiatal Hernia Repair: For many GERD patients, a hiatal hernia can exacerbate symptoms. This condition occurs when the stomach pushes up through the diaphragm, making reflux more likely. Hiatal hernias are often repaired during anti-reflux surgery, providing additional relief from GERD symptoms.

Beyond GERD: Treatment for Gastroparesis

For patients suffering from gastroparesis, a related digestive condition, we offer Enterra Therapy. This treatment uses a small gastric electrical stimulation (GES) device to relieve nausea and vomiting associated with gastroparesis by encouraging the stomach to empty more effectively.

Get Relief from GERD with Premier Surgical

GERD Awareness Month is a reminder that chronic acid reflux doesn’t have to be a part of your life. At Premier Surgical Associates, we’re committed to providing compassionate, expert care to help you find lasting relief. If you’re experiencing persistent GERD symptoms, consult our team to explore treatment options tailored to your needs.

Schedule an appointment online with a Premier Surgical physician today and take the first step toward a life free from the discomfort of GERD.

As Halloween approaches, things that go bump in the night may give you a fright—but hemorrhoids shouldn’t be one of them! At Premier Surgical Hemorrhoid Treatment Center in Knoxville, TN, we’re here to tell you that hemorrhoids don’t have to be a scary experience. Thanks to advanced, non-invasive treatments like Infrared Coagulation (IRC), you can get relief quickly and safely, without surgery or downtime.

What Are Hemorrhoids?

Hemorrhoids are swollen veins in the lower rectum or anus, similar to varicose veins, that can cause discomfort, itching, and bleeding. They are a common condition, affecting nearly 1 in 20 Americans, especially those over the age of 50. While they are not usually serious, hemorrhoids can be painful and frustrating.

But here’s the good news: hemorrhoid treatment has come a long way, and today there are advanced, non-invasive procedures that can offer significant relief without the need for surgery.

Enter Infrared Coagulation (IRC)

One of the most popular, non-invasive procedures available today is Infrared Coagulation (IRC). This state-of-the-art treatment uses warm infrared light to coagulate the blood vessels that supply the hemorrhoid. Without its blood supply, the hemorrhoid shrinks and eventually falls off. 

IRC is ideal for internal hemorrhoids that are causing discomfort, itching, or bleeding. 

Why Choose IRC?

There are several reasons why IRC is an excellent choice for treating hemorrhoids:

• • Non-Invasive: IRC is performed in-office and doesn’t require any cutting or stitches. The procedure is quick and easy, and most patients experience very little discomfort.
  • Quick Recovery: There’s no lengthy recovery time with IRC. Most patients can return to their normal activities in a day or two.
  • Highly Effective: Studies show that IRC is an effective treatment for internal hemorrhoids, with long-lasting results. It helps alleviate symptoms without the need for an invasive surgery.
  • Minimal Side Effects: Unlike some other hemorrhoid treatments, IRC has minimal side effects. You may experience mild discomfort, but it’s temporary and typically resolves quickly.
  • IRC is Covered by Most Insurance Plans!

  Is IRC Right for You?

  If you’ve been struggling with hemorrhoid symptoms, such as itching, discomfort, or rectal bleeding, IRC could be a great option for you. It’s a safe, effective, and non-invasive treatment that allows you to get back to your life without the hassle of surgery or long recovery time. 

  At Premier Surgical Hemorrhoid Treatment Center, our team of experts will evaluate your symptoms and determine whether IRC is the best treatment option for you. We’re committed to providing personalized care that meets your needs and helps you feel better as quickly as possible. We specialize in hemorrhoids and are the only dedicated hemorrhoid treatment center in southeast!

  Don’t Be Scared—Get Relief Today!

  This Halloween season, don’t let hemorrhoids haunt you. With advanced treatments like Infrared Coagulation, relief is just a quick, non-invasive procedure away. At Premier Surgical Hemorrhoid Treatment Center in Knoxville, we’re here to make sure getting rid of your hemorrhoids isn’t a frightening experience!

   

• Request a your consultation online or call our confidential HEMORRHOID HOTLINE today at (865) 588-9952 to discuss your symptoms and discover how we can help you find relief—without the scare! 🎃

October is Breast Cancer Awareness Month, a time to highlight the importance of early detection in the fight against breast cancer. Our East Tennessee Premier Surgical Breast Cancer Team of surgeons, is committed to empowering our patients with knowledge about the role of regular breast cancer screenings in saving lives. Early detection is key, and routine screenings are one of the most effective ways to catch breast cancer in its earliest, most treatable stages.

Understanding Breast Cancer

Breast cancer occurs when abnormal cells in the breast grow uncontrollably, forming a tumor. While some risk factors for breast cancer—like age, family history, and genetics—cannot be controlled, there are powerful steps you can take to reduce your risk and detect cancer early. 

According to the American Cancer Society, 1 in 8 women will develop invasive breast cancer in her lifetime, but early detection through regular screenings can significantly increase survival rates.

Why Regular Screenings Matter

The goal of breast cancer screening is to find cancer before it causes symptoms, such as a lump, changes in breast size or shape, or nipple discharge. When breast cancer is found early, treatment options are broader, and outcomes are generally much better. Regular screenings are vital because:

1. Early Detection Saves Lives: Detecting breast cancer early, before it has spread to other parts of the body, increases the likelihood of successful treatment. Early-stage breast cancer is much easier to treat than advanced cancer, and the survival rate for localized breast cancer is around 99%.
2. Screening Can Catch Cancer Before Symptoms Appear: By the time symptoms of breast cancer arise, the cancer may have already progressed to a more advanced stage. Mammograms, which are the most common screening tool, can detect tumors too small to be felt, often years before physical symptoms appear.
3. Improved Treatment Options: Early detection often allows for less invasive treatments and increases the chance that breast-conserving surgery, like a lumpectomy, will be possible. For many women, this means shorter recovery times and less disruption to daily life.

Who Should Get Screened?

The frequency of screenings depends on a few factors, including your age, medical history, and risk factors. The American Cancer Society recommends the following guidelines for women at average risk for breast cancer:

– Women aged 40-44: Optional annual mammograms.

– Women aged 45-54: Annual mammograms.

– Women 55 and older: Mammograms every two years, or the option to continue with yearly screenings.

For women with higher risk factors, such as a family history of breast cancer or certain genetic mutations, screenings may begin earlier or occur more frequently. It’s important to discuss your individual risk factors with your healthcare provider to determine the best screening schedule for you.

The Role of the Premier Surgical Breast Team

At Premier Surgical Associates, we understand that navigating breast cancer screenings can feel overwhelming. Our dedicated team of surgical specialists is here to provide you with compassionate, personalized care throughout the breast cancer diagnosis, treatment and reconstruction stages. We will ensure that you receive the highest quality care at every step of the way.

For more information about about our experienced Premier Surgical breast cancer specialists, please visit:  https://www.premiersurgical.com/specialties/breast-cancer-surgery/. 

Hemorrhoids are a common yet often misunderstood condition that can cause significant discomfort and distress. At Premier Surgical Hemorrhoid Treatment Center in Knoxville, TN, we provide the most advanced and effective treatments for hemorrhoid relief. Understanding the symptoms, causes, and the latest innovative treatments, such as Infrared Coagulation (IRC), can help you make informed decisions about managing and alleviating this condition.

Symptoms of Hemorrhoids

Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins. They can be internal (inside the rectum) or external (under the skin around the anus). Common symptoms include:

Pain or Discomfort: This can range from mild to severe and is often exacerbated during bowel movements.

Itching or Irritation: Persistent itching around the anus is a frequent symptom.

Swelling: Swelling or a lump around the anus can be a sign of external hemorrhoids.

Bleeding: Bright red blood on toilet tissue or in the toilet bowl can indicate internal hemorrhoids.

Mucus Discharge: Some people experience a mucus discharge when they have hemorrhoids.

Causes of Hemorrhoids

Several factors can contribute to the development of hemorrhoids, including:

Straining During Bowel Movements: This is often due to constipation or diarrhea.

Prolonged Sitting: Spending long periods sitting, especially on the toilet, can increase pressure on the veins in the rectum and anus.

Obesity: Excess weight can put additional pressure on the pelvic veins.

Pregnancy: The weight of the fetus can increase pressure on the pelvic veins, and hormonal changes can weaken the vein walls.

Aging: As we age, the tissues that support the veins in the rectum and anus can weaken and stretch.

Low-Fiber Diets: Diets low in fiber can lead to constipation, which increases the risk of hemorrhoids.

Innovative Treatments: Infrared Coagulation (IRC)

At Premier Surgical Hemorrhoid Treatment Center, we offer the latest and most effective treatments for hemorrhoids. One of the most innovative and non-invasive treatments available is laser Infrared Coagulation (IRC). IRC is a non-surgical procedure that uses infrared light to coagulate the blood vessels supplying the hemorrhoid. This causes the hemorrhoid tissue to shrink and eventually fall off. The procedure is quick, typically taking less than 10 minutes, and is performed in an outpatient setting.

Benefits of IRC

Minimally Invasive: Unlike traditional hemorrhoidectomy surgery, IRC does not involve cutting or stitches, making it a less invasive option.

Virtually Pain-Free: Most patients report minimal discomfort during and after the procedure. There is no need for general anesthesia, and only a mild local anesthetic is used.

Quick Recovery: Patients can usually resume their normal activities soon following the procedure, with minimal downtime required.

Effective: IRC is highly effective for treating small to medium-sized internal hemorrhoids, with a high success rate and low risk of complications.

Insurance Coverage:  IRC hemorrhoid treatment is covered by most health insurance plans. 

Why Choose Premier Surgical Hemorrhoid Treatment Center?

At Premier Surgical Hemorrhoid Treatment Center in Knoxville, TN, we are committed to providing the highest quality care for our patients. We understand the impact that hemorrhoids can have on your quality of life, and we are here to offer compassionate, effective, and minimally invasive solutions. 

If you are looking for a more permanent solution to hemorrhoids, schedule a consultation online or call our confidential HEMORRHOID HOTLINE at (865) 588-9952 to discuss your symptoms and learn more about how IRC can help you achieve lasting relief.

Thyroid Cancer Awareness Month, observed every September, is a critical time to highlight the significance of recognizing symptoms and the importance of early detection of thyroid cancer. At Premier Surgical in Knoxville, Cleveland, and Johnson City, TN, we want patients in our communities to be well-informed about thyroid health and cancer. Understanding the symptoms and prioritizing early detection can make a significant difference in outcomes for those affected by thyroid cancer.

Understanding Thyroid Cancer

Thyroid cancer originates in the thyroid gland, a butterfly-shaped gland located at the base of the neck. The thyroid plays a crucial role in regulating metabolism, heart rate, and body temperature through the production of hormones. 

Recognizing Symptoms of Thyroid Cancer

Thyroid cancer often does not present obvious symptoms in its early stages, which can make detection challenging. However, as the cancer progresses, several signs and symptoms may become apparent:

A Lump or Swelling in the Neck: The most common symptom of thyroid cancer is a noticeable lump or swelling in the neck. This lump may be painless and can be felt when touching the neck.

Changes in Voice: Persistent hoarseness or changes in voice can occur if the cancer affects the vocal cords.

Difficulty Swallowing or Breathing: Tumors that grow large enough may compress the esophagus or trachea, leading to difficulty swallowing or breathing.

Persistent Cough: A chronic cough that is not related to a cold or other respiratory condition can be a sign of thyroid cancer.

Neck Pain: Pain in the neck, sometimes radiating to the ears, can be another symptom.

Risk Factors for Thyroid Cancer

Gender and Age: Thyroid cancer is more common in women than men and typically occurs in individuals between the ages of 30 and 60.

Radiation Exposure: Previous exposure to high levels of radiation, particularly during childhood, can increase the risk of thyroid cancer.

Family History: A family history of thyroid cancer or certain genetic conditions can elevate the risk.

Iodine Deficiency: In some parts of the world, a diet low in iodine can increase the risk of thyroid cancer.

The Importance of Early Detection

Early detection of thyroid cancer significantly improves the chances of successful treatment and positive outcomes. Here’s why early detection is crucial:

1. Effective Treatment
   Thyroid cancer is highly treatable, especially when detected early. Treatment options, including surgery, radioactive iodine therapy, and hormone therapy, are more effective when the cancer is in its initial stages.

2. Minimizing Spread
   Early detection helps prevent the spread of cancer to other parts of the body, such as lymph nodes, lungs, or bones. Containing the cancer early reduces the complexity and intensity of treatment required.

3. Improved Prognosis
   Patients diagnosed with early-stage thyroid cancer generally have a favorable prognosis. Regular check-ups and timely intervention play a significant role in achieving successful outcomes.

How Premier Surgical Center Can Help

At Premier Surgical Associates in East Tennessee, TN, we are committed to providing the highest standard of care for patients with thyroid cancer. We offer personalized treatment plans, expert surgical care, and ongoing care and support.

Thyroid Cancer Awareness Month is an essential reminder of the importance of recognizing symptoms and the value of early detection. By staying informed and vigilant, we can improve outcomes for those affected by thyroid cancer. For more information about surgical treatment for thyroid cancer, visit: https://www.premiersurgical.com/specialties/endocrine-thyroid-surgery/

Experiencing discomfort after a meal can be distressing, and it’s often challenging to determine whether the cause is indigestion or a more serious gallbladder issue. At Premier Surgical Associates in Knoxville, Cleveland, and Johnson City, TN, we aim to help you understand the differences between these conditions so you can seek the appropriate treatment. Here’s a guide to recognizing the symptoms of gallbladder issues and indigestion.

Understanding Indigestion

Indigestion, also known as dyspepsia, is a common condition that affects many people. It usually occurs after eating and is characterized by:

• Abdominal Pain or Discomfort: This is often felt in the upper abdomen and can vary in intensity.
• Bloating: A feeling of fullness or swelling in the stomach area.
• Heartburn: A burning sensation in the chest, often after eating.
• Nausea: Feeling sick to the stomach, sometimes accompanied by vomiting.
• Belching and Gas: Frequent burping or passing gas.

Indigestion is typically triggered by overeating, eating too quickly, consuming fatty or spicy foods, drinking too much alcohol or caffeine, and stress. While uncomfortable, indigestion is usually not a cause for alarm and can often be managed with lifestyle changes and over-the-counter medications.

Recognizing Gallbladder Issues

The gallbladder is a small organ that stores bile, which helps digest fats. Gallbladder problems, such as gallstones or inflammation (cholecystitis), can cause symptoms that are often mistaken for indigestion but are generally more severe and persistent. Key symptoms of gallbladder issues include:

• Intense Pain: Sudden, severe pain in the upper right abdomen, which may radiate to the back or right shoulder. This pain often occurs after eating a fatty meal and can last for several hours.
• Nausea and Vomiting: While nausea can occur with indigestion, it is often more intense with gallbladder issues and may be accompanied by vomiting.
• Fever and Chills: These can be signs of an infection or inflammation in the gallbladder.
• Jaundice: Yellowing of the skin and eyes, indicating a bile duct blockage.
• Clay-Colored Stools: This can occur if bile flow is obstructed.

Unlike indigestion, gallbladder problems often require medical intervention. If you experience severe abdominal pain, especially if it is accompanied by fever, chills, or jaundice, it is essential to seek medical attention promptly.

When to Seek Help

If you are unsure whether your symptoms are due to indigestion or a gallbladder issue, it is important to consult with a healthcare professional. The gallbladder experts at Premier Surgical can perform diagnostic tests, such as an ultrasound or blood tests, to determine the cause of your symptoms and recommend appropriate treatment.

Understanding the differences between indigestion and gallbladder issues is crucial for seeking the right treatment and finding relief. Indigestion can often be managed with lifestyle changes, while gallbladder problems typically require medical intervention.

If you have been diagnosed with gallbladder disease, Premier Surgical Associates in Knoxville, Cleveland, and Johnson City, TN can provide surgical treatment. Don’t hesitate to contact us online for a consultation with a gallbladder removal expert. Your health and well-being are our top priorities, and we are here to support you every step of the way.

Summer is a time for enjoying the outdoors, basking in the sun, and participating in fun activities. However, for those suffering from hemorrhoids, the heat can exacerbate symptoms and make daily life uncomfortable. At Premier Surgical Hemorrhoid Treatment Center in Knoxville, TN, we understand the challenges that come with managing hemorrhoids, especially during the warmer months. Here are some practical tips to help you stay comfortable and find relief this summer.

Stay Hydrated

One of the most important things you can do for your overall health, including hemorrhoid management, is to stay hydrated. Dehydration can lead to constipation, which can aggravate hemorrhoids. Aim to drink at least eight glasses of water a day. Keeping your body well-hydrated helps maintain soft stools and promotes regular bowel movements, reducing the strain on hemorrhoidal tissues.

Eat a High-Fiber Diet

A diet rich in fiber can significantly alleviate hemorrhoid symptoms. Foods like fruits, vegetables, whole grains, and legumes can help soften stool and increase its bulk, making it easier to pass. This reduces the pressure on hemorrhoids during bowel movements. Consider adding foods like berries, broccoli, oatmeal, and lentils to your diet. If you find it challenging to get enough fiber from food alone, fiber supplements can be a helpful addition.

Practice Good Hygiene

Keeping the anal area clean and dry is crucial, especially in the summer heat. Moisture and sweat can irritate hemorrhoids and the surrounding skin. After bowel movements, use moist towelettes or gentle, unscented baby wipes instead of dry toilet paper to clean the area without causing additional irritation. Pat the area dry with a soft cloth to prevent moisture buildup.

Avoid Prolonged Sitting

Sitting for extended periods can increase pressure on the rectal veins, worsening hemorrhoid symptoms. If your job requires long hours of sitting, make an effort to stand up, stretch, and walk around every hour. When sitting, use a cushion or a specially designed hemorrhoid pillow to alleviate pressure on the affected area.

Wear Loose, Breathable Clothing

Tight clothing can trap heat and moisture, leading to increased irritation and discomfort. Opt for loose-fitting, breathable fabrics like cotton to help keep the area cool and dry. Avoid synthetic materials that can trap heat and sweat, exacerbating your symptoms.

Apply Cold Compresses

For immediate relief from hemorrhoid pain and swelling, apply a cold compress to the affected area. Wrap ice in a cloth or use a cold pack, and apply it for 15-20 minutes several times a day. This can help reduce inflammation and provide temporary pain relief.

Take Sitz Baths

Soaking in a warm sitz bath can provide soothing relief for hemorrhoid discomfort. Fill a bathtub with a few inches of warm water and soak for 15-20 minutes, several times a day. The warm water helps relax the muscles, reduce swelling, and promote healing. Be sure to dry the area thoroughly after each bath.

Stay Active

Regular physical activity promotes healthy bowel movements and reduces the risk of constipation, which can help prevent hemorrhoid flare-ups. Aim for at least 30 minutes of moderate exercise, such as walking, swimming, or cycling, most days of the week. Exercise also helps maintain a healthy weight, which can reduce the pressure on hemorrhoidal veins.

Managing hemorrhoids during the summer can be challenging, but with these tips, you can find comfort and relief. If you’re suffering from hemorrhoids and are ready for a more permanent solution, we have solutions.

Schedule a consultation with Premier Surgical Hemorrhoid Treatment Center through our online form or call our Confidential Hemorrhoid Hotline at (865) 588-9952. Our expert team is here to provide the care and support you need to enjoy a truly comfortable, symptom-free summer.