Posts for category: Gastroenterology
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:
- Cystic fibrosis
- High calcium levels (usually occurs in those with hyperparathyroidism)
- High triglyceride levels
- Abdominal surgery
- 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.
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.
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:
- 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.
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.
Wondering if you have hemorrhoids? Hemorrhoids are very common, especially among people ages 45 to 75. Hemorrhoids are inflamed and swollen veins around the anus or in the lower rectum. One of the main causes of hemorrhoids is straining when you’re trying to have a bowel movement. Other contributing factors include heredity, diarrhea, chronic constipation, pregnancy, and aging. Here's how to tell if you have hemorrhoids.
1. A lump near the anus- Although many individuals have hemorrhoids, not all experience symptoms. External hemorrhoids are felt as swelling or a hard lump near the anal area. Internal hemorrhoids protrude with bowel movements; usually, they return to the inside by themselves.
2. Painless bleeding- Hemorrhoids can cause bleeding. If you have hemorrhoids, you may see blood in the toilet bowl or on the toilet paper. Rectal bleeding is also a symptom of diverticulitis, colitis, colon polyps, and colorectal cancer. If you experience rectal bleeding, you should see a doctor. An evaluation and proper diagnosis by a gastroenterologist is important any time bleeding from the rectum lasts for more than a few days.
3. Itching around the anus- Hemorrhoids can cause severe itching around the anus. Initial treatment of anal itching is directed toward relieving the soreness and burning. Your gastroenterologist may prescribe hydrocortisone cream, gel, foam, or ointment or rectal suppositories to treat itching.
4. Pain or discomfort- Pain is a common symptom of external hemorrhoids, especially during bowel movements or when sitting. Internal hemorrhoids are typically painless, even when they produce bleeding. When hemorrhoids are painful, it’s hard to think about anything else. Your gastroenterologist may prescribe pain medication, hydrocortisone cream or rectal suppositories to ease your pain.
Why suffer? If you think you may have hemorrhoids, you should schedule an appointment with a gerontologist right away. The symptoms hemorrhoids cause are hard to ignore. Thankfully, there are many treatments that can provide relief.
You would love to just be able to sit down and enjoy a meal, but you know that not long afterward you are going to be dealing with the burning, gnawing pain in your stomach caused by heartburn. No matter if this is something that you have been facing for a while or this is a new issue you are dealing with, it’s important that you have a gastroenterologist that can help you figure out what’s going on.
It’s important to understand that heartburn isn’t a condition but a symptom of gastroesophageal reflux disease (GERD), in which stomach acid travels back up through the esophagus causing burning and irritation of the esophageal lining.
So, what are the leading culprits of heartburn? There are quite a few things that could cause this issue including:
- Certain foods or drinks: Everything from alcohol and caffeine to acidic and spicy foods can exacerbate heartburn symptoms. Diets that are high in fatty or fried foods can also make heartburn worse.
- Medications: There are certain over-the-counter medications that can also cause heartburn to flare-up.
- Smoking: Smoking cigarettes can actually affect how the lower esophageal sphincter functions, allowing stomach acid to travel back through the esophagus.
- A hiatal hernia: A condition in which some of the stomach protrudes into the chest.
- Pregnancy: Pressure placed on the abdomen during pregnancy could increase your chances of heartburn.
- Obesity: Having any additional pressure placed on the abdomen, which is common if you are overweight or obese, can bring on a nasty bout of heartburn.
Fortunately, there are many ways in which to reduce the severity and frequency of heartburn. Turning to a GI specialist is the best approach, as they can provide you with a variety of lifestyle changes and medications based on your symptoms, current health, lifestyle, and how much damage has already taken place within the esophagus.
From there, they will create a tailored treatment plan with a medication that will either greatly lessen the amount of acid the stomach produces or temporarily block stomach acid from being produced to help promote healing within the esophagus.
Lifestyle changes may include eating smaller meals, not eating right before bedtime, avoiding exacerbating foods or drinks, losing excess weight, and quitting smoking.
Don’t let heartburn make you dread sitting down to enjoy your favorite meals. There are so many ways in which to get your heartburn symptoms under control. If you are having trouble finding the right treatment option for you don’t hesitate to turn to a gastroenterologist for guidance and treatment.