Posts for category: GI Care
An endoscopy is a vital diagnostic procedure gastroenterologists use to diagnose and treat a wide variety of conditions affecting your upper digestive system. An endoscopy allows your gastroenterologist to view your esophagus, upper intestine, and stomach.
Gastrointestinal conditions an endoscopy is helpful to diagnose and treat include:
- Gastroesophageal reflux disease (GERD)
- Gastric and peptic ulcers
- Anemia and celiac disease
- Gastrointestinal cancer
- Esophageal cancer
Your gastroenterologist may recommend an endoscopy if you are experiencing:
- Acute or chronic abdominal pain
- Continuous nausea
- Frequent vomiting
- Difficulty swallowing
- Gastrointestinal bleeding
Before your endoscopy, you will be asked not to eat or drink anything for 4 to 8 hours before your procedure. Discontinue taking blood thinning medications and NSAIDS before your endoscopy.
Your gastroenterologist may ask you to take a sedative before your procedure, to help you relax before and during your endoscopy. Due to sedation, it’s necessary for you to bring someone with you to drive you home after your procedure.
During the endoscopy, your gastroenterologist will insert a thin, flexible tube into and down your throat. The tube contains a camera on one end. This camera allows your gastroenterologist to examine your esophagus and upper digestive system. If you have polyps or growths, your gastroenterologist can remove them.
An endoscopy also allows your gastroenterologist to take a small sample of tissue. Tissue samples and growths may be sent out for a biopsy. The biopsy can determine whether tissue cells are abnormal, precancerous, or cancerous.
When you have an endoscopy, your gastroenterologist examines your upper digestive system. For a comprehensive examination, your gastroenterologist may also recommend a colonoscopy, to examine your lower digestive system.
An endoscopy is an important diagnostic and treatment tool in common use by gastroenterologists. It’s safe, and effective, and it can even save your life. To find out more about reasons for having an endoscopy and how an endoscopy can protect your health, talk with your gastroenterologist today.
Everyone can and will benefit from getting a colonoscopy during their lifetime.
A colonoscopy is an important screening and diagnostic tool. Yet about one in three adults between 50 to 75 have not gotten tested for colorectal cancer. A colonoscopy is the most reliable and effective way to catch colorectal cancer early, and yet people aren’t turning to their gastroenterologist as they should. Here’s what you should know about a colonoscopy, including when you need to start getting these screenings regularly.
What is a colonoscopy?
This diagnostic exam is the best way for a gastroenterologist to check the health of your gastrointestinal tract. They use a small scope with a camera attached and direct it into the rectum and gently through the colon (lower intestinal tract). The camera allows them to look for polyps or other symptoms of colorectal cancer. This is the most effective way to detect colorectal cancer, and even healthy individuals can benefit from colonoscopies.
When might someone need a colonoscopy?
There are many reasons why a colonoscopy may be recommended. Here are some of the top reasons to turn to your gastroenterologist for a colonoscopy.
You just turned 45 years old: Is it your 45th birthday? If so, you may want to add a colonoscopy to your routine preventive health care. These screenings are the best way to protect you against colorectal cancer, and both men and women should get them.
You are genetically predisposed: If you have a personal or family history of colon polyps or colorectal cancer, you will most certainly want to get colonoscopies more often. When you come in for a consultation, we will be able to determine just how often you should come based on your risk factors and the results of past colonoscopies.
You're dealing with gastrointestinal issues: If you are dealing with rectal bleeding, abdominal pain, unexplained weight loss, or other gastrointestinal problems, then a colonoscopy may be the best way to detect the cause of your symptoms. If we find any polyps or suspicious growths during your colonoscopy, we can often remove them and biopsy them during this procedure.
Whether you have questions about getting a colonoscopy or you need to schedule your upcoming colorectal screening, a gastroenterologist is going to the medical specialist you’ll want to turn to for this test. Protect your colorectal health with this simple procedure.
Should you schedule an appointment with a gastroenterologist?
A gastroenterologist is a medical specialist who diagnoses and treats conditions and disorders that impact the gastrointestinal tract including the liver, gallbladder and intestines. If you are dealing with digestive problems, a GI doctor is probably going to be the best doctor to turn to. Here’s when you could benefit from seeing a gastroenterologist,
You’re Experiencing Persistent Heartburn
Dealing with heartburn two or more times a week? If so, your heartburn could actually be a sign of something more serious known as gastroesophageal reflux disease (GERD). Untreated GERD can increase your risk for esophageal cancer so it’s important that you turn to a qualified GI doctor for the proper way to treat heartburn symptoms. If you are dealing with recurring heartburn, using over-the-counter medications regularly is not the answer. A gastroenterologist can help.
You’re Noticing Abnormal Bowel Issues
Whether you’re dealing with diarrhea, constipation or a mix of both, we all know that these issues can be uncomfortable and embarrassing; however, it’s important to recognize when these are issues that warrant seeing a gastroenterologist. If you’re experiencing constipation or diarrhea that lasts for more than a couple of days, or if you’re experiencing dehydration due to diarrhea, you should turn to a GI doctor.
You Experience Rectal Bleeding
Rectal bleeding may be caused by more minor issues such as a fissure or hemorrhoids but it may also be a sign of internal bleeding. The color of the blood can give you a clue as to where the bleed is coming from. For example, dark blood often comes from the upper GI tract and may be caused by inflammation, gastroenteritis or ulcers. If blood is bright red this typically comes from the lower digestive tract and may be caused by polyps, inflammatory bowel disease, hemorrhoids or rectal prolapse. If you notice frequent or heavy rectal bleeding, you should see a gastroenterologist right away.
You Turned 50 Years Old
Everyone, regardless of risk factors, should turn to a gastroenterologist for routine colonoscopies. A colonoscopy is the best way to detect early signs of colorectal cancer (a gastroenterologist can even remove polyps during this standard procedure). If you are at an increased risk for colorectal cancer, you should talk to your GI doctor about getting colonoscopies starting at 45 years old.
No one wants to deal with digestive difficulties. If you are dealing with any of the situations above, a gastroenterologist can help you make sense of what’s going on and provide you with the treatment you need to feel better.
If your heartburn keeps returning, it’s important to know what to do.
You are getting ready to sit down to dinner and realize it’s taco night. While this would make most people jump for joy, if you suffer from heartburn then the idea of eating anything spicy may preemptively make your chest hurt. You want to enjoy your favorite foods but you know you’re going to pay for it later. If this sounds like you, a gastroenterologist can provide some simple solutions for how to tackle your heartburn.
Treating Heartburn Yourself
Before turning to a gastroenterologist you may wish to try controlling heartburn on your own. There are some simple lifestyle approaches you can take to manage mild to moderate heartburn symptoms such as,
- Not eating 2-3 hours before bedtime
- Eating slowly and mindfully (to prevent overeating)
- Staying away from certain foods (e.g. chocolate, caffeine, tomatoes or spicy foods) that could aggravate your symptoms
- Losing excess weight, if needed
- Limiting alcohol
- Quitting smoking
- Waiting two hours after a meal before exercising
- Not wearing clothes that are restrictive or put pressure around the waist
Nothing Seems to Be Working. Now What?
If these habits don’t improve your heartburn, then it’s time you turned to a gastroenterologist to figure out what is going on and how to treat this problem. Often, a prescription medication like a proton pump inhibitor or a stomach acid reducer is better equipped to target your symptoms and reduce stomach irritation than over-the-counter remedies.
Plus, over-the-counter heartburn medications might be great for treating the occasional bout of heartburn, but shouldn't be used more than twice a week. If you find yourself dealing with heartburn two or more times a week, then this is also a sign to see a gastroenterologist.
Keeping a diary while making these simple lifestyle changes is a great way to determine what helps your symptoms and what makes them worse. If you do keep a heartburn diary be sure to bring it with you to your doctor's appointment so your gastroenterologist can gain as much insight into your heartburn issues as possible.
If you’re suffering from heartburn and can’t seem to manage your symptoms on your own then it’s time you turned to a gastroenterologist who can figure out whether you could have GERD. If left untreated, GERD could lead to more serious complications, so it’s important to get evaluated by a medical specialist.
When there is an injury or health problem that impacts the digestive tract and you’re unable to pass stool on your own you may need a colostomy bag. If you or someone you love needs a colostomy bag, it’s natural to have questions about how they will work, as well as care instructions. A gastroenterologist can answer any and all questions, and alleviate concerns around getting a colostomy.When is a colostomy needed?
A colostomy may be something that’s needed for only a short period while other individuals may require a colostomy bag for life. When the colon doesn’t work properly or the bowels need time to heal, a colostomy bag can ensure that stool passes through an opening in the colon and into the bag rather than through the anus. Conditions or health problems that may require a temporary colostomy include:
- Trauma or injury to the rectum, anus, or colon
- Diverticulitis
- Bowel obstructions
- Crohn’s disease
- Ulcerative colitis
What is a colostomy?
A colostomy is a surgical procedure performed by a gastroenterologist or gastric surgeon in which they create an opening in the abdominal wall (known as a stoma) through which a colostomy bag can be connected. When stool passes through the colon it will no longer exit through the anus but instead through a colostomy bag.
Do I always have to wear my colostomy bag?
Today, clothes can very discreetly hide a colostomy bag so this shouldn’t be a problem and most people feel comfortable wearing their colostomy bag all the time for peace of mind; however, in some instances, you may be able to detect when you’re going to have a bowel movement, and you may decide to use your colostomy bags only during these times.
Can you reverse a colostomy?
If your colostomy was temporary, your gastroenterologist will discuss the reversal process with you. You will continue to come in for routine checkups and monitoring after your colostomy to determine the best time for a reversal. In most cases, it can take several years before a reversal surgery is performed and your health will be a determining factor in whether this surgery is right for you.
If you have questions about colostomy bags, how they work, or how to care for them, call your gastroenterologist today. They can provide you with the information you need to make living with a colostomy bag easier.
Colitis simply means that there is inflammation present in the colon, or large intestines, and it’s often caused by bacteria but can also be caused by a virus or parasite. Of course, you won’t be able to tell that the colon is inflamed without turning to a gastroenterologist. If you are experiencing symptoms of infectious colitis, then your GI doctor may recommend undergoing a colonoscopy to look at the health of the colon. Through a simple colonoscopy, we can often tell whether you are dealing with infectious colitis.What are the symptoms of infectious colitis?
People dealing with infectious colitis may experience,
- Frequent diarrhea throughout the day (usually occurring 3 or more times)
- Headaches
- Body aches
- Bloody or mucus-filled bowel movement
- Mild fever
- Nausea and vomiting
- Bloating
- Stomach cramping
- Abdominal pain
If you work in a daycare or nursing facility you may be more at risk for contracting infectious colitis. If you aren’t diligent about handwashing, particularly after using the bathroom, you could also be at risk. You can also become infected by simply consuming contaminated water or foods (common for travelers). Those with weakened immune systems are also more likely to develop infectious colitis.
How can I prevent infectious colitis?
Make sure that all utensils and cooking spaces are properly cleaned and disinfected. Cross-contamination can also occur when bacteria from raw meat and its juices come in contact with other foods (such as on cutting boards). Never eat raw meat and make sure to thoroughly cook meat. You should also wash your hands regularly and practice good hygiene.
How is infectious colitis treated?
To determine if you have infectious colitis, and to rule out other gastrointestinal problems, your gastroenterologist will most likely take a stool sample to look for the presence of bacteria or a parasite. A colonoscopy may also be necessary to look at the colon to detect inflammation or to spot other problems that might be going on. The medication that your gastroenterologist provides will depend on the cause of your infection. For example, a bacterial infection can be treated with antibiotics while a parasitic infection will need to be treated with an antiparasitic drug (which may include the use of an antibiotic or antifungal medication). Viral infections will often clear up on their own without treatment.
If you are experiencing severe or persistent diarrhea or other bowel changes, it’s important that you don’t ignore these symptoms. Turn to a gastroenterologist right away for a proper evaluation.
Although gluten-free is a great diet trend that some are now following, for others following a gluten-free diet is essential for their health. This is due to the fact that celiac disease can negatively affect the body when gluten is ingested. For those with celiac disease, a celiac-friendly diet can mean the difference between pain and discomfort and increased quality of life.What is Celiac Disease?
Celiac disease is an autoimmune disorder that can seriously damage someone's internal organs. Celiac disease occurs when someone's immune system is triggered by the ingestion of gluten, leading to an immune response in the small intestine. In this sense, celiac disease behaves much like an allergy to gluten, although with some serious damaging side effects.
Over time, the continuous response to gluten leads to damage in the small intestine lining. This can then prevent the small intestine from absorbing nutrients, also known as malabsorption.
Signs and Symptoms
Some people with celiac disease won't know until they've already experienced damage to their small intestine.
Celiac disease can have symptoms including:
- Fatigue
- Diarrhea
- Bloating
- Vomiting
- Gas
The treatment for celiac disease is a major change in diet and lifestyle. A celiac-friendly diet consists of eating gluten-free foods to prevent the autoimmune trigger of celiac disease. These include eating everyday foods like:
- Fresh fruits and vegetables
- Meat
- Poultry
- Fish and seafood
- Dairy
- Nuts
- Beans and legumes
- Corn
- Chia
- Flax seeds
- Potatoes
- Quinoa
- Rice
- Soy
- Yucca
Whatever foods someone chooses to ingest, it's important to first research whether it is gluten-free, or less than 20 parts per million of gluten according to the FDA standard.
People with Celiac disease should avoid foods that include:
- Barley
- Rye or wheat
- Farina
- Gram flour
- Semolina
- Durum
- Couscous
- Spelt
Life-long Care
The bottom line is this: if it has gluten or if you're unsure whether a portion of food has gluten, avoid it! Luckily, there are many brands of foods that are gluten-free, and everyday foods can be delicious and still be part of a celiac-friendly diet.
Many of us experience constipation or difficulty moving our bowels at some point in life. Constipation may be very uncomfortable, which warrants seeking some relief through medication. However, you may be faced with deciding whether to use a stool softener or a laxative. Before you decide on what you think is the best alternative, it is important to understand the difference between the two.Understanding the Purpose of a Stool Softener vs. all Laxatives
A laxative defines any medicine that facilitates a bowel movement which includes a broad range designed to treat varying levels of severity. A stool softener is a mild (OTC) over-the-counter laxative used to soften the stool for easier passage and less strain. Its use is recommended for temporary, less chronic constipation. Stool softeners work naturally with the body and are better tolerated with fewer side effects. Stronger laxatives such as stimulant laxatives are more appropriate for more severe symptoms. Unlike stool softeners which merely add moisture to the stool to allow for easier movement, stimulant laxatives treat more acute and chronic constipation by directly stimulating nerves in the large intestine. They work faster to bring relief yet can cause side effects such as dehydration, nausea, vomiting, and abdominal cramping.
Identify Your Symptoms First
It’s important to understand the symptoms and severity of your constipation before choosing a particular laxative. If you are suffering from symptoms such as abdominal bloating, rectal pain, and a frequency of fewer than three bowel movements per week, you may be a candidate for a stronger laxative. However, if you are experiencing temporary difficulty passing stool due to recent surgery, hemorrhoids, or other sensitivities, you may be better suited to taking stool softeners.
Your Diet and Doctor’s Advice
Before choosing a laxative, it is always important to practice some common measures before resorting to laxatives.
- Stay hydrated during the day
- Eat plenty of fruits, vegetables, and other fiber to promote a healthy colon.
- If an improvement in your diet is not relieving your symptoms, consult your physician.
- If you have been recommended to use a laxative, always follow the doctor’s instructions, or for over-the-counter medications, carefully read dosing directions.
- Whether taking stronger laxatives or milder ones such as stool softeners, either should not be taken long term unless approved by your physician.
Ulcers are sores that develop in the lining of the digestive tract. They can develop in various places within the gastrointestinal system including the stomach and intestines, and some people can develop multiple ulcers at once. Worried you might be dealing with an ulcer? Here’s what you should know and how a gastroenterologist can help you.While there are ulcers that can develop in the veins, mouth, and even genitals, we’re going to talk about digestive ulcers or peptic ulcers. Peptic ulcers are open sores that develop in the lining of the small intestines, but can also develop in the stomach or esophagus.
- Gastric ulcers that occur within the lining of the stomach
- Esophageal ulcers that occur within the esophagus
- Duodenal ulcers that occur within the small intestines
Want to know whether your digestive issues could be due to an intestinal ulcer? The most common symptom of a GI ulcer is burning or gnawing pain in the stomach. Other symptoms include:
- Heartburn
- Indigestion
- Gas
- Nausea and/or vomiting
- Chest pain
- Feeling full easily
- Bloating
Ulcers often form when there is damage to the lining of the GI tract. This may result from taking certain medication such as NSAIDs or a bacterial infection (H. pylori). If you are someone who takes painkillers regularly this is something to discuss with your gastroenterologist.
In most cases, your gastroenterologist will prescribe medication that reduces how much acid the stomach produces, giving the stomach lining enough time to properly heal. Common medications include proton pump inhibitors and h2-receptor antagonists. If a bacterial infection is the culprit, then antibiotics will be prescribed to kill the infection.
Constipation can be both a figurative and literal pain in the butt. If you’re having trouble going, you may be looking for simple over-the-counter solutions that can help you go. Here’s what you should know about treating constipation yourself, as well as when you may want to turn to a gastroenterologist for medical attention.Everyone’s different when it comes to how often they have a bowel movement. Some people go three times a day while others only go three times a week, and both are normal; however, if you are having less than three bowel movements a week then you are considered constipated. If stools are dry or hard to pass, these are also signs of constipation.
While laxatives are often the first thing people try when it comes to treating their constipation you may want to hold off on those for the time being and try these simple hacks:
- Make sure that you are staying hydrated (drinking enough water is key!)
- Get regular exercise
- Increase your fiber intake
If you’ve tried the lifestyle and dietary changes above and your bowels still aren’t moving, then you may be considering a laxative at this point. There are different types; however, it’s important to know which ones to use. Fiber supplements are often the easiest on the body (this includes products like Metamucil). Before purchasing laxatives, it’s a good idea to talk with your GI doctor about which one is right for you. Since people can become dependent on laxatives, you must speak with your gastroenterologist if you find yourself regularly dealing with constipation that can only be alleviated by using laxatives.
While there are many over-the-counter laxatives on the market that can help with occasional constipation, it’s also important to know when to see your gastroenterologist instead. You should consult with your doctor if,
- You haven’t had a bowel movement in more than three days
- You are using laxatives for a week but are still dealing with constipation
- Your constipation is accompanied by bloody stools, abdominal pain, or dizziness
- You are pregnant or breastfeeding
- You are unexpectedly and suddenly losing weight
Ginger is a great spice to keep in your pantry because it is chock full of antioxidants that help combat oxidative stress and may also reduce the risk for lung disease, heart disease, and hypertension. If you’ve ever dealt with a stomachache or a bout of nausea before then you’ve probably heard people say to eat some ginger or sip ginger tea. Is there something to ginger that can actually help your stomach when it’s being topsy-turvy?Here are some ways in which ginger could help your gut.
It Could Aid in Digestion
Whether your stomach is upset upon waking or you just tried a more adventurous dish at a new restaurant, there are many reasons why your stomach might be feeling a little unhappy. Fortunately, ginger can be a helpful and natural remedy to ease that upset stomach.
How? Ginger is believed to speed up the movement of food through the GI tract, while also protecting the gut. It may also ease bloating, cramping, and gas. If you are dealing with an upset stomach, you may want to boil some fresh ginger or add a little ground ginger to some hot water.
It May Protect Against Heartburn
If you find yourself dealing with that gnawing, burning in your chest, ginger may also keep these problems at bay (or, at the very least, alleviate them). Ginger doesn’t just boost motility of the intestinal tract, it may also protect the gastric lining while reducing stomach acid from flowing back up the esophagus after meals.
It Stops Bloat
Most people will experience bloating at some point, particularly after eating. Whether from overheating or from food intolerance, bloating could be alleviated by drinking ginger tea or eating dried ginger. Indigestion is one of the top reasons for bloating, and ginger has the ability to reduce indigestion, which in turn can stop bloat from happening in the first place. People who are prone to bloating may want to add ground ginger to their morning cup of tea or water to prevent this problem from happening during the day.
It’s important not to ignore ongoing stomach problems. If abdominal pain and cramping, or other intestinal problems keep plaguing you, then it’s time to see a gastroenterologist to find out what’s going on. While natural remedies such as ginger can be helpful for minor and fleeting bouts of nausea and an upset stomach, they won’t be able to treat more serious stomach issues.
You’re Experiencing Digestive Issues
This is a common reason why a colonoscopy is performed. It’s not always possible to figure out the cause of rectal bleeding, abdominal pain, constipation, diarrhea, or other intestinal issues unless a GI doctor takes a look inside. If your issues can’t be diagnosed with a simple physical examination, blood test, or stool sample, then a colonoscopy is probably the best way to find out what’s going on.
You Need to Be Screened for Colorectal Cancer
If you are 50 years old or older and are at average risk for colon cancer, then your gastroenterologist will often advise you to get a colonoscopy about every 10 years to screen for cancer. Those with an increased risk of developing colon cancer may need to get screened more regularly. Risk factors for colorectal cancer include,
- Family history of colon cancer
- Personal history of colon polyps
- Smoking
- Heavy alcohol consumption
- An unhealthy diet that is high in fat and processed foods
- Leading an inactive lifestyle
It’s necessary to remove polyps right away to reduce your chances of developing colon cancer. Colon polyps can be easily removed during a routine colonoscopy, but since it can increase your risk for colorectal cancer your gastroenterologist may recommend having a colonoscopy more regularly.
If you just turned 50 years old and it’s time to schedule your routine colonoscopy, or if you’re dealing with digestive issues, a gastroenterologist is the ideal medical specialist to turn to. Don’t wait to get the preventive care you need to protect against colorectal cancer.
The esophagus is a tube that directs food from the throat to the stomach. Achalasia is a rare swallowing disorder that makes it more challenging for both foods and liquids to go through the esophagus into the stomach. A healthy esophagus can contract and guide food into the stomach, but when the nerves of the esophagus become damaged this can cause the esophagus to become dilated, which means that it canno longer contract to push food along. If you or someone you know has achalasia, a gastroenterologist can provide you with ways to manage your symptoms.
What are the symptoms and signs?
The most common signs of achalasia include,
- Difficulty swallowing
- Regurgitation of food
- Choking (often during regurgitation)
- Indigestion
- Chest discomfort, particularly after eating
How is achalasia treated?
Achalasia requires treatment to prevent the condition from getting worse. As you might imagine, not being able to properly eat or drink anything can have detrimental effects on a person’s health and nutritional needs, as well as increase a person’s risk for aspirational pneumonia and lung infections (this is more common in seniors). Common treatment options include:
- Surgery: Traditional surgery, known as Heller myotomy, is the most common way to treat achalasia and it involves cutting the muscles of the valves that lie between the stomach and esophagus. Some patients may be candidates for laparoscopic surgery, which is a more minimally invasive technique.
- Balloon dilation: For patients who may not be able to undergo surgery, another way to treat achalasia is with balloon dilation, which is a non-surgical technique performed under moderate sedation where a balloon is placed into the esophagus and inflated to widen the area so food can easier go from the esophagus into the stomach.
- Botox: Botox may help to relax muscle spasms and to improve how food flows through the esophagus. Those patients who aren’t candidates for surgery or dilation may want to consider the benefits of Botox.
Approximately 750,000 people in the US are living with ulcerative colitis. While relatively less common than other bowel diseases, you probably can’t go very long without seeing an ad for medications that are designed to treat symptoms of UC. Perhaps you see these ads and realize that the symptoms they are talking about are ones you experience. Could you have ulcerative colitis? Fortunately, your gastroenterologist will be able to shed light on this issue.Ulcerative colitis (UC) is a chronic bowel disease that causes flare-ups of inflammation and bleeding ulcers in the colon and rectum, which can affect your ability to digest food. Ulcerative colitis is one of the two main types of inflammatory bowel diseases (IBD).
Are you dealing with unexplained and persistent stomach pains accompanied by diarrhea? This can be an early warning sign that UC. In the very beginning, you may notice minor symptom flare-ups that can easily be attributed to a variety of other problems. So, it isn’t always easy to spot the signs of UC right away.
- Fatigue
- Anemia
- Fevers
- Joint pain
- Sores and rashes
While there is no cure for ulcerative colitis, your gastroenterologist can prescribe medications, therapies or surgery, and recommend lifestyle changes that can help with symptom remission and reduce the number and severity of flare-ups. Treatment plans for UC typically include,
- Anti-inflammatory drugs such as corticosteroids
- Immunosuppressants reduce inflammation by suppressing the immune system
- Biologics, which also act on the immune system
- Pain relievers
- Dietary changes (eliminating gluten and dairy; limiting fiber intake)
- Stress management techniques
- Exercise
- Supplementation (iron may be prescribed if you have anemia caused by UC)
- Anti-diarrheal medications
- Surgery to remove the colon and rectum (in more severe cases)
Prone to hemorrhoids? Here are some ways to prevent flare-ups.
Most of us have dealt with a bout of heartburn before; however, there are many Americans that deal with frequent heartburn that makes it difficult to enjoy mealtimes. Whether your heartburn is the result of acid reflux or gastroesophageal reflux disease (GERD), you must see a gastroenterologist if you are experiencing heartburn multiple times a week.If you’re dealing with heartburn, one of the first things your gastroenterologist will examine is your diet. While certain foods can exacerbate heartburn and make it worse, certain foods can improve and ease acid reflux symptoms. Some of these foods include:
Oatmeal
Foods that are high in fiber such as oatmeal aren’t just amazing for your digestive tract, they may also prevent heartburn from brewing in the first place. Plus, whole grain foods can help satiate your appetite for longer, which means that you are less likely to go for snacks and other foods that could cause a nasty bout of acid reflux. So, start your morning right with a hearty bowl of oatmeal. And perhaps you may even want to add a….
Banana
Just like vegetables, a banana is a low-acid and high alkaline fruit that is also great for the digestive tract. If you battle with heartburn, bananas can help prevent stomach acid production while also helping things run smoothly through the digestive system.
Ginger
Whether you prefer ginger sprinkled into your morning smoothie, a soothing cup of ginger tea or fresh ginger grated into your water, this magical vegetable reduces inflammation and can aid in preventing and treating heartburn as well as calm an upset stomach and ease nausea.
Leafy Greens and Veggies
Fibrous vegetables such as spinach, broccoli, potatoes, and asparagus are alkaline, which helps to keep stomach acid in check. This is also because these delicious and nutritious foods are low in sugar and fat, which means they are friends to those with heartburn.
Yogurt
We all know that yogurt has amazing probiotic properties, providing your gut with the good bacteria it needs to stay healthy and strong. Good bacteria can also improve how your immune system functions, staving off germs and infections, while also coating and easing stomach acid.
Whether you have questions about your current heartburn-friendly diet or you’re having trouble getting your acid reflux under control, a gastroenterologist will be able to provide you with proper long-term medication and lifestyle changes that can help.
Perhaps you’ve heard the news reports saying that everyone should get a colonoscopy after a certain age. Maybe you even remember when Katie Couric of the Today Show got a colonoscopy. This procedure gets a bad rap, but the benefits far outweigh the potential unpleasantness of the procedure itself or even the prep. Screening for colorectal cancer is so important for all men and women, and yet so many people still don’t see a gastroenterologist regularly for screenings. This screening, which usually takes no more than 30 minutes, could just save your life.You may benefit from a colonoscopy if:
- You are a man or woman over the age of 50 (those over 50 years old are at an increased risk for colorectal cancer)
- You have a family history of colorectal cancer or colon polyps
- You have a personal history of cancer or colon polyps
- You’ve been diagnosed with inflammatory bowel disease (Crohn’s disease)
- You are experiencing symptoms of colorectal cancer such as blood in the stool and unexpected weight loss
- You are experiencing gastrointestinal symptoms such as rectal bleeding and abdominal pain (a colonoscopy can diagnose certain intestinal problems)
You will be placed under conscious sedation while undergoing a colonoscopy, so you will most likely not remember any part of your procedure. During the procedure, your gastroenterologist will carefully place a colonoscope, a thin tube with a camera at the end, into the rectum, and guide it into the large intestines (aka the colon). This procedure allows your doctor to be able to examine the lining of the intestines to look for polyps, bleeds, ulcers, or other issues you may be dealing with. If polyps are found, they can be removed during your colonoscopy.
While age, ethnicity, and gender can play a role in your colorectal cancer risk level, there are other factors as well; however, these factors can be altered by simply improving your lifestyle. These factors include:
- Smoking or using tobacco products
- Leading a sedentary lifestyle
- Eating a poor diet that is high in processed foods
- Heavy alcohol consumption
Constipation is the source of plenty of jokes. However, if you deal with it--even occasionally--constipation isn't funny; you just want it resolved. Your gastroenterologist helps many patients with constipation, uncovering reasons for it, and getting people the relief they need. Here's some practical help.- Certain medications
- Lack of exercise
- Pregnancy
- Excessive amounts of dairy products, including cheese and milk
- Stress
- Not going to the toilet frequently enough
- Irritable bowel syndrome
- Abusing laxatives
- Changing your diet to include fiber
- Drinking plenty of water throughout the day to soften stool
- Staying as active as possible
- Switching routine medications (with your doctor's approval)
- Limited use of laxatives (enemas, glycerin suppositories, stimulant laxatives)
- Daily fiber supplements (psyllium or bran cereals) or stool softeners
An upset stomach can throw your whole day into a loop. Whether you’ve got heartburn, gas, constipation, or bloating, it’s an uncomfortable feeling. A good healthy stomach means you’ll experience less inflammation and immune problems. Talk to your gastroenterologist about protecting your stomach from changes in stomach acid and gastrointestinal flora. 
When the natural stomach acid produced during digestion reaches your esophagus, it causes what is known as Heartburn or Acid Reflux. It feels like stomach or chest pain, or possibly a burning sensation. You’ve most likely experienced this at some point in your life. It’s a common occurrence after eating very large meals or greasy foods. It’s only when you have heartburn all the time or every meal that you need to see a gastroenterologist.- Chocolate
- Greasy and fatty foods
- Mint
- Spicy foods
- Onions
- Garlic
If 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.
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!
One of the most effective screening methods for detecting the earliest signs of colorectal cancer is through a colonoscopy. A colonoscopy allows a 
gastroenterologist 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.
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.
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.
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.