At Baylor Scott & White Hillcrest Colorectal & General Surgery, we take care of patients of all ages. Conveniently located, we’re dedicated to helping the communities around the Waco area live their healthiest lives.
The care team here works together to create a care plan that puts you at the center of your care.
This experienced team is here for every step of your health journey. Our goal is simple: to help you get Better and stay that way.
Baylor Scott & White has established agreements with several types of insurance to ensure your health needs are covered.
Aetna - (12)Choice POS IIOpen Access Elect ChoiceOpen Access Managed ChoiceSelect SMAetna Signature AdministratorsElect ChoiceHealth Network OptionHMOManaged ChoiceOpen Access SelectOpen Choice PPOQPOS
Baylor Scott & White Health Plan - (16)HMO Network-Individual/FamilyEPO Network-Individual/FamilyBSWH Employee Network - PPO & HSABSWH Employee Network - SEQA & EQABSW SeniorCare Advantage HMOBSW SeniorCare Advantage PPOHMO Network-GroupPPO Network-GroupPPO Choice NetworkPPO Choice Preferred NetworkCigna PPO Network - Out of Area Member PlanPHCS/OPTUM - PPO Network - Out-of-Area Member PlanEPO Network-GroupMcLane Group NetworkBSW Preferred HMO Network - GroupBSW Preferred PPO Network
Blue Cross Blue Shield - (12)Blue Advantage HMOBlue Choice PPOBlue EssentialsBlue Essentials Access HMOBlue PremierBlue Premier Open Access HMOMedicare Advantage - EFH RetireesMedicare Advantage - OncorParPlanTraditionalIndemnitySTAR Kids
Cigna - (3)Children's Medical Center Employee PlanCity of Dallas Employee PlanOpen Access Plus
Coventry - (1)Coventry/First Health
Coventry Workers' Compensation - (1)Coventry Workers' Compensation
DFW ConnectedCare - (1)American Airlines Employee Benefit Plan
Galaxy Health Network - (1)Galaxy Health Network
Gladney Center - (1)Gladney Center
Group Nacional Provincial - (1)Group Nacional Provincial
Healthscope - (2)DART ACO FlexDART ACO
HealthSmart - (2)ACCEL NetworkPreferred Network
Humana - (5)ChoiceCareHumana PreferredNational POSCommercial PPO PlansCommercial HMO Plans
Independent Medical Systems - (1)IMS Network
Injury Management Organization (IMO) - (1)Injury Management Organization (IMO)
Midland Memorial Hospital - (1)Employee Benefit Plan
Mother Frances Hospital Regional - (1)Self-Insured Employee Plan
OccuNet - (1)Occupational Networks of Texas, Inc.
PHCS Network - (1)PHCS Network
Reny Company - (1)Workers Comp
Rockport - (1)Workers Comp
Scott & White Health Plan - (1)RightCare STAR Medicaid Network
Sedgwick Preferred Network f/k/a Southwest Medical - (1)Workers Comp
Superior Health Plan - (5)STARSTAR+PLUSCHIPCHIP PerinateFoster Care
Superior HealthPlan - (4)CHIP PerinateFoster CareSTARSTAR+PLUS
Three Rivers Network - (1)Three Rivers Network
Tricare - (3)Tricare ExtraTricare PrimeTricare Select
UnitedHealth - (24)Charter HMOCharter EPOCharter POSChoice HMOChoice +HMOChoice EPOChoice Plus POSCore HMOCore EPOCore Choice Plus POSNavigate EPONavigate HMONavigate HMO+Navigate POSPPOOptions PPOSelect +Select HMOSelect EPOSelect Plus POSSTARSTAR+PLUSCHIPSTAR Kids
University Mary Hardin-Baylor - (1)Employee Benefit Plan
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- Conditions treated
- Anorectal conditions
- Colorectal surgery
- Endoscopy of the colon and rectum
- Inflammatory bowel disease
- Irritable bowel syndrome
- Physiological testing (intestinal and anorectal) evaluation and management
- Specialized studies used for diagnosing symptoms related to the colon and rectum
We treat the following conditions:
- Anal abscess/Fistula
- Anal cancer
- Anal fissure
- Anal warts
- Colorectal cancer
- Fecal incontinence
- Irritable bowel syndrome (IBS)
- Polyps of the colon and rectum
- Pruritus ani
- Rectal prolapse
- Screening for colorectal cancer
- Ulcerative colitis
Hemorrhoids are enlarged bulging blood vessels in and about the anus and lower rectum.
There are two types of hemorrhoids:
- External (outside) hemorrhoids develop near the anus and are covered by sensitive skin. They are usually painless but if a blood clot (thrombosis) develops, it becomes a painful hard lump.
- Internal (inside) hemorrhoids develop within the anus beneath the lining. Painless bleeding and protrusion during bowel movements are the most common symptom. An internal hemorrhoid can cause severe pain if it is completely protrudes from the anal opening and cannot be pushed back inside.
Hemorrhoids are graded to determine treatment options:
- Grade one: No prolapse
- Grade two: Prolapse that goes back in on its own
- Grade three: Prolapse that must be pushed back in by the patient
- Grade four: Prolapse that cannot be pushed back in (often very painful)
Treatment will depend on the severity of your symptoms. Your Colorectal Surgeon will decide the best treatment option for your hemorrhoids. These may include:
- Rubber band ligation is done by using a tight elastic band placed around the base of the hemorrhoid. This cuts off blood supply to the hemorrhoid, causing it to fall off.
- Infrared coagulation is done using a small probe that exposes the hemorrhoid to short bursts of infrared light. This seals off the blood vessel, causing it to shrink.
- Thrombosed external hemorrhoid is excised as an outpatient. The hemorrhoid is injected with a local anesthetic. A small incision is made and the hemorrhoid is removed.
- Hemorrhoid stapling is a technique that uses a special device to internally staple and excise the internal hemorrhoid tissue. This treatment is used for internal hemorrhoids only as an outpatient at the hospital.
- Hemorrhoidectomy is a surgical procedure performed at the hospital using general anesthesia. This procedure removes the hemorrhoids and is the most complete method for removal of internal and external hemorrhoids. It is necessary when clots repeatedly form in external hemorrhoids, ligation fails to treat internal hemorrhoids, the protruding hemorrhoid cannot be reduced, or there is persistent bleeding.
Anal Fissure is a small tear or cut in the skin that lines the anus. Fissures typically cause pain and often bleed. A fissure that fails to respond to treatment may require surgery. Surgery is a highly effective treatment for a fissure and recurrence rates are low.
Sphincterotomy is a small surgery used to cut a portion of the internal anal sphincter muscle. This helps the fissure heal and decreases pain and spasm.
Anal Abscess is an acute infection of a small gland just inside the anus. An anal abscess is treated by making an opening in the skin near the anus to drain the pus from the infected cavity. This can be done in the doctor’s office using a local anesthetic. If the abscess is large or deep, the abscess may require hospitalization and the use of a general anesthetic.
Anal Fistula is almost always the result of a previous abscess. After an abscess has been drained, a tunnel may persist connecting the anal gland from which the abscess arose to the skin. If this occurs, persistent drainage from the outside opening may indicate the persistence of this tunnel.
Fistulotomy is surgery to cure an anal fistula. A fistulotomy is performed as an outpatient procedure in the hospital and involves opening up the fistula tunnel. Joining the external and internal openings of the tunnel and converting it to a groove will then allow it to heal from the inside out.
Anal Warts (condyloma acuminata) are a condition that affects the area around and inside the anus. They may also affect the skin of the genital area. Anal warts are thought to be caused by the human papilloma virus and can grow larger and spread if not removed. Human papilloma virus is transmitted from person to person by direct contact and is considered a sexually transmitted disease. Anal warts can be treated with a topical medication, by freezing the warts with liquid nitrogen and may also be surgically removed using an anesthetic.
Colorectal cancer affects both men and women equally. 130,000 people are diagnosed with the disease every year. Colorectal cancer is preventable and can be successfully treated when detected early.
Colon and rectal surgeons are experts in the surgical and non-surgical treatment of colon and rectal problems. They have completed advanced training in the treatment of colon and rectal problems in addition to full training in general surgery. Colon and rectal surgeons treat benign and malignant conditions, perform routine screening examinations and surgically treat problems when necessary.
Flexible sigmoidoscopy is a safe, effective means of visually examining the lining of the sigmoid colon and rectum, using a long, flexible, sterilized, tubular instrument.
Colonoscopy is similar to sigmoidoscopy but the lining of the entire length of the colon is examined. Most colonoscopies are done under sedation on an outpatient basis with minimal inconvenience and discomfort.
Crohn’s Disease is a chronic inflammatory process primarily involving the intestinal tract. Although it may involve any part of the digestive tract from the mouth to the anus, it most commonly affects the last part of the small intestine (ileum) and/or the large intestine (colon and rectum). The exact cause is not known. Crohn’s disease is not contagious. Initial treatment is always with medication. In more advanced or complicated cases of Crohn’s disease, surgery may be recommended. Not all patients with Crohn’s disease require surgery. This decision is best reached through consultation with your colon and rectal surgeon.
Ulcerative colitis is an inflammation of the lining of the large bowel (colon). Symptoms include rectal bleeding, diarrhea, abdominal cramps, weight loss and fever. Initial treatment of ulcerative colitis is medical, using antibiotic and anti-inflammatory medications.
Surgery is indicated for patients with life threatening complications of inflammatory bowel disease such as bleeding, perforation or infection.
Ileoanal J-Pouch is the newest alternative for the management of ulcerative colitis. Your Colon and Rectal Surgeon is trained in this procedure. The Surgeon removes all of the colon and rectum, but preserves the anal canal. The rectum is replaced with small bowel, which is refashioned to form a small pouch. The pouch acts as a reservoir to help decrease the stool frequency. This maintains a normal route of defecation, but most patients experience five to ten bowel movements per day. This operation all but eliminates the risk of recurrent ulcerative colitis and allows the patient to maintain a normal route of evacuation.
Pruritus Ani is itching around the anal area. A common cause of pruritus ani is excessive moisture in the anal area. Moisture may be due to perspiration or a small amount of residual stool around the anal area. Pruritus ani may also be a symptom of hemorrhoids and anal fissures. The initial condition can be made worse by scratching, vigorous cleansing of the area or overuse of topical treatments. A careful examination by a colon and rectal surgeon can help identify the cause for the itching.
Rectal Prolapse is a condition in which the rectum turns itself inside out. Weakness of the anal sphincter muscle is often associated with rectal prolapse at this stage and may result in leakage of stool or mucus. A video defecogram may be used to demonstrate the prolapse. Anorectal manometry may also be used to measure the muscle around the rectum. Surgery may be suggested. Your colon and rectal surgeon can help you decide which method will most likely achieve the best result by taking into account many factors such as age, physical condition, extent of prolapse and the results of various tests.
Rectocele is a bulge of the front wall of the rectum into the vagina. The rectal wall may become thinned and weak and it may balloon out in the vagina when you push down to have a bowel movement. The underlying cause of a rectocele is a weakening of the pelvic support structures. A rectocele is diagnosed using an X-ray study called a defecogram. This study shows how large the rectocele is and if it empties with evacuation.
Irritable Bowel Syndrome (IBS) is a common disorder. It is sometimes referred to as spastic colon, spastic colitis, mucous colitis or nervous stomach. IBS should not be confused with other diseases of the bowel such as ulcerative colitis or Crohn’s disease. IBS can often be managed by dietary changes. Some patients benefit from prescribed medications.
Symptoms of IBS are abdominal bloating, changes in bowel habits – either diarrhea, constipation or both at different times. Other symptoms are abdominal cramps, abnormal stool consistency, passage of mucous, urgency or a feeling of incomplete bowel movements.
- Anal incontinence
- Anorectal pain
- Diarrhea rectal prolapse
- Anal sphincter and pelvic floor
Video defecogram is an examination which takes X-ray pictures while the patient is having a bowel movement. This study can also assist the physician in determining whether surgery may be beneficial and which operation is appropriate.
Anorectal manometry is a test that measures whether or not the muscles around the rectum are functioning normally.
Baylor Scott & White Health is pleased to offer you multiple options to pay your bill. View our guide to understand your Baylor Scott & White billing statement.
We offer two online payment options:
- Make a one-time payment without registering by selecting the "Pay a Bill as a Guest" option.
- Enroll or login to your MyBSWHealth account to view account balances and statements, setup a payment plan or enroll in paperless statements.
Other payment options:
Pay by mail
To ensure that your payment is properly applied to your account, detach the slip from your Baylor Scott & White billing statement and return the slip with your payment. If paying by check or money order, be sure to include your account number on the check or money order.
Please mail payment to the address listed on your statement.
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Call 1.800.994.0371 to make a payment. Payments can be made over the phone with our automated phone payment system 24 hours a day, seven days a week. All payments made via the automated phone payment system will post the next business day.
If you need to speak to someone about a Baylor Scott & White bill from our hospitals or clinics, our Customer Service department is available to take payments over the phone from Monday through Friday from 8:00 AM - 5:00 PM.
Pay in person
Payments can be made in person at the facility where you received services.
At Baylor Scott & White Health, we want to be a resource for you and your family. Our team of customer service representatives and financial counselors are here to help you find financial solutions that can help cover your cost of care. We encourage you to speak to a member of our team at any time before, during or after care is received.