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Dr. Howard Hack

Gastroenterology
Lafayette, IN
34 years experience male

Locations

Office

Lafayette, IN

Address

3218 Daugherty, Suite 140, Lafayette, IN
Directions

Insurances accepted

BlueCross BlueShield

Office

Costa Mesa, CA

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Gastroenterology

Internal Medicine

Licenses

United States: Arizona, California, Indiana, Missouri, Nevada, Wisconsin

Doctor Q&A

188 Answers
78 Agrees
The number of answers this doctor has agreed with.
A 30-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: This should be looked at by a gastroenterologist or colorectal surgeon to make a diagnosis.
A 48-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Supportive care: I would need to know more for a better evaluation, but as a generic answer thses types of problems are typically self limited infections;supportive ca... Read More
A 18-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Usually unknown: Most people with constipation will have no identifiable cause. Potential issues could be disease such as hypothyroidism. Medications or electrolyte ab... Read More
A 27-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
TLI: Too little information. Stomach discomfort can be indicative of infection, inflammation or other problems. Some of these ae trivial and some are serio... Read More
A 34-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Survival varies: Survival rate statistics vary based on the stage of diagnosis. These are only estimates, not truly how long you will live. All of this should be discu... Read More
A 34-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: Tramadol can be an effective pain relieving medication, including for cancer patients.
A 32-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
No: It is exceptionally uncommon for people with gastroparesis to require feeding tubes.
A 32-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Getting better: 150, 000 people develop colon cancer annually and 50-60, 000 people will die from this. There is considerable personal cost because of medical and sur... Read More
A 24-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Days: It is thought hepatitis b can survive about a week outside the body and hepatitis C 1-4 days. The viruses can live longer in wet/fluid environments.
A 34-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
A colon exam: This is a limited exam of the distal colon and rectum, typically done without sedation in an office setting. This has been used as part of colon cance... Read More
A 39-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Avoid alcohol: People with hcv should undergo evaluation for treatment. Secondly, alcohol can contribute to liver damage so this needs to be used cautiously.
A 52-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
2 hours: I recommend to my patients to allow for an hour prior to the exam and 30 minute recovery post procedure. I allot 30 minutes for one exam or 45 minutes... Read More
A 40-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Multiple: Colon cancer treatment regimens are designed for individual patients based on the patient, local resources and the evaluation of the cancer. Your indi... Read More
A 35-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: Gerd and asthma frequently go hand in hand. Gerd can result in asthma and in turn, asthma can be associated with developing gerd. There are nerve endi... Read More
A 40-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: Food poisoning can occur from any improperly prepared food.
A 31-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: Food poisoning is very common, moreso in the developing world. The organisms responsible are passed from person to person because of inadequate hand w... Read More
A 27-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
No: Alcohol is a common cause or contributed to developing cirrhosis, scarring in the liver. There are a multitude of other causes such as viral hepatitis... Read More
A 31-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: Chronic laxative use may result in diminished colon transit. This is important to review with your doctor.
A 34-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: The toxins from food poisoning will not traverse the placenta so the baby will not get sick directly. However, food poisoning can result in dehydratio... Read More
A 39-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Trial of medication: A brief answer is to try medication to reduce stomach acid such as Pepcid (famotidine) or Omeprazole would be helpful. The evaluation of abdominal pai... Read More
A 34-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
No: Heartburn is a symptom of acid reflux. Gerd, or acid reflux can present with other symptoms such as voice changes, coughing or abdominal pain.
A 35-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
It can be: Heartburn is a common condition, affecting millions of americans. Most of the time this is mild and not serious, but heartburn can dramatically affect... Read More
A 38-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: Hypothyroidism can cause acid reflux symptoms.
A 25-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
NO: Smoking leads to increased acid reflux typically! smoking reduces the protective mucous layer in the stomach which also predisposes smokers to ulcers ... Read More
A 36-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
70-80%: The graft and patient survival rates are 70-80% at 3 years. I would look at the outcomes for the center you're working with for the most current stati... Read More
A 30-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
2 months: On average, hcv antibodies are detectable at 2 months, with 6 months being the end of the range. People co-infected with HIV may not develop hcv antib... Read More
A 37-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Depends on staging: Rectal cancer can cause problems with the rectal function, based on it's presence or from treatment related side effects, such as rectal bleeding. Mor... Read More
A 38-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Individual guidance: Acid reflux can be partially managed by smaller, more frequent meals. One can also wait for the meal to pass through the stomach, but this timing vari... Read More
A 28-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
PH testing: There are a number of diagnostic tests to look at pH measurement of the esophagus to accurately and objectively measure acid reflux.
A 25-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Eat elsewhere: Hepatitis a usually has a mild, benign course. If you contract this you may want to have care for symptoms such as itching. It only rarely causes any ... Read More
A 35-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Clinically: It is usually a clinical diagnosis based on the presentation. Sometimes we will get stool studies depending on the clinical circumstances.
A 25-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Unlikely: Hepatitis c is spread by exposure to blood typically. So one wouldn't want exposure to an open cut or to share a toothbrush or razor. This aside, shak... Read More
A 31-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Unknown: Some individuals will get symptomatic relief of their acid reflux with certain foods. However, this can be tricky as the information on this is suspec... Read More
A 27-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Unknown: Appendicitis is the development of an infection in the appendix, a small pouch attached to the beginning of the colon. It is unknown why this occurs. ... Read More
A 41-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Lifestyle: Heartburn is more common in people who are heavier. It is also associated with diet:larger meals, fatty, spicy or greasy foods, alcohol, tomato or cit... Read More
A 50-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
No: Constipation can be caused by many factors, the most common is a slow transit. The chronic use of laxatives can magnify the problem with slower transi... Read More
A 52-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Unknown: Some people can drink voraciously and never have liver damage and yet others develop cirrhosis and die with much less alcohol. I think the broader que... Read More
A 40-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: The current mainstay of acute treatment of constipation can involve stool softeners and/or polyethylene glycol, both of which are over the counter.
A 33-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Maybe: Every person is different in their triggers for ace reflux and i would look at how your body reacts to it. There are some reports of cinnamon helping ... Read More
A 23-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Gastro and orologist: Hemorrhoids may be treated by gastroenterologists or surgeons. Urinary problems should be addressed with a urologist.
A 34-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Surgical options: There are a variety of surgical and endoscopic options to treat gerd. The traditional approach is a procedure called a nissen fundoplication and appea... Read More
A 23-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: Most commonly this may represent something simple such as food poisoning. It is hard to tell by the short description how urgent it would be to see yo... Read More
A 36-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Depends: Obviously the primary effect is weight loss. There are improvements in diabetes and heart disease risk. The gastric band does not cause any nutritiona... Read More
A 34-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: Laughing can cause stomach cramps if you laugh hard and long enough. But laughing and smiling are healthy for us, so keep it up!
A 39-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
See your doctor: There is not enough information here to make any helpful recommendations other than to review this in detail with your physician.
A 28-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes: Buckwheat is a good grain to eat with celiac disease. It contains no gluten, so it is safe to consume.
A 34-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Vaseline: I would try a small amount of barrier cream such as vaseline. If this persists, have it looked at. This is a relatively uncommon complaint. I would au... Read More
A 41-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Yes.: The side effects typically dispute after completion.
A 36-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Antacid: Mylanta is an antacid. It neutralizes the stomach acid with a chemical reaction.
A 25-year-old member asked:
Dr. Howard Hack
Gastroenterology 34 years experience
Evaluation: The presentation is hard to interpret with this information. I think my best advice would be to have your doctor evaluate this if it persists.

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

5
Recommendations
429
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Hack is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Hack is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Dec 2, 2014
Very nice doc, I sent my mom to him.
HealthTap member
Your answer was very helpful! Thanks :) OK, thank you. I think I should make an Appt with my Dr soon.
HealthTap member
Thank you, your answer or tip was very helpful! Specially your tips on OTC meds that can help ease.
HealthTap member
Thank you, your answer was very helpful! Really thanks for a helpfull explaination

Education & Training

Medical/Graduate school

Washington University School of Medicine, St. Louis
Graduated 1988MD

Medical/Graduate school

University of Pennsylvania
Graduated 1984MD

Medical/Graduate school

Washington University School of Medicine, MO
Graduated 1988MD

Awards

HealthTap Founding Doctor

Affiliations

Stanford Hospital
Stanford University
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less