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100 S. Ellsworth Ave.
Suite 507
San Mateo, CA 94401
(650) 342-7432

Posts for: June, 2016

This year's Strides For Life Run/Walk will be held annual run/walk on October 23rd at Lake Merced.

A diagnosis of Barrett’s esophagus requires that the patient undergo an upper endoscopy procedure by their physician, typically a gastroenterologist or surgical endoscopist. Endoscopy is a non-surgical procedure and is performed using conscious sedation. Barrett’s esophagus tissue appears as a different color on examination, which directs a biopsy of the tissue for pathology evaluation. A finding of intestinal cells in the esophagus (intestinal metaplasia) confirms a Barrett’s esophagus diagnosis.

Most commonly, Barrett's esophagus is diagnosed during an upper endoscopy procedure, or also known as esophagogastroduodenoscopy (EGD). The endoscopy procedure consists of a thin, flexible tube that is guided down the throat. The tube, known as an endoscope, has a video lens and light at its tip that transmits images to a video monitor nearby. This allows the doctor to visually inspect and capture images of the tissue of the esophagus.

There are new thin endoscopes that allow the physician to pass an endoscope through the patient's nose to quickly and conveniently check the patient for Barrett's esophagus. There are also new small capsules with built-in cameras that the patient may swallow and have a physician screen them for Barrett's esophagus.

June 22, 2016
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Did you know? Every day 11.5 liters of digested food, liquids and digestive juices flow through the digestive system, but only 100 mls is lost in feces.

June 22, 2016
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Eating right can help prevent digestive problems or soothe your system when problems flare up. Follow your doctor’s instructions on what to eat and what to avoid. Pay attention to portion sizes, as well as how often and how quickly you eat.

What to eat depends partly on the specific cause of your digestive problems as well as what foods you’re sensitive to. Here are some general guidelines to keep in mind:

  1. Gradually add more fiber to your diet. Fiber-rich foods add bulk to your stools, which helps regulate your digestion. Increase your fiber intake gradually to prevent bloating, gas, and diarrhea.
  2. Eat several small meals throughout the day to prevent the sudden bowel contractions that large meals can cause.

  1. The ‘Prep’ Is Horrible: Firstly, the purpose of a colonoscopy ‘prep’ is to cleanse the colon of all fecal matter so that at the time of the colonoscopy your colon is as clean as possible so that the smallest of polyps can be identified and removed. The stories of the horrible ‘prep’ stem mainly from the days when we would prescribe a gallon of cleansing ‘prep’ solution. Those days are gone, or at least they should be.
  2. The Colonoscopy Will Hurt: Colonoscopy should not hurt. OK, the only thing that might hurt is the intravenous needle that is inserted into your arm. Colonoscopy is typically performed with either of two types of intravenous sedative medications: conscious sedation or propofol.
  3. I Won't Be Able To Handle Not Eating For 24-Hours: I am surprised at the number of patients who actually don’t complain about being starved at the time of the colonoscopy. To be fair, some patients complain about being hungry and most can’t wait until that next meal.
  4. A Colonoscopy Is Embarrassing: Gastroenterologists and the endoscopy center staff understand that a colonoscopy is a potentially embarrassing experience for patients. The entire staff makes the experience as ‘un-embarrassing’ as possible.
  5. There Could Be Complications: The risks associated with colonoscopy are very rare. They include sedation-related complications, bleeding, and perforation (poking a hole in the colon).

About 1 percent of the U.S. population has celiac disease, an autoimmune and digestive disorder. Sufferers are unable to eat gluten—a protein found in rye, barley, wheat, and more—without triggering an attack on their small intestine. Symptoms vary from person to person, but include: abdominal pain and bloating; chronic diarrhea; vomiting; constipation; and pale, foul-smelling, or fatty stool. Doctors typically diagnose it with blood tests and stool samples.

While there's no cure, people can manage celiac disease by adopting a gluten-free diet. Within several weeks, inflammation in the small intestine will subside—though accidently eating a product with gluten could cause a flare-up at any time.


June 07, 2016
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Beyond keeping us from fitting into our favorite jeans, fatty and fried foods are hard to digest, slow the process way down, and tax a system that would otherwise run well. Looking for ways to cut back? Try choosing meats that are lower in fat such as chicken and turkey and go for lean cuts of pork. Switch from whole or reduced-fat dairy to low-fat or non-fat, and replace butter and margarine with olive oil.


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100 S. Ellsworth Ave
Suite 507
San Mateo CA, 94401