Dr. Mankanwal Sachdev

Gastroenterology 24 years experience

No: A ct scan, MRI or eus (endoscopic ultrasound) are the best ways to diagnosis pancreatic cancer. A chest x-ray will not show this.

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Dr. Pamela Pappas and 4 doctors agree5 doctors agree

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A 17-year-old female asked:

How beneficial can botox be for somebody with gastroparesis?

Gastroenterology 24 years experience

Helpful: It can be helpful but it doesn't fix the problem. The effect usually lasts three months or so but each time you do it, it lasts a little less.

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5.2k viewsReviewed >2 years ago

Dr. Louis Gallia agrees1 doctor agrees

A 36-year-old male asked:

Please provide some do's and don'ts regarding preventing colorectal cancer.

Gastroenterology 24 years experience

Make: Make sure to get a colonoscopy at age 50 (unless you have a family history).

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4.9k viewsReviewed >2 years ago

Dr. Charlene Sojico and 2 doctors agree3 doctors agree

A 31-year-old member asked:

Can you get benign tumours in the bile duct?

Gastroenterology 24 years experience

Yes: But these are rare, usually the tumor presents as a cause of a blocked bile duct. The fear is always malignancy, and then we find benign after surgery... Read More

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Dr. Sewa Legha and another doctor agree2 doctors agree

A 34-year-old female asked:

Dx'd w/ ovarian solid tumor 4cm history of colonic inertia now constipation is worse and severe rectal pain tumor on rt and painful across the low abdomen?

Gastroenterology 24 years experience

Hint : Hi the tumor may be pushing on the colon. Would try MiraLAX (polyethylene glycol) and see your gastroenterologist.

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5.2k viewsAnswered >2 years ago

A 33-year-old female asked:

Pain in abnormal area, lower back, bloating, hair loss, tired, no energy for about 3 years now but it has become worse in last 12 months?

Gastroenterology 24 years experience

Blood test: You may benefit from a blood test or endoscopy for celiac disease.

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5.2k viewsAnswered >2 years ago

A 27-year-old female asked:

I have a dull pain on the right upper side of my abdomen just under the right rib.i think it appears after eating a little more than normal.any ideas?

Gastroenterology 24 years experience

Many things: It could be your gall bladder especially if are eating fatty foods, also an ulcer is a possibility. Would recommend seeing a gastroentrologist.

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4.9k viewsAnswered >2 years ago

A 35-year-old member asked:

What to do if i need to cleanse my colon, what to buy?

Gastroenterology 24 years experience

Don't need to: There is a whole market of products available to cleanse colons. I would focus on using fiber, and taking probiotics. I think too many colon cleanses ... Read More

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4.9k viewsAnswered >2 years ago

A 22-year-old female asked:

I'm 22 y/o my dad died from pancreatic cancer @ 65 (i was 19) my mom died from colon cancer @ 55(i was 20). should i be worried abt me?

Gastroenterology 24 years experience

A few things: I am very sorry to hear about your loss and your fathers health. In terms of risks, you should be aware that you need to have your colonoscopy 10 year... Read More

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Dr. Mark Hoepfner and another doctor agree2 doctors agree

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A 64-year-old male asked:

After a positive colonscopy, how long can i wsit before a new one?

Gastroenterology 24 years experience

Depends : Depends on the number type and size if the polyps. Usually anywhere from 3 to 5 yrs and occasionally sooner.

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Dr. Anthony Filly agrees1 doctor agrees

A 52-year-old male asked:

What are the symptoms that indicate you need your gall bladder removed.

Gastroenterology 24 years experience

Pain: Pain under your right rib cage that might go to your right shoulder or back. The pain is usually sharp or squeezing and might be associated with fever... Read More

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5.2k viewsAnswered >2 years ago

A 29-year-old male asked:

Y does ititable bowel syndrome happen? causes for it. how to cure

Gastroenterology 24 years experience

Theories: There are a lot of theories but the current thinking is that it is related to serotonin from the gut and/or a disruption in the bacterial flora. I wou... Read More

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5.2k viewsReviewed >2 years ago

A 23-year-old female asked:

I've have an acute dull pain in my lower right abdomen accompanied by nausea, loss of appetite, not passing stool for 12 hours , so what's up with me?

Gastroenterology 24 years experience

Constipation: You may be constipated, but i would get an xray called a kub or a ct. I would see a gastroenterologist.

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4.8k viewsAnswered >2 years ago

A female asked:

I have been vomiting this morn and it strongly smells like feces it was a dark orange colour i dont know whether to get see a doctor?

Gastroenterology 24 years experience

Yes: When vomit smells like feces, then you should go to the ER to confirm that you don't have some type of intestinal obstruction. I would definitely go t... Read More

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451 viewsAnswered >2 years ago

A 29-year-old female asked:

What will i do with external hemmoroid to be gone?

Gastroenterology 24 years experience

Topical treatment: Use fiber and stool softeners. Soak in a warm bath, clean the area with alcohol pads and use hemorrhoidal ointments.

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Dr. Pamela Pappas and 2 doctors agree3 doctors agree

A male asked:

Best pain medicine for pancreatic cancer?

Gastroenterology 24 years experience

Pain control: Narcotics but your gastroenterologist may be able to do a celiac nerve block. This can be very helpful.

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5.2k viewsReviewed >2 years ago

Dr. Mark Hoepfner and another doctor agree2 doctors agree

A 34-year-old female asked:

How to treat acute stomach ulcers?

Gastroenterology 24 years experience

Medicine: Treatmentis usually with a proton pump inhibitor (eg nexium, (esomeprazole) prilosec, etc..) you may need an endoscopy as well.

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5.2k viewsAnswered >2 years ago

A 22-year-old female asked:

Severe upper right abdominal pain came on half hour after eating dinner.nausea.chills.vomited green bile 3xs now.no previous hystery of this.

Gastroenterology 24 years experience

Hospital: You may be having a gall bladder attach (cholecystitis), a stone or an ulcer. I woul go to the hospital for an ultrasound.

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5.1k viewsReviewed >2 years ago

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A 42-year-old member asked:

Is it okay to smoke before a colonoscopy?

Gastroenterology 24 years experience

Also: In addition to the obvious concerns, smokers usually cough a lot during anesthesia for colonoscopy, and this makes it more difficult to do a good exam... Read More

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4.9k viewsReviewed >2 years ago

Dr. Dean Giannone and another doctor agree2 doctors agree

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A 25-year-old female asked:

Chest on and off burrning sensation.chronic constipation .gastric pain .what to do?

Gastroenterology 24 years experience

Gastroenterologist: For the burning you could try an over the counter medicine like ranitidine or omeprazole, for the constipation you may try miralax, (polyethylene glyc... Read More

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4.7k viewsAnswered >2 years ago

A 17-year-old male asked:

What does a spot on the pancreas mean?

Gastroenterology 24 years experience

Any number of things: A spot can be a "cyst"-or fluid collection. A tumor such as a lipoma, cancer or neuron doctrine tumor, a focus of inflammation or nothing. You should ... Read More

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A 36-year-old male asked:

Please suggest some important questions i can ask my doctor about acute or chronic hepatitis.

Gastroenterology 24 years experience

If: If it is acute, what are the odds of it turning chronic?

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4.9k viewsAnswered >2 years ago

A 21-year-old female asked:

Hi i have a friend who did some heavy lifting and afterwards he has been bleeding from his rectum what should he do?

Gastroenterology 24 years experience

Hemorrhoid : He probably has a hemorrhoid. He should see his pcp, gastroenterlogist or surgeon. In the meantime sitz baths and topical treatments. If the bleeding ... Read More

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A 16-year-old female asked:

I'm 16 years old yesterday i had terrible vomiting nonstop yesterday. i got gastroenteritis infection. i would like to know what foods i should eat.

Gastroenterology 24 years experience

BRAT: The brat diet is good for now ( bananas, rice, apple sauce and toast, ) if you continue to vomit then i would see a physician in urgent care or an er... Read More

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Dr. Olivia Liao agrees1 doctor agrees

A 36-year-old male asked:

Please share an interesting fact about inflammatory bowel disease.

Gastroenterology 24 years experience

Probiotics: Probiotics are felt to be helpful in ibd, as is eating a healthy diet.

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4.9k viewsReviewed >2 years ago

Dr. Alan Ali agrees1 doctor agrees

A 58-year-old female asked:

My husband is 79 1/2 years old and have mass polyp on his descending colon. the doctor want to remove part of his colon , is emr another option ?

Gastroenterology 24 years experience

Emr : It is a good way to remove large polyps but it depends on the size location and doctor.

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A 29-year-old female asked:

I have diarrhea, at least twice a week or more. i have insomnia and i'm always tired. what is going on with me?

Gastroenterology 24 years experience

Thyroid: The most common cause of diarrhea and sleep disturbances in a young person would be a thyroid issue or anxiety, but typically it is daily diarrhea. I ... Read More

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4.9k viewsReviewed >2 years ago

Dr. Ihab Ibrahim and 2 doctors agree3 doctors agree

A 19-year-old female asked:

What is the difference between oral thrush and a canker sore? recently got tongue pierced, now have ulcerous sore on soft palate. unsure what it is.

Gastroenterology 24 years experience

different: Thrush is a plaque (on the lining) an ulcer is a divot. It could be your piercing or stud rubbing on the palate creating an erosion/ulcer.

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A 40-year-old male asked:

Is colonscopy good for a 70 year aged women?

Gastroenterology 24 years experience

Can be : There is a push to stop colonoscopy after age 70 or 75. I tell folks that of you are healthy person and could live at least another 10+ years you shou... Read More

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A member asked:

Do i need to fast for preop blood work for a colonscopy?

Gastroenterology 24 years experience

Depends: Most likely not. Just depends on what they are checking. If its lipids or iron studies then yes otherwise lost likely kit.

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A 39-year-old female asked:

How much time for esophageal cancer to narrow tube to 6mm with breathing issues? my father gone 2 months after diagnosis. how long did he have tumor?

Gastroenterology 24 years experience

Not sure: In sorry for your loss. Esophageal cancer can be very aggressive. I have seen patients die as quickly as two weeks after diagnosis. It's a tough one a... Read More

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Dr. Chad Levitt agrees1 doctor agrees

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A 20-year-old male asked:

About a week ago i had bad acid reflux. biting my throat.. started taking prevacid (lansoprazole) and now i have stomach pain and diarrhea. what is the cause?

Gastroenterology 24 years experience

Diarrhea: Prevacid (lansoprazole) can cause diarrhea in a few patients, it would be a good idea to try and switch to another acid blocker, try Prilosec or taga... Read More

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4.9k viewsAnswered >2 years ago

A 37-year-old member asked:

I am about to get a colonoscopy in 2.5 hours what can i expect?

Gastroenterology 24 years experience

Relax: You should be sedated, so enjoy a great nap. Ypu may feel gassy after the procedure. Enjoy your post procedure meal!

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Dr. Randy Sussmane Stubbs agrees1 doctor agrees

A 23-year-old female asked:

What are the causes of increase fats on liver?

Gastroenterology 24 years experience

Fatty liver: Casues include: 1. Excess alcohol, 2. Metabolic syndrome (obesity/overweight; diabetes, hypertension)), 3. Certain medications and 4 (very rarely) exp... Read More

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Dr. Martin Raff agrees1 doctor agrees

A 36-year-old member asked:

Do eyes look yellow with liver mets?

Gastroenterology 24 years experience

Yes but: Liver mets can cause obstruction which woul lead to jaundice, but soemtimes jaundice can be from break down of red blood cells, or medications.

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4.9k viewsAnswered >2 years ago

A 34-year-old female asked:

2.1 cm lobulated t2 hyperintensity w/in posterior segment of rt hepatic lobe, hepatic ultrasound advised. is this a mass, lesion, malignant possibly?

Gastroenterology 24 years experience

Difficult to say: I would recommend the ultrasound, blood work (afp, CEA and ca 19-9) followed up by a possible biopsy vs a hemangioma workup..

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4.9k viewsAnswered >2 years ago

A 27-year-old female asked:

I had my gall bladder removed and then had diverticulitis. i have had diarrhea since the removal was told to change diet. what should i be eating?

Gastroenterology 24 years experience

Diet: Eat a low fat diet and start probiotics. Diarrhea is common after gall bladder removal but the diverticulitis has disturbed your bacterial flora. You... Read More

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Dr. Mark Hoepfner and another doctor agree2 doctors agree

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A 20-year-old female asked:

Can a canker sore be under tongue, off to the side, around red area & be a slightly raised short oval shaped sensitive but not really painful spot ?

Gastroenterology 24 years experience

Ulcer: It sounds like an aphthous ulcer, would recommend seeing an ENT or dermatologist. Sometimes these can be due to viruses.

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4.8k viewsReviewed >2 years ago

Dr. Jeffrey Bassman and another doctor agree2 doctors agree

A 18-year-old male asked:

I have something occurring to me when i'm sitting in class -- i fart without knowledge of it, and feel like my stomach is always gassy. any help?

Gastroenterology 24 years experience

Diet: The most common cause is probably diet. If you eat alot of beans or drink soda it can make you gassy. You could also be lactose intolerance. Try to ta... Read More

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Dr. Randy Sussmane Stubbs agrees1 doctor agrees

A 21-year-old female asked:

I have been having these severe stomach pains that can last several hours. its in my upper center abdomen sometimes i feel naesous afterwards?

Gastroenterology 24 years experience

Ulcer: It could be an ulcer or pancreatitis. Alternatively it could be your gall bladder. See your doctor tomorrow. You could try over the counter antacids u... Read More

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5.2k viewsAnswered >2 years ago

A 30-year-old female asked:

My colonscopy shows that i have sessile polyp ( neck less ) in my rectum and rectal ulcer am on pentasa (mesalamine) what to do else ?

Gastroenterology 24 years experience

Aspirin: There are some studies suggesting that low dose Aspirin may prevent polyps. Also if your colonoscopy was at thirty then any siblings and your children... Read More

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A 35-year-old female asked:

Will the eus cancer staging results likely be different if the procedure is performed by different endoscopists? resource to find a good endoscopist?

Gastroenterology 24 years experience

Training: Check www.Asge.Org for full details. You want to make sure that your gastroenterologist was properly trained in eus. There is a list of current traini... Read More

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5.2k viewsAnswered >2 years ago

A male asked:

Is viral hepatitis spred by kissing?

Gastroenterology 24 years experience

No: Unless you both happen to be bleeding at the same time, or it is a non traditional virus like epstein barr (mono).

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Dr. Albert Pizzo agrees1 doctor agrees

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A 17-year-old male asked:

Could small amounts of bilirubin in the urine indicate pancreatic cancer?

Gastroenterology 24 years experience

Not really: A little bilirubin in the urine is not typically a sign of cancer of any type. However it can be a sign that someone is having more bilirubin in the b... Read More

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5.2k viewsReviewed >2 years ago

Dr. Pamela Pappas and 2 doctors agree3 doctors agree

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A 35-year-old female asked:

How many non alcoholic drinks does one have to consume to get non alcoholic fatty liver disease?

Gastroenterology 24 years experience

None: NAFLD (non alcoholic fatty liver disease) is due t fat being deposited in the liver.. Not from any beverage. Generally it is due to having high choles... Read More

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451 viewsReviewed >2 years ago

Dr. Bernard Seif and 3 doctors agree4 doctors agree