A Colonoscopy is procedure in which a flexible optical instrument is placed through the anus into the colon in order to examine its surfaces. A colonoscope is the tool used during a colonoscopy. A colonoscopy is performed for both diagnostic reasons (to determine cause of symptoms or diagnose a disease)...

If you suffer from Irritable Bowel Syndrome (IBS) and are worried about upcoming travel and holiday meals worsening your IBS symptoms here are a few pointers on how to survive IBS during the holidays. How to Combat Constipation During Holiday Travel Many patients I see in the office worry about...

Daniel L. Motola MD, PhD is a Gastroenterologist and Hepatologist (Liver specialist) in NYC offering comprehensive evaluation and treatment for Hepatitis B (HBV) infection. What is Chronic Hepatitis B infection? Hepatitis B is a virus that infects the liver and can lead to liver inflammation, liver scarring or fibrosis, cirrhosis,...

A GI doctor, also known as a Gastroenterologist, is a medical doctor with special training in the diagnosis and treatment of diseases affecting the digestive tract. They have advanced knowledge of the normal function of a number or organs within the digestive tract including the esophagus, small intestine, stomach, large...

One of the most common complaints I see in the office is medical issues affecting the anus and rectum. This is a sensitive topic and probably not one that makes for great conversation around the water cooler / coffee shop/ office break room.  Anal or rectal symptoms usually involve one...

What Is GERD? The passage of gastric/stomach contents into the esophagus is called gastroesophageal reflux. It is not abnormal for gastroesophageal reflux to occur, and in fact it is a normal part of our physiology. The physiologic process of reflux becomes a disease (GERD) when symptoms occur, occur frequently, or...

If you are a young person just coming off your parents' medical insurance or are starting a new job and need to decide what medical plan to choose during a benefit enrollment period, this Health Insurance Benefits 101 primer may help explain some of the more esoteric terms you'll come...

March was Colon Cancer Awareness Month and even though we are well into April I wanted to pass along some important news to you related to colon cancer screening.Just this past month AETNA become the first commercial insurer to cover colon cancer screening beginning at age 45, if recommended by a doctor.  This news comes on the...

What is acute diarrhea?  Acute diarrhea is a diarrheal illness occurring for up to two weeks. Once diarrhea lasts beyond 2 weeks it is called Persistent Diarrhea. If diarrhea persists beyond 4 weeks, it is called Chronic Diarrhea. What causes acute diarrhea? Acute diarrhea can be caused by one of...

What is gluten?Gluten is a collection of proteins found in wheat, barley, and rye.  In genetically susceptible individuals, ingestion of gluten initiates an abnormal immune response resulting in inflammation of the small intestine, or Celiac disease (CD).CD is not an allergy or an intolerance. The immune response in CD is not the same as that seen...

What are hemorrhoids? Hemorrhoids are a collection of vessels (arteriovenous channels) that are located both within the rectum (internal hemorrhoids) and around the anus (external hemorrhoids). Despite being present in everyone, the term “hemorrhoid” has taken on more of a pathologic or disease state, e.g. when they become enlarged causing bleeding, itching, prolapse...

Abdominal pain is a common reason to visit a gastroenterologist's office.  The most common scenario I encounter is a patient presenting with right sided abdominal pain after eating.  The intensity and temporal relationship to their meals often allows me to more easily determine the cause. Patients often report pain within...

The CDC just announced that gastrointestinal infections with Cyclospora are on the rise.   Patients with acute diarrhea, or diarrhea that persists beyond 2 weeks should be tested for this pathogen.  Doctors need to keep in mind that Cyclospora must be requested specifically as typical stool examinations for ova and...

I am pleased to see news coverage of the low fodmap "diet." Many of my patients that I have diagnosed with either Irritable bowel syndrome (#IBS), bloating, or chronic diarrhea have found it helpful. The term "diet" in association with fodmaps is a misnomer. I feel more like this is...

Irritable bowel syndrome (IBS) affects 1 in 6 people and is characterized by chronic abdominal pain associated with a change in bowel form or frequency. Typically pain or discomfort related to IBS is relieved with bowel movements. Bloating is often a common symptom and one of the many reasons patients...