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Understanding Wireless Capsule Endoscopy: A Comprehensive Guide



In modern medicine, advancements continually push the boundaries of what we can achieve in diagnosing and treating ailments. One such innovation that has revolutionized the field of gastroenterology is Wireless Capsule Endoscopy (WCE). Offering a non-invasive and comprehensive method of examining the digestive tract, WCE stands as a testament to the ingenuity of medical technology.


What is Wireless Capsule Endoscopy?


Wireless Capsule Endoscopy entails a tiny, pill-sized capsule equipped with a miniature camera, light source, and wireless transmitter. Once ingested, this capsule travels through the digestive system, capturing high-definition images of the esophagus, stomach, small intestine, and even portions of the colon. These images are transmitted wirelessly to a recording device worn by the patient, allowing for real-time monitoring and analysis by medical professionals.

The Procedure Unveiled


The procedure begins with the patient swallowing the capsule, which then embarks on its journey through the gastrointestinal tract, propelled by natural peristalsis. As it navigates through the various sections of the digestive system, the capsule captures a series of images, providing a detailed visual representation of the intestinal lining.

Unlike traditional endoscopic procedures that require sedation and insertion of a long, flexible tube, WCE offers a painless and sedation-free alternative, significantly enhancing patient comfort and compliance.


Applications and Advantages


WCE has emerged as a valuable tool in diagnosing a myriad of gastrointestinal conditions, including obscure bleeding, Crohn’s disease, small bowel tumors, and inflammatory bowel disease.

Its ability to visualize areas inaccessible to conventional endoscopes makes it particularly useful in identifying lesions and abnormalities in the small intestine, which may otherwise go undetected. Furthermore, WCE eliminates the need for invasive procedures such as colonoscopies or enteroscopies in certain cases, reducing patient discomfort and procedural risks.


What Conditions Does it Help Diagnose?


Wireless Capsule Endoscopy can help diagnose various gastrointestinal conditions, including:

  • Detects obscure bleeding when other methods fail.

  • Visualizes the entire small intestine, aiding in Crohn’s disease diagnosis.

  • Detects small bowel tumors missed by other imaging.

  • Assesses inflammation severity in inflammatory bowel disease (IBD).

  • Reveals characteristic changes in the small intestine lining for celiac disease diagnosis.

  • Crucial in screening for polyps and early signs of cancer, especially in areas beyond traditional endoscopic scopes’ reach.


Preparing for a Wireless Capsule Endoscopy


Preparing for a WCE involves following your doctor’s instructions carefully, including fasting for a specified period before the procedure to ensure a clear digestive system. Inform your doctor about any medications you’re taking, as adjustments may be needed.

In some cases, bowel preparation may be recommended to optimize visualization. Wear comfortable clothing on the day of the procedure and arrive prepared with the necessary paperwork and entertainment like music to help pass the time during the procedure.


During the Procedure


During a WCE, patients can expect to swallow a small capsule, similar to a pill, which contains a tiny camera. This camera captures images as it travels through the digestive system, providing a detailed view of the gastrointestinal tract. The procedure itself typically takes 8 to 10 hours, during which time patients can go about their daily activities while wearing a sensor belt that collects the images transmitted by the capsule.

Patients usually don’t feel any sensations while the capsule is traveling through their digestive system. However, some may experience mild discomfort or difficulty swallowing the capsule initially, but this is usually temporary and subsides quickly. Once the procedure is complete, the capsule is naturally expelled from the body through bowel movements, and patients can dispose of it according to their healthcare provider’s instructions.

Risks and Considerations


While WCE is generally safe, rare risks such as capsule retention or incomplete visualization may occur. Complications like capsule aspiration or allergic reactions are uncommon but possible.

Patients with pacemakers should consult their cardiologist beforehand due to potential electromagnetic interference. Additionally, wireless capsule endoscopy is typically avoided during pregnancy due to fetal risks. It’s crucial to discuss any concerns with your healthcare provider before undergoing WCE and explore all available options.


After the Procedure: What to Expect


After the procedure, you’ll return the recording device to your healthcare provider’s office, typically within a day or two. The results, derived from the images captured by the capsule, will be reviewed by your healthcare provider, which may take a few days. Following this, you’ll have a follow-up appointment to discuss the findings.

Based on the results, further diagnostic tests or treatments may be recommended. Your healthcare provider will communicate the results with you, provide written reports, and outline any necessary next steps. Attending your follow-up appointment and addressing any concerns or questions you may have during the discussion with your healthcare provider is crucial.


Innovations and Future of Wireless Capsule Endoscopy


Recent innovations in Wireless Capsule Endoscopy technology have brought about significant improvements in both battery longevity and image clarity. Furthermore, advancements in imaging technology have facilitated the production of sharper and more detailed images, empowering healthcare professionals to detect and diagnose gastrointestinal abnormalities with greater precision.

Looking ahead, the integration of artificial intelligence (AI) holds promise for revolutionizing WCE. AI algorithms can rapidly analyze large volumes of imaging data, improving diagnostic accuracy and efficiency.

Future trends may also include advancements in capsule design for improved maneuverability and navigation within the gastrointestinal tract. Overall, these innovations in WCE technology are transforming gastrointestinal imaging, offering new opportunities for early detection and intervention in a wide range of disorders.



In the ever-evolving landscape of modern medicine, Wireless Capsule Endoscopy (WCE) stands out as a remarkable innovation in gastroenterology. Offering a non-invasive and comprehensive method for visualizing the gastrointestinal tract, WCE has transformed diagnostic practices with its advanced technology. With improved image quality and extended battery life, WCE enables healthcare providers like Gastroenterology Medical Clinic to better detect and diagnose gastrointestinal abnormalities, ranging from obscure bleeding to inflammatory bowel disease. Moreover, the integration of artificial intelligence holds promise for further enhancing diagnostic accuracy and efficiency in WCE, paving the way for more effective patient care.

For individuals considering WCE, consulting their healthcare provider is crucial to determine its potential benefits. By seeking guidance and undergoing this innovative procedure, patients can receive timely diagnoses and personalized treatment plans, ultimately leading to better management of gastrointestinal conditions.




• How long does the procedure take?

A capsule endoscopy procedure typically lasts around 8 to 10 hours.

• Is the capsule endoscopy painful?

No. The capsule is swallowed like a pill, and as it travels through the digestive system, it captures images without causing discomfort.

• Can I go to work after swallowing the capsule?

Yes. The capsule is designed to pass through your digestive system while you go about your day.



Duodenal Ulcers: Causes, Symptoms, and Treatment Strategies

Duodenal ulcers are a widespread condition characterized by lesions within the duodenum, the first section of the small intestine. These ulcers can significantly impact quality of life, causing a spectrum of symptoms ranging from mild discomfort to serious gastrointestinal complications.

This blog explores the nature of duodenal ulcers, their causes, symptoms, and available treatment options for effective management.

Understanding Duodenal Ulcers


Duodenal ulcers are a specific type of peptic ulcer disease, which encompasses ulcers in both the duodenum and stomach. Unlike gastric ulcers (stomach ulcers), duodenal ulcers develop in the duodenum, just beyond the stomach. A clear understanding of these ulcers is vital for effective treatment and preventing complications.


Causes of Duodenal Ulcers


Two primary factors are most commonly linked to the development of duodenal ulcers:


  • Helicobacter pylori (H. pylori) infection: This bacterium can colonize the stomach lining, triggering inflammation and ulcers in both the stomach and duodenum. H. pylori is a prevalent cause of duodenal ulcers, often contracted in childhood and persisting without symptoms until adulthood.


  • Nonsteroidal anti-inflammatory drug (NSAID) use: Regular use of NSAIDs, such as aspirin and ibuprofen, can irritate or damage the lining of the stomach and duodenum, increasing the risk of ulcers. NSAIDs work by reducing a substance that protects the stomach lining from stomach acids.


Symptoms of Duodenal Ulcers


The symptoms of a duodenal ulcer can vary significantly between individuals, with some experiencing no symptoms at all.


Common presentations include:


  • Burning or gnawing pain in the upper abdomen, which may improve with eating or worsen on an empty stomach
  • Bloating, belching, or feeling full
  • Heartburn and indigestion
  • Nausea or vomiting, sometimes containing blood
  • Weight loss and decreased appetite


If you experience severe symptoms such as sharp, sudden stomach pain, bloody or black stools, or bloody vomit, seek immediate medical attention as these could indicate complications like bleeding.


Diagnosing Duodenal Ulcers


If a duodenal ulcer is suspected, your healthcare provider will likely recommend tests to confirm the diagnosis and identify the underlying cause.


These tests may include:


  • Endoscopy: A thin tube with a camera is inserted through the mouth to visualize the stomach and duodenum.
  • H. pylori tests: These can involve blood, breath, stool, or tissue samples.
  • Imaging tests: X-rays or other imaging techniques may be used to visualize the ulcer.


Treatment Options for Duodenal Ulcers


Treatment for duodenal ulcers aims to achieve several goals:


  • Relieve pain
  • Promote ulcer healing
  • Prevent complications
  • Avoid recurrence

Common treatment strategies include:

  • Medications:
    • Proton Pump Inhibitors (PPIs): These medications significantly reduce stomach acid production, aiding in ulcer healing.
    • H2-Receptor Antagonists: Another class of medication that reduces stomach acid production.
    • Antibiotics: If H. pylori infection is present, a combination of antibiotics is used to eradicate the bacteria.
    • Antacids and Other Medications: These medications can provide symptomatic relief by neutralizing stomach acid or protecting the stomach and duodenum lining.
  • Lifestyle Changes:
    • Avoiding NSAIDs if possible
    • Limiting spicy foods, alcohol, and caffeine intake
    • Smoking cessation
    • Stress reduction techniques such as yoga, meditation, or counseling


Preventing Duodenal Ulcers


Focusing on managing risk factors and making healthy lifestyle choices can help prevent duodenal ulcers.  Regular check-ups, especially for those at higher risk, can aid in early detection and prevent ulcer development.



Understanding what a duodenal ulcer is, recognizing its symptoms, and knowing the available treatments can empower individuals to seek appropriate care and make informed decisions about their health.


If you suspect you have a duodenal ulcer, consult with a healthcare provider for a proper diagnosis and treatment plan.


Remember, with timely and appropriate intervention, duodenal ulcers can be effectively managed and healed, allowing individuals to return to a comfortable, healthy life.


Understanding Colonoscopy: A Comprehensive Guide to Screening and Diagnosis

Colonoscopy is a vital medical procedure that plays a crucial role in the detection and prevention of colorectal cancer and other gastrointestinal conditions. In this blog, we delve into the intricacies of colonoscopy, exploring its purpose, procedure, and profound impact on health. Whether you’re considering a colonoscopy or simply seeking to understand more about this essential screening tool, this article aims to provide valuable insights.

What is a Colonoscopy?

A colonoscopy is a diagnostic procedure that allows healthcare professionals to examine the lining of the colon (large intestine) and rectum using a long, flexible tube called a colonoscope. This instrument is equipped with a camera and light, enabling the doctor to visualize the interior of the colon and identify any abnormalities, such as polyps, inflammation, or signs of colorectal cancer.

Why is Colonoscopy Important?

Colonoscopy is primarily used for colorectal cancer screening and prevention. Colorectal cancer is the third most prevalent cancer globally but when detected early, it is highly treatable. Colonoscopy allows for the detection and removal of precancerous polyps before they have the chance to develop into cancerous growths. Additionally, colonoscopy can aid in the diagnosis and management of various gastrointestinal conditions, including inflammatory bowel disease (IBD), diverticulosis, and gastrointestinal bleeding.

Who Should Get a Colonoscopy?

Guidelines for colonoscopy screening vary depending on individual risk factors, age, and medical history. In general, it is recommended that individuals at average risk for colorectal cancer undergo a colonoscopy starting at age 50 and then repeat the procedure every 10 years, or as recommended by their healthcare provider. However, those with a family history of colorectal cancer or certain risk factors may need to start screening earlier and undergo more frequent screenings.

What to Expect During a Colonoscopy:

Before the procedure, patients are typically instructed to follow a clear liquid diet and undergo bowel preparation to cleanse the colon. During the colonoscopy, patients are usually sedated to minimize discomfort and ensure relaxation throughout the procedure. The colonoscope is gently inserted into the rectum and advanced through the colon while the doctor examines the lining for abnormalities. If polyps or other lesions are detected, they can be removed or biopsied during the procedure.

Benefits of Colonoscopy:

Colonoscopy offers several key benefits, including:

– Early detection and prevention of colorectal cancer

– Removal of precancerous polyps before they become malignant

– Diagnosis and management of various gastrointestinal conditions

– Comprehensive examination of the entire colon, allowing for accurate assessment of colon health


Colonoscopy is a valuable tool in the prevention and early detection of colorectal cancer and other gastrointestinal conditions. By undergoing regular screenings as recommended by your healthcare provider, you can take proactive steps to protect your colon health and overall well-being. If you have any concerns about colorectal health or are due for a screening, don’t hesitate to discuss your options with your doctor. Your health is our priority, and we are here to support you every step of the way.


Navigating Abdominal Pain in Folsom: The Role of Colonoscopy in Comprehensive Care

Welcome to our insightful guide on abdominal pain and the pivotal role of colonoscopy in Folsom. If you’ve been grappling with persistent discomfort, understanding the significance of these topics can pave the way for effective diagnosis and targeted relief. Let’s delve into the intricacies of abdominal pain in Folsom and how colonoscopy plays a crucial role in comprehensive healthcare.

Understanding Abdominal Pain in Folsom:

Abdominal pain can be a perplexing concern, impacting individuals in Folsom and beyond. Whether it’s a mild ache or persistent discomfort, seeking professional assistance is paramount. In Folsom, abdominal pain may stem from various causes, including dietary habits, stress, or underlying medical conditions. Consulting with local healthcare experts is the first step in unraveling the mystery of abdominal pain specific to the Folsom community.


Colonoscopy in Folsom: An Essential Diagnostic Tool:

When abdominal pain persists, healthcare professionals in Folsom often recommend a colonoscopy to unravel the underlying issues. This diagnostic procedure involves a meticulous examination of the colon, aided by advanced technology. In Folsom, colonoscopy is not just a routine procedure; it’s a personalized approach to healthcare, enabling physicians to tailor interventions to the unique needs of each patient.


The Importance of Localized Care:

Folsom residents benefit from localized care that understands the unique factors influencing health in our community. Abdominal pain, when addressed with a local perspective, can be effectively managed through a combination of diagnostic procedures like colonoscopy and targeted interventions designed for Folsom’s diverse population.


Collaborative Approach to Abdominal Pain Management:

In Folsom, we emphasize a collaborative approach to abdominal pain management. Your healthcare journey involves open communication with our experienced professionals who will guide you through the diagnostic process. By understanding your symptoms, medical history, and the local context, we can develop a personalized plan that addresses the root causes of abdominal pain in Folsom.


Local Expertise, Global Standards:

Our commitment to excellence extends beyond Folsom. While focusing on the unique healthcare needs of our community, we adhere to global standards of medical care. Colonoscopy in Folsom is performed with precision and care, ensuring that you receive world-class diagnostic services in your local setting.


Relief Strategies for Abdominal Discomfort:

Beyond diagnostics, our approach to abdominal pain in Folsom includes relief strategies tailored to the individual. Lifestyle modifications, stress management techniques, and dietary recommendations are integral components of a holistic plan aimed at alleviating abdominal discomfort.


Conclusion: Your Partner in Folsom’s Health Journey:

If you’re grappling with abdominal pain in Folsom, we’re here to be your trusted partners in health. From understanding the unique factors influencing health in our community to offering state-of-the-art diagnostic services like colonoscopy, our commitment is to provide comprehensive and compassionate care. Contact us today to embark on your journey toward lasting relief and well-being.


In conclusion, for residents of Folsom experiencing abdominal pain, a localized and collaborative approach, coupled with the diagnostic precision of colonoscopy, can pave the way for effective management and relief.

Navigating Abdominal Pain: Understanding Colonoscopy and Relief Strategies

The Role of Colonoscopy in Diagnosing Abdominal Pain

Abdominal pain can be a persistent and discomforting challenge, impacting the quality of daily life for many individuals. In this comprehensive guide, we explore the significance of colonoscopy in diagnosing abdominal pain while shedding light on effective relief strategies. Let’s delve into how this procedure can offer valuable insights without overwhelming medical jargon.


Understanding Abdominal Pain

Abdominal pain is a common complaint that can stem from various sources, ranging from indigestion to more serious conditions. If you’ve been experiencing persistent discomfort, it’s crucial to seek medical attention. A thorough evaluation, including a discussion of symptoms and medical history, is the first step.


Colonoscopy: A Diagnostic Marvel

When abdominal pain persists, healthcare professionals may recommend a colonoscopy as part of the diagnostic process. This minimally invasive procedure involves the insertion of a flexible tube with a camera into the colon, allowing doctors to visualize the interior and identify potential issues such as inflammation, polyps, or other abnormalities.


Addressing Concerns Without Invasive Measures

The fear of invasive procedures often deters individuals from seeking help for abdominal pain. However, it’s important to note that colonoscopy is a routine and well-tolerated examination. To enhance patient comfort, sedation options are available, ensuring a relaxed experience during the procedure.


Key Considerations During Colonoscopy

During the colonoscopy, the healthcare team focuses on examining the entire colon for abnormalities. This proactive approach is crucial, especially when abdominal pain is a persistent symptom. The procedure provides real-time insights, enabling doctors to make accurate diagnoses and recommend targeted treatment plans.


Exploring Abdominal Pain Triggers

Abdominal pain can be triggered by a myriad of factors, including dietary choices, stress, and underlying medical conditions. Through open communication with your healthcare provider, you can collaboratively explore potential triggers and work towards personalized solutions.


Relief Strategies for Abdominal Discomfort

In addition to diagnostic procedures like colonoscopy, incorporating lifestyle changes can significantly contribute to alleviating abdominal pain. Dietary modifications, stress management techniques, and regular exercise are fundamental aspects of a holistic approach to abdominal health.


Empowering Your Journey to Wellness

Navigating abdominal pain requires a thoughtful and comprehensive approach. Colonoscopy serves as a valuable tool in uncovering the causes, allowing for timely intervention and relief. By understanding the role of this procedure and embracing a holistic approach to well-being, individuals can embark on a journey towards lasting relief from abdominal discomfort.


In conclusion, if you’re experiencing persistent abdominal pain, consult with a healthcare professional to explore the benefits of colonoscopy and develop a personalized plan for managing and alleviating your symptoms. Here at Gastroenterology Medical Clinic, your well-being is our priority, and we are here to guide you every step of the way.

Exploring the Benefits of Biliary and Pancreatic Endoscopy at Gastroenterology Medical Clinic

Biliary and Pancreatic Endoscopy



At Gastroenterology Medical Clinic, we specialize in providing cutting-edge medical care for a wide range of gastrointestinal disorders. Our expertise extends to biliary and pancreatic endoscopy, innovative procedures that play a crucial role in diagnosing and treating various conditions affecting the bile ducts and pancreas.

Understanding Biliary and Pancreatic Endoscopy:
Biliary and pancreatic endoscopy are advanced medical procedures designed to visualize and treat disorders within the bile ducts and pancreas. These procedures involve the use of a thin, flexible tube equipped with a camera and specialized tools, allowing our highly skilled gastroenterologists to examine and intervene in these intricate systems.

Key Benefits of Biliary and Pancreatic Endoscopy:

  1. Accurate Diagnosis
    Biliary and pancreatic endoscopy enables our specialists to obtain detailed images of the bile ducts and pancreas, aiding in the accurate diagnosis of conditions such as gallstones, strictures, tumors, and pancreatitis. This precision ensures a targeted and effective treatment plan tailored to each patient’s unique needs.

  1. Minimally Invasive
    One of the significant advantages of biliary and pancreatic endoscopy is its minimally invasive nature. These procedures are performed using slender, flexible tubes, reducing the need for extensive surgical incisions. As a result, patients experience less pain, a shorter recovery time, and a lower risk of complications compared to traditional surgical approaches.

  1. Therapeutic Interventions
    Beyond diagnosis, biliary and pancreatic endoscopy allows for therapeutic interventions. Our skilled gastroenterologists can perform procedures such as stone extraction, stent placement, and tissue sampling during the same endoscopic session. This integrated approach streamlines the treatment process and enhances patient outcomes.

  1. Improved Patient Comfort
    At our Gastroenterology Medical Clinic, we prioritize patient comfort. Biliary and pancreatic endoscopy procedures are typically performed on an outpatient basis, minimizing the disruption to daily life. Our team ensures that patients receive adequate sedation, making the experience as comfortable and stress-free as possible.

  1. Customized Treatment Plans
    Every patient is unique, and our approach to biliary and pancreatic endoscopy reflects this philosophy. Following a comprehensive evaluation, our gastroenterologists develop personalized treatment plans tailored to address each patient’s specific condition, ensuring optimal results and long-term well-being.

Choosing Gastroenterology Medical Clinic for biliary and pancreatic endoscopy means entrusting your gastrointestinal health to a team of dedicated professionals committed to delivering exceptional care. With a focus on accuracy, minimally invasive techniques, and personalized treatment plans, we strive to provide our patients with the highest standard of medical excellence.

If you’re seeking advanced and compassionate care for biliary and pancreatic disorders, schedule a consultation with our experienced gastroenterologists at Gastroenterology Medical Clinic (GMC) We are here to guide you on the path to improved gastrointestinal health.

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Colonoscopy vs Cologuard: Prevention and Diagnosis

cologuard colonoscopy

With colorectal cancer as the second leading cause of death from cancer in the United States, prevention is still the key to overcoming this disease. The American Cancer Society reports around 144,000 cases of colorectal cancer every year. With that, there is a need to choose a more effective and tested solution to stop it at its root cause.


In today’s health space, there is a number of rising technologies and solutions to prevent and find colorectal cancer. With 1 out of 3 people unaware of the latest colorectal cancer screening methods available, stopping cancer before it develops is the best possible course of action. Although regular screenings for colorectal cancer is the best way to prevent the disease, it is still important to choose the best possible method that can benefit an individual the most.


What’s the difference between a colonoscopy and Cologuard?


Currently, there is a considerable amount of attention focused on Cologuard. Similar to a FIT(fecal immunochemical test), a Cologuard is a non-invasive and easy to complete test to detect and find cancer. A pivotal clinical study on 10,000 patients reveals that Cologuard has an improved sensitivity when it comes to finding colon cancer compared to a leading FIT.

Cologuard is also known for its advantages over a leading FIT due to a 69% sensitivity for high-grade dysplasia compared to a leading FIT with a 46% sensitivity. However, this only reveals a miss rate of 31% versus colonoscopy’s miss rate of only 1%. Aside from the fact that colonoscopy does a better job of finding cancer, it also does a good job of helping prevent colorectal cancer.

Studies have shown that around 60% of colorectal cancer deaths have been reduced by colonoscopy.


Abnormal growths which may be seen in the colon and rectum during a colonoscopy may be removed during the process. Therefore, a colonoscopy not only detects colorectal cancer better but also helps prevent the progression of the disease at the same time.


This proves that colonoscopy remains as the top choice in detecting cancer and is the gold standard in preventing colon cancer.


The availability of this test at an earlier stage of the disease will not only help prevent the disease from progressing but also allow a patient to consider earlier treatment options to prevent early symptoms from developing into colorectal cancer. Learn more about this method and schedule a colonoscopy screening today!

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How to Prepare for a Colonoscopy

Cleansing the colon before a colonoscopy is called bowel preparation or “prep.” One of the keys to a successful colonoscopy is a clean bowel. If your colon lining is clear of solid and liquid, it allows your doctor to see any abnormalities – such as polyps and lesions – that may be present in your bowel. Although cleansing your bowel may not give you a pleasant experience, it is important that you complete the bowel prep as instructed by your doctor. Otherwise, potential complications could be missed. Your doctor may also need to repeat the exam and this could mean doing the prep all over again.

What are the types of bowel prep?


There are different types of bowel prep and your doctor will recommend the type of bowel preparation that works best for you. Bowel prep consists of two parts: diet and drinking the bowel-cleansing agent (laxative).


The diet consists of low-fiber foods and clear liquids. As for the medication, there are different bowel-cleansing agents available and your doctor will recommend the best one for your requirements. The medication is taken orally and can come in a form of liquid, powder, or tablet.


Two of the most commonly prescribed bowel prep medications are:


  • Polyethylene glycol – requires a prescription and taken orally. It comes in a powder form and should be mixed with water before use. This is best for patients with kidney, heart and liver diseases.
  • Sodium phosphate – requires a prescription and taken orally. It comes in a tablet form.


As long as the right type of bowel prep is followed, this process is generally safe for most patients.


How does your doctor determine the right bowel prep for you?


Your doctor will look at your medical condition to help him/her determine the type of prep that will suit you best. This is the stage where you have to disclose any current and previous medical conditions to your doctor, including high blood pressure, history of bowel obstruction, diseases in the heart, kidney or liver as well as allergies to medications.


It is also crucial to inform your doctor if you are pregnant or breastfeeding. Other than examining your medical history, your doctor will also consider personal preferences and costs to help him/her identify the right bowel prep for you. Make sure to check with your medical insurance if they can cover your bowel prep.


How to prepare for colonoscopy


A clean and empty bowel makes for a more effective and efficient procedure. Generally, you will start preparing for your colonoscopy three to four days prior to the procedure. Here are a few essential steps for a good bowel prep.


Change Your Diet


A few days before you take the bowel-cleansing agent, you will need to tweak your diet. Your doctor will recommend low-fiber foods that are easily digestible. This may include eggs, lean meat, white bread, well-cooked vegetables without skin and fruit without skin. Avoid whole grains, seeds, nuts and raw fruits and vegetables.


Consume Clear Liquids


One day before the colonoscopy, you will need to switch to clear liquids. Stick to beverages that you can see through such as apple juice and sports drinks. While you can have gelatin and ice pops, you have to stay away from colored liquids as they can discolor the lining of the colon and make it difficult for your doctor to examine it. Furthermore, ensure that you stay hydrated during the entire process. Consume more fluids than you usually do but be sure not to drink anything two hours before the colonoscopy.


Take Prescribed Meds


If you are currently taking medications, make sure to ask your doctor whether there is a need to stop them. While most medications can be continued, some medications can interfere with the examination, like arthritis, anti-inflammatory and blood thinner meds as well as insulin and iron products. Depending on your doctor’s advice, you may either stop them for the time being or reduce their dosage. If in case you forget to take your medication for bowel prep, inform your doctor about it immediately.


Follow All Instructions


The exact bowel prep instructions depend on the type of bowel prep your doctor has chosen for you. Make sure to read through the instructions carefully and completely as soon as you receive them. If there is anything you do not understand, contact your doctor immediately to clarify any confusion. It is important that you follow all the instructions your doctor gives you, including the duration of your diet, the dosage of your bowel prep medications, and the timing of your prep.


What are the common side effects of bowel prep?


The side effects vary from one patient to another. What one may experience may not happen to you. Side effects also depend on the type of bowel prep prescribed to you. Your doctor should explain the possible side effects you may experience.


Once the laxative starts working, you will find yourself frequenting the toilet. Expect forceful diarrhea. Other common side effects include cramps or abdominal pain and bloating. You may also feel nauseated and even vomit.


The process before your colonoscopy is not easy. But by preparing well, your doctor will be able to easily detect any signs of trouble and your colonoscopy will go faster.

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Treating Hemorrhoids with the CRH O’Regan System

Hemorrhoid Treatment using the CRH O’Regan System is a less-invasive procedure that is virtually painless and highly effective. The procedure is so quick that it only takes less than a minute to perform. You don’t have to undergo any preparation, fasting and sedation and you can even get back to your routine on the same day. Through a process called hemorrhoid ligation or hemorrhoid banding, the CRH O’Regan Hemorrhoid Treatment offers a proven and permanent solution to patients suffering from hemorrhoids and anal fissures.

How does the CRH O’Regan Hemorrhoid Treatment work?


During the treatment, your doctor will place a small rubber band at the base of the hemorrhoid where there are no pain-causing nerve endings. Whereas the traditional banding uses a metal-toothed clamp to grasp the tissue that often causes bleeding and pain, the CRH O’Regan System uses a gentle suction device to cut off the blood supply to the hemorrhoid. This technique lessens the risk of pain and bleeding and causes the hemorrhoid to reduce in size and fall off within a couple of days. You may not even feel it when it does. Once the hemorrhoid is gone, the wound usually heals in a week or two.

What to expect before, during and after CRH O’Regan Hemorrhoid Treatment?


Other than scheduling an appointment with your doctor, there are no special preparations for CRH O’Regan. During your appointment, the doctor will perform a visual examination to diagnose whether you have hemorrhoids. If you have, they will then determine whether the CRH O’Regan System is the right one for you. If it is, treatment can begin immediately.

After the treatment, you will likely feel fullness or a dull ache in the rectum over the course of 24 hours. You can buy over the counter medication to relieve any discomfort but this sensation normally goes away within a few hours. While you can return to your normal activity immediately after the procedure, we advise that you stay at home for the remainder of the day and avoid any activities that may require a lot of effort. You may start doing your regular activities the next day.

Once you are fully recovered, it’s essential that you make some changes in your lifestyle to avoid hemorrhoids from recurring. Drinking at least eight glasses of water daily is a great start. You should also incorporate a diet high in fiber. Adequate intake of fluid and fiber reduces your risk of constipation and, thus, makes bowel movements easier. Another way to decrease straining with bowel movements is to avoid sitting on the toilet for long periods of time. It’s also important to stay hydrated and be active, especially during a long-haul flight.

Why choose CRH O’Regan Hemorrhoid Treatment?


Chances are you have tried home remedies such as warm baths, ointments and creams to treat your hemorrhoids. While this alternative treatment can relieve pain, they don’t address the root cause of pain, itching, bleeding and discomfort. If you’re looking for a permanent solution to get rid of your hemorrhoids without undergoing surgery and experiencing pain, the CRH O’Regan System is the best option for you.

What makes CRH O’Regan better than other non-surgical approaches to hemorrhoids is that it has the highest success rates with fewer complications and lower recurrence rate. In a study conducted by the University of British Columbia, it shows that out of 1,852 patients who went through the treatment only 16 of them experienced complications. They comprise less than 1% of the overall number of patients. This proves that CRH O’Regan is much safer than traditional banding. It is also reported that less than 1% of patients experienced post-procedure pain. When it comes to the recurrence rate, the same study reveals that only 88 patients or 4.8% had their hemorrhoids recurred.

Another great advantage of CRH O’Regan Hemorrhoid Treatment is that if you have multiple hemorrhoids, you will be treated one at a time in separate visits to reduce the risk of complications. If you’re worried about the cost, good news is that most insurance plans cover the CRH O’Regan System. And since this is a non-surgical procedure, its cost is remarkably cheaper than hemorrhoid surgery.

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Understanding the Upper Endoscopy Procedure

Upper endoscopy is a procedure in which your doctor uses a thin, flexible tube called an endoscope to examine the upper digestive tract. This includes the esophagus, stomach and the first part of the small intestine, called the duodenum. The endoscope has a tiny camera and light source at its tip to allow your doctor to view, diagnose, and sometimes, treat the problem in the upper part of your gastrointestinal (GI) tract.

Other terms for upper endoscopy are GI endoscopy, esophagogastroduodenoscopy (EGD) or panendoscopy.


When is upper endoscopy needed?

Your doctor may recommend an endoscopy procedure for different reasons, including:


  • To identify the cause of bleeding from the upper portion of your gastrointestinal tract.
  • To investigate symptoms of abdominal pain, heartburn, nausea, vomiting, or difficulty swallowing.
  • To detect inflammation, ulcers, tumors and other abnormal growths in the upper digestive system, as an endoscopy often reveals more accurate results than Xray, thus making it easier for doctors to hone in on issues such as these
  • To collect a small sample tissue to be examined (also known as endoscopic biopsy). A biopsy helps your doctor identify whether the tissue taken is benign or malignant. While biopsy is usually performed to detect cancer, your doctor might also do a biopsy to test for Helicobacter pylori, the bacterium that causes ulcers.
  • To perform a cytology test, a procedure where your doctor uses a small brush to obtain cells for analysis.
  • To treat problems of the upper digestive system. Your doctor can pass special tools through the endoscope to treat abnormal conditions, such as stretching a narrowed esophagus, removing polyps or burning a bleeding vessel to stop bleeding. These procedures cause little or no discomfort.


How to prepare for upper endoscopy?

You will be advised to have an empty stomach. This means that you should not eat or drink anything for at least six hours prior to the procedure, or as instructed by your doctor. Having an empty stomach allows your doctor to have a clear view of your upper GI tract. Otherwise, food particles can block your doctor’s view and hide important conditions that may be present. Fasting also prevents aspiration or choking during the examination.


If you’re taking medications, inform your doctor about them in advance. You might need to stop taking them or adjust your usual dosage. Some medications may require special instructions such as aspirin products, blood thinners (i.e. warfarin or heparin), arthritis medications, insulin and iron products. It is also important to tell your doctor if you have a lung and heart disease as well as any allergies you have to medications.


 What happens during upper endoscopy?

The procedure begins with your doctor spraying your throat with local anesthetic. You will also receive a sedative medication to help you feel relaxed. You will then be asked to lie down on a table on your side. As the procedure gets underway, your doctor will insert the endoscope in your mouth and through your esophagus, stomach and duodenum.


While it is normal to feel some pressure in your pain, it should not interfere with your breathing. In most cases, patients fall asleep during the procedure.


What happens after upper endoscopy?

You will be monitored for an hour post-procedure until the effects of the sedatives have worn off. It is normal to experience some cramping or bloating due to the air introduced into your stomach during the examination. Your throat might be a little sore, too.


Before leaving the clinic, your doctor will discuss the findings of the test to you. If a biopsy was performed, you will likely need to wait for its results, which usually takes a few days. It is also important to have someone drive you home and accompany you if you have been given sedatives. The side effects of the medication may delay your judgment and reflexes throughout the day even if you feel alert after the procedure.


What are the possible complications post-upper endoscopy?


Overall, upper endoscopy is a very safe test. When done by highly-trained and highly-experienced doctors, complications of upper endoscopy and polypectomy are rare. While bleeding may occur at the area where the sample tissue was taken or the polyps were removed, the bleeding is often minor and can go away on its own. Take note, however, that the bleeding can occur several days after the procedure.


You can also experience reactions to the sedatives used or complications from existing heart or lung disorder. While complications after upper endoscopy are rare, it is crucial to recognize early signs of potential complications such as severe abdominal pain, fever and chills, difficulty in swallowing, increasing size of the throat and bleeding (i.e black stools). If you notice any of these signs, contact your doctor immediately.

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