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...
Liver and / or Gallbladder issues are varied and commonly present in patients that visit our practice for a consultation. The conditions include gallstones, irritation of the gallbladder lining (cholecystitis), cysts of the liver or gallbladder, hepatitis from infections (hepatitis B or C) or autoimmune conditions, such as autoimmune hepatitis, primary biliary cirrhosis, or primary sclerosing cholangitis. Still other conditions include cirrhosis from alcohol or prior untreated hepatitis, liver or gallbladder growths, fatty liver, and evaluation of abnormal liver enzymes.
Symptoms of liver and gallbladder disease are varied but may include abdominal pain usually (Right upper quadrant), diarrhea, jaundice, weight loss, fatigue, itching of skin, or yellowing of the eyes. Certain liver or gallbladder conditions do not cause symptoms and are simply picked up on lab tests or imaging incidentally.
Diagnosis usually is made on the basis of labs and imaging. Labs can include testing for liver enzyme elevations in the blood, viral hepatitis (Hepatitis B, C) and autoimmune hepatitis markers in the blood as well as proteins effectively produced by the liver such as albumin and prothrombin time (INR).
Ultrasound of the liver, CT scans, MRI examinations of the liver or gallbladder can be helpful in diagnosis and treatment planning. Functional exams such as HIDA scans at times are required.
Treatment depends on the condition. For example, symptomatic gallstones can be addressed by removal of the gallbladder (cholecystectomy). Hepatitis B and C are successfully treated with medications. There have been remarkable strides in treatment of hepatitis C to the point that today, most (>95%) can be cured of the virus. Autoimmune liver disease can be treated successfully with medications. Fatty liver is best treated with diet and exercise although new medications are on the horizon. At your consultation, our providers will outline the most effective, personalized treatment plan to address your liver and / or gallbladder issues.
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...