Dr. Nicholas Karyotakis
Gastroenterology
Los Angeles, CA
32 years experience male
Locations
Office
Los Angeles, CA
Phone
Practice website
About
SpecialtiesDoctors 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.
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
Languages spoken
English, Greek
Doctor Q&A
34 Answers
12 Agrees
The number of answers this doctor has agreed with.
A 45-year-old female asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Both have pros&cons: Bad gerd with laryngitis that is poorly managed with meds makes you a candidate for either procedure.
Esophyx is endoscopic without scars but is newe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 37-year-old male asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
New drugs approved: Fda recently approved 2 new drugs that should be available by prescription only, in late 2012/early 2013. Qnexa consists of the two prescription drugs... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 29-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Chronic inflammation: Crohn’s disease is a chronic inflammatory condition of the gastrointestinal tract and it belongs to a group known as inflammatory bowel diseases. It m... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 47-year-old male asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Depends how small: Anything smaller than a cm or 1/2 inch should pass without incident. If it is bigger than that or develop any symptoms please visit an emergency room.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
By itself? Not very: Your question is not very specifications you should resubmit. I assume you are inquiring about abdominal discomfort. It is a reasonable over the count... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Stomach pain : Discomfort in the upper stomach after eating, burning sensation, bloating, sometimes with nausea.
In some cases "hunger pains" early in the morning ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Stomach pain : Discomfort in the upper stomach after eating, burning sensation, bloating, sometimes with nausea.
In some cases "hunger pains" early in the morning ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 21-year-old male asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
May Try OTC antacids: Pill esophagitis is localized inflammation or even erosion and ulceration of the lining of the esophagus by pills that get lodged and dissolve there. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 49-year-old female asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
It is possible: Did you confirm the eradication after the antibiotics? (usually via breath test)
if the antibiotics did not completely eradicate the h. Pylori the ga... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
It could: Bright red blood per rectum requires medical evaluation. Most of the time it ends up being just hemorrhoids but the seriousness of the possibility tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Activated charcoal: And acid suppressive medications can be helpful, however persistent episodes of painful gas maybe a symptom of a more serious problem, such as a pepti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Few possibilities: Ranging from fat malabsorption. Small intestinal bacterial overgrowth. Clostridium difficile or other infectious colitis. Liver disease. Depending on ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
First see a doctor: Crohn's disease can be diagnosed with a combination of lab testing including xrays (enterography, ct scan) endoscopic biopsies and new serological mar... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Avoid gassy foods: Most intestinal gas is produced by bacteria that break down our food. Foods that contain undigestible fiber or carbs (including many fruits & vegetabl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Potential ulcer: If you have already been on Prilosec and still have nausea and need to eat you should consider the possibility of the presence of an ulcer or h. Pylor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Qnexa and Belviq (lorcaserin): Fda recently approved 2 new drugs that should be available by prescription only, in late 2012/early 2013. Qnexa consists of the two prescription drugs... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 20-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Gastritis? iBS? : Multiple possibilities. Gastritis without ulcers, common bile duct stones, pancreatitis, ibs depending on your associated symptoms, timing after eatin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 37-year-old male asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Possible. Stop it: In any event of new onset of symptoms after taking a new medication. You need to stop and contact your doctor as there may be a hypersensitivity react... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Autoimmunity: As part of a related autoimmune condition and/ or arthritis it may.
Especially if the joints of your wrist or fingers are swollen and tender you shou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Hashimoto's thyroid: Autoimmune thyroiditis (hashimoto's) has been linked to higher incidence of celiac disease and vice-versa based on a common genetic trait (the presenc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Sand Not the cause: Even if u do have sand like particles in your bile duct your symptoms are more suspicious for other problem such as lactose intolerance or fat malabso... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Decreased calcium: Newer studies shed light on the risk of osteopenia or osteoporosis because of decreased absorption of calcium with long term use of proton pump inhibi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 35-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Fish,olive, veggies: Olive oil, veggies, fish are the staples of the mediterranean diet and they are all packed with healthy nutrients and antioxidants. Of course the way ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Diagnostic tests: Will need to check few lab tests to make sure you are not losing blood from the ulcer, check for the possibility of the h.Pylori bacterium (a frequent... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 45-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Not really: Moderate wine, alcohol consumption does not help an ulcer condition but it does not cause it either... Alcohol in heavy chronic use may cause multiple... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 38-year-old female asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Depends on the cause: Many different causes of fatty liver and different stages of the condition. Assuming that you have nafld:non-alcoholic fatty liver disease, regulating... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 29-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Green veggies or ...: In case if diarrhea gastroenteritis. Clostridium difficile is one of culprits associated with recent antibiotic use. The classic sign of an upper gast... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 45-year-old female asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Yes you should.: Patients with severe gerd with extra-esophageal manifestations not responding to intensive medical therapy and lifestyle changes should be considered ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 20-year-old female asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Depends: Gluten free diet is certainly indicated in patients with celiac disease aka gluten-sensitive enteropathy. It may also help in other conditions such as... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Not exactly: Ibs is a diagnosis of exclusion. That means that you should have your symptoms evaluated and rule out other potentialy more serious conditions. Even i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Stomach inspection: Esophagogastroduodenoscopy (egd) is a test to examine the lining of the esophagus (the tube that connects your throat to your stomach), stomach, and f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 23-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Few options: Laryngopharengeal reflux can be difficult to manage and requires long term acid suppression. Continue the ppis but consider adding h2-blockers ( such ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Acid reducing meds: Also known as proton pump inhibitors like Omeprazole etc. Are recommended for the treatment of ulcers. Otc antacids may help with short term symptom r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsAnswered >2 years ago
A 36-year-old member asked:
Dr. Nicholas Karyotakisanswered
Gastroenterology 32 years experience
Acid reducing meds: Also known as proton pump inhibitors like Omeprazole etc. Are recommended for the treatment of ulcers. Otc antacids may help with short term symptom r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
173
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Karyotakis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Karyotakis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! After too many PPIs, and testing neg for H Pylori, the (modified) Mediterranean diet was the only thing that helped my reflux. Thank you for sharing!
HealthTap member
I've been ignoring my symptoms, but they're not getting any better :( ill make an appointment. Thanks for the advice.
HealthTap member
Thank you, your answer was very helpful! NF was best thing I've ever done in my life! No more Gerd OR asthma!
Education & Training
Medical/Graduate school
University of Crete Division of Medicine, Greece
Graduated 1991MD
Awards
UCLA STAR Award
Affiliations
GastroIntestinal BioSciences
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