Dr. Stephen Lloyd

Internal Medicine
Columbia, SC
48 years experience male

Locations

Medical Endoscopy Professionals

Columbia, SC

Address

1735 Taylor Street, Columbia, SC
Directions

About

Bio

Dr. Lloyd currently serves as the Medical Director of the South Carolina Medical Endoscopy Center, a licensed ASC hosting 24 primary care physicians who are mentored and monitored in an effort to improve access to and compliance with screening colonoscopy. Dr. Lloyd was educated at the Johns Hopkins University (B.S., 1970) and Duke University (M.D. 1974, and Ph.D. in Computer Science, 1974). He is on the faculty in Family Medicine at the University of South Carolina. Dr. Lloyd is a board certified internist who has practiced in the Midlands of South Carolina for 30 years. He has taught over 50 PCPs the life saving skills of colonoscopy. He devotes his full professional efforts to colon cancer screening. He has published dozens of articles on reducing the impact of colorectal cancer.

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.

Internal Medicine

Languages spoken

English

Doctor Q&A

60 Answers
10 Agrees
The number of answers this doctor has agreed with.
A 35-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Fissures: Lad you had the colonoscopy. Now that you know cancer is not an issue, the remaining causes are typically "self-limited." most common cause is small... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Avoid red/orange: The red jello leave a liquid that can be confused with fresh blood. Better to avoid. Other colors are fine.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Stephen Lloyd
48 years experience
No: Passing gas is not a sign of cancer. The most common signs of cancer are bleeding, weight loss, change in bowel habits, and pain.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Any: Any broth that does not have solids (especially vegetables) is ok.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Stephen Lloyd
48 years experience
No: Active herpes lesions are contagious to others, but do not cause spread in the host patient. Be sure to inform the staff at the colonoscopy center, s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Stephen Lloyd
48 years experience
No: Causes of wall thickening are usually inflammation. Still, you should continue to be checked until the thickening disappears.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stephen Lloyd
48 years experience
CPT 45380: Plain colonoscopy is 45378, with a biopsy 45380. Hot biopsy polypectomy is 45384 and snare polypectomy is 45385.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Occasionally: Depending if you had hemorrhoids or biopsies, you may experience a little bleeding for a day or two. If polyps are removed, the bleeding can be heavi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old female asked:
Dr. Stephen Lloyd
48 years experience
Keep checking!!: Probably from skipping diuretic and shifts in fluids. Keep a watch, if high readings persist, get checked out. This is not too uncommon, however.
Created for people with ongoing healthcare needs but benefits everyone.
A 64-year-old female asked:
Dr. Stephen Lloyd
48 years experience
Slightly higher: From the time a polyp forms until becoming cancer usually takes 10 years. As long as you keep having colonoscopy by a thorough physician (ADR above 2... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Any: Any change in stool should be evaluated.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Stephen Lloyd
48 years experience
Mag Citrate: Several options: chill and drink slowly. Have hot coffee/tea before to get intestines simulated in the correct direction. Use MiraLAX (polyethylene... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Yes: Often after the colonoscopy, there is a little bit of mucous. As long as you are not having pain, it should resolve.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Stephen Lloyd
48 years experience
Patient has choice: We occasionally perform colonoscopy without sedation. The driver is necessary for safe transport home if sedation is administered. If afraid of disc... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Stephen Lloyd
48 years experience
Screening guidelines: Much study has gone into the recommendations. For routine screening of an average risk american, begin at 50 and repeat every 10 years. If you have ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Not an early symptom: The early symptoms of colon cancer are bleeding, change in bowel habits, abdominal pain, weight loss and fatigue.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Stephen Lloyd
48 years experience
Not very reliable: The occult blood tests will only show recent bleeding (few days). If you are having intermittent bleeding, the tests may be normal. As stated, the i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Yes!!: Senna, an ingredient in many laxatives is a vegetable product. There are several non-absorbed sugars that give a clean prep without any "chemical" w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Any laxative can!: The goal of the prep is to eliminate stool. Diet plays an important role- avoiding fruits and vegetables for a couple of days helps. Then the laxati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Yes: The colon is the last 5 feet of the 20 foot long digestive tract. Fortunately, cancer is much more rare in the other portions of the GI tract. Colon... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Soon: The main cause of feeling poorly after the test is the sedation/anesthesia medication effects. Drink lots of fluids and eat!
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Only the opening: The appendix is an appendage that hangs from the cecum where the colon begins. It is too narrow to examine with the colonoscope, but the opening is t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Stephen Lloyd
48 years experience
Screening: At your age, a colonoscopy is 50 times more life saving than a mammogram. Colonoscopy can actually prevent more than 80% of cases of colon cancer by ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Ask your ortho: There is a lot of controversy. Some say yes, some, no. First 6-12 months are higher risk. Some just give oral antibiotics the morning of the test. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Yes and no.: Avoid red and purple, but orange doesn't usually cause much problem. Be sure to consume a lot of liquids, too. Check with your doctor's office, they... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Any: Since ensure is totally liquified, it should pose no problems for colonoscopy.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Not the best test: An umbilical hernia usually only contains a small loop of small intestine. Unless it is massive, there will be no problem completing your colonoscopy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Tough question: The evolution from polyp to cancer usually takes more than ten years. From state i to stage four probably takes several years, also, but can vary dep... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stephen Lloyd
48 years experience
All: As long as there is no bulky fiber (fruit/vegetable products), protein should be 100% digested in the small intestine. As you get closer to colonosco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Stephen Lloyd
48 years experience
Unlikely: Usually this is self-limited and actually often from stress of bowel prep. If they saw anything worrisome, biopsy would give answers.
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Almost none!: Many people weigh 3 to 5 pounds lighter the day of their colonoscopy, but almost all the change is in loss of fluids, not body mass. As soon as you r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old male asked:
Dr. Stephen Lloyd
48 years experience
5 or ten years: If you have never had a dangerous (pre-cancerous polyp known as an adenoma) and you have no family history of polyps or colorectal cancer, then the re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old female asked:
Dr. Stephen Lloyd
48 years experience
Many things: It is reassuring that the scopes were normal. The surgery can cause scar tissue called adhesions. Ibs can also cause accumulation of gas. The surge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Unlikely colon: From the time a polyp begins and it turns into cancer usually takes more than 10 years. A careful colonoscopy should prevent colon cancer for at leas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 71-year-old female asked:
Dr. Stephen Lloyd
48 years experience
Important: continue: Norco (hydrocodone and acetaminophen) has a profound effect on the digestive tract. It is very important that you continue it. Be sure to explain to y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Stephen Lloyd
48 years experience
Hemorrhoid grades: The grade depends on the size, location and degree of inflammation. Grades range from one to four
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Yes: They dissolve completely and are no problem. Suggest you avoid the red and purple.
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old male asked:
Dr. Stephen Lloyd
48 years experience
Defecography, manome: There are specialized tests for these problems, usually supervised by a colorectal surgeon. A special x-ray takes images while you have a bowel movem... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Caution!: The prep often results in dehydration. Be sure you are re-hydrated before embarking on vigorous exercise. Also any sedation other than Propofol can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Quickly: If you resume a high fiber diet, the stool should return to normal in 2 days.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Yes and no: Candida is rare in the colon. If there, the test could find it. It is usually a vaginal problem, and occasionally an esophogeal issue.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Colonoscopy vs.EGD: Technically, a colonoscopy is a form of "endoscopy" but typically, endoscopy is used to refer to upper endoscopy or egd. Egd is to look at the esopha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Depends!: Very few physicians perform sigmoidoscopy anymore (only checks half the colon and no sedation!). Colonoscopy is usually done with sedation or anesthe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Not uncommon : The prep can disrupt the normal flow of food and waste though the gastrointestinal tract. Try to resume as normal a diet as you can to replace the em... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Probably not: It is not uncommon to have some fresh bleeding after colonoscopy, especially if biopsies were obtained. Since the colonoscopy eliminates cancer as a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Not that we know of: Research shows colon cancer can develop in any section of the colon, and the length is not a risk factor. Constipation, common in patients with longe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Stephen Lloyd
48 years experience
A long time: Colon cancer is unusual in that it follows the "polyp-to-cancer" sequence. Colon cancer does NOT develop with a single genetic mistake from normal t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Stephen Lloyd
48 years experience
An expert!: The most important measurement that reflects the quality in colonoscopy is a doctor's adr (adenoma detection rate). Unfortunately, there is tremendou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Yes: Jello is great. Avoid red or grape.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Stephen Lloyd
48 years experience
Avoid: The medications for sedation can be harmful to the fetus. Unless the colonoscopy is urgent, i would recommend waiting until you know you are not preg... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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

2
Recommendations
64
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Lloyd is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Lloyd is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! I was 'too much of a lady' to have a colonoscopy, so I got colon cancer instead at age 58.
HealthTap member
Thank you for your answer I was diagnosed with collagenous colitis and now on ucegis feeling better.:)
HealthTap member
This was very helpful. Thank you very much Dr. Lloyd and the other Drs

Education & Training

Medical/Graduate school

Duke
MD

Awards

Top Doctor, Second Place, Columbia Region, SC - Summer
2013
Thought Leader, Third Place, Columbia Region, SC - Summer
2013
Top General Internist, Second Place, South Carolina - Summer
2013
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