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Dr. Scott Browning

Colon and Rectal Surgery
Portland, OR
30 years experience male

Locations

Northwest Center for Colorectal Health, LLC

Portland, OR

Address

9155 SW Barnes Road, Suite #231, Portland, OR
Directions

Practice website

Fax

5032165399

About

Bio

Dr. Scott M. Browning is a Board Certified Colon and Rectal surgeon who completed his training at the Mayo Clinic in 1997 and is currently in private practice in Portland, Oregon. His practices focuses on colonoscopy, office and operative management of anorectal diseases (hemorrhoids, fistulas, fissures, etc) and laparoscopic/robotic/minimally invasive management of colorectal cancer, inflammatory bowel disease, diverticulitis and rectal prolapse.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Colon and Rectal Surgery

Languages spoken

English

Doctor Q&A

80 Answers
37 Agrees
The number of answers this doctor has agreed with.
A 30-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Drainage, Abscess: Failure to correct an anal fistula generally leads to persistent drainage, recurrent peri rectal abscesses and gradual fibrosis of the anal sphincter.... Read More
A 43-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Yes: Yes, desiring is a moisture barrier. Another inexpensive product you might try (another soothing moisture barrier used by adults) is calmoseptine, whi... Read More
A 34-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Yes, but...: You are unlikely to injure the fissure, but anal fissures are generally painful and doing an anal fissure.
A 17-year-old male asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
May be Fissure: The symptoms that you describe are more suggestive of an anal fissure. See a physician for evaluation.
A 34-year-old male asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
See CRS: It sounds iike you may have internal hemorrhoid prolapse. This can be treated, sometimes with fairly painless office measures. See a board certified... Read More
A 30-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Office treatment: If your internal hemorrhoids prolapse out through your anus to the point that you notice it, that is not likely to go away on its own (the horse is ou... Read More
A 25-year-old male asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
See CR Surgeon: Anal bleeding in a young person with a normal colonoscopy will most likely be from either internal hemorrhoids or an anal fissure. You would most like... Read More
A 42-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Different problems: An anal fissure is a tear in the lining of the anal canal causing pain and bleeding. An anal fistula is a tunnel from inside the anal canal out to the... Read More
A 47-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Not helpful: You can use it, but it's not going to cure a fissure. An anal fissure can be treated with topical Diltiazem or even topical nitroglycerin. Thes work a... Read More
A 33-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Minimally: Your colon and rectum are several feet in length, and your doctor's finger is a few inches. A digital rectal exam is useful for evaluating the prostat... Read More
A 19-year-old female asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Stool consistency: While there may be some sphincter muscle or nerve damage contributing to this problem, it can often be managed by correcting your stool consistency. ... Read More
A 36-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Many possibilities: If it developed quickly and is painful, then a thrombosed external hemorrhoid or peri rectal abscess is likely. If it developes after bowel movements... Read More
A 39-year-old male asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
See doctor: The drainage you are describing may represent drainage from a pilonidal cyst or an anal fistula, among other possibilities. See your physician who ca... Read More
A member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Tear versus tunnel: An anal fissure is a tear in the lining of the anal canal, just inside the opening, and is characterized by painful bowel movements and rectal bleedin... Read More
A 36-year-old female asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Could be: The symptoms you've described could well be due to hemorrhoids, but there are other possibilities as well. If this is an ongoing problem, you should ... Read More
A 45-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
No, not needed: The good news is that you don't absolutely need your colon. For most colon cancers, the amount of colon that needs to be removed will not be missed.
A male asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Yes: Most cases of ulcerative colitis can be managed medically. When appropriate medical management fails, or when there are complications of the disease ... Read More
A 37-year-old female asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
You're ok: The nurse was likely referring to an adenomatous polyp, a common type of colon polyp that, if it had not been removed, could have turned into cancer s... Read More
A 27-year-old female asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Not uncommon: No, it is not "normal" to throw up the prep, but it is not uncommon.
A 40-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Yes and no: Both are adenocarcinomas of the 'large intestine' broadly speaking. However, due to several anatomic differences, colon and rectal cancer behave diff... Read More
A member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Very: It depends upon the stage at refine of diagnosis, but most rectal cancers can be successfully treated. Some can be treated with surgery alone, but som... Read More
A 21-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
To some degree: Fiber supplementation has been shown to reduce the likelihood of episodes of diverticulitis, but not completely prevent them.
A 34-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Possibly: In general, we will want you to continue taking all of your usual medications prior to your colonoscopy, even the morning of the procedure. However, s... Read More
A 37-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Not really: Walking does not cause "hemorrhoids", but if you do have hemorrhoid prolapse (or a variety of other anal problems) walking may worsen your symptoms. T... Read More
A 23-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Curable: Diverticulitis can usually be treated medically (with antibiotics), but when there are complications or recurring episodes surgery may be indicated, i... Read More
A 50-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Yes: It really depends why you are doing an enema. If you have been advised to do a fleets enema in preparation for a procedure, it would be best to follo... Read More
A 38-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
No: The "transit time" for a normal person's colon (time it takes stool to get from the beginning to the end of the colon) varies from one to several days... Read More
A 43-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Hemorrhoid Prolapse: You are most likely describing hemorrhoid prolapse. This is treatable. See a colorectal surgeon. It can often be corrected with simple office measures... Read More
A 31-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Depends upon stage: The cure rate for early stage rectal cancers is over 90% with surgery alone, but the survival rate for advanced rectal cancers is much, much lower.
A 41-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Pain and bleeding: A tearing pain as the bowel movement passes ad bleeding are most common. The pain may last for hours.
A 50-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
50 years old, unless: Regardless of gender, people without high risk factors are advised to begin screening colonoscopy at age 50, repeating at 10 year intervals if nothing... Read More
A 19-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Anal fissure?: While there is much more information that would be helpful and a simple examination is necessary to make the diagnosis, it sounds most likely that you... Read More
A 34-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
See physician: If you have an anal fissure (painful bowel movements and bleeding) that is not responding to keeping your stools soft, then see a colorectal surgeon. ... Read More
A 63-year-old female asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Fiber supplement: Start taking a heaping tablespoon of metamucil each day. If that doesn't clear things up, see a colorectal surgeon.
A 53-year-old male asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Adenoma detection: Adenoma detection rate is the standard you are thinking of (different from polyp detection rate as not all polyps are adenomatous, or precancerous). T... Read More
A 34-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
They don't. : Something else is going on. See a colorectal surgeon or at least your primary care physicians. Pilonidal cysts can certainly cause a lot of problems, ... Read More
A 43-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Terminal Ileum: During a colonoscopy the cecum (very beginning of the colon) should be reached, and the terminal ileum (very last bit of the small intestine) may be r... Read More
A 33-year-old female asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
See Specialist: See a colorectal surgeon. There are simpler treatments than cryotherapy, and extensive warts may require something more aggressive. Furthermore, you ... Read More
A 30-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Drainage, swelling: An anal fistula is usually preceeded by a painful abscess. It is usually characterized by intermittent drainage and swelling.
A 34-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Colorectal Surgeon: A board certified colon and rectal surgeon has extensive training and experience in the management of anal fistulae.
A 35-year-old male asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Fiber, dry anus: Try taking a tablespoon of psyllium (such as metamucil) each day and apply calmoseptine around the anus 2-3 times per day for a couple weeks then as n... Read More
A 39-year-old male asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
No: No, generally not. A peri rectal abscess or fistula might, but there are many non-anal possibilities. See your primary care physician.
A member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Colorectal Surgeon: If the bleeding is due to internal hemorrhoid prolapse, this can most often be treated with a simple, relatively painless office procedure. See a colo... Read More
A 43-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Colorectal Surgeon: A board certified colon and rectal surgeon has extensive specialty training and experience in the management of anal fistulas.
A 44-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
No: Most colon and rectal cancers are diagnosed at a curable stage. Even those patients diagnosed with incurable disease usually do not die quickly.
A 37-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Equal: The incidence of colon and rectal cancer is almost exactly equal between men and women.
A 48-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Maybe, Maybe not: While rectal bleeding as you describe will most likely be due to either internal hemorrhoids or an anal fissure, there is a significant risk that it c... Read More
A 38-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Yes: The current term for "proctologist" is colon and rectal surgeon. The management of hemorrhoid problems is a significant part of what we do.
A 39-year-old female asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
Anal Fissure: The symptoms that you have described are typical for an anal fissure. I would recommend a fiber supplement such as metamucil (one tbsp per day) and s... Read More
A 39-year-old member asked:
Dr. Scott Browning
Colon and Rectal Surgery 30 years experience
No magic: There is no 'magic' or miracle treatment for hemorrhoids, but there are many different successful treatments. Some are newer, though not necessarily ... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

5
Recommendations
201
Thank you notes
Dr. Ronald Lew
Dec 2, 2012
I endorse this doctor.
Dec 2, 2012
I endorse this doctor.
Dr. Jeannie Louie
Dec 2, 2012
I endorse this doctor.
HealthTap member
This was very helpful. Thanks! Thank you. At least I got some information on this that I had not been told before.
HealthTap member
Do i see a proctologist or gastrointerologist for possible hemmoroids
HealthTap member
Thank you, your answer was very helpful! Confirmed what I thought.

Education & Training

Medical/Graduate school

University of Maryland School of Medicine, MD
Graduated 1991MD

Affiliations

Providence St. Vincent's Medical Center

Publications

Intraoperative abandonment of ileal pouch to anal anastomosis--the Mayo Clinic experience
Incidence of fecal and urinary incontinence following radical perineal and retropubic prostatectomy in a national population
Constipation, diarrhea, and irritable bowel syndrome
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less