I wanted to share an interesting article on celiac disease that was presented recently in the Well Blog section of the NY Times. I felt it raised a few very important points regarding celiac sprue, namely: 1. The disease tends to run in families and first..Read More...
Abdominal pain is one of the most common reasons patients see a gastroenterologist. Pain can be present in the upper or lower quadrant or on the right or left of the abdomen. The potential causes of a patient’s abdominal pain are varied and diagnosis depends on a careful history, examination, labs as well as imaging if necessary.
Abdominal pain often is a symptom of an underlying disorder that needs attention. Specifically, it can result from an ulcer in the stomach, intestine, esophagus, or gallbladder / liver disease, pancreatic problems or bowel diseases such as Crohns disease or colitis. Other causes can include irritable bowel syndrome, celiac disease, bacterial infection, intolerance to certain foods, as well as cancer.
Blood work is often ordered including routine blood counts, liver function tests, pancreatic enzymes (amylase/lipase), blood testing for celiac disease, as well as inflammatory markers. Stool tests to look for infection or inflammation may also be ordered if there is a change in bowel habits to include diarrhea or constipation.
Often, a diagnosis can be made on the examination and diagnostic lab testing. If imaging is necessary, usually an Ultrasound or Cat Scan is performed if there is a concern for liver or pancreas problems. Alternatively, endoscopy or colonoscopy may be suggested if concern is related to conditions such as peptic ulcers, celiac disease, colitis or Crohns disease.
Once a diagnosis is confirmed treatment is targeted towards the condition and most often can be treated with diet or medications. Our gastroenterology specialists are adept at accurately diagnosing and treating your abdominal pain to improve your quality of life.
Barretts Esophagus is a change in the lining of the esophagus or food pipe thought to be caused from chronic acid refluxing into the esophagus from the stomach (GERD or acid reflux). The change in cellular structure is also known as Intestinal Metaplasia of the..Read More...
Recently, I ran into Bernice Hettesheimer at Jersey Shore University Medical Center’s Endoscopy section. For those of you who don’t know her, Bernice is a retired endoscopy nurse who now runs the Jersey Shore Celiac Support Group. She writes about the Top 10 Reasons to..Read More...