You don’t have to be nervous about getting an Endoscopy.

Mario Rosenberg helping his patient to walk

Find out what to expect before you go to your Endoscopy appointment.

Some people might find the idea of endoscopy terrifying, but the truth is that it is a quick and straightforward procedure that can be very helpful in the treatment of your gastric symptoms.

What is an Endoscopy?

Endoscopy is a diagnostic procedure performed by a gastroenterologist. The upper endoscopy procedure is done using a long flexible tube with a camera attached to its tip, called endoscope. The endoscope is inserted into your mouth, through your esophagus, finally reaching your stomach.

What are Endoscopies used for?

Through an endoscopy, your doctor will be able to see the internal lining of your esophagus and stomach in real time. They will look for some alterations such as ulcers and inflammation. Endoscopy is a procedure commonly used for the diagnosis of peptic ulcers and gastritis. You are likely to be requested an endoscopy if you have a history of chronic stomach pain and other symptoms of gastritis. 

During the procedure, your doctor can also perform a biopsy, collecting a sample of tissue from the stomach lining. A biopsy is usually required to determine the presence of bacteria that can cause chronic gastritis, or to identify other abnormalities.

What are the risks of Endoscopy?

Endoscopies are very commonly used as a diagnosis tool. They are minimally invasive and very safe. The most common complications are bleeding, and perforation, but those are still very rare.

How should I prepare for an Endoscopy?

The preparation for endoscopy is relatively simple, and it only requires from 6 to 8 hours of fasting. You will also be requested by your doctor to provide a history of medication use because some types of medications can increase the risk of bleeding.

Are Endoscopies painful?

Endoscopies are not painful, so you don’t have to be nervous or scared of the procedure. You will be sedated, so you won’t feel any pain or have any recollections of the process. 

What happens after the procedure? How long will it take for me to recover?

After the procedure, you will be put in observation from a few minutes to about an hour, just to make sure everything is fine. The effects of the sedation will slowly wear off, but it is recommended that you don’t drive until at least 24 hours after the procedure. Since there are no cuts or incisions, the recovery is quick, and you will be back to normal as soon as all the sedatives are out of your system.

You shouldn’t feel any pain or discomfort after the procedure is done and the sedation has worn off completely.

If you are anxious about getting an endoscopy done, it’s advisable that you see a doctor that can explain the procedure step by step, and give you some reassurance. It is essential that your doctor and the team of professionals can provide you with enough information and support, so you can have a simple and care-free procedure.

Alternatively, if you still have any questions or enquiries about endoscopy, you can contact our team here.

Can your stomach pain be a sign of peptic ulcers?

What are peptic ulcers? by Mario Rosenberg

Can your stomach pain be a sign of peptic ulcers?

Treatment for peptic ulcers may be more simple than you think.

What are peptic ulcers?

Peptic ulcers are how health professionals refer to lesions in the gastrointestinal tract. These ulcers usually appear when the internal layer of the digestive system is damaged by the acid and enzymes secreted into the stomach.

They occur more often in the stomach and upper portion of the intestine. Peptic ulcers happen less frequently in other parts of the digestive tract such as the esophagus and lower sections of the bowels.

It is estimated that half a million people in the US develop peptic ulcers every year. Most of those people are aged 25 to 64 years old.

What are the leading causes of peptic ulcers?

The most common cause of a peptic ulcer is the infection by a type of bacteria called H. pylori. These bacteria act by decreasing the resistance of the stomach lining against acid secretion, favoring ulcer formation. 

H. pyloriare believed to be present in almost half of the people who develop ulcers, and the treatment of the infection seems to reduce the occurrence of ulcerations significantly.

Another very common cause of peptic ulcers is the long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and diclofenac.

What are the symptoms?

Peptic ulcers are usually marked by intense pain or a burning sensation on the upper part of the stomach. The pain comes and goes, and it happens more frequently when the stomach is empty. Stomach pain at night is also common. 

Food ingestion and use of antacids usually alleviate the pain, and that is one of the most striking characteristics of peptic ulcers.

Some other symptoms like vomiting, indigestion and loss of appetite might also be present.

How are peptic ulcers diagnosed?

Your specialist will first evaluate your symptoms and health history. After that, an endoscopy can be used to observe the internal lining of the stomach and the beginning of intestine. The gastroenterologist may also request a urea breath test or an endoscopic biopsy [Office1] to assess the presence of H. pylori

What is the treatment?

For people who test positive for H. pylori, the recommended treatment includes a course of antibiotics combined with medication that decreases the production of stomach acid, like pantoprazole and rabeprazole.

In case the peptic ulcers are caused by something else other than the bacteria, the best course of action is the use of suppressors of acid production on a long-term basis. Treatment with medication is enough to cure the ulcers in most cases.

Your specialist may also recommend some lifestyle changes such as stopping or reducing the use of NSAIDs if possible, alcohol abstinence and changes in diet.

It is essential to be aware that, depending on your health history, ulcers can come back. For that reason, it is important to notice the triggers and habits that cause symptoms. For most people, peptic ulcers can be cured, and it is indispensable that you search for a specialist that can evaluate your symptoms thoroughly and come up with an action plan.

If you are experiencing stomach pain or have any question or concerns, you can contact us hereto be evaluated by our team of professionals.

For more info please visit our website:
www.mariorosenbergmd.com


 [Office1]Link to endoscopy post

Colonoscopies are common and safe procedures.
Here is what you need to know about the prep, the procedure and the aftercare.

Concerned about your colonoscopy?

Here is what you need to know about the prep, the procedure and the aftercare.

What is colonoscopy?

Colonoscopy is a medical procedure that allows the gastroenterologist to examine the inside walls of your large intestine. The colonoscope is a long tube with a small camera attached to its end. That tube is inserted slowly by the anus until the last part of the colon, allowing the doctor to observe the bowel in its entirety. The procedure can last from 15 to 60 minutes.

During the procedure, the doctor can request the collection of tissue samples, or biopsies, for further investigation.

Why would my doctor recommend a colonoscopy?

Colonoscopies can be used to investigate symptoms of bowel dysfunctions such as ulcerative colitis and other inflammatory bowel diseases, and also to determine the presence of small tissue growths known as polyps.

How should I prepare for a colonoscopy?

For the success of a colonoscopy, it is essential that there are no contents inside your intestine because it facilitates the visualization of its lining. Therefore, it’s very likely that your doctor will recommend diet restrictions like fasting for a certain amount of time or avoiding solid foods for a few days before the procedure. 

You will be required to perform enemas to make sure to eliminate any residues from your bowel, and you may be asked to ingest laxatives. Naturally, your specialist will guide you step by step to make sure you perform a proper preparation, guaranteeing a successful examination.

How painful is the procedure?

For most people, the main concern surrounding colonoscopies is how much pain and discomfort they are going to endure during the procedure. Good news is that it’s not as bad as it sounds.

You will receive mild sedation, so you will probably feel relaxed and comfortable. It is normal that you feel bloated during or even after the procedure, but that sensation will go away without the need for any intervention.

Are there any risks?

Colonoscopies are common and safe procedures. There is a small risk of bleeding and if you are taking any blood thinning medications, your doctor may evaluate your case and advise you accordingly.

What do I need to do after the procedure?

After the procedure, there might be slight discomfort or bloating that will lessen over time. There should not be any pain, and you will be allowed to get back to your regular diet right after the procedure.

Since you will be sedated for the procedure, we advise you to have someone with you that could get you home safely after the procedure is done.

Since preparation plays a significant role in the success of the colonoscopy procedure, it’s crucial that you have a specialist that you can trust and a team of health professionals you can contact in case any concerns or doubts arise. 

We have an attentive and experienced team of professionals that will guide you through the procedure and will be ready to address your main concerns.

Contact us here for any enquiries.. 

http://www.mariorosenbergmd.com

Crohn’s Disease: How to find out if you have it and how to treat it.

What is Crohn’s Disease?Crohn’s disease (CD) is an Inflammatory Bowel Disease (IBD) that consists of chronic and persistent inflammation of the lining of the digestive tract. The inflammation is caused by the excessive activation of the immune system, which makes Crohn’s an autoimmune disease. CD afflicts around 1 in every 400 people, being a little more common among women than in men.

Crohn’s Disease: How to find out if you have it and how to treat it

What you need to know to take the first steps to start treating Crohn’s Disease

What is Crohn’s Disease?

Crohn’s disease (CD) is an Inflammatory Bowel Disease (IBD) that consists of chronic and persistent inflammation of the lining of the digestive tract. The inflammation is caused by the excessive activation of the immune system, which makes Crohn’s an autoimmune disease. CD afflicts around 1 in every 400 people, being a little more common among women than in men.

What are the symptoms?

The most common symptoms of CD are abdominal pain (more commonly on the lower right side), diarrhea, bloody stools and vomiting. In some cases, people can also suffer from malnutrition, due to inadequate absorption of nutrients.

What are the causes?

CD is caused by over-activation of the immune system in the intestines, and it might be triggered by environmental factors such as infections, use of medication, smoking, diet, and stress. Some studies indicate that bacterial infections in the digestive tract can initiate IBD in susceptible people.

Medications like aspirin and non-steroid anti-inflammatories (ibuprofen, diclofenac, etc.) can trigger or cause a relapse of CD. The use of antibiotics can also play a role in activation of Crohn’s due to its effect on the good bacteria that resides in the gut. Dietary triggers may not be universal and may vary a lot from person to person, but it has been shown that high consumption of fiber from fruits and vegetables decreases the risk of CD, while higher animal protein intake seems to increase it.

How to get the diagnosis?

Laboratory blood tests can help to diagnose and evaluate the severity of Crohn’s disease. Your doctor can request blood tests to investigate the presence of antibodies and reactive proteins and also a blood count to check the level of white blood cells. These tests would give information about the level of inflammation in your intestine.

Colonoscopy is a helpful tool in the diagnosis of CD. It can help your doctor to evaluate the presence of lesions in the lining of the digestive tract. During the procedure, the doctor can also remove a tissue sample for analysis, to investigate the presence of inflammatory cells. Other exams may also be requested such as endoscopy and tomography.

It is fundamental for an accurate diagnosis that you get asked the right questions. It is easy for a non-experienced doctor to mistake CD by other gastrointestinal disorders like Ulcerative Colitis, IBS[Office2] , Celiac Disease and infections. Information about the nature, duration and severity of your symptoms will lead your doctor in the direction of the right diagnosis.

What is the treatment?

The goal of the treatment of CD is to reduce the symptoms and decrease the frequency of relapses. You may be prescribed anti-inflammatory medication and immune modulators to help lessen the inflammation. With your doctor’s help, you can also introduce lifestyle changes such as stopping smoking or eating certain foods, based on your personal triggers.

Crohn’s disease might be tricky to diagnose, and it may take a few adjustments until you find the perfect treatment for you. For that reason, it is essential to see a trustworthy and experienced physician to help you through your journey.

If you need to get started on therapy, you can contact Dr. Mario Rosenberg’s team with any questions and concerns.

Contact us for a consultation!

PHONE:
(310) 247-0034

EMAIL :
contact@mariorosenbergmd.com

OUR WEBSITE:
www.mariorosenbergmd.com

We are conveniently located in Beverly Hills.

ADDRESS:
1125 S. BEVERLY DRIVE SUITE #111
LOS ANGELES, CA 90035

What do you know about IBS?

What you need to know about Irritable Bowel Syndrome

and how to stop it from affecting your life.

 For a lot of people, abdominal pain and discomfort happens quite regularly and might have a negative impact on day-to-day life. A lot of the times, these symptoms start for no apparent reason, and it may be difficult to find out their cause. Those gastrointestinal symptoms could be signs of a very common disorder: IBS. 

 What is IBS?

 Irritable Bowel Syndrome, most commonly known as IBS, is a chronic gastrointestinal condition which affects from 9 to 23% of the world population. Most of the times, IBS presents itself as pain or discomfort in the abdominal region, that usually gets better after defecation.

 What are the symptoms?

 IBS is frequently misdiagnosed since it is usually associated with other disorders such as reflux, headaches and backaches.

In some people, IBS occurs predominately as episodes of diarrhea, while in other people it is associated with constipation. It can also be mixed, with alternating periods of diarrhea and constipation.

 What are the causes?

 Causes and triggers of IBS are still unclear, but it seems that the symptoms are caused by disruption on the movement of the muscles of the gastrointestinal tract, that can lead to either constipation or loose motions.

Although it is hard to pinpoint the exact cause of IBS, some individual and environmental factors seem to be associated with its occurrence, such as:

 •    Infections and activation of the immune system;

•    Excessive growth of gut bacteria;

•    Some psychological factors like anxiety and depression.

 How is it diagnosed?

 Most doctors agree that IBS is diagnosed if a person has had abdominal discomfort and changes in the frequency of defecation or in stool consistency for at least 12 weeks. These symptoms don’t have to be consecutive and will improve after passing feces.

 Are there any treatments?

 Yes, there is. Due to its diverse symptoms, treatment for IBS can target different aspects of the condition and is more effective if tailored to individual cases.

In general, there are some therapies and lifestyle changes worth trying:

 •    Adding physical exercise to your routine

•    Restricting foods that seem to trigger or worsen your IBS

•    Decreasing the amount of sugar, alcohol and fat in your diet

•    Increasing your fiber intake

•    Restricting lactose – which appears to be helpful for most people who have IBS

•    Use of medication to treat the symptoms 

 If you have similar and unspecific symptoms, you may find that visits to the doctors are frustrating and unproductive. 

This is why is necessary to find a gastroenterologist who has experience with IBS and can guide you through the therapy options. It is crucial that you see the right doctor, who will listen attentively and answer all your questions.

If you have been to doctors and experienced a lack of understanding of your problem, do not feel discouraged. IBS symptoms should not be dismissed, and you should get a second opinion.

 Our qualified health professionals are available to answer to your enquiries and to book you in for a more in-depth evaluation.

You can contact us here.

Dr. Mario Rosenberg in Beverly hills.

Thanks for joining me!

Dr. Mario Rosenberg Offers Gastroenterologist Expert Care & Cutting-edge Treatments For Patients With Stomach & Intestinal Ailments. General Screenings For Colon Cancer Are Also Available.

 

Dr. Mario Rosenberg Offers Gastroenterologist Expert Care & Cutting-edge Treatments For Patients With Stomach & Intestinal Ailments. General Screenings For Colon Cancer Are Also Available.