Our Gastroenterology Blog
Posts for: October, 2019
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:
- 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
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.
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.
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.