Dr. Carmen Fong sits down with Brazilian colorectal surgeon Dr. Luiza Pettinelli to compare notes across borders on the conditions patients are too embarrassed to bring up. They dig into laser treatment for hemorrhoids, fistulas, and pilonidal disease (diode vs. CO2, what it can and can't fix), busting constipation myths (no, you don't need to poop every day), and how to manage chronic anal fissures with ointments, Botox, and beyond. They also open up about talking to patients about anal sex safely, why bleeding gets ignored more than pain, and the family legacy that led Dr. Pettinelli into proctology in the first place.

Find Dr. Luiza Pettinelli online:
YouTube: https://www.youtube.com/@draluizaprocto
Instagram: https://www.instagram.com/draluizapettinelli/

Disclaimer: This video is intended for educational purposes only and does not constitute medical advice. Please consult your healthcare provider regarding your individual medical concerns.

Dr. Carmen Fong breaks down everything you need to know about anal fistulas, including what they are, why they happen, common symptoms to watch for, and the treatment options available. If you've experienced recurring abscesses, drainage, pain, or discomfort near the anus, this is a conversation you won't want to miss.

Disclaimer: This video is intended for educational purposes only and does not constitute medical advice. Please consult your healthcare provider regarding your individual medical concerns.

Welcome to Gut Feeling — your go-to channel for honest, expert conversations about digestive health, colorectal care, and the topics most people are too embarrassed to ask about.I’m Dr. Carmen Fong, a double board-certified general and colorectal surgeon, here to make gut health easier to understand with real education, practical tips, and no shame.