Our Gastroenterology Blog

Posts for: May, 2020

By NASHVILLE GASTROINTESTINAL SPECIALISTS
May 15, 2020
Tags: Hemorrhoids  

HemorrhoidsIf you are experiencing rectal pain or noticing specks of blood on your toilet paper you might be dealing with hemorrhoids. Hemorrhoids, also referred to as piles, are swollen veins that form either inside or outside the rectum. While hemorrhoids are more common as a person gets older, this condition can happen to anyone. Here’s what you should know about this common rectal problem and how you can treat it.

What causes hemorrhoids?

If you have family members that deal with hemorrhoids, you may be more likely to get them too. Any kind of pressure that’s placed on the rectum and impacts the flow of blood can cause these veins to swell. Pressure may be caused by:

  • Constipation and straining during bowel movements
  • Heavy lifting or intense physical activity
  • Being overweight or obese
  • A poor diet that is low in fiber
  • Pregnancy
  • Leading a sedentary lifestyle

How are hemorrhoids diagnosed?

If you’ve never had hemorrhoids before you may want to see your gastroenterologist for a diagnosis, especially if you are experiencing persistent rectal bleeding. Your doctor will go through your medical history and ask questions about your symptoms before performing an exam. A simple rectal exam is usually all that’s needed to diagnose external hemorrhoids. In order to diagnose internal hemorrhoids, you may require further testing such as a colonoscopy or sigmoidoscopy.

How are hemorrhoids treated?

Sometimes hemorrhoids will go away on their own, so you won’t require special care or treatment. Home remedies include:

  • Adding more fiber to your diet
  • Avoiding straining during bowel movements
  • Staying hydrated to aid in better digestion
  • Taking a Sitz bath several times a day to ease any pain and discomfort

There are also over-the-counter medications that can alleviate symptoms including pain and itching. If your symptoms persist after using these medications you should talk with your doctor. If the hemorrhoid is large or isn’t responding to other treatment options then your GI doctor may recommend surgery. There are many minimally invasive surgical techniques that can be used to get rid of hemorrhoids.

If you notice rectal pain, bleeding or discomfort that leaves you concerned or worried about your health it’s important that you talk with your gastroenterologist to find out if you need further evaluation. While hemorrhoids may clear on their own, if you don’t experience relief a doctor will be able to help.


By NASHVILLE GASTROINTESTINAL SPECIALISTS
May 04, 2020
Category: GI Conditions
Tags: Liver Disease  

While we may not think about the liver very often, this organ plays a vital role in your digestive health and is responsible for some extremely important functions within the body. This digestive organ, which is also the largest organ within our body, is responsible for about 500 bodily functions designed to keep you healthy. The liver doesn’t just store important nutrients including iron but it also is responsible for detoxifying the body. Unfortunately, there are hundreds of diseases that can impact the health of the liver.

Types of Liver Disease

There are many diseases that can impact the health of the liver. These include:

  • Infections such as hepatitis A, B and C
  • Autoimmune disorders (e.g. autoimmune hepatitis; primary biliary cholangitis)
  • Liver cancer
  • Inherited diseases such as Wilson’s disease and hemochromatosis
  • Other diseases and causes such as alcohol abuse or drugs (e.g. fatty liver disease)

Symptoms of Liver Disease

Unfortunately, many people with liver disease never even know that they have it. In fact, people may even have severe and permanent scarring (known as cirrhosis) and still never experience symptoms. With that said, there are certain signs and symptoms that may develop in those with liver disease. These signs include:

  • Extreme fatigue and exhaustion
  • Itchy skin
  • Yellowing of the eyes and skin (e.g. jaundice)
  • Pale stools
  • Dark urine
  • Swelling of the abdomen
  • Confusion and brain fog

If you are experiencing these symptoms it’s important that you seek a gastroenterologist for further evaluation.

Treating Liver Disease

The type and severity of your liver disease will play a primary role in creating your treatment plan. One of the major areas that we will look at is your lifestyle. Lifestyle modifications can greatly improve certain types of liver disease. Lifestyle modifications include:

  • Avoiding alcohol
  • Quitting smoking
  • Eating a healthy diet
  • Getting moderate exercise 3-4 times a week
  • Avoiding red meat, sugar and processed carbs
  • Losing excess weight if obese or overweight

Making changes to your diet and lifestyle can minimize damage to the liver and also help those with liver diseases caused by medications or alcohol dependency. In more severe cases, a liver transplant may be necessary for those with advanced stages of cirrhosis. There are certain prescription medications that are prescribed to cure certain chronic forms of hepatitis; however, most cases of hepatitis A and B do not require treatment. Antiviral medications are used to treat hepatitis C.

If you are noticing warning signs or symptoms of liver disease, or if you have questions about keeping your liver healthy, a gastroenterologist can answer your questions and provide you with the care and treatment you need if you do have liver disease.