Unfortunately, hemorrhoids are a taboo topic of conversation – not a typical Sunday night dinner discussion. For the most part, people are embarrassed or fearful to seek medical treatment and opt to purchase over the counter creams that only temporarily treat the symptoms and not the underlying problem.  The truth of the matter is that symptomatic hemorrhoids are very common in the United States, as approximately 50% of the population will suffer from hemorrhoids by the age of 50. 

Common causes are thought to include constipation, diarrhea, long periods of sitting, a sedentary lifestyle, mechanical trauma, heavy lifting, and obesity. Common symptoms include itching, bleeding, swelling, soiling, prolapse and at times sensation of incomplete evacuation. If hemorrhoids are left untreated, they can potentially become progressively worse with time. 

An excellent treatment for hemorrhoids is rubber band ligation with the CRH O’Regan System®. This non-surgical, painless procedure doesn’t require any prep or sedation and it takes only a few minutes to perform. The physician places a small rubber band around a portion of the hemorrhoid where there are no nerve endings, cutting off the blood supply, causing it to fall off within a couple of days.

Joel A. Sach M.D. , a UCLA trained, Board Certified Gastroenterologist, highly recommends this treatment as it allows him to treat his patients in the office setting without the need for any “cutting” or “suturing” nor the need for messy bowel preps or unnecessary anesthesia. “My patients love it” says Dr. Sach, “the best part is that it’s non- surgical, painless and quick – they can go back to work right away!”

This safe and effective procedure allows 99% of hemorrhoid sufferers to be treated. The potential complications of pain and bleeding are rare (less than 1%), the recurrence rate is very low (5% at 2 years) and the procedure is covered by most insurance plans.

“After my bandings, I am now 100% symptom free for the first time in six years! I am completely back to normal and my quality of life has vastly improved. The procedure itself is painless and I cannot tell you how much this procedure has changed my life. My only regret is that I wish that I had this procedure 6 years ago!” exclaims John C.

Dr. Sach received his medical degree from USC School of Medicine. He then completed a three year residency program in Internal Medicine at the prestigious Cedars Sinai Medical Center. After his residency, he went on to complete 3 years of subspecialty training in Gastroenterology at UCLA. Dr. Sach has been in private practice in Tarzana, CA since 2004 and has won numerous awards and recognitions for his compassionate and outstanding medical care. You may visit his website at for additional information or simply call 818.217.1114 to book your appointment today!


Joel A. Sach, M.D.

18425 Burbank Blvd #500

Tarzana, CA 91356

Phone: 818-344-7224 Fax: 818-708-6095


  • UCLA Five Hospital Combined GI Fellowship Program (July 2001-June 2004)

  • Cedars Sinai Medical Center Internal Medicine Residency Program (July 1998-May 2001)

  • University of Southern California School of Medicine, Doctor of Medicine, 1998

  • University of California, Los Angeles, College of Letters and Science Bachelor of Sciences, 1994


  • Is There a Difference Between Abdominal Pain and Discomfort in Moderate to Severe IBS Patients? JoelA. Sach, Roger Bolus, Lin Chang, Emeran Mayer. American Journal Gastroenterology December 2002 97;12 pp 3131-8

  • Irritable Bowel Syndrome. Joel A. Sach, Lin Chang. Current Treatment Options in Gastroenterology August 2002, 5;267-278 pp 267-278

  • Treatment of Irritable Bowel Syndrome with Serotonin (5-HT) Modulators. Joel A. Sach, Lin Chang. Practical Gastroenterology March 2003 27;3 pp 31-48

  • Gastrointestinal Malignancy in Crohn’s Disease Subsequent to Infliximab Therapy. Report of 5 Cases and Review of the Literature. Arash Sachmechian, Lori Kam, Maria Abreu, Stephan Targan, Abstract DDW 2000


  • Patient’s Choice Award 2010, 2011, 2012

  • American College of Gastroenterology/Wyeth Award: “Best Gender Based Research Abstract” (Oct 2002)

  • Glaxo Smith Kline Gastroenterology Fellowship Training Award (2001-2004)

  • UCLA Solomon Scholars Research Award Recipient (June 2000 & June 2001)

  • Summa Cum Laude with Departmental Honors and College Honors, UCLA (1994)


  • President. Joel A. Sach M.D. Inc. (2004-Present) Clinical practice of medicine with particular attention to diseases of the digestive tract, advanced endoscopy, nutrition, weight loss and preventative medicine.

  • Attending Staff, Providence Tarzana Medical Center Department of Internal Medicine, (2004-Present)

  • President. Doctor Preferred LLC. Founder of a nutraceutical company whose mission is to offer consumers the highest quality natural products/supplements, the manufacturing process of which is overseen by U.S. trained board certified physicians. (2009-Present)

  • Board of Directors/Managing Partner. Valley Endoscopy Center LP. (2010-Present)

  • Consultant. Google Inc. (2007-Present).

  • Medical Director. Valley Endoscopy Center LP 2007-2010

  • Chairman. Quality Assurance/Performance Improvement. Valley Endoscopy Center LP 2006-2010

  • President. California Health Solutions LLC. R&D Firm focused on novel ways to improve healthcare delivery using innovations in technology and intellectual property. (2011-Present)

  • Speaker. Providence Tarzana Medical Center. Department of continuing medical education.

  • Consultant. Prime Clinical Solutions. Advised on how to enhance electronic health record software functionality. (2011-Present).

  • Clinical Instructor, University of Southern California School of Medicine, (Fall 2000- Summer 2001)

  • Teaching Assistant, University of Southern California School of Medicine, Department of Cell and Neurobiology (1997-1998)


  • American Board of Medical Specialties.

  • Medical Board of California.

  • Advanced Cardiac Life Support


  • Proficient at Medical Spanish and Hebrew. Fluent in Farsi.


  • Medical innovation. Playing chess. Music improvisation.

Patient’s Choice Award
Top 10 Doctor Award
Joel A. Sach, M.D.

Anorectal Health Questionnaire

A Message from Doctor Sach to His Patients: Studies time and time again have shown that during physician visits, patients are often too embarrassed to discuss important Anorectal Health/ Hemorrhoid Related issues. By filling out this questionnaire we hope to be able to break these barriers and address important issues which may be affecting your overall health and well being.

Bowel & Dietary Habits 

(Circle Either Yes Or No For Each Answer)

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