Keesey Treatment Contraindications

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First, there are a number of patients who are surprised that I can treat them.  They would include cardiac patients, and those with high blood pressure or obesity.  For them, this is a viable treatment alternative to surgical intervention.  I’ve treated many who were told they can’t have surgery. 

There are also medical conditions with which use of the Keesey Treatment is not recommended. These are called contraindications :

1. Severe Crohn's disease, like anal or rectal Crohn's
2. Ulcerative colitis
3. Hemophilia
4. Leukemia
5. Lymphomas
6. Carcinomas
7. Angina

Other systemic immune-compromising situations such as

7. Severe HIV and AIDS
8. Diabetes

These are high-risk patients for any procedure.  To treat these patients is a specialty in itself. 

Ironically, if someone has an immune problem, one of the first manifestations may be some sort of rectal infection. 

Rectal issues are common in HIV patients because in a sense, it's just part of the disease.  But instead of hemorrhoids, they tend to develop secondary infections.  There's no more likely place to get an opportunistic infection than around the rectum.  As for HIV-positive patients who have AIDS, in my career I've had maybe 10-15 come in, and every time they will tell me they have hemorrhoids, but every time what they have is an active infection like a fistula or an abscess.  They also tend, for some reason, to get lateral fissures that are otherwise rare. Unfortunately my practice is not set up to treat these patients.

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