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Dr. Donald Lipkis

Gastroenterology
null, null
49 years experience male

Locations

Gastroenterology Associates of San Diego

San Diego, CA

Address

6719 Alvarado Road, San Diego, CA
Directions

Fax

(619) 287-4536

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

Licenses

United States: California

Languages spoken

English

Doctor Q&A

74 Answers
21 Agrees
The number of answers this doctor has agreed with.
A 30-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Magnesium: It's not necessary.
A male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Perhaps: Hemorrhoidal bleeding is common and most often occurs with defecation, particularly if you have straining with passing stool. Your physician may recom... Read More
A 19-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Get evaluated: Although patients are often embarrased about discharges, don't be. We see these problems quite often. The colon lining cells make mucus normally. This... Read More
A 38-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Probably: This would be the most common cause of bright red rectal bleeding in a young adult with a history of hemorrhoid problems, especially if the blood is o... Read More
A 31-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Yes: Stool shape and consistency reflects what was in your diet as well as what portion of your diet was absorbed, leaving the residual to pass in the stoo... Read More
A 18-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Very unlikely: These would not be symptoms of stomach cancer, and at age 18 it would be extremely unlikely. If these symptoms continue you should see a physician for... Read More
A 50-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Get a urinalysis: It is not possible to know the answer to your question, but one possibility is a urinary tract infection. This can be checked with a urinalysis and if... Read More
A 34-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Must stop alcohol: If you have hemochromatosis it is essential that you abstain from alcohol, particularly if you have advanced fibrosis or cirrhosis. Alcohol can raise ... Read More
A 38-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Yes, this is done routinely with biopsies so the pathologist knows which region of the stomach the biopsy is taken from. Each area looks different mic... Read More
A member asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
No: Barium swallow looks primarily at the esophagus while upper GI looks at stomach and duodenum as well.
A 38-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Pregnant : These symptoms are likely related to straining from constipation causing hemorrhoidal bleeding. The mucus is also common. The metallic odor can be fro... Read More
A 28-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Right lower abd pain: If you are referring to pain and tenderness in the right lower abdomen you could have an ovarian problem or torsion of the fallopian tube. Alternative... Read More
A 34-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Infection: Sounds like you have a viral infection which should resolve in a few days. This could also be a strep infection which should be covered by the Amoxic... Read More
A 35-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Possibly: Gastroenteritis which is often due to a virus can cause abdominal pain and tenderness but is usually associated with other symptoms such as nausea, po... Read More
A 32-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Stage 4: If the pathologist is using the term "cirrhosis" by definition it's stage 4. Chicken wire may refer to mild fibrotic bands rather than thick bands and... Read More
A 28-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Would be unlikely: You should be able to get an answer to your problem if you give a complete history and are examined. Most patients think they have a gallbladder issue... Read More
A 44-year-old member asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
No: No evidence to suggest this.
A 37-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Likely hemorrhoids: Would need more history to give a complete answer.
A 48-year-old member asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Usually within 12 hr: May need to take more than one dose. Need to drink lots of water. At least 6 glasses (8oz) a day minimum.
A 22-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Nausea: The question here is why are you not eating? Is it nausea that prevents you from eating or does eating cause the nausea. If you have an underlying eat... Read More
A 32-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
It can: Short answer is yes it can. You can also get indigestion from stress and worry even without eating. Stress does affect body functions.
A 29-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Stop immediately : Stop the amoxicillin immediately. If the symptoms persist you should go to either urgent care or the emergency room at your nearest hospital for evalu... Read More
A 22-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Yes: There is usually some residual stool after a BM but it should cause no symptoms and you shouldn't be aware of it. Sensation of incomplete evacuation i... Read More
A 50-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Yes: If indeed LPR is the cause of your throat irritation (and the condition is frequently misdiagnosed) it often takes a long time to see improvement. Occ... Read More
A 34-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Not likely : This is almost certainly due to hemorrhoidal bleeding. You are doing the right thing by increasing fluid and fiber.
A 28-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
? blood: I'm sure you are worried that this could represent intestinal bleeding. Black stools could be due to gastrointestinal bleeding but the stools are ofte... Read More
A 21-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Hemorhoids: Most likely hemorrhoidal are causing this. If you are straining with BM or are constipated fiber and fluids are helpful. Sitz baths for about 10 min a... Read More
A 32-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
You should be fully evaluated by your doctor. These symptoms could suggest iron deficiency anemia and testing can determine the cause of your symptoms... Read More
A 28-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
GI upset: Iron can and often does cause gastrointestinal upset. It may be mitigated somewhat by taking the pill with food. You can also switch to another form o... Read More
A 39-year-old member asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
No : Gastroenterologists are digestive disease specialists who treat problems related to the esophagus, stomach, small intestine, colon, liver, biliary tra... Read More
A 18-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Pain and vomiting: If these symptoms persist they should be evaluated by a doctor and may require tests such as blood work, x-rays and endoscopy.
A 21-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Nothing to do: What were your symptoms and did they improve after treatment? There are a number of potential causes but nothing for you to do to prevent recurrence. ... Read More
A 23-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
No: Absolutely no association, so no worries.
A 34-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Get checked: If you have Hep C antibodies you Ned to be checked to see if you have circulating virus. This has implications for your health. Effective therapy is n... Read More
A 33-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Equal: If taken properly they are equally safe. Suprep is easier to take because the volume is less. Given the large volume required for Golytely (polyethyle... Read More
A 46-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Reduce carbs: the polyps are not relevant to the weight loss. Try to lose 10% of your weight which can improve the fatty liver. Exercise such as walking 10,000 step... Read More
A 32-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Alcohol and Panto: There is no interaction between alcohol and pantoprazole. You must question whether the alcohol is causing or is contributing to the symptoms you are ... Read More
A 40-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Linzess: You will be OK. You might have loose stools for a day or two. I would skip a day before resuming Linzess.
A female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Need exam: Two of the possible causes would be an anal fissure or possibly even hemorrhoids, but an exam would be required to know for sure. Fissure pain is ofte... Read More
A 24-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Yes: A two week treatment with Vancomycin can cure C. difficile infections, however recurrence is not unusual. The stool should be rechecked sometime after... Read More
A 57-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Liver function tests: Would need a lot more information such as what tests are elevated and the level of elevation. Some viral infections other than viral hepatitis can ele... Read More
A 33-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Not to worry: If this occurred only one time there is nothing to worry about. Persistent clay colored stools if associated with jaundice would be of great concern. ... Read More
A 24-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Diet?: I'm sure you are worried that this represents blood. Blood coming from the upper gastrointestinal tract is indeed black, but it would not look like bl... Read More
A 29-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Yes: Famotidine is a class B drug and can be used safely in pregnancy. This is true for other drugs in the same category such as ranitidine or cimetidine.
A 31-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Bx and cirrhosis: Repeated liver biopsies are not necessary. Liver may be affected in heterogeneous fashion. Fibroscan is a good noninvasive test if available in your ... Read More
A 23-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Nothing serious: A "spot" of this size is rarely significant especially at your age. I am wondering why the Ultrasound was ordered?
A 35-year-old female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Under weight: Would need more information. Is your appetite normal? Are you taking in enough calories? Do you have any symptoms such as nausea, abdominal pain or di... Read More
A female asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Sharp pain: There are several different causes. You can try taking TUMS, (calcium carbonate) PeptoBismol or another antacid to see if you get relief. If the pain ... Read More
A 23-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
No: First of all, don't worry about a small asymptomatic hiatal hernia. It is very common and does not require treatment. When you read about exercise and... Read More
A 23-year-old male asked:
Dr. Donald Lipkis
Gastroenterology 49 years experience
Headache and nausea: Your symptoms are likely only due to the alcohol. The concussion 6 weeks ago should not be an issue if you were feeling well up until the time you got... Read More

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

2
Recommendations
111
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Lipkis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Lipkis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Your answer was very helpful! Thanks :) had various worrisome symptoms for many months already
HealthTap member
Thank you, your answer was very helpful! Thanks I got my appendix out yesterday very sore
HealthTap member
Thank you, your quick reply made me feel good! I've chronic cholecystitis

Education & Training

Medical/Graduate school

Keck School of Medicine of University of Southern California, CA
Graduated 1973MD

Awards

Top Gastroenterologist, Third Place, National - Spring
2015
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