Gregg Shore, MD

Florida is a kayaker's dream destination, offering endless opportunities to explore pristine waterways, lush mangroves, and vibrant wildlife . While the Sunshine State is famous for its beaches and theme parks, its hidden kayaking trails provide a serene escape into the heart of nature. From winding rivers to crystal-clear springs, Florida’s lesser-known paddling routes invite adventurers to experience the state in a new way. The Allure of Florida’s Spring-Fed Rivers Florida’s spring-fed rivers are a kayaker’s haven, boasting some of the country's most transparent waters. Trails like the Rainbow River in Dunnellon and the Ichetucknee River in Fort White offer unmatched views of underwater life, including turtles, fish, and even manatees. These rivers, fed by natural springs, maintain a constant, refreshing temperature year-round, making them perfect for leisurely paddles. The calming current of these waterways allows kayakers to soak in their surroundings without rushing. Glidi...

Anal fissures, small tears in the lining of the anal canal , can be an intensely uncomfortable condition marked by pain, bleeding, and itching. Though often caused by constipation and straining during bowel movements, fissures can also result from chronic diarrhea, inflammatory bowel diseases, or childbirth trauma. While acute fissures often heal on their own within weeks, chronic fissures may persist, requiring medical intervention. Patients facing this condition often weigh non-surgical approaches against surgical treatments to determine the best path forward for healing and relief. What Leads to Anal Fissures? The primary trigger for anal fissures is mechanical trauma to the anal lining. This trauma often occurs when hard or large stools stretch the anal canal excessively. Straining, whether due to constipation or frequent bowel movements, increases the risk of tearing. Chronic diarrhea, although less commonly discussed, also contributes to fissures by causing repeated irritation of...