Marian Betancourt - The Doctors Guide to Gastrointestinal Health: Preventing and Treating Acid Reflux, Ulcers, Irritable Bowel Syndrome, Diverticulitis, Celiac Disease, Colon Cancer, Pancreatitis, Cirrhosis, Hernias and

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Table of Contents

Praise forThe Doctors Guide to Gastrointestinal Health

This is the reference guide you dream aboutanswers to all your important questions, written in a language you can understand. For everyone who wants better health and peace of mind.

Diane Sawyer, co-anchor of ABCNews Good Morning America and Primetime Thursday

An important, practical, easy-to-read and understand source of information for anyone with a chronic gastrointestinal problem.

Isadore Rosenfeld, M.D., attending physician at New York-Presbyterian Hospital and Memorial Sloan Kettering Cancer Center, Rossi Distinguished Professor of Clinical Medicine at Weill Cornell Medical Center, and bestselling author

This book will provide for patients and their relatives authoritative, up-to-date information about most diseases of the gastrointestinal tract. The disorders are clearly explained and available treatments are outlined in clear language. Of special importance is the description of various diagnostic procedures used in gastroenterology, together with important information about what patients can expect before, during and after these treatments. This should go a long way toward relieving the anxiety that accompanies diagnostic procedures.

Jeremiah A. Barondess, M.D., president of The New York Academy of Medicine

As a long time patient of Dr. Miskovitz, I highly recommend The Doctors Guide to Gastrointestinal Health for anyone wanting to know the vital importance of preventative proceduresbefore its too late. My wife and I have gone to Dr. Miskovitz for all our procedures and were still herethanks in part to an early diagnosis.

Warner Wolf, TV and radio sportscaster and author of Lets Go to the Videotape: All the Plays and Replays from My Life in Sports

Also by the same authors

What to Do If You Get Colon Cancer: A Specialist Helps You Take Charge and Make Informed Choices

Also by Marian Betancourt

What to Do If You Get Breast Cancer

Chronic Illness and the Family: A Guide for Living Every Day

The Prostate Cancer Sourcebook

What to Do When Love Turns Violent

Playing Like a Girl: Transforming Our Lives through Team Sports

The Coming Cancer Breakthrough

Whats in the Air:The Complete Guide to Seasonal and Year-Round Airborne Allergies

Say Goodbye to Back Pain

Also by Paul Miskovitz

The Evaluation and Treatment of the Patient with Diarrhea

For our families

Introduction

IN TODAYS MANAGED HEALTH-CARE system, doctors have less time to educate their patients. At the same time, these patients have access to reams of health information on the Internet, but much of it can be more harmful than no information at all. With this book we hope to fill an urgent need for an easy-to-use but comprehensive book that helps you understand how the gastrointestinal system works and how to take care of it.

Digestive ailmentswhether mild or life-threateningcan be difficult to diagnose and treat. Thus the field is surrounded by a lot of quasi-medical information and treatment, such as high colonic enemas, bio-ecological diets, and other fad diets that can cause real harm to your health. People sometimes resort to chiropractors, hypnotists, nutritionists, and self-medication instead of continuing their search for the correct medical diagnosis.

The Doctors Guide to Gastrointestinal Health is meant to inform you about diagnostic and treatment options available, so you know what questions to ask your doctor before any treatment begins.

In Part I, theres an overview of how the gastrointestinal system works and how it is affected by lifestyle, age, and the mind. A section on common symptoms will help you know when you need medical attention. The role of the gastroenterologist and diagnostic testing is well covered, along with an entire chapter on endoscopic procedures that have transformed gastroenterology. Theres also important information about medical insurance coverage of these procedures.

Part II details causes, symptoms, diagnoses, and medical treatments for all of the disorders and diseases of the gastrointestinal system. It covers everything from top to bottom, in that order: esophagus, stomach, small intestine, gallbladder, pancreas, liver, colon and rectum, and the abdominal cavity.

And finally, Part III is a commonsense guide to maintaining a healthy gastrointestinal system, with guidelines for diet and exercise, checkups and screenings, as well as some precautions to take when you travel to other parts of the world.

In making The Doctors Guide to Gastrointestinal Health as comprehensive as possible, we hope it serves as a useful resource for you and your family. No matter what your concern or condition may be, this book will help you identify and treat the problem, and in many cases, help you prevent it.

PART I

Understanding How Your Gut Works and How to Identify Problems

Chapter 1

What We Know about the Gut: Yesterday, Today, and Tomorrow

OUR EARLY ANCESTORS probably never had the digestive problems we have today, even though they ate anything and everything they could find. While animals are generally pretty picky about what they eat, early humans had a diverse diet of nuts, berries, plants, fish, animals, bugsyou name it. And they ate the nutrient-rich stems, pits, roots, and husks of this matter as well.

When we evolved from hunter-gathering to agriculture, we added grains to our diet. With industrialization, mills refined our grains, removing the husks, bran, and cereal germand most of the nutrients along with it. Civilization led us toward food in boxes and packages from the shelves of supermarkets. Few people knew or cared about what was in that box or the consequences of eating its contents.

Our awareness has improved somewhat. Most of us now realize how poor nutrition and lack of exercise have lead to the obesity epidemic and a plethora of chronic digestive diseases. The shift in diet, along with smoking, drinking, and stress in the past hundred years, are directly related to the problems we face today. The good news is that we have the tools to diagnose digestive diseases early and have the means to cure many that were not curable in the past, such as peptic ulcers, celiac disease, and lactose intolerance.

Gastroenterology has developed into an amazingly precise discipline with the impact of technology and the evolution of concepts of specific diseases. We now understand gut secretions and gut hormones. We know how dietary elements are transported. As early as 1881, Polish surgeon Jan Mikulicz-Radecki used the first prototype scope to look into the esophagus. The development of fiberoptic endoscopy by Dr. Basil Isaac Hirschowitz gave us the tools to look inside the digestive tract and take away tissue samples or remove polyps. We learned that bacteria, not stress, in many cases caused stomach ulcers. In the 1980s an Australian physician, Barry Marshall, was so convinced ulcers were caused by H. pylori bacterium that he swallowed bacteria to prove his point to skeptical colleagues. While still a resident physician seventy-five years ago, Robert Elman discovered a way to diagnose that someone had pancreatitis. Some of the early heroes, with no sophisticated tools but their own curiosity and imagination, gave us other breakthroughs.

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The gastrointestinal sourcebook

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