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Do you have any of these symptoms? Check all that apply to you. Gastrointestinal Symptoms:
_____ Pain _____ Nausea _____ Vomiting _____ Heartburn _____ Regurgitation _____ Difficulty Swallowing _____ Painful Swallowing _____ Change in Bowels _____ Diarrhea _____ Constipation _____ Bloody Stools _____ Black Stools _____ Abdominal Bloating _____ Excess Belching _____ Excess Flatus _____ Jaundice _____ Weight Loss _____ Poor Appetitie
_____ Shortness of Breath _____ Coughing up Blood _____ Chest Pain _____ Palpitations _____ Easy Bruising _____ Easy Bleeding _____ Blood in Urine _____ Painful Urination _____ Difficulty Urinating _____ Weakness Arm/Leg _____ Numbness Arm/Leg _____ Blurred Vision _____ Severe Headache _____ Fever/Chills Do you reside in the United States? Yes No What is your current age? 18 or Under 19 to 34 35 to 44 45 to 54 55 to 64 65 or Over How did you arrive at qureshiuniversity.com today? I used a search engine I typed the address directly into the web browser I linked from an email I came from another site (Please specify) Other (Please specify) What is the primary goal of your visit to qureshiuniversity.com today? Please select the most appropriate answer from the list below. Look for general treatment/therapeutic information Research product-specific information Look for reimbursement information Look for conferences and events Compare products/treatments Look for clinical information Contact Qureshi University Other (Please specify) Overall, how successful were we in enabling you to accomplish your primary goal during today's visit? Extremely Successful Successful Unsuccessful Extremely Unsuccessful Which of the following best describes you? I am a medical student I am a Resident I am a Fellow I am a physician I am a nurse I am another type of medical professional I am a purchasing agent at a hospital I am an administrator within a health care practice or hospital I am a prospective patient I am a member of the media I am seeking career information within the Qureshi University Other (Please specify) Please select your primary medical specialty: Cardiac Rhythm Management Cardiac Surgery Electrophysiology Gastroenterology General Surgery/Surgery Gynecology Interventional Cardiology Interventional Radiology Neurovascular Intervention Oncology Pain Management Primary Care Physician Urology Vascular Surgery Other (Please specify) What type of medical practice do you currently work at? Academic medical institution Community hospital Ambulatory surgery center (ASC) Private practice Other (Please specify) When considering a website designed for medical professionals, please rate the following resources from 1 (very high interest/very important) to 4 (no interest/not important): 1 2 3 4 a) Treatment Comparisons b) Presentation Materials c) Procedural Videos d) Practice Guidelines e) Product Details & Comparisons f) Procedural Reimbursement/Coding Information g) Calendar of Events, Courses and Conferences h) Peer to Peer Forums (e.g. Chat, Discussion, etc.) i) Case Reviews j) Ability to Interact with Key Opinion Leaders (get answers to questions, discuss treatments, etc.) k) Clinical Data l) News About Latest Device Technology Which of the below sources would you find credible if they supplied the resources you indicated were of interest or important (select all that apply): Qureshi University YouTube TheHeart.org Epocrates Sermo Medscape Wikipedia Professional Organization Site (Please specify) Other (Please specify) Do you currently use social networking sites (e.g. - Facebook, Sermo, Medscape, etc.) for professional purposes? Yes No What is the most important factor that prevents you from using social networking sites for professional purposes? Lack of time Lack of interest Lack of useful content Other (Please specify) patient_release.pdf Release of Information Form: This form may be used by Patients to give Gastroenterologists, P.C. permission to obtain their medical records from other providers or facilities. Please print this form then fill it out and return it to our office by mail or fax (111-111-1111). Patient Bill of Rights Commonly Asked Question Regarding Your Privacy Rights 1. Can my physician discuss my case with other providers and/or staff in the office? 2. Will the doctor's office still leave message reminders at my home? 3. Can my physician still use a sign-in sheet and/or call my name in the waiting room to announce my "turn"? 4. Can my physician still fax records? 5. Do the HIPAA requirements apply to non physician staff ? 6. Can my physician discuss my care with a close family member or friend as we have been doing in the past? 7. Does HIPAA still allow parents the right to access their children's records? 8. If my physician is referring me to another physician, can this physician have access to my records before I enter his/her office for the first time? 9. Does HIPAA prevent physician offices from reporting patients to collection agencies? 10. Does HIPAA allow my physician to share my health information to market goods and services? |
| Gastroenterology Emergencies |
Gastroenterology Sections
* Colon * Esophagus * Intestine * Liver * Pancreas * Stomach * Systemic Disease
* Acalculous Cholecystopathy * Bile Duct Strictures * Biliary Colic * Biliary Disease * Biliary Obstruction * Cholangitis * Cholecystitis * Choledochal Cysts * Choledocholithiasis * Cholelithiasis * Clostridial Cholecystitis * Emphysematous Cholecystitis * Empyema, Gallbladder * Pericholangitis * Primary Sclerosing Cholangitis * Recurrent Pyogenic Cholangitis
* Clostridium Difficile Colitis * Collagenous and Lymphocytic Colitis * Colonic Obstruction * Colonic Polyps * Colonoscopy * Constipation * Cytomegalovirus Colitis * Diverticulitis * Gastroenteritis, Bacterial * Hereditary Colorectal Cancer * Hirschsprung Disease * Inflammatory Bowel Disease * Irritable Bowel Syndrome * Megacolon, Acute * Megacolon, Chronic * Megacolon, Toxic * Neutropenic Enterocolitis * Ogilvie Syndrome * Shigellosis * Ulcerative Colitis * Villous Adenoma
* Barrett Esophagus and Barrett Ulcer * Boerhaave Syndrome * Cytomegalovirus Esophagitis * Esophageal Diverticula * Esophageal Hematoma * Esophageal Leiomyoma * Esophageal Lymphoma * Esophageal Motility Disorders * Esophageal Spasm * Esophageal Stricture * Esophageal Varices * Esophageal Webs and Rings * Esophagitis * Gastroesophageal Reflux Disease * Hiatal Hernia * Mallory-Weiss Tear * Plummer-Vinson Syndrome * Schatzki Ring * Tracheoesophageal Fistula
* Celiac Sprue * Chronic Mesenteric Ischemia * Diverticulosis, Small Intestinal * Duodenal Ulcers * Eosinophilic Gastroenteritis * Gastroenteritis, Viral * Giardiasis * Ileus * Intestinal Fistulas * Intestinal Leiomyosarcoma * Intestinal Lymphangiectasia * Intestinal Motility Disorders * Intestinal Polypoid Adenomas * Intestinal Pseudo-obstruction, Surgical Treatment * Intestinal Radiation Injury * Lactose Intolerance * Mesenteric Lymphadenitis * Protein-Losing Enteropathy * Sprue, Tropical * Whipple Disease
* Alcoholic Fatty Liver * Alcoholic Hepatitis * Amebic Hepatic Abscesses * Autoimmune Hepatitis * Bilirubin, Impaired Conjugation * Budd-Chiari Syndrome * Chylous Ascites * Cirrhosis * Crigler-Najjar Syndrome * Diagnostic Liver Biopsy * Dubin-Johnson Syndrome * Encephalopathy, Hepatic * Fatty Liver * Gilbert Syndrome * Hemangiomas, Hepatic * Hepatic Cystadenomas * Hepatitis A * Hepatitis B * Hepatitis C * Hepatitis D * Hepatitis E * Hepatitis, Viral * Hepatocellular Adenoma * Hepatorenal Syndrome * Hydatid Cysts * Hyperbilirubinemia, Conjugated * Isoniazid Hepatotoxicity * Liver Disease and Pregnancy * Portal Hypertension * Portal Vein Obstruction * Portal-Systemic Encephalopathy * Primary Biliary Cirrhosis
* Pancreatic Divisum * Pancreatic Necrosis and Pancreatic Abscess * Pancreatic Pseudocysts * Pancreatitis, Acute * Pancreatitis, Chronic * Papillary Tumors
* Dumping Syndrome * Gastric Ulcers * Gastrinoma * Gastritis, Acute * Gastritis, Atrophic * Gastritis, Chronic * Gastritis, Stress-Induced * Gastrointestinal Stromal Tumors * Helicobacter Pylori Infection * Peptic Ulcer Disease * Zollinger-Ellison Syndrome
* Chylothorax * Crohn Disease * Esophagogastroduodenoscopy * Familial Adenomatous Polyposis * Food Poisoning * Gastrointestinal Disease and Pregnancy * Hemochromatosis * Hyperbilirubinemia, Unconjugated * Lower Gastrointestinal Bleeding * Malabsorption * Malignant Atrophic Papulosis * Peutz-Jeghers Syndrome * Somatostatinomas * Upper Gastrointestinal Bleeding * WDHA Syndrome * Wilson Disease What is an endoscopy? An endoscopy is a medical procedure used to view the digestive tract,and other internal organs, non surgically. Through the use of an endoscope (a flexible tube with a lighted camera attached, the internal body structures are seen on a color monitor by the physician. Why is an endoscopy performed? Endoscopy is often used to evaluate severe stomach pain, ulcers, gastritis, digestive tract bleeding, and to investigate polyps or masses in the colon. Possible Complications: Possible complications of endoscopy include bleeding, tear in the abdominal wall, and reactions to sedation medications. Is the procedure done under anesthesia? An endoscopy is performed under sedation, through an IV. The patient usually wakes about an hour after the procedure is done. General anesthesia is given in special circumstances. Preparation: You can prepare for the procedure by fasting 6-8 hours prior to the endoscopy (per doctor's orders) and you will most likely be given a laxative to clear the bowels. Types of Endoscopy: There are many types of endoscopy procedures, including: Arthroscopy Bronchoscopy Colonoscopy Colposcopy Cystoscopy ERCP (endoscopic retrograde cholangio-pancreatography) EGD (Esophogealgastroduodensoscopy) Laparoscopy Laryngoscopy Proctoscopy Thoracoscopy What is an EGD? Upper endoscopy, also called esophagogastroduodenoscopy, or EGD, uses a thin scope with a light and camera at its tip to look inside of the upper digestive system -- the esophagus, stomach and first part of the small intestine, called the duodenum. Usually performed as an outpatient procedure, upper endoscopy sometimes must be performed in the hospital or emergency room to both identify and treat conditions such as upper digestive system bleeding. The procedure is commonly used to help identify the causes of: Abdominal Nausea and vomiting Heartburn Bleeding Swallowing problems Endoscopy can also help identify inflammation, ulcers and tumors. Upper endoscopy is more accurate than X-rays for detecting abnormal growths (such as cancer) and for examining the inside of the upper digestive system. In addition, abnormalities can be treated through the endoscope. For example: Polyps (growths of tissue in the stomach) can be identified and removed, and tissue samples (biopsies) can be taken for analysis. Narrowed areas or strictures of the esophagus, stomach, or duodenum from cancer or other diseases can be dilated or stretched using balloons or other devices. In some cases, a stent (a wire or plastic mesh tube) can be put in the stricture to prop it open. Objects stuck in the esophagus can be removed. Bleeding due to ulcers, cancer or varices can be treated. Q: How do I prepare for the procedure? A: Tell your doctor if you are pregnant, have a lung or heart condition, or if you are allergic to any medications. Also tell your doctor if you have: Ever been told you need to take antibiotics before a dental or surgical procedure. Ever had endocarditis (an infection of the heart valves). An artificial heart valve. Rheumatic heart disease. If you have any of these conditions or devices, you may need to take antibiotics before the upper endoscopy. Do not eat or drink anything for eight hours before the procedure. Medications for high blood pressure heart conditions, or thyroid conditions may be taken with a small sip of water before the procedure. If you have diabetes and use insulin, you must adjust the dosage of insulin the day of the test. Your diabetes care provider will help you with this adjustment. Bring your diabetes medication with you so you can take it after the procedure. You will need to bring a responsible adult with you to accompany you home after the procedure. The sedation given during the procedure causes drowsiness and dizziness and impairs your judgment, making it unsafe for you to drive or operate machinery for up to 8 hours following the procedure. Q: What happens during the procedure? A: Before your doctor performs the test, he or she will explain the procedure in detail, inkling possible complications and side effects. The doctor will also answer any questions you may have. You will be asked to wear a hospital gown and to remove your eyeglasses and dentures. A local anesthetic (pain-relieving medication) may be applied at the back of your throat. You will be given a pain reliever and a sedative intravenously (in your vein) that will make you feel relaxed and drowsy. A mouthpiece will be placed in your mouth. You will lie on your left side during the procedure. The doctor will insert the endoscope into your mouth, through your esophagus (the "food pipe" leading from your mouth into your stomach) and into your stomach. Most procedures take 15 to 20 minutes. Q: What happens after the procedure? A: You will stay in a recovery room for about 30 minutes for observation. You may feel a temporary soreness in your throat. Lozenges may help. The doctor who performed the endoscopy will send the test results to your primary or referring doctor. The specialist or your primary provider will discuss the results with you after the procedure. If the results indicate that prompt medical attention is needed, the necessary arrangements will be made and your referring provider will be notified. Warning If you have severe abdominal pain, a continuous cough, fever, chills, chest pain, nausea or vomiting within 72 hours after the procedure, call your doctor's office right away or go to the emergency room. Q: Is endoscopy safe? A: Serious risks with an endoscopy are rare. However, excessive bleeding is always a possibility and rarely a tear in the esophagus or stomach wall can occur. Q: Do you have better answer? Q: Does anyone else have a better answer? Q: Would you like to print Dr. Q's research and development in Gastroenterology? Q: What questions do we need to follow up on? Have an interesting case? How Common is Heartburn? What is Heartburn? What Are the Treatments for Infrequent Heartburn? What is GERD? What are the Complications of GERD? What are the Treatments for GERD? What is a Gastroenterologist? What are Some Severe Complications and Atypical Manifestations of GERD? How Common is Heartburn? Over 60 million Americans experience heartburn at least once a month, and some studies have suggested that over 15 million Americans experience heartburn symptoms each day. Symptoms of heartburn, also known as acid indigestion, are more common among the elderly and pregnant women. What is Heartburn? Most people will experience heartburn if the lining of the esophagus comes in contact with too much stomach juice for too long a period of time. This stomach juice consists of acid, digestive enzymes and other injurious materials. The prolonged contact of acidic stomach juice with the esophageal lining injures the esophagus and produces a burning discomfort. Many people describe this burning discomfort as localized behind the breastbone. Some even experience the bitter or sour taste of acid in the back of the throat. The burning and pressure symptoms of heartburn can last for several hours and often worsen after eating food. What Are the Treatments for Infrequent Heartburn? In many cases, doctors find that infrequent heartburn can be controlled by lifestyle modification and proper use of over-the-counter medicines. Avoid foods and beverages which contribute to heartburn: chocolate, coffee, peppermint, greasy or spicy foods, tomato products and alcoholic beverages. Stop smoking. Tobacco inhibits saliva, which is the body's major buffer. Tobacco may also stimulate stomach acid production and relax the muscle between the esophagus and the stomach, permitting acid reflux to occur. Reduce weight if too heavy. Do not eat 2-3 hours before sleep. For infrequent episodes of heartburn, you may get relief from an over-the-counter antacid or an H2 blocker, some of which are now available without a prescription. What is GERD? Gastroesophageal reflux disease (GERD) occurs when a muscular valve at the lower end of the esophagus called the lower esophageal sphincter or "LES" -- malfunctions. Normally this muscle keeps the acid in the stomach and out of the esophagus. However, when the LES relaxes too frequently, it allows stomach acid to reflux, or flow backward, into the esophagus. GERD usually is associated with persistent heartburn episodes that occur two or more times a week. What are the Complications of GERD? When GERD is not treated, serious complications can occur, including: severe chest pain that mimics a heart attack, esophageal stricture (a narrowing or obstruction of the esophagus), bleeding, or a pre-cancerous change in the lining of the esophagus called Barrett's esophagus. Symptoms suggesting that serious damage may have already occurred include: Dysphagia -- difficulty swallowing or a feeling that food is trapped behind the breast bone Bleeding -- vomiting blood or having black bowel movements Choking -- sensation of acid refluxed into the windpipe causing shortness of breath, coughing or hoarseness Weight Loss What are the Treatments for GERD? Lifestyle Modification Individuals seeking to alleviate the discomfort associated with GERD can follow the same guidelines of behavior modification that have been outlined to treat infrequent episodes of heartburn. Change eating and sleeping habits Avoid tight clothing Change your diet Curtail habits which contribute to GERD such as smoking and use of alcoholic beverages In addition, in order to decrease the amount of gastric contents which reach the lower esophagus it is suggested to: Raise the head of the bed The simplest method is to use a 4" x 4" piece of wood with two jar caps nailed to it. The jar caps should be an appropriate distance apart to receive the legs or casters at the upper end of the bed. Failure to use the jar caps inevitably results being jolted from sleep as the upper end of the bed rolls off the 4" x 4." Alternatively, one may use an under-mattress foam wedge to elevate the head about 6" x 10" inches. Pillows are not an effective alternative for elevating the head in preventing reflux. Medical Treatment of GERD GERD has a physical cause and frequently cannot be curtailed by these lifestyle factors alone. If individuals are using over-the-counter medication more than twice a week or are still having symptoms on the prescription or other medicines they are taking, they need to see their doctor or a gastroenterologist. What are Some Severe Complications and Atypical Manifestations of GERD? GERD can Masquerade as Other Diseases Chest Pain Patients with GERD may have chest pain similar to angina or heart pain. Usually, they also have other symptoms like heartburn and acid regurgitation. Asthma Acid reflux may aggravate asthma. Recent studies suggest that the majority of asthmatics have acid reflux. Clues that GERD may be worsening your asthma include 1) asthma that appears for the first time during adulthood, 2) asthma that gets worse after meals, lying down or exercise, 3) asthma that occurs mainly at night. Ear, Nose and Throat Problems Acid reflux may be a cause of chronic cough, sore throat, laryngitis with hoarseness and frequent throat clearing. People with Longstanding GERD Can Experience Severe Complications: Esophageal Stricture This condition is a characterized by a narrowing of the esophagus in response to frequent acid reflux. Chronic acid injury and scarring of the lower esophagus causes this stricture. Patients may complain of food sticking in the lower esophagus. Heartburn symptoms may actually decrease as the esophageal opening narrows, preventing acid reflux. Barrett's Esophagus The most serious complication of chronic GERD is Barrett's Esophagus -- a condition in which the lining of the esophagus changes to resemble the intestine in an adaptation prompted by the recurring injury from acid reflux. Even though patients may complain of less heartburn with Barrett's Esophagus, this is a pre-cancerous condition. Gastroenterology Procedures * Upper endoscopy * Flexible sigmoidoscopy * Colonoscopy E.R.C.P./papillotomy * Laparoscopy and liver biopsy * Endoscopic ultrasound * Esophageal motility and pH monitoring studies * Sphincter of Oddi manometry * Endoscopic hemostasis and sclerotherapy * Anoscopy and hemorrhoid treatment * Endoscopic cancer palliation * Mucosal biopsy * Anorectal manometry * Endoscopic foreign body removal * Anorectal biofeedback * Gastroduodenal manometry * Endoscopic polypectomy * Esophageal dilation * Capsule endoscopy http://emedicine.medscape.com/gastroenterology http://www.giboardreview.com/asp/main/question.asp http://www.myadvancedgastro.com/forms.php?type=9 http://digestive.niddk.nih.gov/ddiseases/pubs/yrdd/#why http://www.bostonscientific.com/MedicalArea.bsci/,,/navRelId/1000.1001/method/MEDICAL_AREA_PROCEDURES/id/10000251/resource_type_category_id/0/resource_type_id/0/seo.serve |