Dr. Mark Gromisch

Gastroenterology
New York, NY
40 years experience male

Locations

Office

About

Bio

I have 25 years of working with patients in Gastroenterology

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

Languages spoken

English

Doctor Q&A

147 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 17-year-old male asked:
Dr. Mark Gromisch
40 years experience
IBS: I would doubt E Colin as a cause. Generally speaking this is either an acute infection or associated with a change in location where there are differe... Read More
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A 22-year-old male asked:
Dr. Mark Gromisch
40 years experience
Hunger pain: you may have gastritis. The fact that eating helps may be because the food is buffering the stomach acid. Try an antiacid or an OTC medication such ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Mark Gromisch
40 years experience
Gas: Could be your healthy lifestyle. A lot of fiber in your diet may be giving you a lot more gas. Try something like beano if you eat a lot of vegetabl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Mark Gromisch
40 years experience
Promethazine: 25mg every 6 hours would be my maximum dosage. This may make you drowsy however. Be careful taking other medications at the same time.
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Mark Gromisch
40 years experience
Laxatives: Epsom salts are an "old school" laxative. It works well but it can cause a lot of cramping and discomfort.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Mark Gromisch
40 years experience
Iron suppliment: Ferroglobin is an iron supplement. You can get dark green to black stools with this. Constipation can also be a side effect, keep well hydrated and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Mark Gromisch
40 years experience
EDG findings: Adrenal tumors are often benign, ct/ultrasound is often beneficial in the determination. Your egd findings suggest gastritis (erythema) , and nodul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Mark Gromisch
40 years experience
Pancreatitis: If you have nausea or vomiting, you may need IV hydration. Avoid any alcohol and maintain a low animal protein diet as this stimulated the pancreas. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Mark Gromisch
40 years experience
? colitis: Pink mucus in the stool suggests mucus mixed with blood. This is often associate with different inflammatory causes i.e. ulcerative colitis, infectio... Read More
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A 29-year-old female asked:
Dr. Mark Gromisch
40 years experience
Rectal bleeding: Most likely internal hemorrhoids in your age group. No findings or pain externally. If you are constipated try stool softeners and increase fluid in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Mark Gromisch
40 years experience
Constipation: I would recommend a diet high in fiber from vegetables. Make sure that you drink 6-8 glasses of water daily. You may need a stool softener at times ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Mark Gromisch
40 years experience
GERD: Severe reflux can result in the development of barrett's esophagus; which has an increased incidence of developing esophageal cancer. Upper endoscopy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old male asked:
Dr. Mark Gromisch
40 years experience
Bowel clensing: I often use MiraLAX (polyethylene glycol) 238 grams in 64 oz gatorade as a colonoscopy prep. This is used only for 1 day. I would not use this for 7... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Mark Gromisch
40 years experience
H Pylori: Yes, but it is usually just past the midline. This is usually due to inflammation in the duodenum.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Mark Gromisch
40 years experience
RUQ pain: Could be sphincter of oddi dysfunction. This is the sphincter that controls the drainage of bile into the intestine. Yo may want to get a consult fr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 72-year-old female asked:
Dr. Mark Gromisch
40 years experience
H Pylori therapy: Bismuth subsalicylate 525mg 4x daily Metronidazole 250mg 4x daily Tetracycline 500mg 4x daily Omeprazole 40md 2x daily I would also take vitamin C dur... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Mark Gromisch
40 years experience
Hemorrhoids: Drink plenty of water and keep your stool soft with fiber in your diet and if necessary stool softeners. Try not to strain with a bowel movement. It... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Mark Gromisch
40 years experience
Cerumen impaction: I would not use full strength hydrogen peroxide as this can irritate the external auditory canal. Try a 50/50 ratio of warm water and peroxide and fi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Mark Gromisch
40 years experience
Omeprazole: Basically, they are the same drug, that is, a proton pump inhibitor or PPI. 20.6mg of Omeprazole magnesium is the equivalent of 20md of omeprazole.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Mark Gromisch
40 years experience
Liver pain: Interesting question. Actually, your liver has no sensory nerves. However, it is covered with a fibrous tissue called Glisson's capsule. If the liv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old female asked:
Dr. Mark Gromisch
40 years experience
Constipation: Sounds like you need to have your thyroid function checked. Hypothyroidism can lead to fatigue and chronic constipation.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Mark Gromisch
40 years experience
Drug reaction: May be a drug reaction or a response to bacterial changes in your gut from the antibiotic. You should call your physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Mark Gromisch
40 years experience
Diarrhea: I take it that you are having more than 3 bowel movements daily. This is a pretty large differential that includes irritable bowel syndrome, inflamma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Mark Gromisch
40 years experience
Chronic PPI use: There are concerns that taking a proton pump inhibitor such as prevacid (lansoprazole) for very long periods of time may increase the risk of bone fra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Mark Gromisch
40 years experience
Gut flora: Antibiotics can change the the bacteria of the intestine and this can cause bloating or even diarrhea. I always recommend that patients on antibiotic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Mark Gromisch
40 years experience
Constipation: Basic cleanout: 8 glasses of water daily, metamucil or similar daily, colace 3 capsules daily add 1-2 tablespoons of mineral oil daily. Add MiraLAX ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Mark Gromisch
40 years experience
Esophageal burn: Depends on the cause of the burn. Acid from reflux usually heals with medication but sometimes the cells change from chronic damage to form barrett's... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Mark Gromisch
40 years experience
Lax LES: Try to avoid foods that can decrease LES pressure such as chocolate, coffee, tea, peppermint, fatty foods. Alcohol and tobacco can also lower LES pre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old male asked:
Dr. Mark Gromisch
40 years experience
Stool color: Stool color is essentially a mixture of ingested food material and bile. Bile can give stool a color variation from green to brown and sometimes oran... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Mark Gromisch
40 years experience
Chronic pancreatitis: Interesting question. Chronic pancreatitis per se does not cause gastric ulcers, but the level of physiologic stress caused by the disease can certai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Mark Gromisch
40 years experience
? gastroparesis: It sounds like a form of gastroparesis. The antibiotic I am assuming was Erythromycin used as a promotility drug. Gastroparesis can be idiopathic (u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Mark Gromisch
40 years experience
Enemas: A saline enema is just plain salt water. It is effective but does not contain a cathartic such as phospho soda. Basically, you are just flushing you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old member asked:
Dr. Mark Gromisch
40 years experience
Gastroenteritis: Could be just being in the wrong place too often and not practicing proper hand washing technique. Other causes could be an IgA deficiency that leave... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Mark Gromisch
40 years experience
Nausea: 2 areas to look at are the stomach and gallbladder. Fatty foods stimulate the gallbladder which can cause pain of nausea. Gastritis can cause nausea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Mark Gromisch
40 years experience
Constipation: Sounds like colonic spasms secondary to constipation. I would recommend a stool softener and increase your daily intake of water.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Mark Gromisch
40 years experience
Abdominal pain: Right upper quadrant pain radiating to the shoulder suggests gallbladder inflammation or pancreatitis. You need a sonogram ASAP!
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Mark Gromisch
40 years experience
Abdominal pain: A lot of problems and only 400 characters for an answer. You need evaluation for H Pylori infection, medication to control gastric acid, a HIDA scan t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Mark Gromisch
40 years experience
Esophageal spasms: Gastroesophageal reflux causes spasm of the esophagus because of the inflammation of the esophagus. The pain is usually worsened when swallowing a bo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Mark Gromisch
40 years experience
Vertigo: Most likely you develop a blockage of the Eustachian tube and an inner ear imbalance. Usually a antihistamine helps. If not, a prescription medicati... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Mark Gromisch
40 years experience
EGD: Upper endoscopy is still the easiest way to directly evaluate the esophagus stomach and duodenum. A GI series only shows the outline of the organs on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Mark Gromisch
40 years experience
Rectal pain: Could be hemorrhoids or an anal fissure. Use a stool softener like colace (docusate sodium) and drink liquids. If you feel a painful lump this could... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 79-year-old male asked:
Dr. Mark Gromisch
40 years experience
Incontinence: Start with trying to increase fiber in your diet to bulk up the stool. This can be helpful. Anal leakage is often a problem with weak anal sphincter... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Mark Gromisch
40 years experience
Small bowel findings: Thickening of the small bowel may suggest a inflammation in the lining in the small intestine. This could be something like Crohn's disease other pro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Mark Gromisch
40 years experience
End stage liver dis: This does not sound encouraging. End stage liver suggests the buildup of toxins in the blood. Probably poor liver synthetic function with fluid leav... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Mark Gromisch
40 years experience
Post cholecystectomy: If it is in the area of your prior surgery it could be scar tissue in the abdomen from prior surgery. Duodenal inflammation could also be a possibili... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Mark Gromisch
40 years experience
Heartburn: Under your conditions you list pregnancy. This may increase acid reflux due to shifts in estrogen and progesterone. Also, the increase in intra abdo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Mark Gromisch
40 years experience
External hemorrhoids: Add a stool softener 3x daily, use sitz baths 2x/day with 3 cups epsom salts added to the water, anusol cream/suppositories will also be beneficial. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old male asked:
Dr. Mark Gromisch
40 years experience
NPO: Actually, it is better to drink water. If you are dehydrated it may be harder to draw blood for tests. You should avoid eating though.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Mark Gromisch
40 years experience
Steroid side effects: Steroids have cumulative side effect of weight gain and fat deposition. The longer you are on them the longer it takes to return to normal. Your md ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Mark Gromisch
40 years experience
Hemorrhoids: Sounds like there is still a fair amount of inflammation. Try sitting in the tub twice daily with 3 cups of epsom salts. Hemorrhoid suppositories an... 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
148
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Gromisch is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Gromisch is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! I was in the ER spitting up blood which is why I asked this question.
HealthTap member
Thank you, your answer was very helpful! Could it be dangerous since it isessentially building up in my body?
HealthTap member
Thank you, your answer was very helpful! I have gastritis. I don't want to take the colchicine or Iburpr. :(

Education & Training

Medical/Graduate school

New York Medical College, NY
Graduated 1983MD

Residency

The Stamford Hospital, Stamford CT
Completed 1986

Awards

Top Gastroenterologist , First Place, Manhattan Region - Summer
2014
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