(650) 342-7432

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

Posts for: July, 2016

By Lee Eugene MD
July 28, 2016
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Many patients ask us about Flexible Sigmoidoscopy procedure and what should they expect during Flexible Sigmoidoscopy? In order to ensure a safe and thorough procedure, you will need to follow a clear liquid diet and have an enema prior to the procedure. This way your digestive tract is clear and your doctor has good visibility. Your doctor will give you specific instructions on how to prepare, including which prescription medications are safe to take.
 
During a flexible sigmoidoscopy, you remain awake and lie on your left side. Usually, no sedative is necessary. Your doctor will:
  1.  Insert the lubricated sigmoidoscope through the rectum and into the anus and large intestine.
  2. Introduce some air into your colon to improve visibility; you may experience some cramping or pressure when this happens.
  3. Examine the images on a nearby monitor.
  4. Possibly insert biopsy forceps through the scope in order to remove a small sample of tissue for further analysis.
 

By Lee Eugene MD
July 28, 2016
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Being stressed can cause a lot of problems with digestion, so if you’re going through some big life event, not getting enough sleep or exercise, or you’re just generally anxious, work on that and see if it helps your gut. You know the ways: therapy, taking more time for yourself, yoga, meditation, sex, painting, whatever works for you. I know someone who had diarrhea for literally a year straight and when she broke up with her boyfriend and moved out of her house, it went away. Guess it was a stressful relationship…

 

By Lee Eugene MD
July 28, 2016
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Nutrition plays a big role in many digestive disorders because what you eat has an important effect on your gastrointestinal (GI) tract. If your GI tract is abnormal in any way your doctor will suggest specific dietary changes to help alleviate some of your symptoms. Some of this dietary changes may help correct and prevent the problem. For example: increasing the amount of fibre in your diet and drinking more water will help prevent constipation; and excluding gluten, a specific type of protein, may be required for the rest of your life if you have coeliac disease. Although this may sound difficult, it could save your life and you will be grateful to be able to enjoy your meals again without suffering from painful symptoms afterwards. Your doctor may advise you to change your lifestyle. For example, if you have reflux disease you should avoid lying down after eating; and if you have a peptic ulcer you may need to limit foods and drinks containing caffeine.

Making the appropriate changes to manage your digestive disorders requires patience and a trial and error period. You may find it helps to write down the offending foods that give you wind or cause you to feel bloated. If this continues to happen over and over again, then eliminating these foods may be beneficial to you. But remember, if you eliminate food groups from your diet you may need to take supplements. For example, those who avoid dairy products will need calcium supplements to prevent osteoporosis from developing. A lot has changed over the years with regards to nutrition for digestive disorders.

 


July 14, 2016
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Colonoscopy and polypectomy are very safe. Serious complications are rare. These include:

  • Reaction or sensitivity to medication used for sedation (this may affect your breathing briefly)
  • Perforation (puncture) of the lining of the bowel (about 1 patient in 2000-5000)
  • Bleeding - if blood vessels are injected or a polyp is removed (about 1 patient in 300-500)
  • Infection of the bowel, blood, and other organs
  • Heart attacks, cardiac arrest, blood clots, and breathing problems (very rare)
  • There are other very rare complications - please advise if you wish to be given more details

Everything will be done to minimise the risk of these complications. There are ways of detecting these complications early and specific treatments are available if they do arise. Very rarely there may be a need for hospitalisation, major surgery, intravenous feeding, or blood transfusion. Although death can result from complications of colonoscopy this is very rare.


July 14, 2016
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The small intestine is the longest section of the digestive tract, with an average length of about 6 metres. Although only 2.5 cm in diameter - which is why it is called the small intestine - its surface area for absorption covers the size of a tennis court. This is due to the numerous folds on its surface, covered in tiny projections known as villi, which in turn are covered in even tinier projections known as microvilli.

Large quantities of nutrients and water can be absorbed in the small intestine. Daily, it is capable of absorbing: several kilograms of carbohydrate; up to 1 kg of fat; 500gms protein; and 20 litres of water.

The surface cells of the small intestine are highly specialised for digestion and absorption of nutrients. Almost all the body's nutrient absorption occurs in the small intestine, along its three sub-divisions: the duodenum Þ jejunum Þ ileum. Sites for absorption of specific nutrients (eg: iron, vitamin.B12) are located in these divisions, but most absorption occurs in the jejunum (middle section). The specialised cells contain digestive enzymes, carrier proteins and other secretions. Blood vessels transport nutrients away from the intestine to the liver in the first instance.


Cutting out gluten from your diet may seem like a difficult and limiting task. Fortunately, there are many healthy and delicious foods that are naturally gluten-free! In fact, the most cost-effective and healthy way to follow the gluten-free diet is to seek out these naturally gluten-free food groups, which include:

  • Fruits
  • Vegetables
  • Meat and poultry
  • Fish and seafood
  • Dairy
  • Beans, legumes, and nuts

It is important to include a wide variety of gluten free products in a diet. Gluten Free Diet is good for Coeliac Disease.




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