Category Archives: Featured

Still Time To Vote For CRS In The 2017 Bedside Manner Awards

Voting for The 5th Annual Bedside Manner Awards is open!

crs richmond va
The Bedside Manner Awards honors medical providers who are voted on by the local community for their kindness, empathy and attentiveness – attributes that go a long way in gaining a patient’s confidence.

Vote in over 60 specialties for healthcare providers that you believe reflect these qualities and more when caring for you and your family including colon specialists. The voting polls close at midnight on June 15th.

Winners will be announced in the November/December issue of OurHealth Richmond magazine.

Vote for your favorites by clicking here!

How Do I Know If My Bowel Prep Is Working?

One of the most common question we get at CRS is “how do I know if my bowel prep is working?

colon surgeon richmond va
See Dr. Cary Gentry with CRS explain what to expect and the top 3 reasons some patients take longer than others.

When prepping for a colonoscopy your doctor has probably talked to you about how important the bowel prep process is for accurate results. Residue left behind can make it harder for the doctor to view your colon during the exam – meaning a polyp or other issue might not be seen as clearly or even missed.

And no one wants to get to a colonoscopy appointment and be told their prep didn’t fully empty the colon and they’ll have to do it again.

So how do you know if your bowel prep isn’t working?

Everyone is Different

When To Call Our Office

  • If it has been more than 4 hours since you started bowel prep and you aren’t feeling the effects
  • If you experience persistent nausea or vomiting during preparation

Many people start their prep and expect something to happen with minutes– but everyone is different and for some people prep just takes longer to begin and complete.

For the average patient prep takes 6-8 hours to complete and often women can take longer than men. Women often have longer colons due to childbirth or hysterectomies so it can take more time for material to travel through the colon.

Generally if you’ve started prep but haven’t felt the urge to go to bathroom after an hour, there is no cause for concern or a call to the doctor’s office.

However, if it has been more than 4 hours since you started the bowel prep process and you aren’t feeling the effects please contact our office for instructions.  Or if you experience persistent nausea or vomiting during preparation you should call and let us know.

Health Issues or Medications May Also Impact Prep

Not following the instructions, or drinking clear liquids as prescribed can slow or negatively impact bowel prep. And patients with diabetes, neurologic conditions or those who take certain medications suffer from chronic constipation may take up to twice as long to complete the process.

This is just one of the many reasons the physicians at CRS may meet with patients beforehand to review your health history and identify and factors that might impact the type of prep given.

It is important to bring a list of every medication you are taking, as there are several different colon preparations and your CRS doctor will determine the best prep based on your specific situation.

If necessary your CRS doctor may consult with your primary care, or GI doctor, to discuss stopping, or altering dosage, or certain medications prior to your exam.

Signs Your Colon is Clear

The morning of your exam if you are still passing brown liquid with solid material mixed in, your colon may not be ready and you should contact your doctor’s office.

Passing mostly clear or only a light color, including yellow, is a sign your colon is clean enough for an accurate examination.

About CRS

Established in 1913, CRS is one of the oldest continually operating groups of colon and rectal surgeons in the country and the largest state-of-the-art practice on the East Coast with three locations around Richmond, VA.

The physicians and staff of Colon & Rectal Specialists are committed to providing to all our patients the special care and education needed for the treatment of colon and rectal problems.

Contact us for more information or an appointment at one of our three Richmond area locations.


CRS Welcomes Dr. Peter Miller

colon specialist richmond vaThe Colon and Rectal Specialists team is growing.   Dr. Peter Miller, who specializes in minimally invasive surgery for colon cancer, rectal cancer, and inflammatory bowel disease is now accepting patients.

Originally from Baltimore, MD. Dr. Miller received his undergraduate degree from Washington and Lee University in Lexington, VA and his medical degree from the University of Maryland Medical School.

He completed his general surgery training at Steward Saint Elizabeth Medical Center in Boston, MA as well as a research year at the Ochsner Clinic in New Orleans with a focus on national outcomes following colorectal surgery and translational colon cancer stem cell research.

Please welcome Dr. Miller to the specialists to the Richmond Colon and Rectal Specialists team.



What If Colon Cancer Runs In The Family?

It is recommended that most people get their first colonoscopy to screen for colon cancer and other issues beginning at age 50.  But what if colon cancer runs in your family?  Should you be worried or get screened sooner?

While many factors contribute to your overall health, several common health concerns, including colon cancer, can run in families.  So it is important to identify if your parents, grandparents, or other relatives suffered from colon cancer so your doctor can better evaluate your risk  – even before age 50.

Because genetics do play a role,  CRS is using the newest technology to screen patients with a family history of colon cancer.

“Our updated colonoscopy equipment allow us to detect polyps and other pathology with greater accuracy.  The High Definition monitors and advanced equipment ensures all surgeons at Colon and Rectal Specialists will continue to deliver the highest quality of care to our patients.  As surgeons, we are unique in that we can treat polyps endoscopically; but if they are too large to remove, or involve greater technical risk we can perform minimally invasive colonic resection or polyp removal via laparoscopic or Robotic techniques.” – Dr. Cary Gentry

If colon cancer runs in your family, we encourage you to talk to a specialist, like those at CRS, who can assess your risk and recommend the right age to begin colonoscopy screenings.   Read more about three Richmond area offices, or our physicians.

2016 Top Docs Awards

Richmond magazine recently announced the winners of their annual Top Docs awards. This year four of surgeons from CRS were named in the Colon and Rectal Surgeon category.

Congratulations to Dr. Smith, Dr. Gentry, Dr. Timmerman and Dr. Vorenberg and thank you to all our fellow physicians and patients for their votes of confidence.


Colon Cancer At 22, A CRS Patient’s Story

In 2016 the American Cancer Society estimates there will be over 95,270 new colon cancer cases. The number of cases has continued to rise, making colorectal cancer the third leading cause of cancer-related deaths in the United States, estimating 49,190 deaths in 2016.
Lauren is a Colon Cancer survivors.  She was diagnosed at the age of 22 by Dr. Cary Gentry who performed surgery at Retreat Doctors’ Hospital.  Today Lauren is cancer free, healthy and  sharing her story with others.   Read more

Demystifying Colonoscopy Prep

Benefits of the CRS Kinder Colonoscopy

  • More tolerable colon prep
  • Split dosing, less fasting
  • Better sedation
  • You meet your doctor prior
  • Removal of polyps
  • Convenience & Privacy
  • Fast answers

For most people, the term colonoscopy doesn’t exactly conjure up happy thoughts, especially when it comes to colonoscopy prep, but it really isn’t as bad as most people think.

Prep is important to clean out the colon before the colonoscopy.  Residue in the colon can make it harder for the doctor to view your colon during the exam – meaning a polyp or other issue might not be identified. Read more