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Hypnosis for Women

Professional Hypnosis & Coaching

Rhoda Kopy, Director 1541 Rt. 37 East, Suite E Toms River, NJ 08753 732-270-0080 www.HypnoForWomen.com

Make Your Mind Work FOR You – Instead of Against You!

Rhoda Kopy is a nationally certified consulting hypnotist and wellness coach, with specialty certification in complementary medical hypnotism. She earned a B.S. degree in Biomedical Communications from Richard Stockton College of N.J., has an academic background in nursing, and 20+ years’ experience in community health education and coaching. Rhoda adheres to strict ethical standards of the National Guild of Hypnotists.

When Stepping Back Into Life Scares You

Our world is gradually expanding. More people have been inoculated against Covid, businesses are reopening or increasing capacity, people are connecting in person, and many are beginning to feel better about travel. Wonderful changes – right? Not necessarily for everyone.

Being isolated during the pandemic and having to adjust routines was stress-filled for many of us. But for some, being home felt safe, maybe too safe. There are people who felt comfortable with the isolation - and who found relief in not having to personally interact with others, not having to drive, or to fly on business trips. Home became a safe haven, and they no longer had to step outside their comfort zone. Now there was a valid excuse to not face their already existing fears. For some, being home so much also led to an increase in unhealthy behaviors, like junk food eating, inactivity, more smoking or vaping, etc. And now the excuses are gradually fading.

Consider making this your time to deal with what’s been holding you back - and to boldly jump into life. Give yourself permission to finally get “unstuck,” and set yourself free. Regardless of how long you’ve been struggling with a particular fear or negative pattern, you are capable – with the right tools and techniques – of making the changes you choose to make, such as . . .

• Increasing your comfort in social and business situations • Communicating confidently, clearly and effectively • Driving on busy roadways or over bridges • Flying • Getting on a healthier lifestyle path • Releasing negative habits - like smoking, vaping, junk food eating, inactivity • Building your motivation and becoming a “do-er,” instead of a procrastinator

Those fears and habits are established and reinforced through the subconscious mind; therefore, much of the solution lies within that part of the mind. And that is precisely why hypnosis is an effective way of releasing fears and negative patterns.

Using hypnosis and coaching can transport you from knowing what steps to take, to actually taking those steps. This approach is based on neuroscience – the study of how the mind works. Research in neuroscience has taught us that the brain is capable of rewiring itself for as long as you’re alive, which means you are always capable of changing. By accessing your subconscious mind, fears and negative patterns are much easier to neutralize, and positive patterns can be embedded. An important side benefit of this approach is that it bolsters your ability to relax.

Hypnosis is an efficient, holistic, and empowering modality. It works wonderfully for people who truly want to change, believe that with the right tools and techniques they are capable of changing, and who understand they need to be a partner in the process.

For a Free Phone Consultation, call me at 732270-0080. Integrating hypnotic techniques and coaching paves the way for successful outcomes and boosts your sense of well-being. Covid safety precautions are in place. Virtual and in-person sessions are available.

Make Your Mind Work FOR You –Instead of Against You!

Hypnosis For Women

PROFESSIONAL HYPNOSIS AND COACHING SERVICE

Weight Control Smoking Cessation Relaxation/Comfort Fear Release Focus/Concentration Sleep Improvement Studying/Testing Lifestyle Changes Interviewing/Auditions Athletics Public Speaking Flying/Driving Socializing Confidence

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Make Your Mind Work For You – Instead of Against You 732-270-0080 • www.HypnoForWomen.com

Hemorrhoids: The Bottom Line

Nina Paonessa, DO, FACOS

Did you know we are born with hemorrhoidal tissue, it’s a part of our anatomy? Hemorrhoidal tissue lies within the anal canal and perianal area and consists of blood vessels, connective tissue, and a small amount of muscle. Hemorrhoids are described as varicose veins of the anus and rectum because they are enlarged, bulging blood vessels in the anus and lower rectum. The only time we actually feel hemorrhoids is when they become enlarged or symptomatic. Dr. Paonessa likes to use the analogy: “We all have teeth, but we all don’t have cavities.” Likewise, we all have hemorrhoids, but we all don’t have symptomatic hemorrhoids.

There are two types of hemorrhoids: internal and external. Both can have different symptoms and often different treatments. Internal (inside) hemorrhoids form in the anus beneath a lining called mucosa, which is not sensitive to touch, pain, stretch or temperature. As such, internal hemorrhoids are commonly associated with painless bleeding and protrusion during bowel movements. It is only when the hemorrhoid completely prolapses from the opening of the anus and cannot be pushed back inside that it becomes severely painful. Internal hemorrhoids are classified in four grades: Grade One: The hemorrhoid is not protruding from the opening of the anus (no prolapse). Grade Two: The hemorrhoid protrudes from the anus but it goes back in on its own. Grade Three: The hemorrhoid protrudes and requires the patient to push it back inside the anus. Grade Four: The hemorrhoid cannot be placed back into the anus by the patient. This is often very painful.

External (outside) hemorrhoids form around the anus and are covered by very sensitive skin. The most common complaints associated with external hemorrhoids are occasional swelling, pressure or discomfort. When a hemorrhoid is symptomatic, it becomes a bluish-colored, painful lump outside the anus. If the external hemorrhoid develops a clot (thrombosis), it becomes a hard, painful lump. When the pressure becomes elevated, it can cause the thrombosed hemorrhoid to break down the overlying skin, and the clot begins to leak out. Even after the hemorrhoid has healed, some patients complain about soft tissue outside the anus called an anal skin tag. An anal skin tag is the residual effects from the thrombosed external hemorrhoid. A skin tag may hinder a patient’s ability to clean after a bowel movement. Although there is no treatment for anal skin tags, they can be removed if hygiene becomes an issue for the patient.

There are several factors that can cause hemorrhoids, although the exact cause is unknown. Upright posture, alone, increases pressure on the rectal veins and can cause them to bulge. Additional factors include aging, chronic constipation or diarrhea, straining during pregnancy, heredity, straining during bowel movements, overuse of laxatives or enemas, and extended periods of time on the toilet (i.e., reading).

Here are some symptoms you should be aware of to determine if you may have a hemorrhoid problem: if you are having bleeding during bowel movements, itching in the anal area, pain, sensitive lumps or prolapsing during bowel movements. If you do experience any of the symptoms, do not treat with over-the-counter medication. Call and make an appointment with your doctor. It is very important to understand that NOT all rectal bleeding is caused by hemorrhoids. As such, it is crucial to seek consultation with a specialist such as a colon and rectal surgeon to be sure that the rectal bleeding is not caused by a serious disease such as anal or colorectal cancer.

How hemorrhoids are treated depends on how severe the condition is. If the symptoms are mild, your doctor may simply have you increase your fiber intake in your diet (i.e., fruits, vegetables, breads and cereals) or by adding an oral fiber supplement. It is recommended that you consume 20-35 grams of fiber per day. It is very important to make sure that you drink 8-10 glasses per day of water. Other beverages that contain caffeine or alcohol will dehydrate you, so try to decrease your intake of those beverages. These measures help to create a soft, formed stool, thereby eliminating excessive straining during bowel movements. This, in turn, will decrease the pressure on the hemorrhoids. The use of warm water soaks (sitz baths) will also provide relief.

There are several outpatient treatments that may be performed in the office to help treat symptomatic hemorrhoids. These include rubber band ligation, infrared photocoagulation, and sclerotherapy. All of these procedures are painless. Dr. Paonessa’s procedure of choice in the office is sclerotherapy. Sclerotherapy involves an injection of a chemical irritant into the hemorrhoid, which causes scarring and shrinkage of the blood vessels present within the hemorrhoidal tissues. This procedure is painless and has few, if any, complications. Sclerotherapy is safe for patients on blood thinners. As with any procedure, you will need to discuss this with your physician.

External hemorrhoids may also be treated on an outpatient basis as well. Excision of the hemorrhoidal tissue can be performed. The hemorrhoid will be injected with a numbing agent, and excising of the hemorrhoid along with all blood clots (thrombus) is done. In this case the entire external hemorrhoid is removed, not lanced, so as to avoid any residual skin tag once healed. This procedure provides instant pain relief for those patients suffering from severe pain. Often hemorrhoids that are not thrombosed can be treated with dietary change and sitz baths.

There are other procedures that can be done on an outpatient basis at surgery centers or hospitals. These include traditional hemorrhoidectomy, transanal hemorrhoidal dearterialization (THD), and stapled hemorrhoidectomy. As with any surgery, you will need to have your physician evaluate your condition and see what the best option for you is. With advances in local anesthetic and surgical technique, hemorrhoidectomy is not the painful procedure it had been associated with in the past.

If you are experiencing any of the symptoms or conditions discussed, please contact Paonessa Colon and Rectal Surgery to make an appointment with Dr. Paonessa. Dr. Paonessa is well trained in all aspects of hemorrhoid management and surgery. In fact, she is the co-editor of the textbook Surgical Treatment of Hemorrhoids, 2nd edition, and authored three of the chapters within this textbook.

Colon and Rectal Surgery

Board Certified in General Surgery and Proctology • laparoscopic surgery • pelvic floor disorders • abdominal/pelvic surgery • office proctology • fecal incontinence • anorectal manometry/ • endoanal/rectal ultrasound physiology • anorectal surgery

603 Higgins Avenue Brielle, NJ 08730 1364 Route 72, Suite 5 Manahawkin, NJ 08050

Phone: (732) 282-1500 • Fax: (732) 292-9600