Hannibal Regional News

Hannibal Regional Healthcare System News Archive

What You Need to Know About Colorectal Cancer Bookmark

Dr. Ashraf AlmashhrawiMarch is Colorectal Cancer Awareness Month and Dr. Ashraf Almashhrawi, gastroenterologist with Hannibal Regional Medical Group, would like to share some information to help you stay well.  Colorectal cancer is the second leading cause of cancer-related deaths among men and women in the United States and 90% of those cases occur in people who are 50 years of age or older.  

Colorectal cancer starts in either your colon or rectum, which make up the lower part of your digestive tract.  Changes that occur in the cells which line the inside of the colon or rectum can lead to growths called polyps. Over time, some types of polyps can become cancerous so removing polyps early may stop cancer from ever forming.

“Often signs and symptoms of colorectal cancer only appear when the cancer has progressed to late stage cancer or has spread.” notes Dr. Almashhrawi.  Some of the symptoms of colorectal cancer are blood on or in your bowel movement; pains, aches or cramps in your stomach that don’t go away; constant tiredness; vomiting and unexplained weight loss.  Many of these symptoms may be caused by other, more common health problems, but it is important to see your healthcare provider if you do have these symptoms so they can determine the root problem. Only a healthcare provider can tell if you have colorectal cancer.

“If you’re 50 or older, getting a colorectal cancer screening could save your life,” shares Dr. Almashhrawi. “Regular screening is very important for colorectal cancer because it can often detect cancer early, when it will likely be easier to treat. In fact, screening can even prevent many colorectal cancers, because screening helps us find and remove growths inside the colon or rectum before they have a chance to turn into cancer.”  If you are age 50 or over you should be getting screened for colorectal cancer.  Some people are at higher risk for colorectal cancer, based on family history or other factors. They might need to start screening at a younger age, and then be screened more often than normal.  How often you need these tests depends on which test you have. In general, you can go longer between tests if you have a colonoscopy, which lets the doctor find and remove polyps, or similar tests. Screening tests that look for blood or other things in the stool must be done more often.

“Talk with your healthcare provider about which screening option is right for you,” says Dr. Almashhrawi.  “No matter which test you choose, the most important thing is that you get checked.” It's important to keep in mind that if cancer is found at an early stage during screening, treatment is more likely to be effective. There are currently more than one million colon cancer survivors in the United States.  To contact Dr. Almashhrawi’s office, call 573-629-3500.

Hannibal Regional RN, Dale Waters, Recognized by Continental Who’s Who As “Professional of The Year” Bookmark

Dale Waters, RN, CCRNDale Waters, RN, CCRN is recognized by Continental Who’s Who (CWW) as Pinnacle Professional of The Year in the field of nursing in recognition of her role as a Registered Nurse at Hannibal Regional. 

With over forty-two years’ experience in the field of nursing and thirty years in her current role as a Registered Nurse at Hannibal Regional, Mrs. Waters is considered an expert within the medical industry.  Having gained extensive expertise in intensive care, Mrs. Waters is specialized in all facets of frontline nursing. 

Throughout the course of her education and training and holding certifications as a Critical Care Registered Nurse and an Advanced Cardiac Life Support, she attained her Diploma in 1982 from the Blessing Hospital School of Nursing in Quincy, IL.  

To further her professional development, she is an affiliate with several organizations including American Nurses Association, American Association of Critical Care Nurses, and International Nurse Association.  In her current capacity, Mrs. Waters is the Chair of Professional Practice Council and Journal Club. 

CWW has become one of the most trusted publishers around the globe, spotlighting thousands of professionals each year by their specific industries.  The men and women published represent every important field of endeavor.  Included are executives and officials in business, science, education, philanthropy, religion, government, the fourth estate, finance, law, engineering and numerous other fields. 

Hannibal Regional serves residents of the tri-state area from 15 locations and includes, Hannibal Regional Hospital, Hannibal Regional Medical Group, Complete Family Medicine and Hannibal Regional Foundation. Modern Healthcare recently recognized Hannibal Regional as one of the 2017 Best Places to Work in Healthcare. For more information on Hannibal Regional, visit

Hannibal Regional Medical Group Welcomes General Surgeon, Robert Troiani, Jr., MD Bookmark

Robert Troiani Jr., MD Hannibal Regional Medical Group is pleased to announce the addition of Robert Troiani Jr., MD to their team.  Dr. Troiani is a board certified general surgeon who earned his medical degree from the University of Texas Health Science Center and has over 25 years of experience.  Dr. Troiani comes to Hannibal from Kansas City, MO where he was a trauma surgeon.

As an experienced general surgeon, Dr. Troiani manages a large variety of surgical conditions affecting all organ systems.  Common procedures include gallbladder removal, appendectomy, hernia repairs, breast surgery, removal of cancers, abscess drainage and screening colonoscopy.  Dr. Troiani’s passion for medicine began when he was eight years old and received an anatomy book as a gift from his godmother.    “I like the challenge of dealing with complex medical issues and being able to help my patients gain a clear understanding of their surgical issue,” shares Dr. Troiani.  

Dr. Troiani is now seeing patients at Hannibal Regional Medical Group, to contact his office call (573) 629-3500.

As part of Hannibal Regional, the Hannibal Regional Medical Group (HRMG) is a growing multi-specialty physician group continuing to expand primary and specialty care services to meet the health needs of northeast Missouri residents. HRMG family and specialty physicians deliver a range of acute, chronic and preventive medical care services. In addition to diagnosing and treating illness, they also provide preventive care, including routine checkups, health-risk assessments, immunizations, screening tests and personalized counseling on maintaining a healthy lifestyle. Hannibal Regional Medical Group has locations in Bowling Green, Canton, Hannibal, Louisiana, Monroe City, and Shelbina, as well as an Express Care clinic and a Vision Institute in Hannibal.