Find out if the unpleasant symptoms you are experiencing could be a sign of hemorrhoids.
Noticing blood when you wipe can be a rather disconcerting experience. While this embarrassing situation may have you feeling rather gun shy to share your symptoms, if you notice bleeding during a bowel movement then it’s time to call our Lima, OH, gastroenterologists to find out whether hemorrhoids could be the culprit.
What are hemorrhoids?
A hemorrhoid is an enlarged vein that is present in or around the anus. Hemorrhoids are either internal or external, but external hemorrhoids tend to be most common and often cause the most pain and discomfort.
What are the symptoms?
If you have hemorrhoids you may notice:
- Pain when having a bowel movement
- Intense anal itching
- Irritation on or around the anus
- A lump or swelling around the anus
- Blood when you wipe
While these symptoms may have you a bit concerned it’s always a relief to hear that hemorrhoids are not dangerous or serious and can easily be treated by our Lima GI doctors.
What can cause hemorrhoids?
While we still aren’t entirely sure why hemorrhoids happen it is speculated that they may be more likely to appear if you find yourself straining when having a bowel movement, if you sit for long periods of time or if you have a history of constipation.
What are my treatment options?
There are many ways to tackle your hemorrhoid issues to finally get relief including:
Sitz bath: Taking a warm soak in the tub for 15 minutes can help to provide relief from pain and itching. There are also over-the-counter pain-relieving ointments or, in more severe cases, we may prescribe a medication to help alleviate discomfort.
Good hygiene: In order for things to properly heal the last thing you want to do is exacerbate your condition. Stay away from toilet paper that is too rough and avoid using soap around the anus, which can dry out skin and leave it feeling irritated.
Get more fiber: A lot of people aren’t getting enough fiber in their diets, which can lead to issues with bowel movements. If this is the case, we will recommend taking enough fiber each day to help soften stools.
In instances where these at-home treatments don’t manage your symptoms, we may then recommend a medical procedure known as rubber band ligation, in which we place a small rubber band over the hemorrhoid to cut off circulation to the vein.
The Endoscopy Center of West Central Ohio in Lima, OH, is here to answer all of your questions and concerns about your gastrointestinal health. If you are noticing any changes it’s always a good idea to give us a call.
Gastroenterology is an important subset of medicine which can help you overcome your stomach issues with ease. However, a referral to this specialist may bring up all sorts of questions. Find out some frequently asked questions with The Endoscopy Center of West Central Ohio in Lima, OH.
What is a gastroenterologist?
A gastroenterologist is an internal medicine doctor who focuses on the diagnosis and treatment of illnesses and conditions which affect the biliary system, small and large intestine, esophagus, and stomach. Gastroenterologists have a careful understanding of the digestive tract and digestion.
What does a gastroenterologist treat?
A gastroenterologist diagnoses and treats many symptoms and conditions, including:
- abdominal pains
- gallbladder disease
- liver disease
- unexplained weight loss
- diseases of the colon
What is a colonoscopy?
A colonoscopy, performed by a gastroenterologist, is a critical procedure which examines the inner lining and contents of your large intestine. A long, flexible tube inserted through the anus and into the colon allows your doctor to visually see these areas with the help of a tiny camera attached to the end. Additionally, doctors can thread special miniature tools to take biopsies or remove polyps. Colonoscopy procedures help find and treat colon cancer and act as a screening against the condition. Patients should begin having colonoscopy treatments at age 50 and have at least one colonoscopy a year.
What should I expect at a gastroenterologist appointment?
Appointments at your gastroenterologist’s office will vary from patient to patient. Depending on your symptoms and condition, your doctor may require different procedures or tests. The best way to understand what will happen at your specific appointment is to have a consultation with your gastroenterologist in Lima. There, your doctor can answer any questions or address any concerns you may have about your procedure, your symptoms, or your condition.
For more information on gastroenterology, please contact your doctor at The Endoscopy Center of West Central Ohio in Lima, OH. Call (419) 879-3636 to schedule your appointment with your gastroenterologist today!
By Jayde Kurland M.D. FACG, AGAF, FACP.
Adenomas of the colon (large intestine) are a type of polyp that if not removed at an early stage can become cancerous. When planning for your colonoscopy, it’s important to be cautious in your search for a Gastroenterologist (GI) doctor. Some doctors find more polyps than others – and that translates into greater protection from cancer for their patients, so it’s important to select one who provides a minimum percentage of adenomas (a specific type of polyp).
What is a colonoscopy?
A colonoscopy is a procedure that uses a thin, flexible instrument called a colonoscope to examine the lining of your colon (large intestine). A very small video camera is attached to the end of the colonoscope, providing direct examination of the lining where polyps and cancers develop.
This procedure is usually performed in order to screen for colon cancer and to diagnose the cause of rectal bleeding. It typically detects and allows for treatment of precancerous growths.
What is the adenoma detection rate (ADR)?
The effectiveness of a screening colonoscopy is crucial and can help with prevention and early detection of colon cancer.
The ADR represents the proportion of people undergoing a screening colonoscopy who have one or more adenomas detected. The recommended ADR target for a quality screening colonoscopy is now at least 25% in women and men.
A doctor’s ability to detect an adenoma – the most common type of polyp and the most common precursor of colon cancer – has been linked to the likelihood of the patient later developing colon cancer. The better the doctor is at detecting and removing precancerous growths, the lower their patient’s risk of developing colon cancer.
Any top Gastroenterologist should have an ADR greater than 25%. This number is now tracked in order to assure that quality examinations are being performed. ADR is a quality measure now being tracked by Medicare and commercial payers.
No single colonoscopy is guaranteed to have perfect polyp detection. But if a patient has only one polyp and it is not found during their screening colonoscopy, that patient is considered to not have polyps. Under normal recommendations, he or she would not have to return for their next colonoscopy for 10 years.
Even a small increase in ADR can have a significant impact. For every 1% increase in ADR over the target polyp detection rate, a patient’s risk of colon cancer falls by three times that or 3%, and their risk of death from colon cancer falls by 5%. Those doctors with high ADRs are providing their patients a higher degree of protection from cancer than an “average colonoscopy” in some cases up to 40%.
When should I undergo a colonoscopy?
For the most part, patients begin with screening colonoscopies at the age of 50. However, there are some relevant factors that could prompt a doctor to recommend a colonoscopy at an earlier age. These include:
Having a family history of colon cancer
Having a family history of adenomatous polyps
Having a history of inflammatory bowel disease, including ulcerative colitis and Crohn’s disease
Having a history of smoking
Having type 2 diabetes
Being overweight or obese
It should be remembered that if you have bleeding you should not wait for a “screening” examination.
Where can I see a Gastroenterologist with a high adenoma detection rate in Lima?
Every doctor in Gastrointestinal Associates of Lima and the Endoscopy Center of West Central Ohio has an adenoma detection rate which exceeds the 25% benchmark. It is important to note that the previous adenoma detection rate minimum was 15%.
We perform colon cancer screenings at the Endoscopy Center of West Central Ohio, a state-of-the-art facility.
Quality differs among colonoscopists from different specialties other than GI as well. Make sure to ask your doctor what their ADR is?
A colonoscopy is a valuable screening tool that can help detect colon cancer during its earliest stages. The gastroenterologists at The Endoscopy Center of West Central Ohio, located in Lima, OH, share information about colonoscopies and why you may need it.
What is a colonoscopy?
A colonoscopy offers a way to view your large intestine and the first part of your small intestine without surgery. During a colonoscopy, a thin, lighted scope is inserted into your anus, and a miniature camera at the end of the scope sends images of the lining of your intestines to a digital screen. As your doctor passes the scope through your intestines, they examine the lining for polyps, tumors or signs of irritation and infection. Colonoscopies aren't just a diagnostic tool, your doctor can also remove polyps from the lining of your intestines during the procedure and take biopsies.
When are colonoscopies recommended by your Lima, OH gastroenterologists?
Colonoscopies are used to:
- Screen for Colon Cancer: If you're 50 or older, your doctor has probably recommended that you receive a colonoscopy. Fifty is the magic number because your risk of developing colon cancer increases as you age. Although some types of cancers cause symptoms in the early stages, colon cancer doesn't usually cause discomfort or other symptoms until it reaches the advanced stages. Screening colonoscopies detect cancer before worsening or spreading.
- Diagnose Diseases and Conditions: Do you experience frequent abdominal pain, bloating or other unpleasant gastrointestinal symptoms? Colonoscopies provide valuable information that can help your doctor determine the cause of pain, chronic constipation or diarrhea, anemia, bleeding from the rectum, weight loss or changes in your bowel movements or habits.
- Remove Polyps: You'll never know if you have polyps without a colonoscopy. The clumps of cells grow on your intestinal lining and can be seen very easily during the screening test. Polyps may be benign, pre-cancerous or cancerous. If your doctor sees any polyps during your colonoscopy, he'll remove them and send them to a laboratory for testing.
Protect your health with a colonoscopy. Call The Endoscopy Center of West Central Ohio, located in Lima, OH, at (419) 227-8209 to schedule your appointment.
Abdominal pain that shows up out of the blue can seem rather alarming. Let our Lima gastroenterologists help you figure out what’s going on.
Abdominal pain can be disconcerting, especially if it seems to have come about out of nowhere. Whether your pain is severe or you’ve been battling abdominal pain for a while and just don’t know the cause, our Lima, OH GI team is here to help.
Some of the more common causes of abdominal pain include:
- Indigestion and gas
- Menstrual cramps
- Gallbladder inflammation
- Gallstones or kidney stones
- Inflammatory bowel disease
- Ovarian cyst, inflammation or torsion
- Urinary tract infection
- Food poisoning
- Gluten or lactose intolerant
Abdominal pain may be acute and appear suddenly or your symptoms may be chronic and last a while. While your pain may be alarming, not all abdominal pain is serious. Knowing the location, duration, pattern and other factors can help us determine the cause of your abdominal pain.
When should I visit a Lima, OH gastroenterologist?
It’s time you came into our office for care if you are experiencing any of the problems below:
- Abdominal pain that gets progressively worse
- Pain lasting more than six hours
- Severe pain
- Pain after eating or whenever you stop eating
- Pain accompanied by vomiting
- Abdominal pain when pregnant
- Pain that gets worse when moving around
- Pain that wakes you up at night
- Pain and vaginal bleeding when pregnant
- Pain and the inability to urinate or pass gas
- Pain that just feels different or concerning
When it comes to seeking treatment it’s always best to play it smart and see us if you have any concerns about your symptoms. Your health is of the utmost importance and we are here to provide you with the care you need.
The Endoscopy Center of West Central Ohio in Lima OH is here to tackle all of your GI problems, from abdominal pain to indigestion. Call our office today to schedule your next appointment. Don’t ignore abdominal pain; face the problem head on. We’re here for you!
Breath tests are usually associated with sobriety checks used by law enforcement during traffic stops on suspected drunk drivers. But in addition to measuring blood alcohol levels, breath tests are also used to help gastroenterologists diagnose and treat a number of digestive system symptoms and disorders.
Bacterial Overgrowth Diagnosis and Treatment in Lima, OH
Some amount of healthy bacteria is necessary to keep the digestive system functioning properly. When there is too much (or sometimes too little) bacteria, it can lead to issues ranging from discomfort, to problems with digestion, which can ultimately lead to other health problems.
A proliferation of bacterial growth in the small intestine leads to a condition known as SIBO (small intestine bacterial overgrowth). The most common symptoms of bacterial overgrowth in the small intestine are:
- bloating and cramping
- weight loss due to malnutrition from the small intestine's inability to properly digest iron and other essential vitamins
- joint pain
- skin conditions (rashes, eczema, rosacea, and acne)
- lethargy and depression
Because many digestive and intestinal problems can have overlapping symptoms with other conditions, they are often misdiagnosed. An accurate diagnosis for the underlying cause of digestive problems is the first step in getting effective and lasting treatment and relief.
The gastroenterologists at Lima, OH based Gastrointestinal Associates, Inc. can determine whether a patient is suffering from SIBO with the Bacterial Overgrowth Breath Test. The test is minimally invasive and straightforward. The first step is to drink a liquid solution of sugar, followed by a standard breathalyzer test. The presence of bacteria in the breath test confirms whether there is an overgrowth of bacteria in the small intestine. Once a SIBO diagnosis has been confirmed, an individual treatment plan can be developed, the most common being dietary modifications and medication.
Find a Gastroenterologist in Lima, OH
For more information about testing and treatment for SIBO and other gastroenterology services, contact Gastrointestinal Associates, Inc. by calling 419-227-8209 to schedule an appointment today.
A colonoscopy gives your doctor a close-up view of your large intestine and part of your small intestine. This important test is used to screen for cancer and detect problems that can cause gastrointestinal issues. The gastroenterologists at The Endoscopy Center of West Central Ohio, in Lima, are here to share a few reasons that you may need a colonoscopy.
How is a colonoscopy performed?
A miniature camera attached to a thin, flexible scope transmits images from the lining of your intestines to a computer screen during a colonoscopy. Your doctor inserts the colonoscope into your anus and gently moves it into the large intestine and lower section of the small intestine. Every inch of the intestines is examined.
Why do I need a colonoscopy?
Colonoscopies are performed for several reasons, including:
Cancer screening: Screening colonoscopies are recommended at age 50. They will continue every 10 years following the first exam as long as your first test is normal. These screenings are particularly important because there are often no symptoms during the earliest stages of colon cancer. If you have certain gastrointestinal issues or had an abnormal exam in the past, your gastroenterologist may recommend that you have additional colonoscopies sooner than 10 years.
Polyp detection: During the colonoscopy, your doctor will search for and remove any polyps he or she sees. Polyps are small growths that may be cancerous or may eventually become cancerous if they're not removed.
Diagnosis of diseases and conditions: A colonoscopy can help your doctor find the source of your abdominal pain, constipation, chronic diarrhea, rectal bleeding, anemia, unexplained weight loss or changes in bowel habits.
Will do I need to do to prepare for a colonoscopy?
Your intestines must be completely empty for the best view of the intestinal lining. You'll take laxatives that will clear out your gastrointestinal tract and will be limited to clear liquids for two or three days before you have the test.
When will I get the results?
Your doctor can share preliminary results with you immediately after the colonoscopy. You'll receive a full report of his or her findings at your next appointment.
When it's time for your next colonoscopy, call The Endoscopy Center of West Central Ohio, in Lima, at (419) 227-8209 and schedule an appointment with a gastroenterologist. Protect your health with a colonoscopy!
With the steady rise in digestive disorders like irritable bowel syndrome, lactose intolerance, and the accompanying symptoms, many Americans suffer from a potentially embarrassing but not uncommon condition known as fecal incontinence. Like urinary incontinence, fecal incontinence occurs when a person loses the ability to control their bowel movements before they have time to reach a bathroom. It can result in partial leakage of fecal matter, or complete involuntary emptying of the bowels.
While loss of bowel control can understandably cause a great deal of stress, anxiety, frustration, and have a negative impact on quality of life, affecting everything from the ability to work, to intimate and personal relationships, fecal incontinence is a medical condition that can be diagnosed and treated by a gastroenterologist (digestive system doctor).
Causes of Fecal Incontinence
Loss of bowel control can happen for several reasons. Some people may experience it occasionally during an episode of diarrhea. Chronic fecal incontinence occurs regularly and is caused by an underlying digestive problem, or muscle or nerve problems that affect the rectum. The gastroenterology team at the Endoscopy Center of West Central Ohio in Lima diagnose and treat people for two types of incontinence - passive and urge incontinence. In the passive form, the person may be unaware that they need to have a bowel movement until it's too late. With urge incontinence, it comes on too suddenly to make it to the bathroom in time.
The main causes of the condition are:
- digestive conditions like Chron's disease/irritable bowel syndrome
- nerve damage from surgery to correct hemorrhoids or anal fissures
- inability of the rectum to properly stretch to accommodate passing stool
- rectal prolapse - a condition where the rectum drops down into the anus
- rectocele - when the rectum drops into the vagina
- muscle damage that results from chronic constipation, childbirth, or an injury
Treatment for Fecal Incontinence in Lima
The first step in finding a successful treatment is identifying the cause. Treatment options can range from medication to surgery to repair muscle and nerve damage. If you are suffering from poor bladder and bowel control and fecal incontinence, a gastroenterologist can help. Contact the Endoscopy Center of West Central Ohio in Lima at (419) 227-8209 to schedule a confidential appointment today.
Find out what could be causing your abdominal pain and when to get medical attention.
Whether you’ve been dealing with abdominal pain for a couple days or it just started, this symptom can be a bit unnerving. Fortunately, our Lima, OH gastroenterologists are here at he Endoscopy Center of West Central Ohio to make sure that you get the care you need to alleviate your symptoms and start feeling better quickly. Discover what could be causing your problems and what symptoms signal a trip to our office.
What exactly is abdominal pain?
People use the symptom abdominal pain to describe discomfort coming from many different organs--the intestines, the gallbladder, the stomach and the appendix. Generally, abdominal pain is pain that occurs between the chest and pelvic region. The pain also feels different for everyone, with some describing it as dull or cramps, while others may experience sharp, severe pain.
What could be causing my abdominal pain?
Since there are countless causes for this discomfort, the only way to truly determine the cause of your pain is to get it checked out by one of our Lima gastroenterologists.
Viral, parasitic, or bacterial infections can affect the organs in the abdominal region, causing discomfort and pain. There may also be changes to your digestion, including diarrhea, nausea, or vomiting.
Inflammation or diseases that affect abdominal organs can also cause pain. These organs include:
- Small and large intestines
Other abdominal pain causes include:
- Gastroenteritis (sometimes called the stomach flu)
- Acid reflux disease
- Kidney infection
- Crohn’s disease
- Irritable Bowel Syndrome (IBS)
- Gastroesophageal reflux disease (GERD)
If you are experiencing severe abdominal pain, it’s important that you see us right away as it could be a serious health issue such as:
- A ruptured organ
- Kidney stones or gallstones
- A kidney infection
Let the Lima, OH expert GI team at The Endoscopy Center of West Central Ohio care for all of your intestinal-related issues. Call us today to schedule an appointment.
You are approaching 50, and it's time for your first screening colonoscopy. A colonoscopy is an outpatient procedure that looks for colon cancer and precancerous conditions. You understand that more than 50,000 American adults die from colon cancer annually; so the test is important. Yet, you worry about the procedure.
Dr. Mark Leitner MD, board-certified West Ohio gastroenterologist, has been in practice since 1985. He and his associate physicians at The Endoscopy Center of West Central Ohio want their patients educated about and comfortable with the colonooscopy procedure. It definitely saves lives.
Three Myths about Colonoscopy
Colonscopy is painful. Veteran colonooscopy patients would tell you that a colonoscopy is basically painless. While some individuals may feel some bloating or light cramping during the 30 to 45-minute procedure, most feel nothing at all. Patients receive sedation before and during their tests to keep them relaxed and comfortable as the doctor inserts the lighted, flexible scope through the anus, rectum and colon. The physician looks at real-time images of the intestinal mucosa on the video monitor. After the procedure, patients often report little or no memory of their colonoscopy. The entire procedure, from entering the facility to leaving, takes 2 to 3 hours.
Additionally, Lima colonoscopies are very safe. Even minor post-operative bleeding is a rare complication. Bowel perforation happens in fewer than one percent of colonoscopies across the country. Dr. Leitner and his team diligently provide the safest and most comfortable environment and techniques possible.
Having a colon polyp spells cancer. This is not true. Physicians at the Cleveland Clinic state that 15 percent of women and 25 percent of men over 50 years of age have colon polyps at some point in their lives. Most of these growths, ranging in size from a pencil-point dot to a few inches in size, are completely non-cancerous. Some, however, may be pre-cancerous, but totally asymptomatic. That's why Dr. Leitner and the other gastroenterologists at The Endoscopy Center, remove polyps and test them for cancer. This procedure is called a "snare biopsy."
The pre-operative preparation is intolerable. In fact, the bowel cleansing necessary for a colonoscopy is easier now than it ever has been. Patients usually consume clear liquid diets the day prior to their procedures. Then, they drink water and laxative powders in the quantity prescribed to render the large intestine perfectly clean, facilitating good images during the tests. Rest assured your physician will prescribe the easiest regimen possible for you.
Then, contact The Endoscopy Center of West Central Ohio for your personal consultation with one of the physicians. Bring your questions about the colonoscopy and why it's so important. Call (419) 227-8209.
Welcome to the Blog of The Endoscopy Center of West Central Ohio
The Endoscopy Center of West Central Ohio would like to welcome you to our blog. Here you will find informative and useful postings about gastroenterology and our practice.
At The Endoscopy Center of West Central Ohio we believe that educated patients are better prepared to make decisions regarding the health of their digestive system. Our blog was designed to provide you with the latest gastroenterology developments and valuable health advice from our dedicated team.
The Endoscopy Center of West Central Ohio hopes you find our blog to be a great resource for keeping up to date with proper digestive health care and treatments.
We welcome all comments and questions.
-- The Endoscopy Center of West Central Ohio
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