Our Gastroenterology Blog
By Advanced Gastroenterology Group
May 15, 2020
Category: GI Care
Tags: Hemorrhoids  

HemorrhoidsIf you are experiencing rectal pain or noticing specks of blood on your toilet paper you might be dealing with hemorrhoids. Hemorrhoids, also referred to as piles, are swollen veins that form either inside or outside the rectum. While hemorrhoids are more common as a person gets older, this condition can happen to anyone. Here’s what you should know about this common rectal problem and how you can treat it.

What causes hemorrhoids?

If you have family members that deal with hemorrhoids, you may be more likely to get them too. Any kind of pressure that’s placed on the rectum and impacts the flow of blood can cause these veins to swell. Pressure may be caused by:

  • Constipation and straining during bowel movements
  • Heavy lifting or intense physical activity
  • Being overweight or obese
  • A poor diet that is low in fiber
  • Pregnancy
  • Leading a sedentary lifestyle

How are hemorrhoids diagnosed?

If you’ve never had hemorrhoids before you may want to see your gastroenterologist for a diagnosis, especially if you are experiencing persistent rectal bleeding. Your doctor will go through your medical history and ask questions about your symptoms before performing an exam. A simple rectal exam is usually all that’s needed to diagnose external hemorrhoids. In order to diagnose internal hemorrhoids, you may require further testing such as a colonoscopy or sigmoidoscopy.

How are hemorrhoids treated?

Sometimes hemorrhoids will go away on their own, so you won’t require special care or treatment. Home remedies include:

  • Adding more fiber to your diet
  • Avoiding straining during bowel movements
  • Staying hydrated to aid in better digestion
  • Taking a Sitz bath several times a day to ease any pain and discomfort

There are also over-the-counter medications that can alleviate symptoms including pain and itching. If your symptoms persist after using these medications you should talk with your doctor. If the hemorrhoid is large or isn’t responding to other treatment options then your GI doctor may recommend surgery. There are many minimally invasive surgical techniques that can be used to get rid of hemorrhoids.

If you notice rectal pain, bleeding or discomfort that leaves you concerned or worried about your health it’s important that you talk with your gastroenterologist to find out if you need further evaluation. While hemorrhoids may clear on their own, if you don’t experience relief a doctor will be able to help.

By Advanced Gastroenterology Group
May 04, 2020
Category: Gastroenterology
Tags: Liver Disease  

While we may not think about the liver very often, this organ plays a vital role in your digestive health and is responsible for some extremely important functions within the body. This digestive organ, which is also the largest organ within our body, is responsible for about 500 bodily functions designed to keep you healthy. The liver doesn’t just store important nutrients including iron but it also is responsible for detoxifying the body. Unfortunately, there are hundreds of diseases that can impact the health of the liver.

Types of Liver Disease

There are many diseases that can impact the health of the liver. These include:

  • Infections such as hepatitis A, B and C
  • Autoimmune disorders (e.g. autoimmune hepatitis; primary biliary cholangitis)
  • Liver cancer
  • Inherited diseases such as Wilson’s disease and hemochromatosis
  • Other diseases and causes such as alcohol abuse or drugs (e.g. fatty liver disease)

Symptoms of Liver Disease

Unfortunately, many people with liver disease never even know that they have it. In fact, people may even have severe and permanent scarring (known as cirrhosis) and still never experience symptoms. With that said, there are certain signs and symptoms that may develop in those with liver disease. These signs include:

  • Extreme fatigue and exhaustion
  • Itchy skin
  • Yellowing of the eyes and skin (e.g. jaundice)
  • Pale stools
  • Dark urine
  • Swelling of the abdomen
  • Confusion and brain fog

If you are experiencing these symptoms it’s important that you seek a gastroenterologist for further evaluation.

Treating Liver Disease

The type and severity of your liver disease will play a primary role in creating your treatment plan. One of the major areas that we will look at is your lifestyle. Lifestyle modifications can greatly improve certain types of liver disease. Lifestyle modifications include:

  • Avoiding alcohol
  • Quitting smoking
  • Eating a healthy diet
  • Getting moderate exercise 3-4 times a week
  • Avoiding red meat, sugar and processed carbs
  • Losing excess weight if obese or overweight

Making changes to your diet and lifestyle can minimize damage to the liver and also help those with liver diseases caused by medications or alcohol dependency. In more severe cases, a liver transplant may be necessary for those with advanced stages of cirrhosis. There are certain prescription medications that are prescribed to cure certain chronic forms of hepatitis; however, most cases of hepatitis A and B do not require treatment. Antiviral medications are used to treat hepatitis C.

If you are noticing warning signs or symptoms of liver disease, or if you have questions about keeping your liver healthy, a gastroenterologist can answer your questions and provide you with the care and treatment you need if you do have liver disease.

By Advanced Gastroenterology Group
April 15, 2020
Category: Gastroenterology
Tags: Dysphagia  

If you are experiencing difficulty swallowing this a known as dysphagia, a symptom that often indicates that there is a problem within the esophagus or throat. While dysphagia is more common in older adults and infants, this problem can happen to anyone. You may be dealing with dysphagia if you experience any of these symptoms:

  • Trouble swallowing
  • Feeling as if food is stuck in your throat
  • Persistent choking or gagging whenever eating or drinking
  • Regurgitation (when food travels back up into the throat)
  • Heartburn or acid reflux (a burning sensation in the chest)
  • Vocal changes (e.g. hoarseness)
  • Pain with swallowing
  • Sudden weight loss

Causes of Dysphagia

There are certain conditions that affect the muscles, nerves, throat, or esophagus that can make it more difficult to swallow foods and drinks. Common causes include:

  • Esophageal spasms
  • Nervous system disorders (e.g. multiple sclerosis; Parkinson’s disease)
  • Scleroderma
  • Gastroesophageal reflux disease (GERD)
  • Esophagitis
  • Diverticula

Diagnosing and Treating Dysphagia

If you are having recurring or persistent painful or difficulty swallowing it’s important that you see a gastroenterologist to find out what’s going on. Your doctor will go through your medical history, asking specific questions surrounding the issues you are dealing with. From there, certain tests will be performed to diagnose dysphagia. These tests include:

  • A barium or traditional X-ray
  • Fluoroscopy
  • Laryngoscopy
  • Esophagoscopy
  • pH monitoring (to measure the amount of acid in the stomach)

Along with providing a diagnosis, it’s important for your GI doctor to be able to pinpoint the root cause of your dysphagia. The cause will determine the type of treatments you receive. Common treatment options include:

  • Altering your eating habits and avoiding certain foods
  • An endoscopy to remove anything lodged in the throat
  • Exercises to strengthen and improve the muscles of the throat and esophagus
  • Medication to control heartburn, esophagitis, or GERD
  • Surgery to remove blockages

The cause of your dysphagia will also determine the prognosis. For example, those whose dysphagia is caused by acid reflux, GERD, or esophageal infections may recover completely from their condition with medication. Of course, chronic dysphagia can also be properly managed through regular monitoring and care from a gastrointestinal specialist.

If you or someone you love is having difficulty swallowing a gastroenterologist can determine the cause of your symptoms quickly. Don’t ignore swallowing problems. Turn to a doctor as soon as possible to find out what’s going on.

By Advanced Gastroenterology Group
March 31, 2020
Category: Gastroenterology
Tags: Fibroscan  

Liver disease is more common than you might think. Unfortunately, many people don’t even know that they have liver disease until the disease has progressed into cirrhosis. For the most part liver problems go unnoticed because they don’t cause symptoms. Therefore, the goal of your gastroenterologist is to be able to provide patients with the necessary screening tools to be able to pinpoint problems such as liver disease early on when it’s manageable or even reversible.

What causes liver disease?

The liver is an incredibly important organ that is necessary for digesting food and removing toxins from the body. While some liver diseases are genetic, liver disease can also develop as a result of:

  • Poor diet
  • Heavy alcohol use
  • Obesity
  • Certain viral infections (e.g. hepatitis)

What is a FibroScan?

A FibroScan is a unique diagnostic tool that is designed specifically to detect the amount of scarring present in the liver through special ultrasound technology. A FibroScan is a quick, painless and non-invasive way to diagnose fatty liver and to measure the severity of scarring without needles or a biopsy.

Who should get a FibroScan?

If your gastroenterologist has diagnosed you with a chronic liver disease then a FibroScan may be recommended to assess the amount of fat deposits and scarring in the liver. Common types of chronic liver disease include:

  • Hepatitis B & C
  • Alcoholic liver disease and non-alcoholic steatohepatitis (NASH)
  • Wilson’s disease and other genetic disorders
  • Cirrhosis

What does getting a FibroScan involve?

Before this scan you will want to avoid any food or drinks, besides water, for three hours prior to the procedure. This diagnostic test is completely non-invasive so you won’t require anesthesia or sedation. It only takes about five minutes to perform a FibroScan. During the procedure you will lie on your back where the technician will apply the ultrasound probe to the liver region. Results from the test are provided instantly.

What are my FibroScan results telling me?

A FibroScan uses a scoring system from F0-F4:

  • F0-F1: little to no liver scarring
  • F2: moderate liver scarring
  • F3: severe scarring
  • F4: Cirrhosis (advanced scarring)

If caught early enough, sometimes fibrosis (liver scarring) can be reversed through healthy lifestyle changes. Knowing your risk for liver disease can help prevent fibrosis in the long run. If you are concerned about your liver health your gastroenterologist can answer your questions and help you determine whether a FibroScan is right for you.

By Advanced Gastroenterology Group
March 13, 2020
Category: Gastroenterology
Tags: Gastroenterologist  

A gastroenterologist is a doctor that specializes in preventing, diagnosing and treating a variety of disorders, conditions and problems that affect the esophagus, gallbladder, intestines, liver, stomach, colon, and rectum. In essence, a gastroenterologist will be able to provide treatment and care for any problems affecting your gastrointestinal tract. Sometimes you may choose to seek out a gastroenterologist yourself or your family physician may refer you to one.

A gastroenterologist can treat a variety of conditions and diseases that affect your intestinal or digestive tract. Some of these conditions include:

  • Inflammatory bowel disease (IBD) such as ulcerative colitis and Crohn’s
  • Irritable bowel syndrome (IBS)
  • Celiac disease
  • Heartburn and gastroesophageal reflux disease (GERD)
  • Stomach ulcers
  • Hemorrhoids
  • Liver diseases
  • Pancreatitis
  • Colon polyps

Here are some instances in which you may benefit from seeing a gastroenterologist for care.

Rectal bleeding

While this is a common problem that is often the result of a minor issue such as hemorrhoids or an anal fissure, it could also be a sign of a more serious issue. If rectal bleeding is severe, if it lasts for more than 2 or 3 days or if it’s accompanied by abdominal pain or fever it’s time to get it checked out.

Persistent heartburn

While the occasional bout of heartburn can happen to any of us, especially after enjoying a spicy meal, if you find yourself dealing with frequent heartburn several times a week then this could be a sign of gastroesophageal reflux disease (GERD). Since this condition can damage the lining of the esophagus, it’s important to see a GI doctor who can provide you with the proper medication and dietary changes to reduce heartburn symptoms.

Changes in bowel habits

If you are noticing chronic constipation that lasts for about one week or you experience diarrhea for more than a few days it’s important to see a gastroenterologist to determine the cause. Everything from a bacterial infection to food intolerances to digestive disorders such as Crohn’s disease could be the cause.

You just turned 50 years old

By the time you reach 50 years old you should also schedule your first routine colorectal cancer screening, also known as a colonoscopy. This is the most effective tool our intestinal doctors have for being able to detect colorectal cancer early. Those patients at an increased risk for colorectal cancer may want to start coming in for routine screenings by the age of 45.

Abdominal pain

While abdominal pain has many causes if you notice that you experience pain frequently, especially after meals, or if bowel issues or nausea accompany your pain then this may also warrant seeing a gastroenterologist for testing.

From colorectal cancer to bowel problems, a gastroenterologist can provide you with the treatment and care you need for a healthy digestive tract. If you are experiencing any of the issues above a GI doctor can help you.

March is Colon Cancer Awareness Month and at Advanced Gastroenterology Group, colon cancer screening and prevention is a large part of what we do.  Without colon cancer screening, 1 out of every 20 people will go on to develop colon cancer.  The good news is, most of these cancers can be prevented with screening.  Screening is the process by which we look for cancers before symptoms start, making them easier to treat and cure.  While some cancers, unfortunately, don’t have a good screening test and cannot be reliably detected early, screening in colon cancer has been very successful.  In fact, colonoscopy, the most commonly used colon cancer screening test, can even PREVENT colon cancer.  This is because most colon cancers start as a polyp, a small growth, which if left in place, can grow into cancer in the future.  However, if found early during colonoscopy, a polyp can be easily removed, preventing cancer in the future.  It is for this reason that colon cancer screening is recommended. 

During this month, we will be posting information on colon cancer and screening in an effort to get more people tested.  We will post a series of videos from the American Gastroenterological Association helping to stress the need to get screened.  We hope that this information is helpful and results in more people getting screened for colon cancer.  Please share this information with your friends.  You can call our office for an appointment to discuss your screening options.  We also encourage you to explore more about colon cancer screening on our web page (www.aggnj.net) and that of the American Gastroenterological Association (www.gastro.org).

 

By Advanced Gastroenterology Group
February 26, 2020
Category: Gastroenterology
Tags: Rectal Bleeding  

Wiping and finding traces of blood can certainly be unnerving. While rectal bleeding can be caused by self-limiting problems that will go away on their own it’s also important to recognize when you may need to seek treatment from a qualified gastroenterologist.

Causes of Rectal Bleeding

You can usually tell where the bleeding is coming from based on the color of the blood. Bright red blood typically means that it’s originating in the rectum or colon, while darker blood may be a sign that there is bleeding in the stomach or elsewhere in the digestive tract.

The most common causes of rectal bleeding include:

  • Hemorrhoids
  • Fistula (an infected tunnel between the skin and anus)
  • Fissures or tears
  • Diverticulosis
  • Colitis
  • Gastroenteritis
  • Rectal prolapse (caused by weak rectal tissue)
  • Colon polyps
  • Vascular lesions of the GI tract
  • Colon cancer

When to See a Doctor

While you probably won’t need to pick up the phone and call your GI doctor the minute you notice a little blood, it is important to understand when the condition does require an immediate checkup or even emergency care. Minor rectal bleeding is fairly common and will happen to most people at some point during their lifetime. Minor bleeding that goes away on its own may not require additional treatment or care, however, if not recently done, colonoscopy and/or endoscopy may need to be done to rule out a cancerous or precancerous cause of bleeding.

However, if you are dealing with persistent, severe or painful rectal bleeding this could be a sign of a more serious health problem that will require an evaluation by a gastrointestinal doctor. If you are dealing with rectal bleeding you should call your doctor if you:

  • Notice bleeding that lasts up to 2-3 weeks
  • Also experience a fever, fatigue or unexplained weight loss
  • Have severe abdominal pain or your stomach is tender to the touch
  • Notice changes in the shape, color or size of your stools for more than three weeks
  • Also experience nausea and vomiting
  • Are dealing with persistent bowel changes (e.g. constipation or diarrhea)
  • Experience anal leakage

Vomiting blood, tar-like stools, bloody diarrhea, or severe abdominal pain all require emergency medical attention. In this case your gastroenterologist may advise you to go to the nearest emergency room.

If you are dealing with any rectal bleeding, make sure to call us (908-851-2770).  Again, while many causes are benign, we will make sure that no further work-up needs to be done.

By Advanced Gastroenterology Group
February 12, 2020
Category: Gastroenterology
Tags: Hepatitis  

Most people who have hepatitis don’t even know that they have it. This is because it doesn’t often cause symptoms right away; however, untreated hepatitis can lead to serious health problems including liver scarring, cirrhosis of the liver, and cancer.

Hepatitis is a condition that causes inflammation of the liver. There are five types of hepatitis: A, B, C, D, and E. There are many causes of hepatitis and it’s important that you visit your gastroenterologist to understand your risks and to detect hepatitis early on before it causes serious and potentially permanent damage to the liver.

Hepatitis can be contracted by sharing items or having sex with an infected person. It’s also possible for mothers to pass hepatitis onto their babies during childbirth. Hepatitis can also be contracted through contaminated food or water.

Hepatitis A: this form of hepatitis is most often contracted by consuming contaminated water or food; however, hepatitis A can also be transmitted through unprotected sex with an infected person. This is considered a short-term infection.

Hepatitis B: hepatitis B can cause both acute and chronic infections and is often contracted when someone comes in contact with bodily fluid such as semen or blood from an infected person. This form of hepatitis can also be transmitted from mother to baby.

Hepatitis C: this type of hepatitis is contracted through blood; therefore, it’s more common to get this infection through the exchange of needles or injections. Like hepatitis B, this is usually a short-term infection but can cause chronic problems.

Hepatitis D: this is a less common form of hepatitis within the US, and only occurs in those who also have hepatitis B. Due to the fact that there are two forms of viral hepatitis present within the body, this can lead to serious and fast liver damage.

Hepatitis E: this short-term form of hepatitis is usually contracted through contaminated foods or tainted water.

Despite the fact that there are five different kinds of hepatitis, all of these types produce similar symptoms. It’s important to see your GI doctor right away if you are dealing with these warning signs of hepatitis:

  • Joint pain
  • Nausea
  • Loss of appetite
  • Fatigue
  • Pale or clay-colored stools
  • Dark urine
  • Jaundice (Causes yellowing of the eyes and skin)
  • Severe itching
  • Abdominal pain usually in the upper right side (where your liver is located)

With certain types of hepatitis these symptoms may appear but go away. Even if these symptoms disappear it’s still important to visit a gastroenterologist.

By Advanced Gastroenterology Group
January 30, 2020
Category: Gastroenterology

If you are dealing with a digestive disorder or injury you may end up dealing with a bleed within the gastrointestinal tract. Symptoms may or may not be apparent, depending on where the bleed is occurring within the digestive tract. Those with visible symptoms may notice rectal bleeding, black stools or they may vomit blood. Those with less visible symptoms may experience other problems such as dizziness, abdominal pain or trouble breathing. If you notice any changes in your bowels it’s important that you turn to a gastroenterologist.

Upper gastrointestinal bleeding is often caused by:

  • Peptic ulcers: This is usually the most common cause of bleeding with the upper GI tract. Everything from a bacterial infection to certain medications can cause sores to develop within the lining of the stomach and small intestines.
  • Tears in the esophagus: Esophageal tears can cause a significant amount of bleeding and most commonly occur in heavy drinkers but can also be the result of violent coughing or vomiting.
  • Esophagitis: Esophagitis, or inflammation of the esophagus, is often caused by a condition known as gastroesophageal reflux disease (GERD). This may cause vomiting that resembles coffee grounds.

Lower gastrointestinal bleeding often causes changes in bowel habits. The causes of lower GI bleeds include, :

  • Inflammatory bowel disease (IBD): IBD includes both ulcerative colitis and Crohn’s disease, which cause inflammation and sometimes sores to develop within certain parts of the digestive tract. This often presents with bloody diarrhea or bright red blood in stools. Other symptoms include weight loss, abdominal pain and loss of appetite.
  • Diverticulitis: When pouches in the digestive tract develop this is known as diverticulosis, which often doesn’t cause symptoms; however, if one or more pouches become infected this results in diverticulitis, which can produce a significant amount of blood in the stool.
  • Colon polyps: This lump that forms on the large intestines won’t often cause symptoms; however, some people may notice abdominal pain, mucus in the stool, or blood. Rectal bleeding is usually the most common symptom associated with colon polyps.

If you experience any warning signs of bleeding within the gastrointestinal tract then it’s time to see a GI doctor as soon as possible. Symptoms such as vomiting blood or significant rectal bleeding should be treated immediately.

Helicobacter pylori (H. pylori) is a bacteria that lives in the stomach of over half the people in the world.  While it can cause common diseases like gastritis and ulcers of both the stomach and beginning of the small intestine (the duodenum), it has also been known to be a risk factor for stomach cancer.  A study being published in the January 30, 2020 edition of the New England Journal of Medicine examined the benefits of treating H. pylori infection in patients who had a 1st degree relative (parent, sibling, or child) with stomach cancer.  The authors found that there was a 73% reduction in the risk of stomach cancer in those patients who were cured of the H. pylori infection.  Though stomach cancer is a less common cause of cancer, patients with a family history of stomach cancer should be tested for H. pylori infection with subsequent treatment and confirmation of cure if positive.  To find out more about H. pylori infection and how you can be tested, please call and make an appointment.

By Advanced Gastroenterology Group
January 14, 2020
Category: Gastroenterology
Tags: Crohn's Disease  

If you know someone with Crohn’s disease, or you have it yourself, you know about the dramatic effect it can have on your life. It is a type of inflammatory bowel disease or IBD which causes severe inflammation of your digestive tract.

In severe cases, it can be debilitating and life-threatening. The Centers for Disease Control, CDC, estimate that between 26 and 199 people per 100,000 suffer from Crohn's disease. Most people with Crohn's disease develop it when they are between the ages of 15 and 40, however, people of any age can develop the condition.

The fact is, Crohn’s disease is complicated, producing a variety of symptoms including severe intestinal and stomach pain. In addition to severe pain, Crohn’s disease often produces signs and symptoms like these:

  • Ulcers in your intestines
  • Chronic fever and fatigue
  • Blood in your stool
  • Reduced appetite and weight loss
  • Abdominal cramping and diarrhea

Crohn’s disease also affects other areas of your body, producing additional signs and symptoms, including:

  • Irritated eyes
  • Mouth sores
  • Skin inflammation
  • Joint pain and inflammation

The exact cause of Crohn’s disease is unknown, but it may have a hereditary component, or be caused by an overactive immune system. The good news is, Crohn’s disease can be effectively managed by your gastroenterologist. Treatment for Crohn’s disease may include:

  • Tests to check for anemia and other nutritional deficiencies
  • Vitamin and nutrient supplementation
  • Corticosteroid medications to reduce digestive system inflammation
  • Immunosuppressive medications to reduce inflammation and symptoms
  • Antibiotics to eliminate bacteria which may be causing an infection

Severe cases of Crohn’s disease may require surgery. Your gastroenterologist may discuss surgical treatment with you if it is recommended in your case.

The diagnosis and treatment of Crohn’s disease requires the services and knowledge of an expert, your gastroenterologist. To find out more about the causes, signs, symptoms, and treatment of Crohn’s disease and other gastrointestinal disorders, talk with your gastroenterologist today!

By Advanced Gastroenterology Group
December 16, 2019
Category: Gastroenterology

Persistent pain in your stomach or abdomen could be a signal of irritable bowel syndrome, which should be treated by a gastroenterologist.

Irritable bowel syndrome, also known as IBS, affects your large intestine and can be caused by poor functioning of your gastrointestinal nervous system as it relates to your GI function. The condition causes the walls of your intestines to not move as they should, which impairs the passage of food from your stomach through your intestines.

Irritable bowel syndrome has several signs and symptoms. According to the Mayo Clinic, you may experience:

  • Moderate to severe abdominal pain and cramping
  • Frequent or chronic gas and bloating
  • Frequent or chronic diarrhea or constipation
  • Mucus occurring frequently in your stools

When you have irritable bowel syndrome, you can lessen your symptoms by practicing a few simple tips like these:

  • Limiting or avoiding spicy foods, fats, nightshade vegetables, beans, fruits, milk, carbonated drinks, alcohol, and chocolate
  • Limiting or avoiding high-gluten content foods and foods with a high sugar content
  • Managing your stress with exercise, meditation, and yoga

Irritable bowel syndrome is best treated by your gastroenterologist. Professional treatments for IBS include:

  • Prescription-strength anti-diarrheal medications
  • Prescription-strength medications to reduce intestinal spasms
  • Antibiotics to treat any underlying infection or bacterial imbalance
  • Medications to relax the colon, including Alosetron
  • Medications to increase fluid secretion like Lubiprostone
  • Dietary and lifestyle counseling

Irritable bowel syndrome can be effectively treated by your gastroenterologist. Professional treatment for IBS can help you live a life free of annoying and painful symptoms. To find out more about the causes and treatment of irritable bowel syndrome, talk with your gastroenterologist today!

By Advanced Gastroenterology Group
December 03, 2019
Category: Gastroenterology

Lactose intolerance is the body's inability to properly digest lactose, a type of sugar that is present in milk, cheese, and other dairy-based items. This is due to a deficiency in lactase, a digestive enzyme present in the small intestine. Some people are affected with lactose intolerance from birth, while others develop the condition later in life. This acquired intolerance may be due to the quality and quantity of the enzyme breaking down, or it may be a secondary response to another digestive problem such as Crohn's disease, ulcerative colitis, or celiac disease. Lactose intolerance varies in intensity, but it can cause bloating, gas, stomach cramps, and diarrhea within two hours of eating or drinking dairy products. A common digestive issue, it has been estimated that 65 percent of the world's population has some form of lactose intolerance.

Testing for lactose intolerance often starts with the patient ingesting dairy products in a clinical setting so the physician can observe the results. Determining if the intolerance is due to enzyme deficiency or an underlying condition, as mentioned above, is also essential. One of the most reliable tests involves measuring the level of hydrogen in a person's breath after drinking a lactose solution. Hydrogen is a byproduct of the bacteria in the digestive system if lactose cannot be processed efficiently.

Blood tests are another way that doctors can determine lactose intolerance. Over a period of hours and several draws, the sugar in the blood—glucose—will rise slowly in patients who are lactose intolerant. The easiest and most accurate test for infants is a stool acidity test; those whose bodies cannot process lactose will have a low pH level in their stools due to the presence of acid.

People who are diagnosed with lactose intolerance often find that avoiding foods with dairy products is the easiest way to manage their condition. Lactase replacement medication is also available over-the-counter; these supplements can be taken just before consuming a meal with dairy products to temporarily colonize the digestive system with lactase enzymes.

By Advanced Gastroenterology Group
November 21, 2019
Category: Gastroenterology
Tags: Endoscopy  

There are many reasons why your gastroenterologist may recommend getting an endoscopy. An endoscopy is a simple diagnostic procedure that allows our doctor to be able to examine the lining and walls of the entire GI tract, from the esophagus and stomach to the intestines and the rectum. Our gastroenterologist focuses on diagnosing and treating conditions that affect the stomach, intestines, and colon. Through a simple endoscopy we can diagnose a wide range of health problems and even treat some of them, too.

What is an endoscopy?

An endoscopy uses a thin, flexible tube known as an endoscope that is inserted either into the throat or rectum and guided through the body to check the lining of the intestinal tract. An endoscope has a camera at the end of it, which allows our gastrointestinal doctor to be able view the lining and look for lesions, bleeds, and other problems.

A common type of endoscopy is a colonoscopy, which allows us to be able to examine the colon and rectum to detect colon polyps and other signs of colorectal cancer in patients over 50 years old (as well as patients at a higher risk for colorectal cancer).

What can an endoscopy find?

Our gastroenterologist and his team will use an endoscope to look for both benign and precancerous polyps that often develop within the colon and rectum. We will examine the lining of the intestinal tract to look for other growths and cancerous tumors. An upper endoscopy can also be used to detect certain digestive problems.

Your gastroenterologist may recommend that you get an endoscopy if you are dealing with:

  • Unexplained abdominal pain
  • Persistent bowel changes (diarrhea; constipation)
  • Chronic heartburn or chest pain
  • Signs of an intestinal bleed or blockage
  • Blood in the stool
  • A family history of colon cancer
  • A personal history of colon polyps

Even if everything is fine, both men and women should get routine colonoscopies by the time they turn 50 years old. Those at an increased risk for colon cancer will want to talk with their gastroenterologist about getting screened sooner. A colonoscopy is the most effective tool that we have at our disposal for the early detection of colorectal cancer. If colon polyps are detected during a routine colonoscopy we can also remove them immediately.

If you’ve been told that you need an endoscopy or if you are experiencing any of the symptoms above it’s important that you don’t put off treatment. Call a gastroenterologist today to schedule a comprehensive consultation.

By Advanced Gastroenterology Group
November 07, 2019
Category: Gastroenterology
Tags: Ulcerative Colitis  

Ulcerative colitis is a form of inflammatory bowel disease (IBD) that causes inflammation and ulcers within the lining of the colon (aka: the large intestines) and the rectum. Symptoms are usually subtle at first but get progressively worse. Common symptoms of ulcerative colitis include:

  • Bloody diarrhea
  • Abdominal pain
  • Rectal bleeding and pain
  • Unexpected weight loss
  • Fatigue
  • The inability to defecate

While symptoms are usually mild or moderate, some patients deal with severe and debilitating symptoms. With UC, it is possible to have flare-ups with bouts of remission. If you are noticing regular chances to your bowels or any of the symptoms above it’s important that you turn to a gastroenterologist for a proper evaluation. Untreated ulcerative colitis can cause issues and potentially serious complications.

If your gastroenterologist has diagnosed you with ulcerative colitis you may be wondering what your treatment options are. The treatment plan that your doctor creates for you will depend on the type and severity of your symptoms. Your doctor can help you manage your symptoms effectively to make living with this chronic digestive problem easier.

Treatment for ulcerative colitis usually includes a combination of lifestyle changes and prescription medications. Lifestyle modifications that can help ease and reduce symptoms include:

  • Regular exercise
  • Staying hydrated
  • Proper sleep and rest
  • Avoiding fatty, greasy foods and opting for easier-to-digest foods
  • Avoiding over-the-counter antidiarrheal medications (as regular use can lead to complications)
  • Finding ways to effectively manage stress
  • Turning to a counselor, therapist or support group
  • Avoiding smoking, alcohol, caffeine, and other foods and drinks that could trigger symptoms

There are several medications that may be used to treat ulcerative colitis symptoms. Common ulcerative colitis medications include:

5-ASA: this is the most commonly used medication for treating UC

Corticosteroids: often used for moderate to severe cases of US

Immunomodulator medications: used to reduce inflammation

Biologics: used to reduce inflammation by targeting a specific protein produced by the immune system

The only way to get rid of ulcerative colitis is surgery to remove the colon; however, surgery usually isn’t recommended unless medications and other nonsurgical treatment options cannot properly control ulcers and inflammation. If there is a bleed or tear within the colon this may also warrant surgery.

Are you experiencing symptoms of ulcerative colitis? Want to discuss your treatment options with a doctor who understands what you’re going through? If you said “yes” then it’s time to turn to a gastroenterologist for the specialized care you need.

By Advanced Gastroenterology Group
October 29, 2019
Category: Gastroenterology
Tags: Diverticulitis  

One common gastrointestinal problem that affects adults as they age is diverticulosis. This is when pouches develop within the lining of the colon, or large intestines. These pouches are known as diverticula, and usually people won’t experience any symptoms; however, when these pouches become inflamed or infected this leads to diverticulitis, a painful condition that can lead to vomiting, bloating, bowel changes, fever, blood in the stool and abdominal pain. If you are experiencing symptoms of diverticulitis it’s important to see your gastroenterologist for an evaluation as soon as possible.

Causes of Diverticulitis

While the cause of diverticulitis isn’t clear there are certain factors that could increase your chances of developing this GI problem. People who don’t eat enough fiber are more likely to deal with constipation, which can put pressure on the bowels and eventually lead to the development of diverticula within the intestines. Other factors that could increase your chances for diverticulitis include:

  • Smoking
  • Genetics
  • Age
  • Being overweight or obese
  • Leading a sedentary lifestyle
  • Having more disease-producing bacteria within the colon
  • Taking steroids or NSAID pain relievers (e.g. ibuprofen)

Seeing a Gastroenterologist

When you come into the office for an evaluation your GI doctor will ask you questions about the symptoms you are experiencing, your current health, lifestyle and diet. From there, your doctor will determine which type of testing to perform. Tests to diagnose diverticulitis include:

  • Barium enema
  • Flexible sigmoidoscopy

Treating Diverticulitis

Leading a healthy lifestyle can go a long way to reducing your risk for developing diverticulitis. This condition can often be treated with simple lifestyle adjustments (particularly changes to a patient’s diet) such as:

  • Increasing fiber intake
  • Taking fiber supplements
  • Changing certain medications
  • Taking probiotics

A liquid diet and rest are usually the best ways to ease diverticulitis symptoms. If there is a bleed within the intestines you may need to be hospitalized. Only in severe cases is surgery needed to remove the diseased pouches. With the proper care, diverticulosis symptoms may go away within in a few days. While increasing fiber intake won’t heal the diverticula that are present it can prevent new pouches from developing.

Wondering if your digestive issues may be due to diverticulitis? If you have unexplained or recurring stomach issues it’s time to turn to your gastroenterologist for a proper diagnosis.

October 22, 2019
Category: Uncategorized
Tags: Untagged

We would like to welcome Dr. Arun Mathew to our practice!

Dr. Mathew grew up in the Bergen County Area and went to Lehigh University for his undergraduate education before returning to Newark, NJ for his medical education at New Jersey Medical School. In medical school, he was nominated by his peers for admission into the Gold Humanism Honor Society for compassionate care of his patients . He went on to train in internal medicine at Thomas Jefferson University Hospital in Philadelphia, PA and then gastroenterology training at Lankenau Medical Center in Wynnewood, PA. He is published in multiple papers in the field of gastroenterology and hepatology 
 
He currently works out of Overlook Medical Center in Summit, NJ and Trinitas Regional Medical Center in Elizabeth, NJ. Dr Mathew is currently a member of the American College of Gastroenterology and the American Gastroenterology Association. 
 
Outside of work, he has maintained being a NY Giants fan despite living in Philadelphia for 6 years and enjoys traveling and snowboarding. 
 
 
To book an appointment with Dr. Mathew or any of our providers, please call 908-851-2770 or go to our webpage www.aggnj.net
By Advanced Gastroenterology Group
October 21, 2019
Category: Gastroenterology
Tags: GERD   heartburn  

Whenever you eat spicy foods do you know that you’ll be suffering for it shortly after? Do you find that heartburn keeps you up at night or makes it impossible to enjoy a lot of your favorite foods? Do you suffer from heartburn symptoms more often than not? If so then you may be dealing with gastroesophageal reflux disease (GERD), a digestive disorder in which food and stomach acid travel back into the esophagus. Over time the stomach’s acidity can wear away at the lining of the esophagus and cause irritation.

Someone with GERD will not only experience heartburn on a regular basis but also may have difficulty or pain when swallowing. Since the acid continues to travel back through the esophagus this can lead to persistent or recurring sore throats, as well as a dry cough or changes in your voice (e.g. hoarseness). You may even feel some of your food (as well as the stomach acid) travel back up through your throat.

If you find yourself taking a heartburn medication more than twice a week or if your symptoms are severe then this is the perfect time to turn to a GI doctor who can find a better way to manage your symptoms. If over-the-counter remedies aren’t cutting it then a gastroenterologist will prescribe a stronger medication. Some medications work by reducing acid production while other medications prevent acid production altogether to give the esophagus time to heal.

While most people find that their GERD symptoms can be properly controlled with over-the-counter or prescription medications, there are some people who still don’t find the relief they want or those who don’t want to use medications for the rest of their lives. If this is the case, there are also certain surgical procedures that can be recommended to help improve how the lower esophageal sphincter functions to prevent food and stomach acid from flowing back into the esophagus.

Of course, there are some simple lifestyle modifications that can also help. Besides maintaining a healthy weight, it’s important to avoid certain foods that can trigger your symptoms (e.g. caffeine; alcohol; chocolate). When you do eat try to eat smaller meals and avoid eating right before bedtime. If you are a smoker, you will want to strongly consider quitting.

If you have questions about GERD and managing your heartburn symptoms then it’s time you turned to a gastroenterologist who can diagnose you with this digestive disease and then create a tailored treatment plan to help make mealtimes less painful.

By Advanced Gastroenterology Group
October 07, 2019
Category: Gastroenterology
Tags: Colonoscopy  

A colonoscopy can be a great diagnostic tool for figuring out certain intestinal issues.

 

As a medical news report or general doctor may have already told you, a colonoscopy is a great preventive procedure that everyone will have to go through at some point during their lifetime. As we get older, our risk of developing colorectal cancer increases. As a result, it’s a good time to schedule your first colonoscopy with your gastroenterologist around the time you turn 50 years old. This goes for both men and women.

What is a colonoscopy?

This diagnostic procedure is the best way to fully examine and inspect the colon to check for polyps or cancer symptoms. A colonoscopy uses a small tube with a camera attached to the end that can run the full length of the colon so that your GI doctor can easily determine the cause of your gastrointestinal symptoms.

Who should be getting one?

If you come in complaining of abdominal pain or you notice blood in your stool, then a colonoscopy may be the best way to check for polyps, irritable bowel syndrome or other intestinal problems. Of course, even if someone isn’t experiencing symptoms, colonoscopies are still performed by your gastroenterologist.

This minimally invasive procedure is actually the best way to screen for colorectal cancer, and should be something that everyone gets once they reach their 50’s. You may also need to get a colonoscopy sooner if you have certain risk factors that increase your chances of colorectal cancer including:

  • A personal history with colorectal cancer or polyps

  • A family history of colorectal cancer or polyps

  • You are a smoker

  • You are a heavy drinker

  • You lead a sedentary lifestyle

  • You have a diet heavy in red meats and fatty foods

  • You are obese

  • You are African American

What should I expect when I get a colonoscopy?

We will provide you with a preparation (either a liquid or pill) to take one day prior to your procedure to help empty your bowels before the procedure. When you come in for a colonoscopy we will have you lie on your side. Next, we will insert an IV into the arm to provide you with sedation that will help you feel more relaxed. Sedation can sometimes make people drowsy or fall asleep during their colonoscopy.

Next, the scope is inserted into the rectum and slowly passed through the intestines. Some air will also be directed through the scope to help us see the intestinal tract better and look for any polyps, bleeding, etc. If we do find a suspicious growth, we can also perform a biopsy. Polyps can also be removed during your procedure.

Don’t put off a colonoscopy. This procedure is easy, there is no recovery period and it could just end up saving your life. Call our office today if you are experiencing any of the symptoms above or if you’ve just recently turned 50 and need to schedule your first colonoscopy with your gastroenterologist.

By Advanced Gastroenterology Group
September 16, 2019
Category: Gastroenterology
Tags: Constipation   Pain  

Being constipated means your bowel movements happen less often than normal. Everyone goes through it at some point. Fortunately, there are many treatments that can provide relief. Treatment for constipation usually begins with diet and lifestyle changes meant to increase the speed at which stool moves through your digestive tract. If those changes don't help, your gastroenterologist may recommend other treatment options.

1. Poor diet- A common cause of constipation is a diet high in refined sugar (desserts and other sweets), and animal fats (dairy products, eggs, meats, but low in fiber (fruits, vegetables, whole grains), especially insoluble fiber, which helps move stool through the colon and promote bowel movements. Studies show that high dietary fiber intake results in larger stools and more frequent bowel movements.

2. IBS- Irritable Bowel Syndrome (IBS) is one of the most common causes of constipation. IBS is an intestinal disorder that affects the large intestine. Signs and symptoms include abdominal pain, cramping, gas, bloating, constipation or diarrhea, or both. IBS treatments include diet and lifestyle changes and medications.

3. Bowel habits- You can start a cycle of constipation by suppressing the urge to defecate. After a period of time, you may stop feeling the urge. This can lead to progressive constipation. Research shows that ignoring the urge to defecate may slow down the transit through the digestive tract.

4. Pregnancy- Pregnancy is also a common cause of constipation. Constipation affects 50 percent of women at some point during their pregnancy. Constipation in pregnant women is thought to occur due to an increase in the hormone progesterone, which relaxes the digestive tract. This means that food passes through the digestive tract more slowly.

5. Medications- Many medications can cause constipation. These include antacids that contain calcium or aluminum, pain medications, tranquilizers, antispasmodic drugs, antidepressant drugs, anticonvulsants, and calcium channel blockers for high blood pressure and heart conditions.

6. Laxative Abuse- Laxatives are substances that loosen stools and increase bowel movements. They are used to treat constipation. The long-term use of laxative drugs can cause constipation. People who take frequent doses of laxative drugs become dependent upon them and may require higher doses until, finally, the intestinal muscles become weak and fail to work properly.

The severity of constipation varies from person to person. Most individuals only experience constipation for a few days. For some people, constipation goes on for longer and makes life miserable. If you're suffering from constipation, you should make an appointment with a gastroenterologist.

By Advanced Gastroenterology Group
September 04, 2019
Category: Gastroenterology
Tags: Gum   GI Tract  

If you ever chewed gum as a kid then you probably remember an adult telling you not to swallow that gum or else it would get stuck in your intestines. Is this actually true or just an Old Wives Tale? What happens if you do swallow your gum? Could it cause you intestinal distress or other complications now or down the road?

Well, the good news is that most people, at some point during their lifetime, will swallow gum and never experience any issues. Even though the body really can’t digest chewing gum it doesn’t mean that it will get stuck inside the body or will cause gastrointestinal issues. Even if our bodies cannot digest something they can still move the gum along through the body. While the body can easily digest other ingredients found in gum (e.g. sweeteners), the foundation or gum resin won’t be able to be digested properly. But don’t worry; this undigested portion of chewing gum should pass through your body without issue and leave through a normal bowel movement.

However, it is possible that gum may cause a blockage within the digestive system. How? While this is very rare, it is possible that if you swallow a rather large piece of gum (or if you swallow multiple pieces over a short span of time) that this could lead to a blockage. This may be more likely to occur in children, especially children that are too young to understand that gum should be chewed and not swallowed. Make sure that your child isn’t given gum until they fully understand the purpose of chewing gum.

Of course, if you notice some bloating or abdominal discomfort after chewing gum then you could point your finger at this seemingly innocent treat. This is because you might be swallowing excess air while chewing gum, which can lead to some pain and discomfort. If you notice this issue then you may want to limit how often you chew gum or opt for sucking on a mint instead.

If you have questions about your gastrointestinal health or if you start to experience symptoms such as abdominal pain, diarrhea or nausea that doesn’t go away, then it’s important that you have a gastroenterologist on your side who can help.

By Advanced Gastroenterology Group
August 16, 2019
Category: Gastroenterology
Tags: Acute Pancreatitis  

Acute pancreatitis strikes suddenly, causing severe pain and vomiting. More than 300,000 people are admitted to U.S. hospitals every year due to acute pancreatitis, according to The National Pancreas Foundation.

What causes acute pancreatitis?

If you have gallstones, you may be at increased risk of developing acute pancreatitis. The condition can occur when stones get stuck in the common bile duct and prevent pancreatic fluids from flowing freely. Stones can also force bile to flow back into the pancreas, which may damage it.

You may also develop acute pancreatitis if your calcium or triglyceride levels are very high, or you have an autoimmune disorder, infection, an overactive parathyroid gland, cystic fibrosis or regularly take certain medications. High alcohol consumption can cause pancreatitis, particularly if you've been a heavy drinker for years. In some cases, the cause of acute pancreatitis can't be determined.

What are the symptoms of acute pancreatitis?

Pain from acute pancreatitis is felt in the upper part of the abdomen, although it can extend to your back. The pain may be mild at first, but may become severe and constant and may worsen after you eat or drink alcohol. Other symptoms include fever, nausea, vomiting, diarrhea and a rapid pulse. Prompt treatment is essential if you experience any of these symptoms. The condition can cause bleeding, infections and may even damage your kidneys, lungs and heart if the attack is severe. Although most people recover from acute pancreatitis, the condition can be life-threatening.

How is acute pancreatitis treated?

If your condition is caused by gallstones, you'll need surgery to remove the stones. In some cases, surgery may also be needed to keep your bile ducts open. If you're admitted to the hospital, you'll be given fluids to prevent dehydration caused by vomiting and diarrhea and may receive medication for nausea and pain. Foods and beverages are usually stopped for one to two days after you're admitted to the hospital.

Changing your medications, avoiding alcohol and addressing the causes of high triglyceride or calcium levels may help prevent further bouts of acute pancreatitis. If you have numerous attacks of acute pancreatitis or continue to drink alcohol, the condition can become chronic.

Although it's not always possible to prevent acute pancreatitis, you can reduce your risk by exercising regularly, following a healthy diet and avoiding heavy consumption of alcohol.

By Advanced Gastroenterology Group
July 30, 2019
Category: Gastroenterology
Tags: Hepatitis B  

Dealing With Hepatitis B

Have you been diagnosed with Hepatitis B? Hepatitis B is an infection of the liver that is caused by the hepatitis B virus. The virus is passed from person to person through semen, blood, or other body fluids. There is no cure for acute hepatitis B. There are many things patients can do to improve their health and protect their liver. The following tips will help you get started on the path toward improved health and well-being.

1. See your healthcare provider regularly. Schedule regular visits with your doctor to stay on top of your health and the health of your liver. People with Hepatitis B can live full lives by taking good care of themselves and getting regular checkups. Getting checkups is an important part of staying healthy.

2. Avoid drinking alcoholic beverages. Avoid drinking alcohol if you have Hepatitis B. Most people know that the liver acts as a filter and can be damaged by drinking too much alcohol. Studies show that alcohol increases HBV replication, promotes damage to the liver and increases the likelihood of developing cirrhosis.

3. Talk to your doctor before taking OTC drugs. Check with your doctor about any OTC drugs or non-hepatitis B prescription medications before taking them to make sure they're safe for your liver. Talk to your doctor before taking any vitamins, supplements, or herbal remedies because they could interfere with your prescribed medications or even damage your liver.

4. Avoid breathing in fumes to protect your liver. Avoid inhaling fumes from paint, household cleaning products, glue, nail polish removers, and other potentially toxic chemicals that could damage your liver. Make certain you have good ventilation, cover your skin, use a mask, and wash off any chemicals you get on your skin with water and soap as soon as possible.

5. Eat a healthy diet to protect your liver. Eat a balanced, healthy diet of fruits, whole grains, lean meats, fish, and vegetables. Try to avoid saturated and trans fats. Cruciferous vegetables like cauliflower and broccoli have been shown to help protect the liver against environmental chemicals.

6. Talk to your doctor about medication. Your doctor may recommend antiviral medications to treat Hepatitis B. Antiviral drugs can help fight the virus and slow its ability to damage your liver. Antiviral drugs approved for treatment of chronic hepatitis B include lamivudine, adefovir, telbivudine, entecavir, and tenofovir. These drugs are taken by mouth. Talk to your healthcare provider about which medication might be right for you.

7. In severe cases, a hospital stay is needed. In some cases, an acute hepatitis B infection can be very severe. For acute Hepatitis B, medical professionals usually recommend rest, fluids, adequate nutrition, and close medical monitoring. Severe symptoms may require hospital treatment. A very small number of patients with acute hepatitis B infection will develop liver failure. They will require a liver transplant to prevent death.

8. Talk to your doctor if you are pregnant.  Hepatitis B virus can be transmitted to your baby during birth.  There are, however, treatments (including the hepatitis B vaccine) that can be given to your baby soon after delivery to help prevent transmission.  Letting your OB, Gastroenterologist, and Pediatrician know, allows them to take the proper steps to ensure the best possible outcome for your baby.

If you think you might have hepatitis B, don't worry, help is available. Search for a gasterontologist in your area and schedule a consultation. Hepatitis B treatment has improved the lives of many people. And it will do the same for you!

By Advanced Gastroenterology Group
July 15, 2019
Category: Gastroenterology
Tags: Hiatal Hernia  

A hiatal hernia is when the stomach bulges through an opening in the diaphragm. Some people don’t even now that they have a hiatal hernia because it doesn’t always produce symptoms; however, some people find out that they have a hiatal hernia once they are dealing with persistent heartburn and indigestion. These symptoms are more likely to occur because a hernia makes it easier for the acids within the stomach to travel back up through the esophagus, which results in heartburn.

In most cases, self-care treatments and medications are enough to alleviate the symptoms associated with a hiatal hernia; however, if the hernia is large then the patient may require surgery. If you are dealing with persistent or severe indigestion and heartburn there are many reasons why this may be happening. While it doesn’t necessarily mean that you have a hiatal hernia it’s a good idea to see a gastroenterologist to find out what may be causing your acid reflux.

How to Treat a Hiatal Hernia

Before treating a hiatal hernia your gastroenterologist will need to diagnose your condition first. There are several tests that can determine whether you may have a hernia. These tests include a barium swallow, an endoscopy and a pH test. Once your GI doctor has determined that you have a hiatal hernia the next step is to create a treatment plan to manage your symptoms.

Again, there are a lot of people with hiatal hernias that don’t even know it because they aren’t experiencing symptoms. If your hernia isn’t causing you problems then treatment is rarely necessary. If you are dealing with gastroesophageal reflux disease (GERD) as a result of your hiatal hernia then there are some lifestyle modifications you can make to reduce your symptoms. These changes include:

  • Eating smaller meals
  • Losing excess weight if you are overweight
  • Avoiding citrus, acidic, and spicy foods
  • Limiting fried, fatty goods
  • Limiting caffeine and alcohol
  • Quitting smoking
  • Eating about 3-4 hours before bed or lying down
  • Elevating your head six inches above the rest of your body while sleeping
  • Avoiding tight clothes, which can put too much pressure on your stomach

You may even choose to take an over-the-counter antacid after eating to reduce stomach acid. Of course, these over-the-counter medications shouldn’t be taken for more than two weeks. You gastroenterologist can also prescribe a stronger antacid that you will be able to take whenever you need it to neutralize stomach acid or to block acid altogether.

Hiatal Hernia Surgery

Surgery for a hiatal hernia is not often necessary; however, if you’ve been dealing with severe reflux that isn’t alleviated with lifestyle changes or medications then surgery may be the only option. If blood flow to the part of the stomach that is sticking through the esophagus is cut off, then surgery will also be required.

If you are dealing with persistent acid reflux and indigestion it’s important to talk with your gastroenterologist to find out if a hiatal hernia could be to blame.

By Advanced Gastroenterology Group
June 28, 2019
Category: Gastroenterology
Tags: Hemorrhoids  

While an embarrassing condition, hemorrhoids are rather common and will happen to the majority of us at some point during our lifetime. This condition occurs when the veins around the rectum or anus swell. Even though this problem is harmless it can be painful. There are many reasons why someone may deal with hemorrhoids. Those who lead a sedentary lifestyle are more likely to develop hemorrhoids. Those who are obese or deal with constipation regularly, as well as pregnant women are also prone to hemorrhoids.

Hemorrhoids can either develop inside the rectum (internal) or around the anus (external). You may be dealing with hemorrhoids if you experience:

  • Bright red blood during bowel movements
  • Anal itching and soreness
  • Pain and swelling around the anus
  • A tender lump around the anus

Sometimes hemorrhoids will go away on their own; however, it’s important to know when to see a gastroenterologist for treatment. After all, some of these symptoms could also be caused by other conditions. If you are dealing with rectal bleeding or pain it’s a good idea to see a GI doctor who will be able to perform the proper tests to confirm whether you have hemorrhoids and to rule out any other intestinal problems.

One way to prevent hemorrhoids is to prevent straining during bowel movements and constipation. In order to do this you must staying hydrated and eat a healthy, high-fiber diet. Staying active and losing excess weight can also improve gut health. If you sit for the majority of the day it’s important to get up and move around to take pressure off the veins of the anus.

In terms of treatment, the goal is to reduce pain, inflammation and irritation so the area can properly heal. This involves eating a high-fiber diet. You can also use an over-the-counter hemorrhoid cream, which can numb the area and reduce discomfort. Soaking for 10-15 minutes in a sitz bath can also ease symptoms. With the proper treatment and care hemorrhoids will often go away in about a week. If you don’t experience relief, or if your symptoms are severe then it’s time to see a gastroenterologist.

In some cases, surgery is necessary in order to treat complications (e.g. blood clots) of hemorrhoids or to properly address bleeding, painful, or persistent hemorrhoids. A gastroenterologist can perform these simple outpatient procedures right in their office.

If you are experiencing symptoms of hemorrhoids and not experiencing relief from over-the-counter medications and at-home care then it’s time to see a GI doctor for treatment.

By Advanced Gastroenterology Group
June 14, 2019
Category: Gastroenterology
Tags: Pancreatitis  

The pancreas is an organ that we don’t often give much thought to and yet it’s quite important. After all, it is responsible for releasing digestive enzymes into the small intestines to help with digestion. It is also instrumental in releasing both insulin and glucagon into the blood, which influences metabolism and determines how effectively the body turns food into energy; however, certain lifestyle choices and health problems could lead to an attack of pancreatitis.

What is pancreatitis?

This condition is rather rare and occurs when the pancreas is inflamed. In most cases, this condition is acute and can be treated; however, sometimes it can become chronic. Damage to the pancreas will occur if the digestive enzymes are activated before the reach the intestines, causing the enzymes to destroy the pancreas.

What are the symptoms of pancreatitis?

Acute pancreatitis often causes upper abdominal pain that may get worse after eating and may radiate to your back. Your abdomen may be tender to the touch and you may feel nausea. Sometimes these symptoms are accompanied by a fever and rapid pulse.

Those who have chronic pancreatitis will notice the same abdominal pain that’s present in acute cases, as well as oily stools (known as steatorrhea) and unintended weight loss. If you are dealing with any kind of persistent abdominal pain it’s important to schedule an appointment with your gastroenterologist. If the pain is severe or makes it difficult to stand up straight, you need immediate medical attention.

Of course, there are many conditions and injuries that can lead to upper abdominal pain, so it’s important that you consult your doctor as soon as possible. If it is pancreatitis, this will often require hospitalization, so this requires immediate medical attention.

What causes pancreatitis?

There are certain conditions and habits that can increase your likelihood for developing pancreatitis including:

  • Gallstones
  • Smoking
  • Cystic fibrosis
  • High calcium levels (usually occurs in those with hyperparathyroidism)
  • High triglyceride levels
  • Abdominal surgery
  • Alcoholism
  • Pancreatic cancer

Sometimes the cause of pancreatitis is unknown. However, it is possible for this condition to lead to more serious complications such as an infection, diabetes or kidney failure if it isn’t properly treated.

How is pancreatitis treated?

As we mentioned above, most people with pancreatitis will need to be hospitalized. During hospitalization, the treatment plan will include:

  • Fasting for a couple of days (this will help your pancreas recover)
  • Pain medications
  • IV fluids

Once we have addressed your condition, we will then try to find the root cause. Based on the cause we may recommend additional treatment or surgeries including:

  • Surgery to remove obstructions of the bile duct
  • Pancreas surgery to drain fluid and remove diseased tissue
  • Gallbladder removal (if gallstones caused your pancreatitis)
  • Quitting alcohol or finding an alcohol treatment program

If you are dealing with unexplained abdominal pain or other digestive problems it’s important that you turn to a gastroenterologist who can figure out what’s going on. Call to schedule an appointment today.

By Advanced Gastroenterology Group
June 03, 2019
Category: GI Conditions

When people experience frequent bouts of flatulence, abdominal bloating, cramps, and diarrhea, it's disconcerting and sometimes unpredictable. Your gastroenterologist may review your symptoms and do some in-office testing to determine if you have lactose intolerance. It's a common GI condition in which the body produces the lactase enzyme in insufficient amounts. Fortunately, the teens and adults who develop it can manage the symptoms and feel good.

The details on lactose intolerance

The digestive enzyme, lactase, is produced in the small intestine. When it encounters lactose, the carbohydrate in dairy products such as milk and ice cream, it breaks down the sugar into a highly usable form. If, however, lactase is insufficient, the milk sugars will cause those uncomfortable GI symptoms within a half an hour or so.

While cheese and yogurt also are dairy products, they go through a fermentation process which limits their lactose content. As such, people who are lactose intolerant can consume these dairy items comfortably, says Genetics Home Reference.

Besides happening in young adulthood, lactose intolerance seems to run in families, particularly if as infants, individuals appeared unable to digest breast milk or formula properly. Additionally, some research shows this gastrointestinal problem may occur after an abdominal injury, reports John Hopkins Medicine.

Diagnosing and managing lactose intolerance

Your gastroenterologist will review your symptoms, their severity and timing. Also, he or she may run a lactose intolerance test in which you consume a liquid with high levels of lactose. Through the course of two hours, the doctor measures your blood sugar levels. High readings indicate lactose intolerance.

In addition, a hydrogen breath test pinpoints lactose intolerance. For babies and young children, a stool acidity test uncovers this common GI disorder.

To manage lactose intolerance, your doctor will recommend some diet modifications, such as eliminating as much dairy as possible. Checking food labels for dairy content helps, as well as switching to almond or soy milk and taking supplements such as Lactaid which boost lactase levels in the gut.

See your gastroenterologist

Your GI doctor wants you to have healthy digestion and a varied diet. Be sure to see him or her right away if you experience symptoms of lactose intolerance so you can feel your very best.

By Advanced Gastroenterology Group
May 17, 2019
Category: GI Conditions
Tags: Crohn's Disease  

If you are someone with Crohn’s disease, we don’t need to tell you how impactful this chronic condition can be. Frequent bowel movements, intense abdominal cramps, chronic fatigue, and disposition to a number of different bodily maladies are just some of the ways that this type of inflammatory bowel disease can complicate patients’ lives. Luckily, there are a few different precautions that those with Crohn’s can take to lessen the effects of this often-invasive disease.

What are the effects of Crohn’s?

Prior to exploring the ways that one can tamper the symptoms of Crohn’s, it’s important to establish just what exactly these unwanted effects are. Although the condition directly affects the bowels, the symptoms of Crohn’s disease can be felt throughout the body. Some examples include:

  • Urgent and frequent bowel movements
  • Watery stool
  • Bleeding from the rectum
  • Abdominal pain
  • Mouth sores
  • Skin and eye inflammation

Of course, these effects are not omnipresent nor always severe. Often, Crohn’s patients have long periods where they feel fine, only to eventually be faced with an intense flare-up of symptoms that leaves them feeling terrible and unable to work or go to school—this is where a gastroenterologist comes in.

What a gastroenterologist can do for you

If you are experiencing the debilitating effects of Crohn’s disease, you should schedule an appointment with your local gastroenterologist to find a treatment that’s well-suited to your issues. Possible medical approaches include:

  • Medications: The right medicine can help control inflammation, and thus lighten the disease’s effects on your body.
  • Bowel rest: Sometimes recommended by a doctor in cases when symptoms are severe, a bowel rest includes refraining from solid food for a few days. Don’t worry—a nutrient-containing liquid is provided in lieu of solid food so that patients do not feel hunger pain. This time of rest allows the intestines to heal and symptoms to dissipate
  • Surgery: In the case of extreme symptoms, surgery becomes necessary. There are a variety of different surgeries available, and a consultation with your gastroenterologist can determine which one will benefit you.

What you can do day-to-day to lessen symptoms

As a Crohn’s patient, there are a few different lifestyle modifications that you can apply to minimize flare-ups and make your day-to-day routine more comfortable. Some simple steps include

  • Take medication as prescribed: At the risk of sounding too obvious, taking medicines according to a doctor’s recommendations is an essential step to managing symptoms. In the case of corticosteroids (steroids) this is especially important, for these medications are best used in the short-term and during flare-ups—improper use can render them ineffective
  • Regularly exercise: Exercise helps Crohn’s patients in a few different ways such as helping the digestive tract work efficiently, raising energy levels, and fortifying the immune system. Consult with your gastroenterologist on how to develop a routine that will benefit you most
  • Adopt proper dietary habits: Maintaining a diet that is full of nutrients can help minimize the effects that Crohn’s has on the digestive tract. Of course, not all patients’ dietary needs are the same, so make sure to meet with a dietician to find out which approach will work best for you.

Need relief? Give us a call!

Living with Crohn’s can be a struggle, but it can be made easier with professional help. Call us today to set up a consultation and get yourself on track to a better life!

By Advanced Gastroenterology Group
May 01, 2019
Category: GI Care
Tags: Indigestion  

7 Tips for Dealing With Indigestion

Suffering from indigestion? Most people have indigestion at some point in their lives. Indigestion, also called dyspepsia, is defined as a persistent or recurrent pain or discomfort in the upper abdomen. The symptoms of indigestion can include abdominal pain, gas, belching, nausea, vomiting, or burning in the upper abdomen or stomach. Here are 7 tips for dealing with indigestion.

1. Keep a food diary. The best way to treat indigestion is to prevent it by avoiding the foods that seem to cause indigestion. Keep a food diary to work out what drinks and foods are triggers for you. Writing down what you ate and the time you ate it can help you deduce what it is that’s causing your symptoms. When possible limit these triggers - common ones include chocolate, caffeine, and spicy food.

2. Eat less. Overeating and late-night meals are the top two triggers that affect many people with indigestion. Eating five small meals per day can help. Breaking down your daily food intake into five small meals makes lighter work for your digestive system. It’s also a good idea not to eat right before bed.

3. Eat slowly. It’s not just what you eat that can cause indigestion; it’s also how quickly you eat. Sit down when you eat your meals. Take your time, chew thoroughly, and give yourself at least 20 minutes before you carry on with your day. Try to avoid lying down too soon after eating.

4. Limit caffeine. If you drink too much caffeine, you may develop indigestion as a side effect. Cut back on your daily fix to see if that helps reduce your symptoms. Caffeine affects your central nervous system and increases stomach acid production. According to Michigan State University, people who drink too much caffeine can develop abdominal pain, heartburn, diarrhea, belching, nausea, and vomiting.

5. Exercise. Exercise can help promote healthy digestion. A recent study shows that exercise can help reduce many digestive problems. In one study, scientists found a link between lack of exercise, obesity, abdominal pain, and symptoms of irritable bowel syndrome. Regular cardiovascular exercise like walking and cycling also helps strengthen abdominal muscles. Don't exercise with a full stomach. Do it before a meal or at least one hour after you eat.

6. Beware of air. Swallowing too much air while eating can cause indigestion. You can help avoid that by chewing with your mouth closed and talking less while eating. You may need to avoid sucking on hard candy or chewing gum, which can lower the amount of air you swallow. If heartburn or acid reflux makes you swallow more frequently, antacids may help.

7. See your doctor. If your indigestion lasts longer than 2 weeks, you should see a gasterontologist. Treatment for indigestion depends on the cause and may include lifestyle changes, medications, and psychological therapies. If stress is causing your symptoms, your doctor may recommend ways to help you reduce your stress, such as relaxation exercises, meditation, or counseling.

Indigestion can significantly diminish your quality of life. Stand up to indigestion and start enjoying life again. Find a board certified gastroenterologist near you and schedule a consultation. Treatment for indigestion will ease your pain and help you get back to a happy and healthy life!

By Advanced Gastroenterology Group
April 16, 2019
Category: GI Care
Tags: Colon Cancer   Colonoscopy  

One of the most effective screening methods for detecting the earliest signs of colorectal cancer is through a colonoscopy. A colonoscopy allows a coloncancergastroenterologist to be able to examine the lining of the rectum and colon (lower intestines) to look for precancerous polyps and other warning signs. These precancerous polyps can also be removed during a colonoscopy before they have the chance to develop into cancer. This is why colon cancer screenings are so important.

Who should get regular colon cancer screenings?

Men and women who are between the ages of 45 and 75 should see their gastroenterologist for regular colon cancer screenings. While there are other methods for screening for colon cancer (e.g. stool test; flexible sigmoidoscopy) a colonoscopy is the most effective and accurate screening tool available.

If a patient has never had polyps or other precancerous warning signs they may not need to get further colorectal cancer screenings after age 75. Patients with risk factors may require additional routine screenings after the age of 75.

Of course sometimes it’s necessary to get a colon cancer screening before 45 years old. You may benefit from getting tested earlier if:

  • You or an immediate family member has a history of colorectal polyps or colon cancer
  • You’ve been diagnosed with an inflammatory bowel disease (e.g. Crohn’s disease; ulcerative colitis)
  • You lead an inactive, sedentary lifestyle
  • You have a poor diet that is high in fat and low in fiber
  • You’ve been diagnosed with diabetes
  • You are obese
  • You are a heavy alcohol consumer
  • You are a smoker
  • You’ve undergone radiation therapy to treat cancer

If you have any risk factors it’s important that you talk with your gastroenterologist to find out when you should start getting regular screenings and which screening is right for you based on your health coverage.

What should I expect from a colorectal cancer screening?

As we mentioned, the most common screening tool for colon cancer is a colonoscopy. During this procedure we will insert a thin flexible tube (called an endoscope) into the rectum and gently guide it through the large intestines. At the end of this endoscope is a camera. This camera will allow your GI doctor to look for polyps and other problem. If polyps are found they can be removed during your colonoscopy. If nothing is found during your diagnostic testing, a colonoscopy can take as little as 30 minutes. The patient will be under the effects of conscious sedation throughout the procedure.

Do you have questions about getting a colonoscopy? Is it time to schedule your first routine colon cancer screening? If so, then call your intestinal doctor today.

By Advanced Gastroenterology Group
April 05, 2019
Category: GI Care
Tags: Diverticulitis  

Diverticulitis is a condition in which small pouches or sacs called diverticula form in the large intestine, or colon, and become inflamed. When the sacs are inflamed, they can bulge outward and cause abdominal pain and discomfort. In addition to abdominal pain, several other symptoms can be associated with diverticulitis. If you are experiencing any of the symptoms associated with this condition, see a gastroenterologist for a diagnosis and possible treatment options.

Symptoms & Causes

The exact cause of diverticulitis is unclear. However, there seems to be a link between a diet too low in fiber and the development of diverticulitis. When fiber is lacking in the diet, the colon works harder to move stools through the intestinal tract. It is possible that the pressure from the increased effort to move the stool can lead to the formation of diverticula along the interior of the color or large intestine. Maintaining a diet with sufficient fiber intake can potentially help prevent diverticulitis.

Various symptoms can be associated with diverticulitis. Abdominal pain is a common symptom and tends to be felt primarily on the left side. Other symptoms associated with diverticulitis include:

  • fever
  • nausea
  • vomiting
  • chills
  • abdominal pain
  • cramping
  • constipation
  • bloating

Treatment

A variety of options are available for treating diverticulitis. For less severe cases, a combination of antibiotics, pain relievers and a liquid diet can be sufficient to resolve the diverticulitis. More serious cases of diverticulitis in which patients cannot drink liquids can require a hospital stay. While in the hospital, all nutrition will be obtained intravenously. Avoiding eating and drinking by mouth gives the bowel time to rest and recover and can help clear up the diverticulitis. If the condition is still severe, surgery might be required.

Diverticulitis can result in a lot of pain and discomfort. Fortunately, there are treatments that can provide relief. See a gastroenterologist for diagnosis and a treatment plan.

By Advanced Gastroenterology Group
March 19, 2019
Category: GI Conditions

Irritable bowel syndrome, also known as IBS, is a condition affecting the large intestine or colon. It is associated with a variety of symptoms, including abdominal discomfort and diarrhea. The exact cause of irritable bowel syndrome is not known and the condition tends to affect women more often than men. If you are experiencing any of the symptoms of irritable bowel syndrome, a gastroenterologist can determine if you truly have the condition and develop an appropriate treatment plan for your symptoms.

Symptoms

A variety of gastrointestinal symptoms is associated with irritable bowel syndrome. If you experience any of these symptoms regularly, consult a gastroenterologist who can make a proper diagnosis. A diagnosis of IBS is usually made by ruling out other gastrointestinal problems through blood tests, stool sample tests, x-rays, a colonoscopy or a sigmoidoscopy. Symptoms of irritable bowel syndrome include:

  • abdominal pain or cramping
  • bloating
  • gas
  • constipation
  • diarrhea
  • mucus in stools
  • recurring urgent need to have a bowel movement

Treatment

Although the exact cause of irritable bowel syndrome is unknown, there are several treatment options for alleviating some of the discomfort associated with IBS. Dietary habits can have an impact on the frequency and severity of symptoms. Eating smaller meals during the day can ease digestion and lessen symptoms. Including more fiber during the day can also help with symptoms such as constipation. Eliminating foods, such as dairy, that aggravate the symptoms of IBS can also help alleviate some of the pain and discomfort.

Other strategies for treating irritable bowel syndrome include medications, probiotics and managing stress. Increased stress can aggravate IBS symptoms so keeping stress levels low can minimize symptoms. Additionally, probiotics and certain medications can also help improve digestion and alleviate some of the symptoms of IBS, such as gas or diarrhea. A gastroenterologist can help you determine which treatments options are best for your symptoms.

Irritable bowel syndrome can result in a lot of pain and discomfort. Fortunately, there are treatments that can provide relief. See a gastroenterologist for diagnosis and a treatment plan.

By Advanced Gastroenterology Group
March 06, 2019
Category: GI Conditions
Tags: Polyps  

A polyp: you may have heard of this condition, but remain unsure on what exactly it is. Most commonly developed in the colon, polyps are small clumps of cells that grow inside various parts of the body. Although some polyps are benign, others can develop into cancer, making it crucial Colonoscopies Detect Polypsthat you receive periodic colonoscopies from your gastroloenterologist. Read on to learn more about colon polyps, and if you are in need of a colonoscopy, make sure to call your local gastroenterologist to make an appointment!

What exactly are colon polyps?

As mentioned above, polyps are small clumps of cells that generally develop in the nasal passage, uterine lining, vocals cords, stomach lining, and most commonly in the colon lining. Projected to develop in fifty percent of the population over time, colon polyps come in two distinct categories:

  • Hyperplastic Polyps: Definitively noncancerous, these benign cell clumps are small and grow near the end of the colon
  • Adenomatous Polyps: This polyp variety affects more people than its counterpart, and carries the possibility of becoming cancerous, although this development usually takes years to occur.

Although colon polyps generally do not show any immediate symptoms, some warning signs certainly do spring up over time. These signs include:

  • Rectal bleeding
  • Abnormal stool color
  • Shifts in bowel habits
  • Abdominal pain

How can I stay healthy?

Given that polyps usually do not exhibit any symptoms until late into their development, the best course of defense against this potentially deadly condition is to receive regular colonoscopies once you reach the age of 50.

A colonoscopy is a minor procedure in which a small, camera-equipped tool is inserted into the anus so that a doctor may examine the colon. If any polyps are discovered, the doctor can then remove them and send a sample to the lab for a biopsy. In the event that the sample tests positive for cancer, your doctor can discuss any further steps that need to be taken.

Concerned? Give us a call!

If you are in need of a colonoscopy, be sure to give your local gastroenterologist a call and receive the treatment that you need!

By Advanced Gastroenterology Group
February 14, 2019
Category: GI Care

What is a Flexible Sigmoidoscopy?

A flexible sigmoidoscopy is a critical diagnostic tool to evaluate the health of your large intestine, or colon. An ultra-thin, flexible tube called a sigmoidoscope is inserted in the rectum and guided up through the intestine.

The tube contains a tiny camera at the end which provides the doctor with a view of your sigmoid colon, which is the last two feet of the large intestine. The sigmoidoscope also allows the doctor to take samples of tissue for later biopsy. Tissue biopsy is the definitive way to determine whether there are precancerous or cancerous changes in your tissue cells.

The sigmoidoscopy procedure is often combined with a colonoscopy because the sigmoidoscope doesn’t show the entire colon, only the lower portion. Sigmoidoscopy may be recommended over colonoscopy because it often doesn’t require anesthesia and is a faster procedure than colonoscopy.

A flexible sigmoidoscopy can be used to determine the cause of intestinal problems like abdominal pain and bowel issues like diarrhea and constipation. It is also used to look for abnormal growths or polyps. It is also a vital tool to screen for colon and rectal cancer.

Flexible sigmoidoscopy may be recommended if you are over 50 years old to help detect colon and rectal cancer in the early stages, when it is the most treatable. Colorectal cancer is the third leading cause of cancer-related deaths in the United States, according to the American Cancer Society. Each year, about 150,000 new cases are diagnosed in this country, and 50,000 people will die of the disease.

The flexible sigmoidoscopy procedure is a safe, effective way to determine the health of your sigmoid colon. It is a vital tool in maintaining your good health. If you are having abdominal issues, or you are at least 50 years old, a flexible sigmoidoscopy can help you. Your doctor can tell you more about flexible sigmoidoscopy and other procedures to help you feel better.

By Advanced Gastroenterology Group
February 05, 2019
Category: GI Care

If you’ve been dealing with gastroesophageal reflux disease (GERD) and you have either been ignoring your symptoms or haven’t been able to get them under control then you could end up dealing with Barrett’s esophagus, a serious complication of GERD that causes the lining of the esophagus to mimic the lining of the intestines.

There are no unique symptoms associated with Barrett’s esophagus, as many of the symptoms are the same as they are for GERD; however, a reason that patients shouldn’t ignore symptoms of GERD is that Barrett’s esophagus can increase the likelihood of developing an extremely serious and life-threatening cancer of the esophagus.

Symptoms to be on the look out for include:

  • Heartburn
  • A burning sensation in the back of the throat
  • Persistent cough
  • Laryngitis
  • Nausea

Even though Barrett’s esophagus is not a common complication of acid reflux, if someone experiences persistent acid reflux this can alter the cells within the esophagus over time to resemble the cells found in the lining of the intestines.

You may be screened with Barrett’s esophagus if you have some of these risk factors:

  • Male
  • Over 50 years old
  • Hiatal hernia
  • Chronic GERD
  • Obesity or being overweight

A gastroenterologist will guide a small flexible tube, known as an endoscope, into the throat and down into the esophagus. This is performed under light sedation. At the end of the endoscope is a camera that allows a gastroenterology doctor to take a biopsy of the lining of the esophagus.

The biopsy sample will be tested for cancer or any precancerous cells. If Barrett’s esophagus is detected in the sample, further endoscopies may be required in the future to detect early warning signs of cancer.

Treating Barrett’s Esophagus

While this condition cannot be reversed there are ways to at least slow down or even prevent the condition from getting worse by getting your acid reflux under control. This can be done through a variety of lifestyle changes (e.g. quitting smoking; changing diet; losing weight) and either over-the-counter or prescription medications (e.g. H2 blockers; proton pump inhibitors).

If you are dealing with acid reflux a few times a week then it’s time to turn to a gastroenterologist for more information. By getting your GERD under control as soon as possible you could prevent complications such as Barrett’s esophagus. Call your gastroenterologist today.





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