Our Gastroenterology Blog
By Rajiv Bansal, MD
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 Rajiv Bansal, MD
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 Rajiv Bansal, MD
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 Rajiv Bansal, MD
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 Rajiv Bansal, MD
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 Rajiv Bansal, MD
April 08, 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 Rajiv Bansal, MD
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 Rajiv Bansal, MD
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 Rajiv Bansal, MD
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 Rajiv Bansal, MD
February 01, 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.

By Rajiv Bansal, MD
January 15, 2019
Category: GI Care
Tags: Ulcer  

Peptic ulcers, or stomach ulcers, are breaks or holes in the lining of the stomach. An ulcer in the first part of the intestines is known as a duodenal ulcer. An ulcer in the stomach is known as a gastric ulcer. If you think you may have an ulcer, you should see a gastroenterologist. Gastroenterologists are specialists in the diagnosis and treatment of peptic ulcers. Here are 5 signs you may have a peptic ulcer. 

1. Burning pain- The most common peptic ulcer symptom is a burning sensation or gnawing pain in the middle of your abdomen. The pain may come and go for several days or weeks. Even though discomfort may be mild, peptic ulcers can worsen if they aren’t treated. Taking antacids can relieve the discomfort, but it will keep coming back until the peptic ulcer is treated by a doctor.

2. Nausea- The symptoms of peptic ulcers may include nausea. Nausea is a feeling of sickness with an inclination to vomit. Nausea has many possible causes. Some common causes of nausea include appendicitis, infection, reactions to some medicines, migraines, food poisoning or intestinal blockage.

3. Vomiting- The symptoms of peptic ulcers may include vomiting. Vomiting after consumption of food may be caused by an ulcer, food poisoning, or gastritis (inflammation of the stomach lining). Usually, vomiting is harmless, but it can be a sign of a serious condition. Some examples of serious conditions that may result in vomiting include Acute liver failure, appendicitis, Pancreatic cancer, or intestinal blockage.

4. Discolored stool- Blood in the stool is often a sign of a problem in the digestive tract. Blood in the stool may come from any area along your digestive tract. A stomach ulcer can cause discolored stools that appear darker or bloody. A bloody stool may indicate that your stomach ulcer is growing in size or is becoming more severe. 

5. Heartburn- Another symptom of peptic ulcers is heartburn. Heartburn is a condition that's caused when stomach acid flows up into your esophagus. This leads to a burning discomfort below your breastbone or in your upper belly. Your doctor will prescribe medications to relieve your symptoms and help your ulcer heal. 

If you have any of these signs and symptoms, you should seek treatment. A visit to the gastroenterologist will bring the relief you need. Peptic ulcers can not only be uncomfortable causing you pain but can also lead to other complications that may be dangerous.

By Rajiv Bansal, MD
December 31, 2018
Category: GI Conditions

Though many people never know they have one due to lack of symptoms, a hiatal hernia can cause complications which can affect your daily life. Knowing the signs and symptoms of this condition can help you spot its presence, alert your gastroenterologist, and get the treatment you need.

What is a hiatal hernia?
Your chest and abdomen are separated by a large muscle called the diaphragm. The esophagus passes through a small opening in the diaphragm and brings food from the mouth, down the throat, and into the stomach. A hiatal hernia occurs when the stomach pushes through the hole and begins bulging out of the other side, into the chest. Though small hiatal hernias are often nothing to worry about and do not produce symptoms, larger hernias may cause potentially serious complications.

Do I have a hiatal hernia?
A small hernia often does not produce any symptoms at all. However, larger hernias can cause some issues that can affect your day-to-day life:

  • Heartburn
  • Difficulty swallowing
  • Chest or abdominal pain
  • Regurgitation of foods (into the mouth)
  • Acid reflux
  • Vomiting blood or passing black stool
  • Shortness of breath

If you think you have a hiatal hernia, you should see your doctor to ensure that you receive the care you need.

How does a gastroenterologist diagnose a hiatal hernia?
It is not uncommon for a gastroenterologist to find a hernia while investigating the cause of heartburn, abdominal pain, or other symptoms. Some diagnostic tools they may use include x-rays or upper endoscopy. They will also gather your medical, family, and lifestyle history to further investigate the cause of your symptoms.

Hiatal Hernia Treatments
If a person with a hernia does not experience any symptoms or complications, they may not need any treatment at all. However, if the patient begins experiencing discomfort, their doctor will probably suggest beginning treatment for their condition. Medications, such as antacids or medication to reduce the body’s acid production, can help with symptoms of a hernia. In more severe cases, a surgical procedure to repair a hernia or make the hole in the diaphragm smaller may become necessary.

Your gastroenterologist can help you find the best treatment plan for you. If you think you have a hernia or are experiencing uncomfortable symptoms such as recurrent acid reflux or heartburn, you should speak with your doctor.

By Rajiv Bansal, MD
December 14, 2018
Category: GI Conditions

Tummy troubles? When some people are diagnosed with celiac disease, they also discover that they are lactose intolerant and have difficulty digesting milk and dairy products. Read on to learn all about lactose intolerance and celiac disease and their symptoms. Gastroenterologists are doctors who specialize in the diagnosis and treatment of digestive disorders, including lactose intolerance and celiac disease.

Lactose Intolerance Overview

Lactose intolerance is a condition in which people have digestive symptoms after eating or drinking milk or dairy products. People with lactose intolerance are unable to fully digest the sugar in dairy products. Lactose intolerance is caused by a deficiency of an enzyme in the body called lactase. Lactose intolerance is not serious. Your doctor may do a breath, blood or stool test to find out if your problems are due to lactose intolerance.

Symptoms of Lactose Intolerance

After drinking or eating dairy products, you may feel sick to your stomach. You may also have loose stools or diarrhea, gas, pain, or cramps in the lower belly, rumbling or gurgling sounds in the lower belly. or swelling in your stomach. If you are lactose intolerant, you may still be able to eat or drink small amounts of milk. Some individuals do better if they have dairy with a meal.

Celiac Disease Overview

Celiac disease is a disorder triggered by consuming a protein called gluten, which is rye, barley, and wheat. When an individual with celiac disease eats foods that contain gluten, an abnormal immune reaction is triggered that damages a small part of the intestine called villi. Long-term complications of celiac disease include intestinal cancer, liver disease, and malnutrition, which can lead to osteoporosis and anemia. The longer people go untreated, the greater the risk for long-term complications.

Symptoms of Celiac Disease

Many individuals with celiac disease have no symptoms. Digestive symptoms, including stomach bloating, flatulence, pain, diarrhea, constipation, nausea, vomiting, and irritability are more common in children. Adults may experience numbness in hands and feet, joint or bone pain, fatigue, anxiety, depression, canker sores inside the mouth, seizures, itching, and a skin rash.

If you are experiencing any symptoms of lactose intolerance or celiac disease, make an appointment with a gastroenterologist. Get your life back on track by receiving the best treatment available. A visit to the gastroenterologist will bring all the relief you need, with little hassle or expense.

By Rajiv Bansal, MD
December 06, 2018
Category: GI Care
Tags: Heartburn  

Got heartburn? Heartburn, also known as acid indigestion, is a form of indigestion felt as a burning pain in the chest. It's caused when stomach acid flows up into your esophagus. More than just a minor discomfort, acid indigestion can reduce quality of life. The following tips will help you rid yourself of heartburn.

1. Change your diet. Stay away from beverages and foods that commonly cause heartburn. A good way to work out what beverages and foods trigger your heartburn symptoms is to keep track of what you eat. Common offenders include tea, coffee, tomatoes, garlic, fatty foods, spicy foods, milk, chocolate and peppermint. 

2. Don't overeat. Overeating can trigger heartburn. Big meals put pressure on the muscle that helps keep stomach contents from backing up into the esophagus. The more food you eat, the longer it takes for your stomach to empty, which contributes to acid reflux. Try eating five small meals a day to keep reflux at bay.

3. Avoid alcohol. Alcohol can trigger heartburn. Alcohol can relax the sphincter muscle at the lower end of your esophagus, causing stomach acid to flow up into your esophagus If your aim is to unwind after a long day at work, try exercise, stretching, listening to soothing music, or deep breathing instead of drinking alcohol.

4. Lose weight. If you overeat, lose weight- but be sure to consult your doctor before starting a vigorous exercise program. The increased risk of heartburn is thought to be due to excess abdominal fat causing pressure on the stomach.

5. Stop smoking. Nicotine is a muscle relaxant. Nicotine can relax the sphincter muscle, causes acid from the stomach to leak upward into the esophagus. Nicotine gums, patches, and lozenges are healthier and safer than cigarettes, and they are less likely to give you heartburn. 

6. Contact your doctor. Your doctor may suggest antacids for occasional heartburn. Sometimes, more powerful prescription medications such as proton pump inhibitors or H2 blockers and are needed to treat chronic heartburn. When all else fails, surgery may be required to repair the LES.

Chronic heartburn can affect your daily activities and make life frustrating and miserable. Don't hesitate to contact a gastroenterologist about heartburn.





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