Frequently Asked Questions

How does GastroDoxs diagnose the cause of abdominal pain?

Diagnostic tools include blood tests, stool tests, ultrasounds, CT scans, endoscopy, and colonoscopy. The choice depends on your symptoms and medical history.

Can GastroDoxs help with diet-related abdominal pain?

Yes, our nutritionist, Michelle Wo, creates personalized diet plans.

Helps manage symptoms related to food intolerances, sensitivities, or digestive disorders like IBS.

What treatments does GastroDoxs offer for chronic abdominal pain?

Treatments include medications, dietary changes, lifestyle modifications.

Advanced medical management plans for conditions like GERD, Crohn's disease, and IBS.

What should I expect during my first visit to GastroDoxs for abdominal pain?

Detailed medical history, symptom review, and physical exams.

Discussion of diagnostic tests and treatment options based on your case.

When should I see a doctor for abdominal pain?

You should see a doctor if you experience:

• Severe or persistent pain
• Pain with fever
• Blood in stool or vomit
• Unexplained weight loss
• Pain accompanied by chest discomfort, especially if you have heart disease

Can food intolerances cause abdominal pain?

Yes, food intolerances an trigger abdominal pain, bloating, and discomfort. Keeping a food diary may help identify which foods are causing the issue.

What is the difference between acute and chronic abdominal pain?

Acute abdominal pain starts suddenly and is usually short-term, often due to infections, injury, or blockages. Chronic abdominal pain lasts for weeks or longer and can be associated with long-term conditions such as IBS, Crohn's disease, or ulcers.

What is acid reflux?

Acid reflux occurs when stomach acid flows back up into the esophagus, causing discomfort or a burning sensation (heartburn). It can happen occasionally or develop into a chronic condition known as gastroesophageal reflux disease (GERD).

What are the common symptoms of acid reflux?

Heartburn (burning sensation in the chest). Regurgitation (a sour or bitter taste in the mouth). Difficulty swallowing, chest pain, or a feeling of a lump in the throat.

What causes acid reflux?

Acid reflux is often triggered by overeating, lying down after a meal, obesity, pregnancy, or eating certain foods like spicy or fatty meals. Smoking, alcohol, and caffeine can also aggravate acid reflux.

How is acid reflux different from GERD?

Acid reflux refers to occasional symptoms, while GERD is a chronic form of acid reflux that occurs frequently and may cause long-term damage to the esophagus.

How is acid reflux diagnosed at GastroDoxs?

We may use a combination of patient history, symptom review, and diagnostic tests such as endoscopy, pH monitoring, or barium swallow to confirm acid reflux and evaluate its severity.

What treatments are available for acid reflux at GastroDoxs?

Treatments range from lifestyle and dietary changes to medications like antacids, H2 blockers, or proton pump inhibitors (PPIs) to reduce acid production. In severe cases, we may recommend surgical interventions.

What lifestyle changes can help reduce acid reflux?

Eating smaller meals, avoiding trigger foods, and not lying down immediately after eating can help. Maintaining a healthy weight, quitting smoking, and elevating the head of your bed may also reduce symptoms.

What foods should I avoid if I have acid reflux?

Common trigger foods include spicy foods, fatty or fried foods, chocolate, caffeine, alcohol, and citrus fruits. Carbonated drinks and tomatoes can also worsen symptoms.

Is acid reflux a serious condition?

Occasional acid reflux is usually not serious. However, chronic acid reflux (GERD) can lead to complications like esophagitis, Barrett’s esophagus, or an increased risk of esophageal cancer if left untreated.

How can GastroDoxs help with long-term acid reflux management?

At GastroDoxs, we offer a comprehensive treatment plan, including medications, dietary guidance, and lifestyle advice to manage and prevent recurring acid reflux. For chronic cases, we monitor for potential complications and provide long-term solutions tailored to your condition.

Why do I need a colonoscopy?

Colonoscopies are recommended for screening colorectal cancer, investigating symptoms like rectal bleeding, chronic diarrhea, or abdominal pain. It's also used to monitor and remove polyps to prevent them from becoming cancerous.

Who should get a colonoscopy?

People over the age of 45 should start regular colonoscopy screenings. If you have a family history of colorectal cancer, inflammatory bowel disease (IBD), or previous polyps, you may need screenings earlier or more frequently.

How do I prepare for a colonoscopy?

Preparation typically involves a clear liquid diet and bowel prep the day before the procedure to clean out your colon. You will be given instructions on taking a laxative or special solution to help flush out the intestines.

Is the colonoscopy procedure painful?

Colonoscopies are not painful; patients are usually sedated to ensure comfort. You may feel pressure or bloating after the procedure due to air being introduced into the colon for better visibility.

How long does a colonoscopy take at GastroDoxs?

The procedure itself typically takes 30 to 60 minutes. Including preparation and recovery time, the entire visit may last around 2 to 3 hours.

What happens during a colonoscopy?

During the procedure, the doctor inserts the colonoscope into the rectum and gently advances it through the colon. The camera transmits images to a screen, allowing the doctor to detect abnormalities. Polyps may be removed, and biopsies can be taken if needed.

Are there any risks associated with colonoscopy?

Colonoscopy is generally safe, but rare risks include bleeding, perforation of the colon, or adverse reactions to sedation. At GastroDoxs, we take all necessary precautions to minimize these risks.

What can I expect after a colonoscopy by GastroDoxs?

After the procedure, you'll be monitored until the sedation wears off. You might experience mild cramping or bloating, which should resolve quickly. You'll need someone to drive you home due to sedation effects.

How often do I need a colonoscopy?

For most people, colonoscopies are recommended every 10 years starting at age 45. If you have risk factors like polyps or a family history of colorectal cancer, you may need them more frequently.

How is constipation diagnosed at GastroDoxs?

Diagnosis involves a physical exam, medical history review, and possibly tests like blood work, X-rays, or colonoscopy to rule out other conditions. At GastroDoxs, we focus on understanding your symptoms and lifestyle to create a personalized treatment plan.

What causes constipation?

Common causes include a low-fiber diet, inadequate fluid intake, lack of physical activity, and ignoring the urge to have a bowel movement.

What are the symptoms of constipation?

Straining during bowel movements, passing hard or small stools, feeling as though your bowel is not completely empty, and infrequent bowel movements are common signs. Bloating, abdominal discomfort, and a sensation of blockage are also symptoms.

When should I see a doctor for constipation at GastroDoxs?

Seek medical attention if constipation lasts longer than three weeks, or if it’s accompanied by severe pain, blood in the stool, unexplained weight loss, or changes in bowel habits. Chronic constipation could be a sign of an underlying health issue that needs evaluation.

How can constipation be treated?

Treatment includes increasing dietary fiber and fluids, regular exercise, and not delaying the urge to go. Over-the-counter laxatives or stool softeners may be recommended in some cases. At GastroDoxs, we can also prescribe medications or offer other treatments for severe or chronic cases.

What dietary changes can help relieve constipation?

A high-fiber diet is key. Include more fruits, vegetables, whole grains, and legumes in your meals. Drink plenty of water throughout the day to help keep stools soft and easier to pass.

What are the complications of untreated constipation?

Chronic constipation can lead to complications like hemorrhoids, anal fissures, or fecal impaction. Long-term constipation may also cause more serious issues, such as bowel obstruction, which requires immediate medical attention.

How does GastroDoxs help manage chronic constipation?

At GastroDoxs, we offer a comprehensive approach to constipation management, including dietary guidance, medications, and, in severe cases, advanced diagnostic tools to find and treat the root cause. We personalize your treatment to your lifestyle and health needs, ensuring effective, long-term relief.

What is colon cancer?

Colon cancer, also known as colorectal cancer, begins in the colon or rectum. It usually starts as benign polyps that can turn cancerous over time if not removed.

How is colon cancer diagnosed at GastroDoxs?

Colon cancer is diagnosed through a combination of screening tests like colonoscopy, blood tests (including tumor markers), imaging studies (CT scan), and biopsy of suspicious areas. Colonoscopy allows for the removal of polyps and detection of early signs of cancer.

What are the symptoms of colon cancer?

Common symptoms include blood in the stool, changes in bowel habits (diarrhea or constipation), unexplained weight loss, fatigue, and abdominal pain. Early stages of colon cancer may not have noticeable symptoms, which is why regular screenings are important.

Who should get screened for colon cancer?

Screening is recommended starting at age 45 for most people. Those with a family history of colorectal cancer, previous polyps, or inflammatory bowel disease should begin screening earlier and may need more frequent testing.

What are the treatment options for colon cancer?

Treatment depends on the stage of cancer but typically includes surgery to remove the tumor, chemotherapy, radiation therapy, and targeted therapies.

Is colon cancer hereditary?

While most cases of colon cancer are not inherited, about 5-10% of cases are due to genetic mutations. Conditions like familial adenomatous polyposis (FAP) and Lynch syndrome increase the risk of colon cancer and may require earlier and more frequent screenings.

What is the survival rate for colon cancer?

The survival rate for colon cancer is highly dependent on the stage at diagnosis. If detected early, the five-year survival rate is around 90%. However, if diagnosed at an advanced stage, the survival rate decreases significantly.

How does GastroDoxs support colon cancer prevention and treatment?

At GastroDoxs, we emphasize early screening through colonoscopy to detect and remove polyps before they become cancerous. Our team provides personalized care for patients with colon cancer, including diagnostics, treatment options, and support throughout the journey, ensuring the best possible outcomes.

What is dysphagia?

Dysphagia is a medical term for difficulty swallowing. It can occur when food or liquid has trouble passing from the mouth to the stomach, and may cause discomfort or pain.

What are the common causes of dysphagia?

Dysphagia can be caused by conditions affecting the muscles or nerves involved in swallowing, such as stroke, neurological disorders (e.g., Parkinson's disease), GERD, or esophageal narrowing (strictures). Other causes include aging, certain cancers, or complications from surgery.

What are the symptoms of dysphagia?

Symptoms include difficulty swallowing, feeling like food is stuck in the throat or chest, coughing or choking when eating or drinking, and regurgitation of food. Other symptoms may include weight loss, drooling, and recurrent pneumonia from food or liquid entering the lungs.

When should I see a doctor for dysphagia?

You should see a doctor if you experience frequent difficulty swallowing, pain when swallowing, or if you're losing weight unintentionally. If you're choking often or experiencing persistent coughing or regurgitation, a medical evaluation is important to prevent complications.

How is dysphagia diagnosed at GastroDoxs?

We use several tests to diagnose dysphagia, including barium swallow studies (X-ray imaging of the swallowing process), endoscopy to examine the esophagus, manometry to measure muscle strength, and pH tests to evaluate reflux. A thorough medical history and physical exam will also be conducted.

What treatments are available for dysphagia?

Treatment depends on the cause of dysphagia and may include swallowing therapy, dietary changes, medications to treat underlying conditions (such as GERD), or procedures to dilate (widen) a narrowed esophagus. In severe cases, surgery may be needed to remove blockages or repair damaged areas.

Can dysphagia be a sign of a serious condition?

Yes, dysphagia can indicate serious conditions like esophageal cancer, neurological disorders, or complications from untreated GERD. Early diagnosis and treatment are crucial to prevent further complications.

What can I expect during a dysphagia evaluation at GastroDoxs?

A comprehensive evaluation includes a review of your symptoms, medical history, and diagnostic tests such as imaging or endoscopy. The goal is to identify the cause of your dysphagia and develop an individualized treatment plan based on the severity and underlying cause.

How can GastroDoxs help with dysphagia management?

At GastroDoxs, we offer specialized care for dysphagia, from diagnostic testing to personalized treatment plans. Our team will work with you to address the underlying cause, offer swallowing rehabilitation if needed, and provide ongoing support for long-term management.

What causes diarrhea?

Common causes include viral infections (like norovirus), bacterial infections (such as food poisoning), food intolerances, medications, and gastrointestinal disorders like irritable bowel syndrome (IBS). Diarrhea can also be triggered by stress, certain foods, or contaminated water.

When should I see a doctor for diarrhea?

Seek medical attention if diarrhea lasts more than two days for adults or 24 hours for children. Also, if it’s accompanied by dehydration, severe abdominal pain, high fever, bloody or black stools, or weight loss, contact a doctor immediately.

How is diarrhea diagnosed at GastroDoxs?

Diagnosis includes a review of your symptoms and medical history. We may use stool tests, blood tests, or imaging studies like colonoscopy to rule out infections, inflammation, or other gastrointestinal issues. If diarrhea is chronic, further testing for conditions like IBS or inflammatory bowel disease (IBD) may be required.

What treatments are available for diarrhea at GastroDoxs?

Treatment depends on the underlying cause. For mild cases, it may include hydration and dietary changes. For bacterial infections, antibiotics may be prescribed. If caused by an underlying condition like IBS, medications to manage symptoms will be recommended.

How can I prevent diarrhea?

Practice good hygiene, such as frequent handwashing, especially before meals. Ensure food is properly cooked and avoid drinking untreated water. If traveling, be cautious about consuming food and water in regions with poor sanitation.

What should I eat if I have diarrhea?

Stick to bland foods like bananas, rice, applesauce, and toast (known as the BRAT diet). Avoid spicy, fatty, or dairy-based foods, as well as alcohol and caffeine, which can aggravate symptoms.

What are the complications of untreated diarrhea?

Untreated diarrhea can lead to dehydration, which can be serious, especially in children and older adults. Chronic diarrhea may also indicate an underlying condition that requires treatment, such as Crohn's disease or celiac disease.

What are the signs of dehydration due to diarrhea?

Signs of dehydration include dry mouth, excessive thirst, decreased urination, dark-colored urine, dizziness, and fatigue. In severe cases, dehydration can lead to confusion or fainting and requires immediate medical attention.

Why would I need an EGD at GastroDoxs?

You may need an EGD if you experience symptoms like persistent heartburn, abdominal pain, trouble swallowing, or unexplained weight loss. It is also used to diagnose conditions such as GERD, ulcers, and celiac disease.

How do I prepare for an EGD?

You will need to stop eating and drinking 6 to 8 hours before the procedure to ensure your stomach is empty. Our team at GastroDoxs will give you detailed instructions, including information about any medications you might need to stop temporarily.

Is an EGD painful?

No, an EGD is generally not painful. You will be sedated to help you relax during the procedure, so you won’t feel discomfort. Afterward, you might have a mild sore throat for a short time.

How long does an EGD take?

The procedure itself usually takes about 15 to 30 minutes. You’ll spend some additional time in recovery until the effects of the sedation wear off, so the whole visit may take 1 to 2 hours.

What happens during an EGD at GastroDoxs?

A thin, flexible tube with a camera (endoscope) is gently inserted through your mouth and down into your esophagus, stomach, and duodenum. The doctor can take pictures, biopsy tissue if necessary, and treat certain conditions during the procedure.

Are there risks with an EGD?

An EGD is generally safe, but like any medical procedure, there are some risks, such as bleeding or infection, though these are rare. At GastroDoxs, we take every precaution to minimize risks and ensure your safety.

What should I expect after an EGD?

After the procedure, you’ll be monitored until the sedation wears off. You may have a mild sore throat and feel groggy. You’ll need someone to drive you home, and it’s best to rest for the remainder of the day.

When will I get my EGD results?

Your doctor will likely provide preliminary results immediately after the procedure. If biopsies were taken, it may take a few days to get the full results, and your doctor will contact you to discuss them.

How does GastroDoxs perform EGD procedures?

At GastroDoxs, our experienced team uses the latest technology to perform EGDs safely and efficiently. We ensure a comfortable experience with sedation and offer personalized follow-up care based on your diagnosis.

What conditions do GastroDoxs gastroenterologists treat?

We treat conditions like heartburn (GERD), irritable bowel syndrome (IBS), Crohn’s disease, ulcerative colitis, liver disease, and colon cancer. We also perform screenings like colonoscopies.

When should I see a gastroenterologist?

You should see us if you have ongoing digestive problems like frequent heartburn, stomach pain, diarrhea, constipation, or blood in your stool. If you’re over 45, regular colon screenings are also recommended.

What tests do gastroenterologists at GastroDoxs perform?

We perform tests like colonoscopies, endoscopies, stool tests, and blood tests to check for digestive problems. We also use imaging tests like CT scans if needed.

What happens during my first visit to a gastroenterologist?

During your first visit, we will talk about your symptoms, review your medical history, and do a physical exam. We may recommend additional tests or schedule procedures to find out what’s causing your symptoms.

What procedures do GastroDoxs gastroenterologists perform?

We perform procedures like colonoscopy, upper endoscopy (EGD), and liver biopsy. These help us check for issues inside your digestive tract and treat certain conditions.

Can a gastroenterologist help prevent digestive diseases?

Yes, we provide screenings like colonoscopy to catch early signs of colon cancer and offer advice on how to maintain a healthy digestive system.

How do I make an appointment with a gastroenterologist at GastroDoxs?

You can call us or visit our website to schedule an appointment. We will work with you to find a time that fits your schedule.

What should I do if I have a digestive emergency?

If you have a serious digestive problem like severe abdominal pain or vomiting blood, go to the emergency room immediately. For non-urgent issues, contact us for advice and care.

What are the common symptoms of GERD?

Common symptoms include persistent heartburn, acid reflux, chest pain, difficulty swallowing, regurgitation of food or sour liquid, and a lump in the throat feeling.

What causes GERD?

GERD is often caused by a weakened lower esophageal sphincter (LES), which allows stomach acid to flow back into the esophagus. Risk factors include obesity, smoking, pregnancy, certain medications, and eating large meals or lying down right after eating.

How is GERD diagnosed at GastroDoxs?

GERD is diagnosed through a combination of reviewing your symptoms, medical history, and tests such as upper endoscopy (EGD), pH monitoring, or barium swallow X-rays.

How is GERD treated at GastroDoxs?

Treatment often involves lifestyle changes, such as avoiding trigger foods, eating smaller meals, and elevating the head of your bed. Medications such as antacids, H2 blockers, or proton pump inhibitors (PPIs) may also be prescribed to reduce acid production. In severe cases, surgery may be considered.

What foods should I avoid if I have GERD?

Foods that commonly trigger GERD include spicy foods, fatty or fried foods, chocolate, caffeine, alcohol, carbonated drinks, onions, garlic, and citrus fruits.

Can GERD be cured?

GERD is a chronic condition that can be managed but may not be fully cured. With the right treatment and lifestyle changes, symptoms can be reduced and controlled effectively.

Can GERD lead to complications if left untreated?

Yes, untreated GERD can lead to serious complications, such as esophagitis (inflammation of the esophagus), Barrett’s esophagus (a precancerous condition), or an increased risk of esophageal cancer.

When should I see a doctor for GERD?

You should see a doctor if you experience frequent or severe heartburn, difficulty swallowing, or if over-the-counter medications aren’t providing relief. If you have symptoms more than twice a week, you may need medical evaluation for GERD.

How does GastroDoxs help treat GERD?

At GastroDoxs, we offer a comprehensive approach to treating GERD, including lifestyle advice, medications, and advanced diagnostic tools like endoscopy. Our team tailors a treatment plan based on the severity of your condition to help you manage symptoms and prevent complications.

What causes IBS?

The exact cause is unknown, but it may be triggered by food sensitivities, stress, hormonal changes, or intestinal infections. Factors like abnormal gut motility and heightened sensitivity in the digestive tract may also play a role.

What are the common symptoms of IBS?

Abdominal pain, bloating, cramping. Changes in bowel movements: diarrhea, constipation, or both (alternating IBS). Mucus in the stool, gas, and the feeling of incomplete evacuation.

How is IBS diagnosed?

IBS is diagnosed based on symptoms and a thorough medical history. Diagnostic tests like blood work, stool tests, or colonoscopy may be used to rule out other conditions.

How is IBS treated at GastroDoxs?

Treatment involves dietary changes, medications, and managing stress. We may recommend probiotics, antispasmodic medications, or fiber supplements depending on symptoms. Our nutritionist can help design a personalized diet to manage IBS triggers.

Can stress trigger IBS symptoms?

Yes, stress is a significant trigger for IBS symptoms. Techniques like mindfulness, relaxation exercises, and therapy can help manage stress and reduce symptom flare-ups.

What foods should I avoid if I have IBS?

Common triggers include fatty or fried foods, dairy products, beans, and artificial sweeteners. Spicy foods, caffeine, and alcohol can also worsen symptoms. The low-FODMAP diet is often recommended to help identify and avoid trigger foods.

Is IBS a lifelong condition?

IBS can be a chronic condition, but its symptoms can be managed with lifestyle changes, medications, and stress management. Many people experience symptom-free periods, especially with proper treatment.

Can IBS lead to more serious conditions?

IBS itself does not increase the risk of serious conditions like cancer or inflammatory bowel disease (IBD). However, it can significantly impact quality of life due to discomfort and digestive issues.

How can GastroDoxs help with my IBS?

GastroDoxs provides a comprehensive approach, combining medical treatment, nutritional counseling, and stress management techniques. We tailor your treatment plan to your specific symptoms and lifestyle for the best results.

What are the symptoms of IBD?

Symptoms include abdominal pain, diarrhea (often with blood), weight loss, fatigue, and urgent bowel movements. Other symptoms may include fever, reduced appetite, and joint pain.

What causes IBD?

The exact cause of IBD is unknown, but it's thought to result from a combination of genetics, an abnormal immune response, and environmental factors. Stress and diet do not cause IBD but can worsen symptoms.

How is IBD diagnosed at GastroDoxs?

We use several diagnostic tools, including blood tests, stool samples, imaging studies (CT scans or MRI), and endoscopic procedures like colonoscopy or upper endoscopy to examine the digestive tract and take biopsies.

What treatments are available for IBD at GastroDoxs?

Treatment depends on the severity of your condition and may include anti-inflammatory medications, immune system suppressants, biologics, or antibiotics. In severe cases, surgery may be needed to remove damaged parts of the digestive tract.

Can IBD be cured?

There is currently no cure for IBD, but it can be managed with medications, lifestyle changes, and sometimes surgery. Many people with IBD experience long periods of remission when symptoms are minimal or absent.

How does diet affect IBD?

While diet doesn't cause IBD, certain foods can trigger or worsen symptoms during flare-ups. At GastroDoxs, we provide personalized dietary recommendations to help manage symptoms and improve quality of life.

When should I see a gastroenterologist at GastroDoxs for IBD?

You should see a gastroenterologist if you experience ongoing abdominal pain, persistent diarrhea, blood in your stool, or unexplained weight loss. Regular checkups are important to monitor your condition and adjust treatment as needed.

How does GastroDoxs help manage IBD?

At GastroDoxs, we offer comprehensive care for IBD, from diagnosis to personalized treatment plans. Our team works closely with you to manage symptoms, prevent flare-ups, and improve your overall quality of life.

When should I see a doctor at GastroDoxs for rectal bleeding?

You should see a doctor if the bleeding is heavy, persistent, or accompanied by symptoms like abdominal pain, weight loss, fatigue, or changes in bowel habits. Rectal bleeding, especially in people over the age of 45 or with a family history of colorectal cancer, should be evaluated promptly.

How does GastroDoxs diagnose the cause of rectal bleeding?

At GastroDoxs, we perform a thorough evaluation that includes a review of your symptoms and medical history, followed by tests like a colonoscopy, sigmoidoscopy, or imaging studies like a CT scan. Blood tests and stool tests may also be used to help identify the source of the bleeding.

Can hemorrhoids cause rectal bleeding?

Yes, hemorrhoids are one of the most common causes of rectal bleeding. They are swollen blood vessels in the rectum or anus that can bleed during bowel movements. Hemorrhoid-related bleeding is usually bright red and is often seen on toilet paper or in the toilet bowl.

Is rectal bleeding always serious?

Not all rectal bleeding is serious, but it should never be ignored. While hemorrhoids and anal fissures are common causes, rectal bleeding can sometimes signal more serious conditions like colorectal cancer or inflammatory bowel disease (IBD).

How is rectal bleeding treated at GastroDoxs?

Treatment depends on the underlying cause. Hemorrhoids may be managed with dietary changes, topical treatments, or minor procedures. More serious conditions like colorectal cancer, IBD, or diverticulosis may require medications, surgery, or specialized treatments.

How can GastroDoxs help with rectal bleeding?

GastroDoxs offers comprehensive diagnostic and treatment options for rectal bleeding, including colonoscopy and other endoscopic procedures to identify and treat the underlying cause. Our team works with you to create a personalized care plan based on your specific needs and diagnosis.

What should I do if I notice rectal bleeding?

If you notice rectal bleeding, try to monitor the color, amount, and frequency of the bleeding. Even if the bleeding seems minor, it’s important to schedule an evaluation with a specialist at GastroDoxs to rule out any serious conditions.

Can rectal bleeding go away on its own?

Minor rectal bleeding, such as from hemorrhoids or small fissures, may resolve with home care like increasing fiber intake and avoiding straining. However, persistent or heavy bleeding should always be evaluated by a healthcare professional.