Doctor Q&A for Dr. Jason Hemming

A 35-year-old female asked:
Dr. Jason Hemming
17 years experience Gastroenterology
Evaluation: Can be several different things - some serious others not. Either way formal evaluation needed. In the differential - hemorrhoids, diverticulosis, can ... Read More
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A 38-year-old male asked:
Dr. Jason Hemming
17 years experience Gastroenterology
HPylori?: The majority of duodenal ulcers occur in the setting of hpyloriminfection, so that needs to be eradicated. In addition one should be on a ppi and avoi ... Read More
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A 51-year-old female asked:
Dr. Jason Hemming
17 years experience Gastroenterology
Unlikely: More often from excess bile reaching the colon or foods being consumed.
A 28-year-old male asked:
Dr. Jason Hemming
17 years experience Gastroenterology
No: If negative pcr viral load such as heptimax twice over a 6month period after sole exposure then no you don't.
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A 32-year-old female asked:
Dr. Jason Hemming
17 years experience Gastroenterology
Nothing: By definition it is a diagnosis of abnl blood work. That being said cholestatic changes can be seen with a liver biopsy.
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A 36-year-old male asked:
Dr. Jason Hemming
17 years experience Gastroenterology
? TTG: Do you mean the ttg an was elevated ? Positive ab without active disease on small bowel biopsies is not too uncommon. And there is no right answer. If ... Read More
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A 32-year-old female asked:
Dr. Jason Hemming
17 years experience Gastroenterology
Yes: Bloodwork will show cholestatic changes. Pruritis (itching) is common but not always present.
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A 45-year-old female asked:
Dr. Jason Hemming
17 years experience Gastroenterology
Yes, but : Taper off slowly so to avoid rebound reflux. Use every other day for a few weeks and then every 3 days for a few weeks an then stop. That being said, ... Read More
A 24-year-old female asked:
Dr. Jason Hemming
17 years experience Gastroenterology
No : Call your gastroenterologist.
A 17-year-old female asked:
Dr. Jason Hemming
17 years experience Gastroenterology
Not really: Ibd by definition is abd pain with altered bowel habits. That being said many patients with ibs have nausea and vomiting that can mimic gastroparesis.
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