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Doctor insights on: Morales Colonoscopy Md

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Spouse has IBS & UC. Doc ordered Prometheus panel. Expensive. Worth it?Lialda & Canasa current Meds

Spouse has IBS & UC. Doc ordered Prometheus panel. Expensive. Worth it?Lialda & Canasa current Meds

Yes: Another cause of similar symptoms to to irritable bowel and ulcerative colitis can be celiac disease or gluten sensitivity. The test is very accurate to rule gluten sensitivity in or out. It would be nice to know that since gluten intolerance is very treatable by dietary avoidance of gluten. ...Read more

Dr. Charles Cattano
2,047 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Husband age 50 has anemia-fatigue. constipation, gas, diarrhea. PCP has not ordered stool sample or made GI referral. Go to ER to get 2nd opinion?

Husband age 50 has anemia-fatigue. constipation, gas,  diarrhea. PCP has not ordered stool sample or made GI referral. Go to ER to get 2nd opinion?

First opinion: What was his PCP opinion? I assume he or she has ordered some blood tests. Would suggest having first a discussion with his PCP regarding the plan before moving towards a second opinion. Your husband definitely needs a Gi consult and a colonoscopy. ...Read more

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Have Crohns. GI wants to do check-up colonscopy. Unilateral leg swelling w/ vein stick out; MRI, vein ultrasound, ABI, norm. Proceed with colonoscopy?

Have Crohns. GI wants to do check-up colonscopy. Unilateral leg swelling w/ vein stick out; MRI, vein ultrasound, ABI, norm. Proceed with colonoscopy?

Yes: Sometimes there is a microperforation with Crohns and a locatlized inflammatory process is set up where DVT occurs within the femoral or external iliac vein on the left side. This could produce the unilateral leg swelling which I assume would be on the left. If this proved to be such as on pelvic CT then anticoag and even a cava umbrella might be necessary and of course the colonoscopy. ...Read more

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GP recommended general surgeon for colonoscopy. gastroenterologist have always done before. Since 1998. This is 1yr checkup. Cancer history family. ?

GP recommended general surgeon for colonoscopy. gastroenterologist have always done before. Since 1998. This is 1yr checkup. Cancer history family. ?

GI: General surgeons do colonoscopies as well. Nothing against them, but if you have been going to see GI all this time, I would stay with them. ...Read more

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Family history colon cancer, last colo, 3 yrs ago, nothing, today, large polyp, lab test, maybe echo, french doctor, anything else, probabilities?

Family history colon cancer, last colo, 3 yrs ago, nothing, today, large polyp, lab test, maybe echo, french doctor, anything else, probabilities?

Size and type: The risk of there being cancer in a polyp is correlated with the size and type of polyp. Polyps resected by colonoscopies have a risk of leaving tissue behind that remains suspect. A lot depends on what the pathologist sees. ...Read more

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Seeing gastro doc for 6 mo. All tests. Crones, pancreatic etc, MRI colonoscopy gastroscope clear. 80, 000 creon 3x day. Extreme diarrhea still? Ideas?

Seeing gastro doc for 6 mo.  All tests. Crones, pancreatic etc, MRI colonoscopy gastroscope clear. 80, 000 creon 3x day. Extreme diarrhea still? Ideas?

Dietary modification: You can try a gluten free diet. Ct scans, mri, and colonoscopy are not sensitive or specific when the symptoms are loose stools. Dietary modification is associated with less risk than continuing with invasive procedures. A nutritionist would also have recs on supplements you can try. ...Read more

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Husband has ulcerative colitis. Labs & colonoscopy rule out flare. C.diff infection! Flagyl day 5, diarrhea lessening but pain & fatigue still bad. When should he see improvement? Dr. appt in 2 days.

Husband has ulcerative colitis. Labs & colonoscopy rule out flare. C.diff infection! Flagyl day 5, diarrhea lessening but pain & fatigue still bad. When should he see improvement? Dr. appt in 2 days.

Soon: Good there no Flare up of Ulcerative Colitis. Also glad to hear that C. Diff. toxin induced Diarrhea is improving. Make sure he is taking electrolyte water to replenish potassium. Everyday will be some improvement. Please follow up with your doctor. He will need another stool sample to check on eradication of C.Diff .infection ...Read more

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18 yr daughter w/constant pain in luq w/very sharp pain test: upper GI colonoscopy CBC liver CT & xrays normal. Seen family dr gi, obgyn er, nothing?

18 yr daughter w/constant pain in luq w/very sharp pain test: upper GI colonoscopy CBC  liver CT & xrays normal. Seen family dr gi, obgyn er, nothing?

LUQ Pain: Sounds like a very exhaustive work-up. Have they evaluated her for possible kidney stones. Perhaps a second opinion might be helpful. ...Read more

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Stomach bug 4 wksvago, 2 dr. Visits, 2 psych visits, lomotil, (diphenoxylat and atropine) pepto, diet mod, xanex. Still on and off loose stool or diarrhea. Stool tests pending?

Stomach bug 4 wksvago, 2 dr. Visits, 2 psych visits, lomotil, (diphenoxylat and atropine) pepto, diet mod, xanex. Still on and off loose stool or diarrhea.  Stool tests pending?

What is the question: It sounds like you developed a GI problem a few weeks ago and are still not symptom free. If tests are pending, see the doctor when the results are in. S/he should be able to discuss the need for further testing and ways to alter your diet until things have completely healed. ...Read more

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Daughter tested by PC md for hypothroid but tests are ~ normal, md does not refer to endo. Family history , she has all symptoms-plan needs referral?

Daughter tested by PC md for hypothroid but  tests are ~ normal, md does not refer to endo. Family history , she has all symptoms-plan needs referral?

Diet and exercise?: If thyroid tests are normal, then the patient (your daughter) doesn't have hypothyroid, so no referral to endo is needed, even with family history and symptoms. You daughter should ask her pc md what to do next. A healthy diet and daily exercise may cure her. The key is communication between the patient and her doctor. ...Read more

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Chronic LUQ pain & diarrhea, palse stools feel miserable. CT scan negative, should I push evaluation for pancreatic cancer?

Chronic LUQ pain & diarrhea, palse stools feel miserable. CT scan negative, should I push evaluation for pancreatic cancer?

No: Your gatroenterologist may do a retrograde study of your pancreatic and common bile ducts. If there are still no findings, and you're not jaundiced, stop this stuff. Have you been checked for celiac disease, Whipple's, very mild Crohn's? ...Read more

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Colorec doc found fissure. Gave nitro ointment. Viola. Problem diagnosed. Recommended colonoscopy. Why? I'm 42. No fam history. Seems premature?

Colorec doc found fissure.  Gave nitro ointment. Viola. Problem diagnosed. Recommended colonoscopy. Why? I'm 42. No fam history. Seems premature?

Why colonoscopy?: Fissure may have been only cause of bleeding, but doc needs to make certain that was the only cause. Diverticula, Crohn's ds, polyps, cancer call all cause rectal bleeding. Colon cancer is not something to wait and see; once it's there, it's very hard to treat. Prevention is much better than needing treatment. SO, for completeness' sake he's recommending colonoscopy. ...Read more

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ER Dr took ultrasound of gallbladder & verbally communicated nothing abnormal; should I expect written report or images to share with my PC Physician?

ER Dr took ultrasound of gallbladder & verbally communicated nothing abnormal; should I expect written report or images to share with my PC Physician?

Depends: If the only ultrasound that you had was done in the ER by the ER Physician there may not be a formal report of that study outside of any note in the ER record made by the ER Physician. Your PC Physician should be able to get a copy of the ER record if you sign for a release for the info or if you specified you Physician to the ER staff. A formal Radiology exam will have a separate report. ...Read more

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Skin & bones now. Scans GI scopes, blood, allergies ok. Believe gi. Working w/gi@mayo who wants to try ng tube but won't do here. Very weak. Ideas?

Skin & bones now. Scans GI scopes, blood, allergies ok. Believe gi. Working w/gi@mayo who wants to try ng tube but won't do here. Very weak. Ideas?

Weight loss: At mayo they use a multidisciplinary group practice approach. The idea is that in just a few days all possible reasons are evaluated by multiple specialist to determine the cause. Would expect that GI would do there evaluation at the same time they are getting other opinions. ...Read more

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Hello, I've has ruq, epigastric pain had a hida scan gb ef was 89%. GI doc recommended I see surgeon, I'm unsure, why would they take out healthy gb?

Hello, I've has ruq, epigastric pain had a hida scan  gb ef was 89%. GI doc recommended I see surgeon, I'm unsure, why would they take out healthy gb?

"They": would not..perhaps your GI Doctor has something else in mind or knows of some other finding that your Scan disclosed...ZIMON RULE #1 IF IN DOUBT ASK!!!!!!!!!!!! Call that GI Doc NOW! Hope this helps Dr Z ...Read more