Our Gastroenterology Blog
May 27, 2020
Tags: Colonoscopy  

This simple diagnostic tool could end up saving your life.

You keep hearing about the importance of a colonoscopy and how everyone needs to get one, but perhaps you don’t understand why this procedure is so important. A colonoscopy allows our Orlando, FL, gastroenterologists to be able to go inside the colon (a part of the large intestines) to be able to diagnose, treat and even prevent certain problems within the lower intestinal tract. You may need to schedule a colonoscopy if,

You’re Dealing with Stomach Problems

One of the most common reasons people get a colonoscopy here at our Orlando, FL, practice is that they are dealing with certain intestinal problems that require additional testing to be able to make a definitive diagnosis. By being able to go inside the colon we can often find the culprit behind your abdominal pain, rectal bleeding, bowel changes, or chronic constipation.

You Just Turned 50

It’s important that everyone, no matter their gender or risk factor for colorectal cancer, gets a routine colonoscopy around the time they turn 50 years old. The good news is that most insurance companies cover a routine colonoscopy screening for your 50th birthday. While it might not be the birthday gift you imagined this screening, could save your life and help you blow out many more birthday candles in the future.

You Have a Family History of Colorectal Cancer

If you have a family history of colorectal cancer or even colon polyps, it’s even more important that you get routine colonoscopies. Talk with our Orlando, FL, GI doctor about whether you should start getting screened earlier than 50.

You Have a Personal History of Colon Polyps

If your gastroenterologist has performed a colonoscopy on you in the past and removed colon polyps before then it’s important that you are coming in every few years for routine colonoscopies. While some polyps are benign, some can turn into cancer. By catching them early and removing them during your colonoscopy we can reduce your risk for colon cancer.

You Are at an Increased Risk for Colorectal Cancer

There are certain risk factors that can increase your risk of colorectal cancer. Some of these factors like genetics and age cannot be altered; however, many lifestyle factors can. These habits include,

  • Smoking or using tobacco products
  • Leading a sedentary lifestyle
  • A poor diet high in processed meats and saturated fats and low in fiber
  • Heavy alcohol consumption
  • Being overweight or obese

If you’ve been diagnosed with type 2 diabetes or inflammatory bowel disease (IBD) these conditions can also increase your chances for colorectal cancer.

With offices in Orlando, Kissimmee and Oviedo, FL, Digestive and Liver Center of Florida is your premier gastroenterology practice here in Central Florida. To schedule a colonoscopy or evaluation call us at (407) 384-7388.

April 23, 2020
Tags: Acid reflux  

How your gastroenterologists in Orlando, FL, can help you feel better

If you suffer the symptoms of acid reflux, you already know how uncomfortable it can be. The burning pain of acid reflux can make your life miserable. The good news is, your gastroenterologist can help you feel better.

The gastroenterologists at Digestive and Liver Center of Florida now offer televisit services so you can feel better while still staying at home. They have several convenient office locations in downtown Orlando, Kissimmee, and Oviedo, FL, to help you.

Acid reflux is commonly called heartburn, but the truth is, it has nothing to do with your heart. It’s caused by incomplete closure of the sphincter muscle that separates your esophagus from your stomach. When this sphincter muscle doesn’t close completely, it allows stomach acid to flow backwards, up into your esophagus, causing the painful symptoms of acid reflux.

When you have acid reflux, you may experience:

  • Chronic pain in your throat
  • A frequent sour taste in your mouth
  • Chronic bad breath
  • Frequent wheezing and coughing
  • Nausea, vomiting, and chest pain
  • Tooth sensitivity caused by eroding tooth enamel

You can do a lot to limit acid reflux symptoms. Remember to:

  • Eat smaller meals and avoid large ones
  • Quit smoking and using other tobacco products
  • Try not to eat before you lie down or go to bed
  • Limit acidic or spicy foods in your diet
  • Take over-the-counter antacids to help reduce stomach acid

Acid reflux isn’t just annoying, it can be damaging too. If acid reflux goes untreated, it can result in extensive tissue damage and other serious issues like these:

  • Inflammation of your esophagus, causing swelling of esophageal tissue and difficulty swallowing
  • Ulcers in your esophagus, causing painful swallowing, nausea, and chest pain
  • Narrowing and scarring of your esophagus, leading to problems swallowing
  • Cancer in your esophagus

Acid reflux affects over 60 million people in this country, according to the American College of Gastroenterology. Your gastroenterologist can help relieve the symptoms of acid reflux, so you can feel better fast. To find out more about symptoms and treatment of acid reflux, call the gastroenterologists of Digestive and Liver Center of Florida in Orlando, FL, at (407) 384-7388.

Experts in both colon and rectal surgery, the gastroenterologists here at the Digestive and Liver Center of Florida in Orlando, Kissimmee, and Oveido, FL, can help you improve your health with a range of surgical procedures.

How colon and rectal surgery can help you

Your gastroenterologists perform these surgeries to treat diseases and conditions of the colon, rectum, intestinal tract, anus, and the perianal area just outside the anus. Although the type of surgery varies depending on the cause and severity of your issue, colon and rectal surgery can be used to:

  • Remove hemorrhoids, genital warts, anal skin tags
  • Treat human papillomavirus, anal lesions, HIV ulcers, and anally transmitted diseases
  • Repair anal fistulas
  • Treat fecal incontinence
  • Remove cancerous and non-cancerous growths and lesions
  • Remove intestinal blockages and strictures
  • Use nerve blocks to relieve anal pain
  • Correct birth defects in the colon or anus
  • Remove portions of the colon damaged by inflammatory bowel diseases, diverticulosis, cancer, or other diseases
  • Remove scar tissue from the walls of the colon
  • Stop bleeding
  • Reconstruct the abdominal wall and repair hernias
  • Treat chronic constipation and diarrhea
  • Place central vein ports


How is colon and rectal surgery performed?

Although traditional open surgery may be required in some cases, many types of surgeries can now be performed using minimally invasive techniques. Benefits of the surgery include smaller incisions, fewer days spent in the hospital, quicker healing/recovery, and less post-operative pain.

Some surgeries can also be performed through the anus, including transanal minimally invasive surgery (TAMIS), which is used to remove non-cancerous polyps and some types of cancerous tumors from the lower sigmoid colon and rectum. Robotic surgery may also be used to treat colon and rectal conditions and diseases. The surgery improves precision and makes it easier to operate on hard-to-reach areas.

Call one of our offices in Orlando, Kissimmee, or Oviedo, FL, today

Could you benefit from colon and rectal surgery? Call your Orlando, Kissimmee, and Oviedo, FL, gastroenterologists at (407) 384-7388 to schedule an appointment or to discuss your condition.

Have you've been meaning to schedule a colonoscopy but just haven't gotten around to calling a gastroenterologist? Making time for this important test offered by the gastroenterologists at the Digestive and Liver Center of Florida could save your life. The doctors have four convenient office locations in the Orlando, Kissimmee and Oviedo, FL, areas.

Why colonoscopies are so important

Colon cancer doesn't usually cause any symptoms in the earliest stages. In fact, you might feel perfectly fine for weeks, months or even years. Unfortunately, by the time cancer did cause symptoms, it would be much more difficult to treat.

Thanks to colonoscopies, it's possible for doctors to detect and treat suspicious lesions and polyps at their earliest stages. The sooner cancer is discovered, the better the chances of a full recovery after treatment.

The American Cancer Society recommends that both men and women receive their first colonoscopies at age 45. The age was recently reduced from 50 to 45 because the procedure has been so successful in detecting cancerous and pre-cancerous polyps.

Colonoscopies are also very helpful if you've been experiencing unexplained weight loss, abdominal pain, chronic diarrhea, a change in bowel movements, rectal bleeding and anemia. The tests help your gastroenterologist diagnose the cause of your symptoms and provide appropriate treatment.

The colonoscopy process

Before you make an appointment for a colonoscopy, you'll visit a gastroenterology office in Orlando, Kissimmee or Orlando. During your visit, you'll discuss your health history and any digestive complaints with the doctor. The office staff will help you schedule a colonoscopy and explain what you need to do to prepare for the test.

You'll need to take laxatives as directed by your gastroenterologist to clear out your large intestine in preparation for your colonoscopy. This crucial step allows your doctor to obtain a clear view of the lining of your colon.

Before your colonoscopy begins, you'll receive a sedative or anesthesia. A thin, flexible scope with a light and a miniature camera will be inserted into your anus and passed through your large intestine. The camera sends images to a digital screen, providing real-time views of every inch of your large intestine.

If your doctor sees any polyps, he'll remove them immediately using special miniaturized tools. He can also take biopsies of suspicious areas and cauterize bleeding areas. After your procedure, your gastroenterologist will discuss the colonoscopy with you. If polyps or lesions are biopsied, you'll need to wait a few days for the results.

Protect your health with a colonoscopy. Call your Orlando, Kissimmee and Oviedo, FL, gastroenterologists at the Digestive and Liver Center of Florida at (407) 384-7388 to schedule an appointment.

Call it gut instinct, but you’ve noticed that something just isn’t right with your digestive tract lately. Could it be irritable bowel syndrome (IBS)? IBS is surprisingly common, affecting as many as 45 million American adults today. Read on to learn more about the warning signs of IBS and when you should turn to our Orlando, FL, gastroenterologists for a proper evaluation.

What is IBS?

IBS is a chronic and common digestive disorder that affects the large intestines. IBS should not be confused with inflammatory bowel disorders (IBD) such as ulcerative colitis and Crohn’s disease, which are different.

What are the sign and symptoms of IBS?

While some people may experience persistent symptoms, oftentimes, those with IBS will experience periodic flare-ups with bouts of remission. Common IBS symptoms include,

  • Excessive and uncontrollable gas
  • Bloating
  • Constipation or diarrhea
  • Abdominal pain
  • Mucus in the stool
  • Food intolerances

If you’ve been experiencing these symptoms at least three times a month for three months or more, then it’s time to speak with your Orlando, FL, gastrointestinal physician.

What triggers IBS?

While doctors still don’t know what causes IBS, there are certain factors that can increase the likelihood of an IBS flare-up. These triggers include,

  • Stress
  • Hormonal fluctuations (e.g. menstruation)
  • Depression
  • Certain foods

Even though there is no specific test designed to diagnose IBS, there are certain tests that help our gastroenterologist determine whether your symptoms are due to IBS or another condition or disease. This may require blood tests, a stool sample, or colonoscopy, depending on the type of symptoms you are experiencing.

How is IBS treated?

This is no cure for IBS; however, your gastroenterologist can help you manage your symptoms through lifestyle and dietary changes, as well as medications. Lifestyle changes include,

  • Finding effective ways to manage stress
  • Getting enough sleep
  • Getting regular exercise
  • Taking probiotics
  • Reducing the amount of fiber in your diet
  • Avoiding spicy and fried foods, carbonated beverages, coffee, gluten, cruciferous veggies, and high-fiber foods (e.g. cereal)

Some patients find that they experience the best relief from their IBS symptoms by following a low FODMAP diet. Your doctor may also prescribe certain medications to treat IBS. These medications may include,

  • Laxatives
  • Low-dose antidepressants
  • Antispasmodics (to treat abdominal cramping and pain)
  • Antimotility medicine (for diarrhea)

If abdominal pain and stomach issues are making mealtimes a source of stress for you, then it’s time to find out what’s going on. With two offices in Orlando and one office in Kissimmee, FL, Digestive and Liver Center of Florida can easily get you in for an immediate consultation. Call us today at (407) 384-7388.

September 06, 2019
Category: Uncategorized
Tags: Untagged




Hemorrhoids usually occur due to higher pressue which can occur during a pregnancy, being obese, or overexerting during bowel movements. By midlife, hemorrhoids are more common. By around age 50, over 50% of the population experiences symptoms of this condition that include: rectal pain, bleeding, itching, and prolapse. Although, hemorrhoids are not life-threatening, it can reoccur if an episode has occured, and be very discomforting to the patient. The interesting fact is that everyone has hemorrhoids. What makes it the painful condition it is acknowledged as, is when the veins that cause the actual condition of a hemorrhoid becomes swollen in the rectum and/or anus. There are two types of hemorrhoids:

  • Internal Hemorrhoids: Occur in the lower rectum; these are normally painless even if bleeding is present; a prolapse can occur which causes it to extend past the anus affecting the bowel movement
  • External Hemorrhoids: Develop under the skin around the anus; tend to be more discomforting due to irritation/erosion of overlying skin; rarely..a blood clot may develop inside this hemorrhoid leading to severe pain


If a hemorrhoid protrudes, small portions of mucus and/or stool particles can pool causing an irritation known as pruritus ani. Most commonly, it develops whenever excessive straining occurs during a bowel movement, or staying seated on a toilet for too long. Doing either of these can cause the blood flow to be restrained causing the blood vessel in the area to enlarge. There are several ways this medical condition can be diagnosed. One method is through a basic history and physical exam. External hemorrhoids are usually present, when a blood clot has formed. Your doctor can also perform a digital rectal exam to check for blood in the stool. Another method involves an examination of the anal canal using a anoscope, which is a plastic tube inserted into the rectum with illumination. 

Relief for most symptoms of most hemorrhoids involve the application of various home remedies. Some suggestions include:

  1. Increasing Fiber intake; it can soften stools, making it simpler for them to pass. That as a result, minimizes the pressure that in placed against a hemorrhoid.
  2. Exercise; moderate aerobic exercise for 20-30 mins per day stimulates healthy bowel function
  3. Sitz bath; a warm bath for buttocks/hips to relieve itching, irritation, and spasms of the sphincter. Industry experts recommend a 20 min bath with a few inches of warm water to aid in bowel movement
  4. Topical creams; Over-the-counter hemorrhoid creams containing a local anesthetic can temporarily alleviate the discomfort. 
  5. Treating it if a clot forms; if this occurs, the pain can be severe. If it happens to be tolerable and present for more than two days, continue with at home treatments. Otherwise, it can be surgically removed by withdrawing the clot from the enlarged vein by a surgeon.


As always, we hope that our communities here in Central Florida remain informed and educated with the latest information in Digestive health. 


Be well. 


Ulcerative Colitis is a fairly common condition in Gastroenterology. The main issue with this disorder is the inflammation that it is known to cause in the colon. It is a form of Inflammatory bowel disease that mirrors Chron's disease. In your normal colon, it carries the function of removing nutrient from food that is not digested to then remove the waste products from the rectum in the form of feces. The more severe the inflammation is on the lining of the colon, the more likely ulcers may form which can bleed. This can cause pus and mucus to form. Ulcerative Colitis is usually accompanied by diarrhea. Feces become very loose, and is accompanied by stomach pain and a strong urge to pass a stool. The severity of the diarrhea associated with (UC) is directly correlated with the extent and spread of inflammation. 

Some other common symptoms tied to this health condition include:

  • Fatigue
  • Weight loss
  • Loss of Appetite
  • Anemia
  • Dehydration 
  • Fever

Symptoms tend to be at their worst state during the morning hours.

If you're wondering, what can of diet could help lessen the symptom, that includes the following:

  •  eating 5-6 smaller, more regular meals
  •  staying hydrated with water 
  •  avoid coffee or other caffeinated beverages (raises risk of diarrhea)
  •  avoid alcohol (raise risk of diarrhea)
  • avoiding soda, can increase gas
  •  Using a journal to log the foods that may be worsening your symptoms


The following 4 diets are suggested in the medical community to address this condition:

  • Low salt diet
  • Low fat diet
  • Lactose-free diet
  • Low fiber diet


It may be helpful to consume supplements or particular foods from your diet. But if you are unsure about your alternatives, please consult with your physician to develop a viable plan. 


As you can probably imagine...stress is detrimental to our health esp., in the Digestive tract. The impact it has on our stomach can cause more than a mild case of indigestion. This is widely attributed due to the complex connection of the brain to the Digestive system. Our digestive health is highly influenced by our moods. In specific, stress is linked to specific health conditions such as Heartburn and IBS (Irritable Bowel Syndrome). Sometimes we tend to underestimate how stress can affect our Digestive health. To put this more into perspective, the Stomach has many more nerve endings than the entire Spinal Cord, which has led medical professionals across the world to consider this area of the digestive tract as the "mini brain."

As stated by (Woolston, 2019), "a highway of nerves run directly from the real brain to the digestive system, and messages flow in two directions."  What makes this connection even more mind-boggling is the fact that 95% of the serotonin (hormone that controls mood) our bodies produce, is found in the digestive system...not the brain. There are specific reasons as to why our digestive system is particularly in frequent communcation with the brain. When we are stressed, the human body is uniquely configured to focus on things that keep us alive. Our Digestive system has the tendency to release specific hormones when consistently under stress. It tends to release a constant flow of CRH or corticotropin releasing hormone so that the body tells the adrenal gland to release steroids and you guessed it...adrenaline! This explains the mental exhaustion that proceeds a long-term stressful situation after adrenaline wears off in the human body. In addition, CRH can either suppress or raise appetite. This prove that people have distinct reactions to stress, so there is no way to say for sure how specific situations can alter digestion. So the moral of this blog is the following: pracitce sound lifestyle choices that promote healthy digestion so you can live well. 

Like many forms of cancer, colorectal cancer (cancers of the colon and rectum) are most treatable when detected as early as possible. In Colonoscopyfact, many cases of colon cancer can be prevented through early detection of pre-cancerous polyps in the colon. A colonoscopy is a screening test designed to detect polyps and abnormalities in the colon (the large intestine) before they can potentially develop into colon cancer. The gastroenterologists at Digestive and Liver Center of Florida in Orlando offer diagnostic testing and treatment for colon cancer and other diseases of the digestive system.


Schedule a Colonoscopy in Orlando, FL

Colon cancer is the third most common form of cancer for both men and women in the United States according to the American Cancer Society. Some people are at a higher risk of colorectal cancers due to factors like family history among others. Adults with a normal or average risk profile for colon and rectal cancers are advised to begin screenings between ages 45 and 50 (people considered at high risk may need to begin screening earlier).


What a Colonoscopy Can Do

A colonoscopy is a diagnostic test that allows a gastroenterologist (a doctor that specializes in diseases and illnesses of the digestive system) to take pictures and look inside your colon for lesions and potentially pre-cancerous growths known as polyps. The test is performed on an outpatient basis at the doctor's office using an instrument called a colonoscope, a thin flexible tube equipped with a camera that allows the doctor to examine the entire colon and rectum for any abnormalities.

If suspicious-looking tissue or polyps are found during a colonoscopy, they can be removed at the same time and sent for testing (biopsy), making the procedure an important tool in preventing colon cancer before it can grow and spread to other tissue and organs.


Find a Gastroenterologist in Orlando, FL

For more information about colon health and cancer screenings, contact Digestive and Liver Center of Florida today by calling (407) 384-7388 to schedule an appointment with a gastroenterologist today.

H. Pylori infections are quite common across the globe. It is more frequent and acquired earlier in countries that are poverty-stricken and less developed. This is a type of bacteria that causes an infection in the stomach. It is usually attributed to peptic ulcers, and can also lead to both gastritis and stomach cancer. Approximately 30-40% of people in the United States acquire this infection. Many experience this in their childhood. Normally, H. Pylori does not cause symptoms, but it can break down the inner protective lining in the stomach of some patients causing inflammation. Research is still ongoing on how the bacteria spreads.

Their is belief that it can spread. by unclean food and/or water. Another manner in which it can spread to a person is via contact with an infected person's saliva or other bodily fluids. If you happen to have symptoms of a peptic ulcer, contact your healthcare provider to check if H.Pylori is present. There are blood, breath, and stool tests available to detect the presence of H. Pylori. In certain cases, you may need an Upper (EGD) Endoscopy, accompanied by a biopsy to get the most accurate results. If you have a peptic ulcer, the treatment is usually a combination of antibiotics and acid-lowering medications. Once treatment is completed,  a follow-up appointment is made to get tested once more to ensure that the infection is gone.


Hepatitis C or (HCV) is known as a liver disease with varying degrees of severity, ranging from acute to chronic hepatitis. This illness is usually spread by infections through small amounts of blood exposure. This can occur through unsafe injection practices, unreliable health care, unscreened blood transfusions, and/or sexual practices that lead to blood exposure. An individual who happens to have a chronic case is statistically at a higher risk of developing cirrhosis or liver cancer. Around the globe, we have an estimated 71M people with hepatitis c infection. The World Health Organization estimates that in 2016, approximately 399, 000 people died from this disease, mostly from cirrhosis and hepatocellular carcinoma (liver cancer). The good news is that antiviral medicine serves as a cure to over 95% of hepatitis C cases, which drastically lowers the risk of death associated with cirrhosis and liver cancer. Research has been ongoing to increase treatment options against this illness. 

If you happen to be unsure whether or not, you may be at risk...consider getting screened. Early diagnosis can prevent health conditions that are a direct result of the transmission of the virus. 

The World Health Organization recommends the following practices to prevent being infected by this disease:

  • Safe and appropriate use of health care injections
  • Safe handling/disposal of sharps and waste
  • Testing of donated blood for HBV and HCV
  • Hand hygiene, surgical hand preparation
  • Ensuring health personnel are adequately trained


Be mindful of the following symptoms:

  • Fever
  • Fatigue
  • Decreased Appetite
  • Nausea
  • Vomiting
  • Abdominal pain
  • Dark urine
  • joint pain
  • jaundice (yellowing of skin/ eyes)


In this current time, the World Health Organization is focusing its efforts on highlighting the need to increase both domestic and international funding to scale up hepatitis prevention, testing and treatment services, to reach their goal of taking treatments to the next level by 2030.

July 19, 2019
Category: Uncategorized
Tags: Untagged

Are you currently suffering from a case of GERD or Gastroesophageal Reflux Disease? Then, know that you are not alone. This disease has the tendency of causing much discomfort due to stomach contents leaking back into the esophagus. This leads to the symptom of heartburn for many people. Heartburn occurs when stomach acid that has refluxed touches the lining of the esophagus, causing one to experience a burning sensation. Some simple lifestyle tweaks can help lessen the effects of this health condition.

Avoid the following foods:

  1. Any caffeinated beverage
  2. Citrus-based juices
  3. Soda
  4. Alcohol
  5. Mints
  6. Tomato products
  7. Fried foods
  8. Spices
  9. Garlic
  10. Chocolate


In addition, eating smaller, but frequent meals can help to reduce stomach pressure that often triggers the reflux effect. Another tip is to reduce the amount of fat per meal because this nutrient takes the longest to exit the stomach compared to a carbohydrate and/or protein. Last quick tip...avoid eating before bedtime. Why? It normally takes about 4-5 hours on average to fully digest a meal. We recommend that one waits at least 3 hours after eating to go to bed.

Have a great weekend everyone!

Our digestive system is always on the move, conducting many processes throughout each day. The health of your gut plays a major role in our overall health and well-being. This all occurs within the (GI) or Gastrointestinal tract of the human body. The GI tract measures approximately 30 feet in length! Suprising isn't it?! It works in conjunction with other parts of the Digestive System to break down food into smaller nutrients. Then, these nutrients are then absorbed into the bloodstream throughout other portions of the body for growth, energy, and repair. Why is this important to overall health? Because many human illnesses are attributed to the malfunctions of the Digestive System. According to the U.S. Department of Health and Human Services, "60-70 million Americans are affected by digestive diseases, like gastroesophageal reflux disease (GERD) or Irritable Bowel Syndrome" (IBS). Gerd occurs when our stomach acid rises back up our esophagus or throat. This leads to heartburn and indigestion. Furthermore, Gerd causes abdominal pain and changes in bowel movements. Some people even report experiencing constipation, diarrhea, or a combination of these two symptoms. Links have been found between lifestyle changes that create stress and the onset of IBS. However, if IBS is stress-related and you happen to find someone in your life to help cope with the stressors that raises your risk of acquiring the illness...then the risk will dramatically lower. This is where having a functional, social "support system" matters. As observed by GI expert of the University of California, Dr. Lin Chang, "finding healthy ways to manage stress is important for GI health." 

What you eat can help our hurt your digestive system, and influence how you feel. 

A healthy life equals a healthy gut. 

Be well. 

Our human microbiome plays a pivotal role on how we feel overall. How we choose to eat directly affects the balance of the microbiome we have to aid in absorption and digestion. These microbiomes consists of trillions of microorganisms of various species. In a healthy person, this bacteria coexist in a balanced manner, with the majority of them present in both our small and large intestines. According to the Harvard School of Public Health, "The microbiome is even labeled a supporting organ because it plays so many key roles in promoting the smooth daily operations of the human body." The balance that each person has in their microbiome is correlated to their DNA from birth. The microbiome has a certain amount of helpful (symbiotic) and potentially harmful bacteria (pathogenic). Usually it is a disturbance within the body caused by an infectious illness, certain diets, or extended use of antibiotics or other bacteria-reducing medications that can alter the balance of the human microbiome in our bodies.

Therefore, the body may become more susceptible to disease. Microbiome does also have many benefits to the body as well. For starters, it stimulates the immune system, breaks down potentially toxic food compounds, and synthesize certain vitamins and amino acids (e.g. B Vitamins and Vitamin K). Sugars like lactose or the common table sugar are absorbed rapidly in the upper portion of the small intestine, but complex carbohydrates like starches and/or fiber are not digested easily. As a result, these foods may travel much lower into the large intestine. The fermentation of indigestable fibers stirs the onset of short chain fatty acids that can be used by the human body as a nutrient source, but also in aiding muscle function and in some cases prevent chronic diseases.

This may include illnesses such as certain cancers and bowel disorders. The microbiota of a healthy person will also provide adequate protection from pathogens that enter our bodies from a refreshment or contaminated food. Large groups of bacteria are located in the human gut which include: Prevotella, Ruminococcus, Bacteroides, and Firmicutes. Also, the colon which is a low oxgen environment is home to several anaerobic bacteria like Peptostreptococcus, Bifidobacterium, Lactobacillus, and Clostridium. 

Overall, our microbiome is a living dynamic environment where the relative abundance of species may fluctuate daily, weekly, or monthly. It is influenced by our diet, medication, exercise, and an array of other environmental exposures. 


Until the next post...be well.

The gut and mind are closely intercorrelated in how they work in helping an individual remain healthy. This is why, under a stressful situation...one may experience nausea. Stress can affect movement and contractions of the GI tract, make inflammation worse, or perhaps make you more susceptible to infection. According to Harvard Health Publishing, "some people with functional GI disorders perceive pain more acutely than other people do because their brains are more responsive to pain signals from the GI tract." Are your stomach or intestinal problems — such as heartburn, abdominal cramps, or loose stools — related to stress? If you notice these symptoms, please consult them with your doctor. These issues are normally diagnosed under three categories of symptoms, which can be viewed below:


Physical symptoms

·      Stiff or tense muscles, especially in the neck and shoulders

·      Headaches

·      Sleep problems

·      Shakiness or tremors

·      Recent loss of interest in sex

·      Weight loss or gain

·      Restlessness

Behavioral symptoms

·      Procrastination

·      Grinding teeth

·      Difficulty completing work assignments

·      Changes in the amount of alcohol or food you consume

·      Taking up smoking, or smoking more than usual

·      Increased desire to be with or withdraw from others

·      Rumination (frequent talking or brooding about stressful situations)

Emotional symptoms

·      Crying

·      Overwhelming sense of tension or pressure

·      Trouble relaxing

·      Nervousness

·      Quick temper

·      Depression

·      Poor concentration

·      Trouble remembering things

·      Loss of sense of humor

·      Indecisiveness



Be well. Be informed. Live well. 

By Digestive and Liver Center of Florida
May 29, 2019
Tags: Acid reflux  

Heartburn—sometimes the pain is awful, isn't it? Resulting from acid reflux, chronic heartburn can, and should be, treated to avoid more serious issues. At Digestive and Liver Center of Florida in Orlando, your team of seven board-certified gastroenterologists and their support staff help people monitor their Gastroesophageal Reflux Disease, resulting in better GI health and overall well-being.

The symptoms of GERD

The American College of Gastroenterology says that 15 million adults in the United States exhibit persistent acid reflux symptoms. Often associated with an incompetent esophageal sphincter, GERD symptoms may include:

  • Burning pain in the chest
  • Hiccups
  • Vomiting
  • Blood in the stool
  • Abdominal bloating, burping, and gas
  • Esophageal spasms
  • Hoarseness of voice
  • Difficulty swallowing or dysphagia (food comes stuck in the esophagus)
  • Wheezing (asthma-like symptoms)
  • A sore throat which persists
  • Weight loss
  • Coughing


Diagnosing Gastroesophageal Reflux Disease

Your Orlando gastroenterologist diagnoses symptoms as GERD when they occur daily or consistently for two weeks or more. Additionally, the doctor will likely order state-of-the-art imaging tests to confirm the diagnosis and to look for damage to the esophagus, strictures, or even evidence of cancerous or pre-cancerous conditions (such as Barrett's esophagus). Typical testing includes endoscopy, ph monitoring, and capsule endoscopy.

With the information gathered, your GI doctor will tailor a treatment plan suited to your individual needs and lifestyle. Treatments may include:

  • Over the counter or prescription medications (H2 blockers, such as Zantac, or Proton Pump Inhibitors, such as Prilosec)
  • Limiting alcohol consumption
  • Smoking cessation (ask your primary care physician about monitored ways to quit)
  • Losing weight and maintaining a healthy weight
  • Avoiding fatty and spicy foods
  • Eating a diet higher in fiber, especially fresh fruits and vegetables
  • Not eating two hours before going to bed
  • Elevating the head of the bed
  • Wearing clothing which is loose at the waist
  • Limiting chocolate, coffee, sodas, and other sources of caffeine


A healthier you

Call Digestive and Liver Center of Florida right away if you have continuing acid reflux symptoms. You'll feel healthier and avoid unnecessary and serious complications. Phone the office team today at (407) 384-7388!

Finding a happy medium in terms of how much sugar the average person consumes is key. We @ Digestive and Liver Center of Florida encourage every patient to be mindful of how much sugar he or she includes in their diet. A good starting place is to moderate any soda consumption, candy, or other high-sugar items. Are you making it a goal to reduce any extra sugar on a weekly basis? What are your thoughts and perception on this subject?? It really does impact your overall health. 

Consider these tips as a reference point on lowering your sugar:

  1. Instead of adding sugar on Oatmeal or cereal, add your favorite kind of fruit to sweeten it
  2. Opt for a low-calorie or sugar-free beverage (e.g. Sparkling water instead of Regular soda) to satiate a craving in a more healthy fashion
  3. Choose fruit rather than desserts
  4. Reduce the amount of sugar added into cakes and cookies. A good alternative to eliminate sugar completely from a recipe involves using unsweetened applesauce.
  5. Be aware of condiments like ketchup, and barbecue sauce; instead consider choosing lower sugar alternatives like salsa, mustard, and hot sauce. 
  6. Read food labels and research the menus of various restaurants online to make informed decisions on-the-go


Have a safe Memorial day weekend as many families reflect on those that have served to protect our country! 


~DLCFL Physicians and Staff

Dietary fiber is absolutely essential when it comes to improving digestion. To simply say, "eat more fiber" can sound cliche, so please allow me to explain how it can help you or a loved one. Do you know why fiber is so good for digestive health? This plant-based nutrient can be found in fruits, vegetables, whole grains, and many legumes (e.g lentils). Incorporating fiber from these natural sources can help one maintain a healthy weight and lower your risk for Diabetes, Heart disease, and some types of Cancer. When selecting foods that contain fiber, you want to approach it with self-awareness and intentionality. That way you can rule out exactly how to add this into some of your meals or snacks. Dietary fiber includes the parts your body cannot digest or absorb. Unlike other food components, such as fats, carbpohydrates, or proteins, this nutrient is not digested.

On the contrary, the fiber passes through your stomach, small intestine, colon, then out of your body. Fiber is classified as soluble, which dissolves in water and insoluble which is basically the opposite. Some sources of soluble fiber include: oats, peas, beans, apples, citrus fruits, carrots, barley and psyllium. Insoluble fiber includes foods such as: whole-wheat flour, wheat bran, nuts, legumes, cauliflower, green beans, potatoes, etc. The amount of soluble and insoluble fiber varies in different plant foods. To maximize the benefit of including this nutrient into your diet, eat a wide variety of high-fiber foods.

If you are wondering what other benefits are attained with adequate fiber, it includes the following:

  • Normalizes bowel movements
  • Lowers cholesterol levels
  • Helps control blood sugar levels
  • Aids in achieving healthy weight
  • Helps you live longer


Now, how much fiber would a person actually need? If you are age 50 or younger, men require 38 grams of fiber, and women require 25 grams. On the other hand, if you are age 50 or older, men need 30 grams of fiber, and women need 21 grams of fiber. This is in accordance to the Institute of Medicine.

Need some tips to jumpstart your fiber intake? Then, please allow us to recommend the following:

  • Switch to whole grains
  • Eat more legumes
  • Eat more fruit and vegetables
  • Choose snacks carefully


Remember, at the end of the day...anything in excess is bad for your digestive health. Adding too much fiber too fast may cause intestinal gas, abdominal bloating and cramping. We recommend that you increase your fiber gradually for best results. This allows the natural bacteria in your digestive system to adjust to the change.

Lastly, do not forget to drink enough water. Fiber works best when it absorbs water, making your stool soft and bulky.


Probiotics are known as living, microscopic organisms that can help improve your digestive health. Probiotics are most often bacteria, but can also originate from other organisms such as yeast. Some of the benefits of incorporating enough probiotics into your diet either by the foods you consume or by supplement form include:

  • heightened immune system
  • better protection against infections
  • Stops harmful "bad" bacteria from attaching to the gut lining and developing further
  • Sends signals to cells to build up the mucus in your gut and help it act as a barrier against infection
  • Stop or kills toxins released by certain bacteria that can make you sick
  • Promotes the growth of other bacteria that can improve your health and wellbeing
  • Maintains healthy skin and a healthy nervous system


Many kinds of bacteria are considered probiotics. The most common forms of common probiotic bacteria come from two groups, Lactobacillus and bifidobacterium. Probiotics are sold commericially in pill and powder form, and in foods (e.g. Yogurt). Be sure to consult with your doctor to figure out which probiotics are best for you. 

Researchers are still learning which probiotic should be used for which symptoms or health issues. Probiotics can serve as an added supplement to respective treatments. However, they do not replace them. Some of the common health issues for which probiotics may help are the following: Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disease (IBD), Diarrhea, etc. 

If a doctor has prescribed a probiotic for you, make sure to take it as recommended. If you do not, then the helpful effects of the probiotic may only last a short period of time. 

As hippocrates once said, "all disease is rooted in the gut."



May marks the beginning of Hepatitis Awareness Month.

As observed by (Wolitski, 2016), "many partners across the federal government, including the Department of Health and Human Services (HHS) and its agencies, join with numerous non-federal and community allies to raise awareness of viral hepatitis during Hepatitis Awareness Month. The month-long observance includes national Hepatitis Testing Day on May 19th. These represent important opportunities to promote hepatitis testing and improve outcomes for the estimated 3.4 million to 5.3 million people living with viral hepatitis in the U.S., many of whom do not know they are infected." Viral hepatitis is known as one of many leading causes of death across the globe. Millions of people are affected yearly without even being aware at times. Other health statistics show that 90% of people living with hepatitis B and 80% living with hepatitis C are not aware of their status. If left undiagnosed, the possibility of developing a fatal liver disease at some point in the life of a relative or friend is possible. However, with the availability of effective vaccines and treatments for hepatitis B and a cure for hepatitis C, you or a loved one does not have to suffer from this health condition. 

With the inclusion of viral hepatitis in the Sustainable Development Goals (SDGs) and the recent adoption of the world's first international hepatitis strategy, are pivotal turning point in the world is medicine is before us. The need for political involvement is growing. This month if you desire to get involved assess your risk and please take action. Get social online and use the following hashtags in support: #HepAware, #HepTestingday, and #HepatitisAwarenessMonth to share valuable information on viral hepatitis that can help save more innocent lives. 

From all of our staff at DLCFL, 

Be well.

April marks the start of Esophageal Cancer Awareness month. The mission behind this time is to express to the communities of Central Florida and beyond the importance of being mindful of this disease. This cancer begins in the inner lining of the esophagus and spreads outward through the other layers as it develops. The two most common types of Esophageal Cancer are Squamous Cell carcinoma, and Adenocarcinoma. The first type is often found in the upper and middle section of the throat. However, the latter usually forms in the lower esophagus, close to the stomach. According to the ECAA, "there isn't a known, single cause of esophageal cancer." 

Now in terms of risk factors, the following should be taken into consideration: Do you suffer from constant episodes of acid reflux? Were you ever diagnosed with Hiatus hernia?? Is this is a long-term issue you and other members of your family have been diagnosed with??? If this is your case, then consider getting screened by a qualified Gastroenterologist, as a defensive measure for your health. Acid reflux if left untreated can cause GERD (gastric-esophageal reflux disease). This advanced form of acid reflux can increase the risk of a patient acquiring a condition called Barrett's esophagus. If this occurs, the lining of the cells along the esophagus are structurally altered. Generally, this condition alone does not affect a person's health. However, in a small percentage of cases, there is a chance that the altered cells in someone with Barrett's esophagus can develop into pre-cancerous cells and overtime into an invasive carcinoma or cancer. 

There are other symptoms that are often experienced as a result of esophageal cancer:

  • Difficult or painful swallowing
  • Weight loss
  • Blood in the stool
  • Loss of appetite
  • Feeling very tired
  • Pain in the throat or back
  • Hoarseness or coughing


If you have any of these symptoms, advise your doctor so that the cancer can be diagnosed early and the proper form of treatment can be implemented.


Be well. 


March 27, 2019
Tags: Endoscopy   Polyps   Ulcers   Tumor   Crohn's Disease  

Stomach PainColon cancer affects thousands of Americans each year, with more than 95,000 people being diagnosed with the condition in 2016 alone, according to the American Cancer Society. One of the best ways to detect colon cancer is by visiting your Altamonte Springs and Orlando, FL, gastroenterologist for a video capsule endoscopy.

More About an Endoscopy

An endoscopy is a procedure in which your gastroenterologist will use an endoscope (a thin, flexible tube with an attached lens and light source) to view the images of your digestive system on a video monitor. Your doctor then examines these images to examine if there are potential tumors, sources of bleeding, or pain.

It's a painless and non-invasive procedure that helps people detect early stages of cancer. It is recommended for adults ages 50 to 75, according to the CDC.

What does an endoscopy detect?

  • Polyps
  • Ulcers
  • Tumors in the small intestine
  • Inflammatory bowel disease (Crohn’s disease)

Colon Cancer Symptoms

Symptoms aren't always obvious. Here are the signs you need to keep an eye out for according to the doctors in Altamonte Springs and Orlando, FL:

  • Bowel Habit Changes: If you are suffering from constipation or diarrhea for more than four weeks, that may be a sign of cancer
  • Fatigue: Colon cancer results in patients feeling weak and fatigued
  • Weight Loss: Unexplained weight loss
  • Incomplete Evacuation: If you are experiencing constant bowel movements, even if you've just had a bowel movement, then you need to contact your doctor
  • Blood in Your Stool: Hemorrhoids are usually accompanied by blood in stool, but blood may also be a sign of a more serious condition like cancer

How to schedule an appointment

If you would like more information on endoscopies and how they can help you, don't hesitate to contact the doctors at Digestive and Liver Center of Florida. If you need an endoscopy, contact your Altamonte Springs and Orlando, FL, gastroenterologist today!

We have a public service announcement! From March 25-31, we will begin celebrating the level of faithful service our team of Physicians have provided to our patients here in Central Florida. It takes the right medical professional to cater to the needs of each and every patient. At Digestive and Liver Center of Florida, we take this value seriously by making it a commitment every year.  We are proud of the quality care that is provided by our physicians at this practice. In two weeks, we will be mentioning them on all of our Social media channels to show how honored we are to help them provide compassionate, caring, and sophisticated care. One patient at a time! We would like to take a moment to highlight some facts that truly show the communities of Central florida how special and dedicated they all are in the art of medicine:

Dr. Seela moved over to metro Orlando after finishing a prestigious fellowship at the Yale University School of Medicine. Dr. Seela has a Board certification on Internal Medicine and Gastroenterology. He is a member of the American Gastroenterological Association (AGA), the American Society for Gastrointestinal Endoscopy (ASGE), the American Association for the Study of Liver Diseases (AASLD), and Crohn's Colitis Foundation (CCF). He is also a teaches, as an attending physician at both the Florida Hospital Internal Medicine Residency and Family Practice Residence (MD and DO) programs.

Dr. Harinath Sheela moved into the city of Orlando, after he completed his fellowship in Gastroenterology at the Yale University School of Medicine. The program he underwent is known across the country as a program of high prestige! During this time in his journey, he vested a great amount of time in basic and clinical research. Furthermore, he has published various articles on Gastroenterology literature. His interests include health conditions such as Inflammatory Bowel Diseases (IBD), Irritable Bowel Syndrome (IBS), Hepatitis B, Hepatitis C, Metabolic and other liver disorders. Dr. Sheela is a Board Certified Gastroenterologist, in both Internal Medicine and Gastroenterology. He is also a member of the American Gastroenterological Association (AGA), the American Society for Gastrointestinal Endoscopy (ASGE), the American Association for the Study of Liver Diseases (AASLD), and Crohn's Colitis Foundation (CCF).

Dr. Ramesh developed his expertise for medicine at the Medical College of Virginia. Their known globally for their Gastroenterology and Hepatology Programs! He particularly enjoys Advanced and Therapeutic Endoscopy including ERCP and Endoscopic Ultrasonography (EUS), as well as various Liver Diseases. Dr. Ramesh received advanced training in ERCP and Endoscopic Ultrasonography (EUS). in ERCP and Endoscopic Ultrasonography (EUS). He also is Board-certified in both Internal Medicine and Gastroenterology. He is an active member of the American Gastroenterological Association (AGA), the American Society for Gastrointestinal Endoscopy (ASGE), the American Association for the Study of Liver Diseases (AASLD), and Crohn's Colitis Foundation (CCF).

"Dr. Atiq" Basher Atiquzzaman, MD, brings a high level of medical experience when treating diseases that affect the stomach, colon, intestines, liver, pancreas, and esophagus. He follows in the footsteps of his ancestors who also served in the medical field. This ignited a passion to pursue a career to show how much he appreciates the art of medicine...firsthand. One manner in which he diagnoses and treats his patients, is by using a tiny camera to complete a respective procedure. Moreover, he has the added skill of knowing Photography, which enables him to perform better in Gastroenterology. Overall, Dr. Atiq has over 20 years of clinical experience, and we are thankful to have him in our team. 

Dr. Jessica is a Board-Certified doctor in the field of Gastroenterology. She received her medical degree in 2003 from Ponce Health Sciences University in Puerto Rico. Once she had completed her residency of Internal medicine at the VA Carribean Healthcare System, she garnered another year of experience as a training program leader to become a Chief Resident. Her fellowship was then acquired at the University of Puerto Rico School of Medicine and affiliated hospitals. Moreover, her interests in the field is broad in that it includes conditions like Abdominal pain, Anemias, Liver Diseases, GERD, Hepatitis C, Gastrointestinal bleeding, and many others. In addition, she is also involved in several organizations as an active member: AMA (American Medical Association), American College of Gastroenterology, AGA (American Gastroenterology Association), and the American Society for Gastrointestinal Endoscopy. She is bi-lingual, with fluency in both the English and Spanish language. We are glad to have her in our team! 

Dr. Sergio Larach faithfully serves as one of our Board-certified Colorectal Surgeons. He has been chosen as a "Top Doctor in Orlando" by the Orlando Magazine for several years! He finished his fellowship from the University of Texas Medical School. He is well experienced in an array of colorectal disorders that include Inflammatory Bowel disease, Colon and Rectal cancer, among other ano-rectal diseases. Furthermore, he is a recognized Pioneer performing Laparoscopic surgical procedures. He also developed a TAMIS procedure as an innovation in the treatment of rectal tumors. Within Central Florida, he is adequately involved as the Program Director of Orlando Regional and Florida Hospital's Colon and Rectal Fellowship program! In addition, he teaches in UCF and FSU as their Clinical associate Professor. His service in our practice really exemplifies what it means to put our patients first. Thank you!

Dr. Atallah is a Double Board-certified Colorectal Surgeon recognized all across the world for his medical expertise and ground-breaking presentations. Furthermore, he is the Director of Research and Clinical Trials. He decided to move to the city beautiful of Orlando in 2007, once he had completed his training at MD Anderson Cancer Center. This intensive regimen earned him a Double-Board certification in both General Surgery and Colorectal Surgery! After he finished his fellowship training in Colon and Rectal Surgery, it inspired him to perform the World's first TAMIS operation in Winter Park, FL in 2009. This opened the door to a new approach in how rectal cancers and Polyps could be treated at a medical facility. Moreover, he pioneered Robotic Transanal Surgery, known as the first to ever use this technique in the world of medicine. In addtion, he is one of the leaders in advanced technology for Rectal Cancer surgery. He also developed stereotactic navigation for transanal total mesorectal excision (taTME ). This marked the start of a vital step forward in the innovation of computer-assisted surgery. Overall, his prinicipal interest revolves around Colorectal Surgery, and is in the process of producing a textbook to be published this year by Springer Nature. Along with this pursuit, he also is heavily involved in the design and assessment of the next-generation robotic systems that will be more compact, and sleeker in its aesthetics to enhance the efficacy of its use in Colorectal Surgery. We are proud of his service in this team! Thank you for your dedicated work Dr. Atallah!

It is hard to believe, but March has arrived....This month marks the beginning of what is traditionally known across the nation as "Colon Cancer Awareness month." Do you or someone else have a concern in regards to Colon cancer? Do not worry as their are answers to help understand this disease. Colon cancer is essentially a cancer that emerges in the colon or rectum. It is sometimes called 'Colorectal cancer', depending on whether or not the cancer started in the colon or rectum. Cancer at a micro level is a process that occurs within the human body where a cell (s) start to grow abnormally. This can happen literally anywhere in the human body. Therefore, we must do our part as a society to stay informed with the latest information you can find here today. If you are a patient or non-patient, you may at some point ask yourself, "well, how does Colorectal Cancer begin?"  According to the American Cancer Society, "most cancers start as a growth on the inner lining of the colon or rectum." These growths are clinically known as Polyps. Some of these Polyps can have a tendency to mutate into a Cancer, but it is NOT always the case. To further break this down, it really depends on whether the Polyps is categorized as either a Adenomatous or Hyperplastic Polyp. If a polyp is detected as Adenomatous, then the likelihood of it being cancer is much greater. A hyperplastic polyp, on the other hand, is more common than the first type and is Non-cancerous in nature. Colon cancer spreads by growing INTO the wall of the colon or rectum over time. If left untreated, an Adenomatous polyp can turn into a blood/lymph vessel, which can cause the pre-cancer to spread to other parts of the body. At that stage, it becomes more challenging for a Physican to successfully cure. Getting screened is a good preventative step if you happen to be unsure of your Colorectal health and/or if the disease runs in your family and you want to take an extra precaution to lower your risk. The best word of advice I can give is: STAY HEALTHY! You can significantly reduce your risk of acquiring this disease with some practical changes in your overall lifestyle. This includes, eating smart to optimize your physical and immunological health, maintaining a fitness regimen that fits your needs, and not smoking. With these tips in mind, it may help minimize the risk of being diagnosed with this cancer.

You deserve to live your best life! 

February 12, 2019
Tags: Colonoscopy  

Colonoscopies provide valuable information about the health of your gastrointestinal tract and can help detect colon cancer. The minimally Colonoscopyinvasive procedure, offered by the gastroenterologists of Digestive and Liver Center of Florida in Orlando and Altamonte Springs, FL, provides valuable information about the health of your gastrointestinal system.


What happens during a colonoscopy?

Colonoscopies allow gastroenterologists to view the lining of your intestines without surgery. During the test, your Orlando or Altamonte doctor inserts a thin, lighted probe into your anus and gradually passes it through your large intestine and the lower part of your small intestine. The probe contains a tiny camera that sends images of your intestines to a digital monitor. Thanks to this important technology, your gastroenterologist can detect polyps, lesions or bleeding in the intestinal lining.

Before the test begins, you'll receive pain medication and a sedative. When you wake up, you probably won't remember anything about your colonoscopy.


Do I really need a colonoscopy?

For years, 50 was the recommended age for a first screening colonoscopy. Recently, the American Cancer Society lowered the age to 45 in order to ensure that cancerous and pre-cancerous polyps are detected promptly. As colon cancer often doesn't cause symptoms until it's quite advanced, a colonoscopy can literally save your life. If your gastroenterologist does see any polyps, he or she will remove them and send them to a laboratory for testing. Small tissue samples can also be removed for biopsy during the procedure.

If your initial colonoscopy is normal, you probably won't need another colonoscopy for 10 years. More frequent colonoscopies may be recommended if you've had colon cancer or polyps in the past.

Colonoscopies are also used to diagnose gastrointestinal conditions. Your gastroenterologist may recommend a colonoscopy if you have chronic diarrhea or constipation, abdominal pain, anemia, unexplained weight loss or rectal bleeding. In addition to diagnosing these conditions, special instruments can also be used to stop bleeding.


Can I drive home?

You'll need to ask a friend or family member to drive you home from your colonoscopy, as lingering effects of the sedative could affect your reaction time if you drive. You may pass a little gas after the colonoscopy, but most people feel perfectly fine, although a little hungry.

Protect your health with a colonoscopy! Call the gastroenterologists of Digestive and Liver Center of Florida in Orlando and Altamonte Springs, FL, at (407) 384-7388 to schedule an appointment.

Are you in need of an alternative solution towards a weight-loss goal for this new year? If you answered "yes" to that question, then I highly encourage you to consider joining us on 2/26/19 from 6-8 pm! This treatment is made a solution for those that suffer from Obesity. Aspireassist is a quick 15 minute procedure that is performed under "Twilight Anesthesia." General anesthesia is usually not required. This treatment works by reducing the number of calories absorbed by the body, helping the patient make gradual lifestyle changes. Having this procedure allows a patient to remove up to 30% of food from the stomach before the calories are absorbed by the body. Hence, leading to a gradual, and healthy form of weight loss.

To add more value to this program, a patient would also have the opportunity to connect with a professional in Lifestyle Counseling on a one-on-one setting to receive the support and motivation needed to sustain and prolong results. The best part of this option is that if you are unsatisfied for any reason, this procedure is reversible! If the costs are a concern to you as a patient, this procedure is more affordable than a traditional bariatric surgery. We will have a representative hosting a Free Informational Seminar to covers the full scope of what this procedure can offer a patient. Our very own Dr. Harinath Sheela will be joining us that evening to answer any questions any guest (s) may have regarding this FDA-approved, non-surgical procedure.  **This will be held at our Dean Rd location** 

Direct Aspireassist homepage link: https://www.aspirebariatrics.com/about-the-aspireassist/

Join us for the latest up-to-date information on Aspireassist!

Be well. 


Dr. Atallah, and Dr. Larach are known as two of the elite colorectal surgeons in the health world. Dr. Atallah is a Professor of Surgery @ UCF College of Medicine. He most recent success includes his completion of two consecutive terms as Chairman of the Department of Colorectal Surgery at Florida Hospital (AdventHealth). Moreover, Dr. Atallah is involved in other roles as Director of Research and Clinical Trials at the Digestive and Liver Center of Florida, Director of The Division of Colorectal Surgery at the Endo-Surgical Center of Florida, and Director of Colorectal Surgery at Oviedo Medical Center. In his own words, he states "I may wear a few different hats, but my most gratifying job is taking care of patients...this is the best part about being a doctor...having the privilege to help those in need!"  What is really intriguing about his position in the World of Health is how he and Dr. Larach have collarobated to invent the world's first TAMIS operation. This is essentially a method of treating cancer in a minimally-invasive way.

Dr. Larach has released a wide array of articles on Colon and Rectal surgery. In addtion, he has been selected as a "Top Doctor in Orlando" by the Orlando Magazine for several years. He is also a known pioneer of various Laparoscopic surgical procedures. Furthermore, Dr. Larach serves as a Clinical Associate in both UCF, and FSU. Subsequently, he works the role of Associate Director of International Advisory Affairs @ The International Society of University of Colon and Rectal Surgeons.


Our upcoming Patient Appreciation event is just around the corner. It is scheduled to take place tomorrow, January 26, 2019. This is totally free and will encompass a health talk by World-renowned Dr. Sam Atallah on Fecal Incontinence, and other relevant treatment options available to patients. Furthermore, Dietician, Nataly Fishberg will follow up with another talk on "Ways to Reset and Stick to your New Years goals." Some highlights of this talk will include subjects such as detoxing, the necessity of water in a diet, the mindset behind proper goal-setting, to name a few. **A complimentary breakfast will also be served**

We @ Digestive and Liver Center of Florida are proud to offer this free resource to our community to encourage, empower, and inspire communities across Central Florida. 


Time: 9:30 am-11 am et

Phone: (407) 384-7388 ext. 751 or ext. 706



November 07, 2018
Tags: Hemorrhoids  

Hemorrhoids can cause patients major discomfort at some of the most inconvenient times. The American Society of Colon and Rectal Surgeons says that it is one of the most common ailments for Americans. If you’ve been struggling with a case of hemorrhoids that won’t go away or seems to be worsening, contact the team at Digestive and Liver Center of Florida in Altamonte Springs and Orlando, FL. A gastroenterologist can provide a solution that will give you much-needed relief.

Hemorrhoids Are a Pain
Though hemorrhoids are usually talked about in a light, joking manner, the discomfort that they cause can be a serious distraction. Hemorrhoids are enlarged boils that form outside of and sometimes inside of the rectum. They happen when blood vessels bulge and stretch outside of the tissues around the anus. Hemorrhoids make it very difficult to go to the bathroom or even to sit down for extended periods of time. They can also cause blood to show in the stool, which is a common symptom besides the pain.

Hemorrhoid Treatments
You can wait for time to pass for a case of hemorrhoids to clear up, but if it lasts for many days or even weeks, seek help from a gastroenterologist. These are the treatment options offered at Digestive and Liver Center of Florida in Altamonte Springs and Orlando, FL:

- Prescription medicated cream that calms the swelling and reduces pain.
- Rubber band ligation, which is tying tiny rubber bands around the hemorrhoids so that they fall off on their own.
- Hemorrhoidectomy, a surgery to remove the boils.
- Hemorrhoidopexy, another procedure that uses staples to prevent the formation of hemorrhoids.

What You Can Do to Avoid Hemorrhoids
Hemorrhoids don’t have an exact cause, but they may be more common in patients who live a sedentary lifestyle. People who spend many hours sitting, especially on hard surfaces, may experience this issue. Another possible cause is straining when going to the bathroom, which is why a high-fiber diet is recommended. Soaking in a warm bath every now and again can also calm hemorrhoid symptoms and reduce the chance of a reoccurrence.

Get Assistance for Faster Relief 
Hemorrhoids sometimes go away on their own, but sometimes they can persist for longer than what is considered tolerable for the average patient. Call (407) 384-7388 today to see a gastroenterologist at Digestive and Liver Center of Florida in Altamonte Springs or Orlando, FL. 

September 21, 2018
Tags: Colonoscopy   Diarrhea   Constipation  

A colonoscopy is a test that is used to screen for common digestive disorders and diseases in the colon. It allows doctors to provide necessary early treatments before a colon-related condition becomes life-threatening. Know when and why a colonoscopy is Colonoscopy Schedulerecommended so that you can plan ahead and schedule your exam with a gastroenterologist at Digestive and Liver Center of Florida in Orlando, FL, and Altamonte Springs, FL.

What Is a Colonoscopy?
A colonoscopy is the most reliable and accurate way for your doctor to view the inner lining of your colon. Your gastroenterologist uses a special tool called an endoscope to look at the inside of the large intestine. The endoscope is a long, flexible tool that will allow your doctor to see the expanse of the anus, rectum, and colon on a screen. It can spot polyps that could be precancerous, ulcers, and inflammation. Your doctor can remove any polyps or abnormal growths through the endoscope during the procedure.

Why Is This Test Recommended?
Colorectal cancer has a relatively high fatality rate when it isn't treated early, which is why it is so important for people of a certain age and medical history to have their colon checked with this test. These are some of the reasons why your Orlando, FL gastroenterologist may recommend a colonoscopy:

- There is severe stomach pain or blood in the stool.
- Bowel problems, including diarrhea and constipation.
- Patients who have reached age 50, especially men, are often strongly advised to have their first colonoscopy.
- If there is a family history of colon cancer or digestive disorders, your doctor may suggest a screening.

What to Expect
For the colonoscopy test to be successful, you must closely follow the instructions provided by your gastroenterologist. Before the appointment, you must agree to a liquid diet for a few days and take laxatives to clear the colon so that the endoscope will have clear passage. You will be sedated to ensure that you're relaxed during the procedure. The entire visit shouldn't take more than an hour, and you'll need to have someone help you home afterwards. 

Ask Your Gastroenterologist
If you're not sure if you should have a colonoscopy, schedule time to speak with a gastroenterologist. Call (407) 384-7388 today for an appointment with a gastroenterologist at Digestive and Liver Center of Florida in Orlando, FL, and Altamonte Springs, FL.

Image may contain: text and food

Memorable quotes from a previous class by Nataly Fishberg:

  • "Too much sugar whether it is from fruit or high-fructose corn syrup plagues health."
  • "The type of carbohydrate a person eats matters just as the type of fat matters."
  • "Dietary cholesterol has little effect on blood cholesterol levels."
July 24, 2018

Though increasingly common, cancer is almost always a frightening diagnosis to receive. However, with the proper knowledge of the gastrointestinal cancerdisease and help from a team of doctors, you can understand the best treatment options for you. Gastrointestinal tract cancer is an umbrella term for a group of cancers which affect your digestive system. Find out more about spotting gastrointestinal tract cancer early and learn about the treatment options available for you from your gastroenterologist with Digestive and Liver Center of Florida in Orlando, FL, and Altamonte Springs, FL.

What is the gastrointestinal tract? 
The gastrointestinal tract is a system of organs which allow digestion to take place. The GI tract begins at the mouth and moves food down the body through the esophagus, stomach, small intestine, large intestine, and anus. These organs all play a vital role in digesting the food you eat, distributing its nutrients to the body, and disposing of the waste left behind. Gastrointestinal tract cancer can affect any of these organs. Some common types of GI cancer include esophageal cancer, stomach cancer, pancreatic cancer, liver cancer, and gallbladder cancer.

Common Signs of Cancer of the Gastrointestinal Tract 
Due to its wide range of different types of cancer, the symptoms of GI cancer vary depending on which part of the body is affected. However, some common signs and symptoms include:

  • unexplained weight loss
  • poor appetite
  • belly pain or discomfort
  • nausea
  • bloody stool
  • a sense of fullness in the abdomen

Finding and treating any form of cancer is crucial to successfully overcome this disease. If you think you have the signs of GI cancer, you should see your gastroenterologist immediately to investigate further into your symptoms.

Gastrointestinal Tract Cancer Treatments in Orlando, FL, and Altamonte Springs, FL 
Treating gastrointestinal tract cancer varies depending on the type of cancer diagnosed and its stage and development. Early stages of GI cancers may require only surgery to remove the affected parts of the affected areas. In later stages, radiation therapy or chemotherapy may become necessary to properly eradicate the cancerous cells. Working with your gastroenterologist can help you choose the best treatment plan for you.

For more information on gastrointestinal cancers, please contact Digestive and Liver Center of Florida with locations in East Orlando, FL and Downtown Orlando, FL, and a location in Altamonte Springs, FL. Call (407) 384-7388 to schedule your appointment at any of the three locations today!

For Immediate Release

Media Contact:                                                                                       Endo-Surgical Center of Florida
Elisabeth DeFreitas                                                                                100 N. Dean Road, Suite 102
[email protected]                                                                             Orlando, FL 32825
407-384-7388, Ext. 706                                                                           407-506-0006


06/27/2018 – Today at Oviedo Medical Center Dr. Sam Atallah, a pioneer in surgical innovation performed the first operation of its kind for intestinal cancer. The operation was performed with a specialized flexible robotic system-the only one like it in the entire state-to remove a tumor from the intestinal tract.

The new robotic system is unique because it allows for operation inside the intestine in a curve-linear path. In this way, Dr. Atallah explains “I am able to reach growths from inside the intestine, rather than having to cut through the abdomen to get to them. For select patients, this can cure them from early stage cancer without having to put them through major surgery.”

Dr. Atallah is one of only five investigators hand-selected to trial the state-of-the-art system designed for Colorectal Surgery. The advanced robotic system received FDA clearance in 2017.

Sam Atallah, MD, FASCRS, FACS

Dr. Atallah is among the most well-known colorectal surgeons in the world. In 2018, he was appointed Professor of Surgery at UCF-College of Medicine and Director of Colorectal Surgery at Oviedo Medical Center. He moved to Orlando in 2007 after completing training at Houston’s Texas Medical Center with Surgical Oncology training at MD Anderson Cancer Center where his training had earned him double-board certification in General Surgery and Colorectal Surgery. Two years to the day after completing fellowship training in colon & rectal surgery, Dr. Atallah performed the world’s first TAMIS operation in Winter Park, FL on June 30, 2009. This created a new approach to treating rectal cancers and polyps that is now being practiced in more than 50 countries. Dr. Atallah pioneered robotic transanal surgery and was the first in the world to perform this technique. He is one of the leaders in advanced technology for rectal cancer surgery and has developed the technique of stereotactic navigation for transanal total mesorectal excision (taTME) — an important step forward in the evolution of computer-assisted surgery. Complex treatment of rectal cancer and surgical management of this disease through the new techniques of TAMIS and taTME represent Dr. Atallah’s principal interests in colorectal surgery; and he is currently producing a textbook on these topics scheduled for 2019 publication by Springer Nature. He is also actively involved in the design and assessment of next-generation, AI assisted robotic systems and digital surgery.

About Oviedo Medical Center:

Oviedo Medical Center, the new 64-bed acute care hospital, provides a full range of healthcare services to east Seminole County and surrounding communities. Services include medical and surgical inpatient units, intensive care, medical cardiology, telemetry, cardiac catheterization, inpatient and outpatient surgery, robotic surgery, women’s services including labor and delivery, cardiopulmonary services, comprehensive diagnostic imaging and 24/7 emergency care. Oviedo Medical Center is designed with the patient in mind with personalized care, all private rooms and the newest medical technology available. Oviedo Medical Center is located at the intersection of Red Bug Lake Road and State Road 426, adjacent to State Road 417 (Central Florida GreeneWay).

About the Endo-Surgical Center of Florida:

The Endo-Surgical Center of Florida is the region's premier outpatient surgery facility in Central Florida. The patient experience is the number one priority at Endo-Surgical Center of Florida and the physicians and staff main focus is on providing accessibility, affordability and quality care. Skilled physicians, superb nurses and the latest technology in surgery are complemented by a caring and compassionate staff. Physicians utilize state-of-the-art technology to perform a wide range of procedures including colorectal, endoscopic, cardiac, cosmetic, optical, urological and other surgeries. The latest technology is offered to patients for treatment of anorectal conditions. This includes minimally invasive procedures for the treatment of hemorrhoids, fissures, fistulas, including the use of Botox, stem cells, and sphincter preservation procedures.

A virtual tour of the center is available at EndoSurgFlorida.com.

Fibroscan: The latest innovation in Liver care!

Digestive and Liver Center of Florida is the 1st independent Healthcare Practice to offer this quick, pain-free, and invasive technology in Central Florida. It is the latest innovation in detecting any thickening or scarring of liver tissue (fibrosis)! In comparison to a liver biopsy, there is virtually no pain or discomfort involved in this procedure. Nor is there any hospitalization or recovery time. On average, the procedure takes about 5 to 10 minutes to complete, with the entire appointment lasting about 30 minutes. Fibroscan is a great alternative to eligible patients and our community.

This is very useful in the assessment of patients with chronic liver disease, including chronic hepatitis C, chronic hepatitis B, chronic alcohol abuse and fatty liver.

How does it work?

During a Fibroscan, an ultrasound probe is placed at the surface of the skin, to measure the condition of your liver via sound waves. The data created is then sent to a computer for analysis. A 2D image of your liver is then displayed on the screen. Thus it is proven to show a physician the level of fibrosis or hardening of liver tissue in real-time.

We are proud to offer Fibroscan to those that qualify at our practice. Call our office at 407-384-7388 if you have any questions or would like to schedule an appointment.




May 22, 2018
Tags: Acid reflux   GERD  

How your gastroenterologists in Orlando can helpacid reflux abdominal pain

Do spicy foods keep you up at night? Do you have frequent heartburn and find yourself taking antacids several times during the week? If you suffer from frequent heartburn discomfort, you could have gastroesophageal reflux disease, or GERD. Your gastroenterologists at Digestive and Liver Center of Florida in Orlando, FL, want to help you learn to recognize the signs of GERD and how to treat your acid reflux.

According to the American College of Gastroenterology, in the United States, over 60 million people suffer from acid reflux or GERD. The condition is caused by stomach acid flowing up through your esophagus. You have a sphincter muscle which, when working normally, closes off the esophagus and prevents stomach contents from flowing upwards. If you have GERD, the sphincter muscle doesn’t close completely, allowing stomach acid to flow up into the esophagus.

You may notice signs and symptoms like these:

  • A frequent sore throat
  • Frequent bad breath
  • Tooth sensitivity and erosion
  • Dry coughing or wheezing
  • Nausea and vomiting
  • Abdominal or chest pain

There are some simple tips you can try at home to prevent and relieve the effects of acid reflux. Consider:

  • Taking over-the-counter antacids
  • Staying upright at least 2 to 3 hours after eating
  • Not eating right before you go to bed
  • Eliminating spicy foods from your diet
  • Eating small meals instead of large ones
  • Losing weight and not smoking
  • Avoiding exercises that press your abdomen
  • Not wearing belts

For severe cases of acid reflux and GERD, you need to seek out the services of an expert. Common professional treatments include prescription medications and lifestyle and diet modifications.

For more detailed information about acid reflux, please visit the Acid Reflux page on the website at https://www.dlcfl.com/acid-reflux.html

You don’t have to suffer the discomfort of acid reflux or GERD. You can get help with a simple phone call. The GI specialists at Digestive and Liver Center of Florida in Orlando, FL, are standing by to help, so call today!

Digestive and Liver Center is now evaluating patients that may be a candidate for Lynx for heartburn. 

The LINX® Reflux Management System is a laparoscopic, fundic-sparing anti-reflux procedure indicated for patients diagnosed with Gastroesophageal Reflux Disease (GERD). 

Here is a video: https://www.facebook.com/565554360164088/videos/1253653014687549/?t=3

No automatic alt text available.

February 26, 2018
Tags: Gastroenterology  

Find out how gastroenterological care can keep your GI tract healthy and happy.gastroenterology

Sure, we all get the occasional upset stomach, heartburn, or bout of diarrhea. Of course, when something just doesn’t feel right, it’s important that you have gastroenterologists in Orlando, Fl, that you can turn to when you need it most. Learn more about your gastroenterological health and how keeping a healthy gut is important for the rest of your body.

When you think of gastroenterology you might only think about your stomach, but this system also involves the esophagus, liver, pancreas, intestines, and gallbladder. Most people don’t consider their GI health until they are experiencing symptoms; however, it’s important to pay attention to what you digestive tract is trying to tell you.

You might not know this but it’s not just your brain and spinal cord that’s full of neurons. Your stomach has them, too! In fact, there are more neurons in the stomach then there are in the spinal cord. While these digestive neurons are integral for everyday gut processes they are also instrumental in helping your immune system. These neurons help your body fight bacteria and viruses to keep these foreign bodies from harming you and making you sick.

It’s also pretty amazing to realize that our digestive system produces as much as 90 percent of our body’s serotonin, a chemical that is involved in immune health, mood regulation, sleep and appetite. Changes in serotonin levels within the body has also been linked to serious health problems such as heart disease, irritable bowel syndrome (IBS) and even osteoporosis (bone disease).

There are easily a variety of lifestyle modifications and habits that can improve your gut health and ward off issues. From eating a healthy balanced diet and taking probiotics to limiting alcohol and exercising regularly, there are many easy ways to keep your gastrointestinal system happy. Of course, our Orlando, FL, gastrointestinal doctors are here if you experience any of these symptoms:

  • Diarrhea or constipation
  • Nausea and/or vomiting
  • Heartburn
  • Bloating
  • Indigestion
  • Chest pain
  • Bowel movement changes
  • Unexpected weight gain or weight loss

Our gastroenterology team provides comprehensive gastroenterological care for when you are dealing with any chronic or acute digestive problem. From gastroesophageal reflux disease (GERD) and gallstones to ulcerative colitis and liver disease, we are here to prevent, diagnose, and even treat your digestive conditions.

If you are experiencing gastrointestinal upset don’t hesitate to reach out to the GI experts at Digestive and Liver Center of Florida in Orlando. We would be happy to schedule an appointment right away so we can address your needs and concerns or questions about gastroenterology.

January 10, 2018
Tags: Colonoscopy  

Find out why a gastroenterologist may recommend a colonoscopy.colonoscopy

Most people have heard of colonoscopies but most people don’t really understand why they are needed. Whether you are experiencing questionable GI symptoms or not, our Orlando, FL, gastroenterologists are here to tell you about the situations in which a colonoscopy may be advised and what you can expect when you come in for this procedure.

What is a colonoscopy?

This in-office diagnostic procedure is a great way to check the health of your large intestines, or colon. A thin, flexible tube is inserted into the rectum. At the end of the tube is a small camera that allows our Orlando GI doctors to be able to check the lining of the colon and to detect any abnormalities, polyps or signs of colorectal cancer.

Who should consider getting a colonoscopy?

Even if you’ve never had any issues with your intestines or gastrointestinal system it doesn’t mean that you can’t benefit from a colonoscopy. In fact, it’s recommended that all men and women should start getting routine colonoscopies by the time they turn 50 years old. This is because the risk of colorectal cancer increases as you get older. A colonoscopy is the very best screening tool to catch cancer during its earliest stages when it’s much easier to treat.

Everyone should schedule a routine colonoscopy by the time they turn 50 years old. If everything looks healthy we may recommend that you only come in every 10 years for this procedure. If we do find and remove one or more colon polyps then we may recommend coming in every five years.

Of course, this procedure isn’t just used to detect colorectal cancer. A colonoscopy is a great diagnostic tool for those dealing with unexpected bleeding, abdominal pain, unexpected or sudden weight loss, bowel changes or persistent constipation or diarrhea. If you are dealing with unexplained or sudden intestinal symptoms a colonoscopy may be the best way to figure out what’s going on so that you can finally get the treatment you need to feel better.

Digestive and Liver Center of Florida in Orlando, FL is here to keep your GI tract feeling its best. Whether you are dealing with a chronic digestive disorder or you just turned 50 years old, we are here to ensure that you get the proper care you need.

October 30, 2017
Tags: Hemorrhoids  

Approximately half of all Americans experience some type of hemorrhoid symptoms by the age of 50. It can be a difficult and hemorroidsuncomfortable topic to discuss, but it is an incredibly common condition, so if you are experiencing symptoms, you are not alone. The gastroenterology team at the Digestive and Liver Center of Florida in Orlando provide diagnosis and advanced treatment options for hemorrhoid pain and symptoms.

Hemorrhoid Treatment in Orlando, FL

Hemorrhoids (also known as piles) are caused by swollen veins around the anus or lower rectum. They can develop internally or externally, and the symptoms can range in severity from mild discomfort to considerable pain and bleeding during bowel movements. Although many cases can be treated conservatively with over the counter products, some cases may warrant treatment by a doctor depending on your symptoms.

The most common symptoms include:

  • Pain and discomfort
  • Itching or sensitivity
  • Bleeding during bowel movements
  • Swelling or a lump near the anus

When to See a Doctor

Always consult a physician if you experience bleeding during bowel movements, as it can also be a sign of other problems like colorectal cancer. If over the counter treatments do not provide relief or if your hemorrhoids are very painful, you should see a doctor. Also pay attention to the color and any changes in your stool. Maroon colored stool can be a sign of bleeding, even if you have not noticed traces of blood.

Anyone can develop a hemorrhoid. Certain factors like eating a low fiber diet and chronic constipation are common causes of hemorrhoids. Dehydration and a sedentary lifestyle are also common risk factors.

Hemorrhoid Relief in Orlando, FL

For more information about the best prevention and treatment options for hemorrhoids, contact the Digestive and Liver Center of Florida by calling (407) 384-7388 to schedule an appointment with a gastroenterologist in Orlando today.

August 28, 2017

At the Digestive and Liver Center of Florida, our providers see patients with numerous gastrointestinal, or GI, problems each day. The GI gastroenterologysystem is large and can affect everything from the throat to the colon. Regardless of the location, many GI diseases are common and their origins can be connected to dietary problems. Three of these GI diseases - hemorrhoids, acid reflux and diverticulitis - are only some of many issues treated by our team of gastroenterologists here in Orlando, FL.


Hemorrhoids are bundles of blood vessels and muscle inside the anal canal, the lowest part of the intestine. When they become irritated from constipation, pressure or a low-fiber diet, this produces the classic symptoms of pain, itching and bleeding. Your gastroenterologist recognizes that this can be an embarrassing condition to have; it's very common, however, and important to seek treatment so that the degree of inflammation can be diagnosed and the best treatment can be prescribed.

Acid reflux

Most people have experienced the sensation of a "sour stomach" before, where belching can lead to a burning pain that rises into the throat. This is acid reflux, a condition in which the acidic contents of the stomach flows backwards into the esophagus, irritating its lining and producing heartburn, sore throat and a bitter taste in the mouth. When reflux persists, your Orlando gastroenterologist may diagnose you with gastroesophageal reflux disease, better known as GERD. Fortunately, there are several maintenance medications, as well as dietary changes, that help lessen the symptoms of GERD.


Some people have abnormal pockets in the lining of their large intestine that becomes irritated or inflamed. This is often due to diverticulitis, a bacterial infection that affects these pockets, or pouches. Diverticulitis is a common disease, thought to affect about 50% of American adults over 60 years of age and 35% of the younger adult population. To treat its symptoms, our gastroenterologist often recommends a change in diet and lifestyle and possibly antibiotics to clear up the bacteria. Surgery is uncommon unless complications, such as bowel perforation, occur.

For these or any other GI-related issue, you can trust the competent and friendly medical staff of the Digestive and Liver Center of Florida in Orlando, FL to help you. Contact us for an appointment today!

By Digestive and Liver Center of Florida
July 03, 2017
Tags: Colonoscopy  

Screening and diagnostic colonoscopies help protect your gastrointestinal health. The Orlando, FL, gastroenterologists at Digestive and colonoscopyLiver Center of Florida discuss this important test.

Colonoscopies offer a remote view of your large intestine

Colonoscopies allow gastroenterologists to view the lining of your large intestine without surgery. Miniature lights, cameras, and tools are attached to the end of a thin, flexible scope passed through your anus into your intestine. The scope transmits the images to a digital screen that your doctor views.

Why are colonoscopies recommended?

Colonoscopies are often used to find the source of gastrointestinal problems or screen for colon cancer. Screening colonoscopies are recommended at age 50 because more than 90 percent of people who develop the cancer are 50 or older, according to the American Society of Clinical Oncology. If you have had colon cancer in the past or at high risk of developing it, your gastroenterologist may recommend that you have your first colonoscopy before age 50.

What happens during a colonoscopy?

You can help ensure that your gastroenterologist has a clear view of your large intestine by following all the instructions you receive regarding colonoscopy prep. Although drinking the fluids that trigger diarrhea and making frequent trips to the restroom may not be pleasant, preparation is an important aspect of every colonoscopy.

You won't remember anything that happens during your colonoscopy because you'll receive a sedative or general anesthesia. After your gastroenterologist inserts the scope into your anus, he or she will slow pass it through your intestine. At the same time, gas will be inserted into your intestine to make it easier to see the digestive tract lining. If polyps are detected, they'll be removed during the procedure, then sent to a laboratory to determine if they're benign, pre-cancerous or cancerous.

After the colonoscopy, you'll spend about an hour in the Orlando recovery room to make sure that you have no ill effects from the sedative or anesthesia. Although you'll probably feel perfectly fine, you won't be able to drive until the next day. Your gastroenterologist will discuss the test with you before you leave, but you may also be asked to schedule a follow-up appointment to discuss your symptoms and lab results.

Is it time for your first colonoscopy, or are you concerned about a gastrointestinal illness? Call Digestive and Liver Center of Florida in Orlando, FL, at (407) 384-7388 to make an appointment.

Come and Join us for April 12th Patient and Community Breakfast Appreciation, Games and Raffles will be available and everyone is Welcome ♥♥♥ 

Four truths about colorectal cancer:

  • Colon cancer is not a man’s disease, it affects women just as much as men
  • Colon cancer is preventable by the simple screening and removing of polyps in the large intestine
  • No ethic group is exempt from developing colon cancer 
  • Most colon cancer cases are found in people of age 50+ 

Know your options for Colon Cancer Screenings! 
1. Fecal occult blood test/ fecal immunochemical test (How often: every year)This test looks for hidden blood in your stool which can be an indication of cancer. It’s a simple and easy test which requires you to take samples of your stool yourself at home and send them to a lab. 

2. Colonoscopy (How often: every 10 years)A small camera on the tip of a thin, light, and flexible tube is guided through your large intestine to search for and remove polyps. Sedatives are given to relax the muscles and reduce any discomfort. This simple test takes 30 minutes to an hour to conduct. 

3. Flexible sigmoidoscopy (How often: every 5 years)Similar to a colonoscopy, however no sedatives are required for this test. 

4. Virtual colonoscopy (How often: every 5 years)This is a type of CT scan that creates a 3D image of the inside of the colon. This simple scan only takes a few minutes. 


Colonoscopies are visual examinations of the large intestine using small camera attached to a thin, light, and flexible tube. Patients are sedated during the procedure to relax their muscles and reduce any discomfort. Most patients are asleep for the actual procedure.

Colonoscopies usually take from anywhere to 30 minutes to an hour.

If polyps (growth of tissue) is found during the procedure, they are simply removed.

It’ll take an hour to begin to recover from the sedatives and you’ll need someone to drive you home. Your physician will generally go over your results with you with 24-72 hours.

Factors of increased risk of colon cancer: 
1. Smoking 
2. High alcohol consumption 
3. High red meat and processed meant consumption 
4. Low physical activity 
5. Low vegetable consumption 
6. High BMI 

Watch this quick video for a better comprehension of how colorectal cancer can spread throughout the body!

 When cancer has spread to different parts of the body, it is called metastatic colorectal cancer. The most common places colorectal cancer spreads is to the lungs, liver, and bones.

 Colorectal cancer is real and harmful, but it is also treatable. Stay proactive and get screened for colorectal cancer every 3-5 years after you turn 50 (recommended age on average).

There’s a multitude of ways you can get involved in the fight against colon cancer.

1. Take a pledge with the National Colorectal Cancer Roundtable http://nccrt.org/tools/80-percent-by-2018/80-percent-by-2018-pledge/

2. Raise awareness for colon cancer via your social media https://smhs.gwu.edu/cancercontroltap/sites/cancercontroltap/files/Colorectal_SocMediaToolkit-FINAL.pdf

3. Advocate for change on current policies about colon cancer screenings and research http://fightcolorectalcancer.org/join-fight/change-policy/register-advocate/

4. Remind your family and friends its important to get screened for colon cancer through a Screen-A-Gram http://screeningsaves.org/screen-a-gram/

5. Contact your governor to declare March Colorectal Cancer Awareness month http://fightcolorectalcancer.org/advocacy/campaigns/blue-star-states/ and contact your representatives in congress (found here: https://www.govtrack.us/congress/bills/114/s624) in support of removing legeslative barriers on colorectal cancer screerning (bill info: https://www.govtrack.us/congress/bills/114/s624)

More information can be found here: https://www.sgna.org/Events/Colorectal-Cancer-Awareness-Month 

April 28, 2017
Category: Uncategorized
Tags: Untagged

Check out this PSA about Colorectal Cancer Screenings!

Colorectal cancer is caused by growth on the colon called polyps. It’s important to get checked for colorectal cancer because it can help find the polyps before they turn cancerous.

Even if the polyps has turned cancerous, colorectal cancer screenings can still find and treat them when caught early.

Colorectal cancer is the 2nd leading cause of cancer-related deaths in men and the 3rd leading in deaths in women in the USA. More than 90% of colorectal cancer cases affect individuals 50 years of age or older.

Colon cancer begins as abnormal growth on the inner lining of the colon or the rectum, also known as a polyp. Not all polyp is cancerous, but adenomatous polyps, hyperplastic polyps, and inflammatory polyps can sometimes change into cancer.

Colon cancer starts in the innermost layer (the mucosa) of the colon and rectum, but it can grow through the rest of its layers as well. From there cancer can grow into blood vessels and lymph nodes, and from there travel to the rest of the body.

Join the movement to increase colorectal cancer screenings and decrease mortality rates.

Wednesday MA appreciation post: Shoutout to Jesenia! 

April 28, 2017
Category: Uncategorized
Tags: Untagged

Check out this short animation by the World Health Organization on precautions you can take to lessen the spread of hepatitis

April 28, 2017
Category: Uncategorized
Tags: Untagged


Factoid Friday: Hepatitis C

Hepatitis C is a liver inflammation caused by a viral infection. It is important to note that there is no vaccine against Hepatitis C. However, Hepatitis C is treatable just like Hepatitis A and B.

About 70% of those who have Hepatitis C do not showcase symptoms of the infection, however, common symptoms of Hepatitis C acute include fever, fatigue, loss of appetite, nausea, abdominal pain, dark urine, and jaundice.

Individuals infected with the Hepatitis C virus can in time develop a chronic inflection, liver disease, and cirrhosis of the liver.

While an estimated 50% of medical school students and as estimated 40-50% of third-year internal medicine residents are women, women on average only make up 13% of the gastroenterologists in the nation.

Dr. Delimata completed her medical residency and fellowship at Cook County Hospital (Stroger) in Chicago. She has participated in an impressive amount of volunteer work, as well as medical research at all stages of her career.

Her special interests include digestive health and diseases, colon cancer prevention, management of acid reflux, gastrointestinal evaluation of iron deficiency anemia, and liver and biliary tree diseases.

Dr. Megan Delimata is board certified in both Internal Medicine and Gastroenterology. She is a member of the American College of Gastroenterology, the American Gastroenterology Association, and the American Society for Gastrointestinal Endoscopy.

April 28, 2017
Category: Uncategorized
Tags: Untagged


Check our National Geographic’s “Feed the System” interactive educational game that allows you to select a piece of food of your choice, and follow it as it travels throughout the digestive tract to undergo complete digestion. 

It’s a quick game that concisely provides facts about the foods you eat and the pathways they take in your body. Recommended for adults and children! 

April 28, 2017
Category: Uncategorized
Tags: Untagged


WHAT? Hep. B is a viral infection that causes inflammation of the liver and liver disease. There are two types: acute Hep. B is a short-term infection that only lasts for a few weeks, and chronic Hep. B is a long-lasting infection can cause liver cancer or severe damage to the organ that can cause it to shut down. 

WHO? People most at risk for developing Hep. B include the offspring of mothers that had Hep. B, and people who come in contact with blood, needles, or other bodily fluids of someone already possessing Hep. B. Traveling internationally increases you chances of getting it, as well as undergoing kidney dialysis and taking medication that suppresses your immune system. 

HOW? Engaging in unprotected sex, living with, or using the razor, toothbrush, or nail clippers of someone who has Hep. B can transmit the virus to you. As well as being tattooed or pierced by an unsterile needle, or directly contacting any bodily fluids of someone with Hep. B. 

WHEN? Symptoms of Hep. B can arise 2-5 months after contact with the virus. These include lethargic behavior, muscle and stomach pains, fever, loss of appetite, diarrhea, dark yellow urine, lightly colored stools, and yellow eyes and skin (called jaundice).

WHERE? A simple blood test at your nearby hospital can tell you if you have Hep. B. Acute Hep. B is usually not treated for as it arises and resolves itself in a few weeks time. Chronic Hep. B on the other hand is treated with medications aimed to slow and stop the damaging liver. If the liver damage exceeds in severity, a liver transplant becomes necessary. Remember to consult your physician in all cases.

NOTE: You can avoid getting Hep. B by getting a vaccine for it. We should also note that you CANNOT get Hep. B by hugging or shaking the hand of someone with Hep. B, or by being coughed or sneezed on by them. Nor can you attain Hep. B by sharing eating utensils with them. 

Check out this 5 min video and learn how to properly read your nutrient labels! Learn common marketing tricks used by food companies to label their foods with manipulated serving sizes and calorie counts, and failing to account for all fats

We’re getting ready to attend the National Black HIV/AIDS Awareness Day Health Fair at the John Jackson Community Center tomorrow afternoon. Come check it out with us and learn something new! Event provides free food, prizes, and entertainment for the whole family to enjoy. 

April 28, 2017
Category: Uncategorized
Tags: Untagged

We’ve had a great time attending fitness and wellness health fairs with members of our community! 

April 28, 2017
Category: Uncategorized
Tags: Untagged

Check out our New Location! Starting March we’ll be in Downtown! #DigestiveHealth #WeLoveOrlando #NewLocation #Gastroenterologist #Caring #Compassionate #Sophisticated #MedicalCare 

Hemorrhoids in essence are swollen veins around the anus or within the lower rectum. It’s pretty common for adults; about 50% experience it to some degree by the time they reach their 50s. Hemorrhoids are known to be caused by straining during a bowel movement, complications from chronic constipation, sitting for long periods of time, and even by a family history of hemorrhoids. 

So let’s talk common misconceptions. 

1. A lot pf people believe that only those between the ages of 45 and 65 can develop hemorrhoids, however, while geriatrics are more susceptible to developing them, hemorrhoids can be occur at any age due to one’s poor diet, lack of exercise, straining on the toilet, and sitting for extended periods of time.

2. The notion that hemorrhoids are caused by one sitting on cold/concrete surfaces is a myth. However, sitting anywhere for long periods of time can increase the risk of development. 

3. An especially common misconception about hemorrhoids includes the idea that they are permanent. Hemorrhoids are NOT permanent. They’re a variety of treatments one can undertake including ice packs and hemorrhoid creams for mild cases, and removal of the hemorrhoid via hemorrhoidectomy or rubber band ligation for severe cases. 

April 28, 2017
Category: Uncategorized
Tags: Untagged

#hemorrhoids #common misconceptions #common mistakes #common myths #the more you know #health #digestive #digestivehealth #internal hemorrhoids #external hemorrhoids #common #diet #exercise #poor health #straining #icepack #creams #surgical #treatment #hemorrhoidectomy 
#digestiveandlivercenter #knowyourself #knowyourbody #mild cases #severe cases


WHAT? Hep. A is a viral infection that causes inflammation of the liver and causes liver disease.  

WHO? While anyone can get Hep. A, groups traveling internationally, living with or having unprotected sex with someone who possesses an active case of Hep. A, using illegal drugs (injectional and non-injectional), or providing child care have a greater risk of getting Hep. A. 

HOW? You can get Hep. A by eating food prepared by someone who has Hep. A and failed to wash their hands after using the restroom, by coming in direct or indirect contact with their stool, or by consuming untreated food or water.

WHEN? Symptoms of Hep. A can arise 2-7 weeks after contact with the virus. Some of the symptoms of Hep. A include lethargic behavior, muscle and stomach pains, fever, loss of appetite, diarrhea, dark yellow urine, lightly colored stools, and yellow eyes and skin (called jaundice). 

WHERE? A simple blood test at your nearby hospital can tell you if you have Hep. A. While most cases of Hep. A resolve themselves out in a few weeks time, you can alleviate your symptoms by getting plenty of rest, eating smaller meals, avoiding alcohol, taking painkillers, and maintaining a well-ventilated environment to reduce itching. Remember to consult your physician in all cases. 

NOTE: You CANNOT get Hep. A by sitting next to, hugging, or being sneezed or coughed on by someone possessing Hep. A. But remember, most people don’t display symptoms of Hep. A. 

#hepatitis #hepatitis a #spanish #what #who #how #when #where #note #note to self #symtoms #viral infection #virus #virus protection #inflammation #liver #liver disease #liver disorder #international #traveling #travel #unprotected #sex #illegal drugs #injections #child care #clean #washyourhands #wash yourself #educateyourself

Your digestive tract begins at your mouth. Chewing your food is an act of mechanical digestion, and as your saliva mixes with the food, it begins to break it down chemically. The food then travels down your esophagus via waves of muscular contractions called peristalsis. One the food reaches the stomach, gastric juices work to break down your food. After 4-5 hours, the food travels to your small intestine where pancreatic juices and bile work to further break down the molecules within your food. The pancreas, liver, and gallbladder are considered accessory organs of the digestive system because your food doesn’t directly pass through them, however, they still play major roles in the digestion of your food.  The pancreas releases digestive juices directly into your bloodstream and your small intestine. The liver creates the bile that the gallbladder stores until it senses the presence of food in the digestive tract, at while point it releases the bile into the small intestine. After 6-8 hours in the small intestine, the mostly digested food enters the large intestine where excess water is reabsorbed back by the body, and the remaining waste material is ready to exist the body through the rectum and anus

Did you know that your digestive tract is on average 30 feet long? With your small intestine individually stretching out to a grand 23 feet! 

#digestive system #digestive tract #digestive #mouth #esophagus #stomach #small intestine #large intestine #pancreas #liver#gallbladder #bile #bile duct #pancreatic #gastric #stomach acid #hcl #digestion #food #digestiveandlivercenter #biology #ib biology #the more you know #fun facts #knowledge #readup #facts #body facts #knowyourself #knowyourbody

#Health #Digestive #Gastroenterology #NewLocation #DowntownOrlando #Westside#NewOffice #MakeAnAppointment


We’ve all, to some extent, experienced that sharp, bitter tang of acid reflux (just think back to your last thanksgiving dinner). 

However, for those of us that possess serious complication with GERD (chronic coughing, chest pains, and burning sensations after meals), developing Barrett’s esophagus is a possible consequence.

Consider the HALO ablation procedure, which uses heat to kill diseased, Barrett’s tissue. It’s a minimally invasive procedure that uses radio waves to only target the unhealthy tissue layers in your esophagus, without harming the rest of your healthy tissue underneath. 


Here, at the Digestive and Live Center of Florida, we value ourselves in providing a wide variety of services to our patients. One of these include a pancreas endoscopic ultrasound (EUS) 

An EUS is a minimally invasive procedure that creates a detailed image and analysis of the linings of your digestive tract, chest, and pancreas. We used to it help us find pancreatic masses and tumors, suspected stones or blockage in the pancreas or bile duct, chronic and acute pancreatitis, and any inflammations in your pancreas.


GERD is the backwash of stomach acids and contents through your esophagus, causing severe irritation to the lining of your food pipe. Around 7 million people in the USA possess varying degrees of GERD. Check out common food triggers and consult your physician if you experience severe cases of heartburn. 

#gerd #heartbu #heartburn symptoms #prevent heartburn #i have heartburn #food #knowyourfood #knowyourfacts #american society #gastrointestinal #endoscopy #facebook #stomach acid #cardiac sphincter #stomachaches #digestion #digestive problems #esophagus #acid reflux #irritation #usa #7 milliarden #take care of yourself #educateyourself #makegoodchoices #digestiveandlivercenter

No gym? No excuse. Check out these 16 simple exercises you can do in 16 minutes! 

April 28, 2017
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#nogym #noexcuses #nogymneeded #youcandoit #strecth #exercises #morning exercise #15 minutes #nogymrequired #justdoit #legs #abs #quads #calves #workout #workinprogress #get up and go #getfit #body positive #healthy lifestyle #new years resolution #digestion #digestive #digestiveandlivercenter

We all struggle with the time commitment that preparing daily healthy meals takes; work consumes us all, we get it. So instead we challenge you to add a different fruit, vegetable, and tea to your diet daily from our selection. No need to stop hustling, detox your body on the go! 

#detox #detoxification #healthy food #healthy goals #healthy life happy life #fruit #vegetables #eat your veggies #time crunch #on the go #healthy snacks #grab and go #protect yourself #take care of yourself #your body is a temple #don't eat junk #new phone who dis #digestion #digestiveandlivercenter #blood #lymph #liver #gallbladder #pancreas #kidneys #intestines

Mark you Calendar! On Wednesday February 8th 8:30 a.m. you are invited to our Patient & Community Appreciation Breakfast… Friends and Family are welcome! Please RSV to 407-384-7388x722  #WeLoveourPatients #FunTimes #Games #HealthyBreakfast #KeepMoving

April 28, 2017
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It’s no fountain of youth but check out our selection of fruits and veggies to give your immune system a well-deserved boost, and to slow down your aging cells. Add antioxidants to your diet and arm your cells against unstable, free radical molecules in your body and environment. 


Welcome to week 2 of 2017! Have you been keeping up with your new year’s resolutions? Take a peek at our selection of tips to improve your health this year. 

#strategies & tips #self improvement #health improvement #healthy tips #drink water #go for a walk #exercise #justdoit #take the stairs #get moving #brush your teeth #dental hygiene #take care of yourself #pearlywhites #read a book #read anywhere #just pick it up! #book hunting #take your vitamins #take your meds #eat your veggies #drink your milk #go to school #get some rest #treatyoself #new years resolution #new years reflections #2k17

Check our selection of the top 5 ways to add fiber to your diet! 

(via https://www.youtube.com/watch?v=bdij8f5I-E8)

Happy Holidays from the physicians and staff at Digestive and Liver Center of Florida and Endo - Surgical Center of Florida.

We hope your Holidays will be filled with joy and laughter and that you have a healthy and prosperous New Year.

#Holidays FamilyTime WeloveourPatients

Thank you! We are glad you are a part of our community. We hope you can join us for our Patient and Community Appreciation Breakfast this Wednesday December 7th, friends and family are welcome <3 

#weloveourcommunity #thankyou #healthylivng

April 28, 2017
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If chronic heartburn is not properly treated it can increase the risk of esophageal cancer. Today we are Raising Awareness about GERD. Please give us a call or visit our website for more information. #GERDSMART

November is Stomach Cancer Awareness Month. Many people struggle this time of the month because of the holidays. Let's keep those in mind by supporting the education groups raising awareness to the many types of stomach cancer. Encourage those who are interested to see the appropriate programs that are offered. Let's raise awareness!

April 28, 2017
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Will we see you here!!!

#HealthFair #CommunityOutreach #FreeHealthScreening #Free4Riverbbq #Fun #Friends #Family #KidsFacePainting

10 Interesting Facts about Labor Day!!!


April 28, 2017
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Best ways to battle irritable bowel syndrome!

How to battle irritable bowel syndrome

***Irritable bowel syndrome (IBS). It’s the most common diagnosis made by gastroenterologists, accounting for as many as 3.5 million physician visits per year 


Join us on Monday August 22, 2016 for an inside look at how the Orange County Property Appraiser serves the community, followed by an overview of TRIM notices 

April 28, 2017
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Clear liquid diet


A clear liquid diet is often used before tests, procedures or surgeries that require no food in your stomach or intestines, such as before colonoscopy. It may also be recommended as a short-term diet if you have certain digestive problems, such as nausea, vomiting or diarrhea, or after certain types of surgery.

Diet details

A clear liquid diet helps maintain adequate hydration, provides some important electrolytes, such as sodium and potassium, and gives some energy at a time when a full diet isn’t possible or recommended.

The following foods are allowed in a clear liquid diet:

  • Water (plain, carbonated or flavored)
  • Fruit juices without pulp, such as apple or white grape
  • Fruit-flavored beverages, such as fruit punch or lemonade
  • Carbonated drinks, including dark sodas (cola and root beer)
  • Gelatin
  • Tea or coffee without milk or cream
  • Strained tomato or vegetable juice
  • Sports drinks
  • Clear, fat-free broth (bouillon or consomme)
  • Honey or sugar
  • Hard candy, such as lemon drops or peppermint rounds
  • Ice pops without milk, bits of fruit, seeds or nuts

Any foods not on the above list should be avoided. Also, for certain tests, such as colon exams, your doctor may ask you to avoid liquids or gelatin with red coloring.

A typical menu on the clear liquid diet may look like this.


  • 1 glass pulp-free fruit juice
  • 1 bowl gelatin
  • 1 cup of coffee or tea, without dairy products
  • Sugar or honey, if desired Snack
  • 1 glass fruit juice (pulp-free)
  • 1 bowl gelatin


  • 1 glass pulp-free fruit juice
  • 1 glass water
  • 1 cup broth
  • 1 bowl gelatin


  • 1 pulp-free ice pop
  • 1 cup coffee or tea, without dairy products, or a soft drink
  • Sugar or honey if desired


  • 1 cup pulp-free juice or water
  • 1 cup broth
  • 1 bowl gelatin
  • 1 cup coffee or tea, without dairy products
  • Sugar or honey, if desired

****Read more following this link…


Hello Everyone!!!

Please come join us for our Patient & Community Appreciation Breakfast :)

#ThankYou #WeLoveourPatients

An ulcerative colitis flare-up means the return of ulcerative colitis symptoms after a period of remission. Often, this involves diarrhea, abdominal pain and cramping, rectal pain and bleeding, fatigue, and urgent bowel movements.

Ulcerative colitis flare-ups are unpleasant and often frustrating. The goal of treatment is to bring about long-term remission and to minimize flares. Still, many people with ulcerative colitis experience periods with few or no symptoms, punctuated by periods of unwelcome flare-ups.

You may feel helpless against these fluctuations. Changes in your diet and lifestyle may help control your symptoms and lengthen the time between ulcerative colitis flare-ups. Try these five tips:

  1. Skip the dairy aisle. There’s no firm evidence that your diet actually causes ulcerative colitis. But certain foods and beverages can aggravate your signs and symptoms, especially during a flare-up. Dairy is a common culprit. Try limiting or eliminating milk, yogurt, cheese, ice cream and other dairy products. This may help reduce symptoms of diarrhea, abdominal pain and gas.
  2. Say no to fiber if it’s a problem food. In general, high-fiber foods, such as fresh fruits and vegetables and whole grains, are an excellent source of nutrition. However, if you have ulcerative colitis, these foods — including whole grains, fresh fruits, and fresh veggies — may make your symptoms worse. Steer clear of nuts, seeds, corn and popcorn, and see if you notice a difference in your symptoms. You may need to skip raw fruits and vegetables as well, but don’t give up on this food group entirely. Try steaming, baking, roasting or even grilling your favorite produce.
  3. Eat small meals. Who says you have to have three square meals every day? You may feel better if you eat five or six small meals a day. Just be sure to plan small, healthy, balanced meals, rather than snacking without thinking throughout the day.
  4. Be smart about beverages. Drink plenty of liquids every day. Water is your best bet. The alcohol in beer, wine, and mixed drinks can stimulate your intestines and can make diarrhea worse. The same is true of beverages that contain caffeine — such as soda, iced tea, and coffee. Carbonated drinks also can be trouble. They frequently produce gas.
  5. Get moving. Stress doesn’t cause ulcerative colitis, but it can make your signs and symptoms worse and may trigger flare-ups. Exercise can help reduce tension, relieve depression and keep your bowels functioning normally. Even mild exercise can make a difference. Focus on activities that you like to do. Biking, walking, yoga and swimming are all good choices. Your doctor can help you determine an exercise plan that’s right for you.

Don’t forget to make an appointment to see the physician to review additional treatment/ therapy that may be needed at this time. 

April 28, 2017
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Click the image to view site.

All about Hep. C

What is Hepatitis C?
This infection of the liver is caused by the hepatitis C virus. About 3.5 million people in the U.S. have the disease. But it causes few symptoms, so most of them don’t know.There are many forms of the hepatitis C virus. The most common in the U.S. is type 1. None is more serious than any other, but they respond differently to treatment.

What Are the Symptoms?
Many people with Hepatitis have no symptoms. But you could notice these:

  1. Jaundice (a condition that causes yellow eyes and skin, as well as dark urine)
  2. Stomach pain
  3. Loss of appetite
  4. Nausea
  5. Fatigue

How Do You Get It?
The virus spreads through the blood or body fluids of an infected person.
You can catch it from:

  • Sharing drugs and needles
  • Having sex, especially if you have an STD, an HIV infection, several partners, or have rough sex
  • Being stuck by infected needles
  • Birth – a mother can pass it to a child
  • Hepatitis C isn’t spread through food, water, or by casual contact.

Who Gets It?
The CDC recommends you get tested for the disease if you:

  • Received blood from a donor who had the disease.
  • Have ever injected drugs.
  • Had a blood transfusion or an organ transplant before July 1992.
  • Received a blood product used to treat clotting problems before 1987.
  • Were born between 1945 and 1965.
  • Have been on long-term kidney dialysis.
  • Have HIV.
  • Were born to a mother with hepatitis C.

How Is It Diagnosed?
You can get a blood test to see if you have the hepatitis C virus.

Are There Any Long-Term Effects?
Yes. About 75% to 85% of people who have it develop a long-term infection called chronic hepatitis C. It can lead to conditions like liver cancer and cirrhosis, or scarring of the liver. This is one of the top reasons people get liver transplants.

How Is It Treated?
Hepatitis C treatments have changed a lot in recent years. In January 2016, the FDA gave approval to a once-daily pill combination of elbasvir and grazoprevir called Zepatier. It has been shown to have the ability to cure the disease in almost 100% of those treated. It follows the success of another once-daily treatment called Harvoni that cures the disease in most people in 8-12 weeks. Harvoni combines two drugs: sofosbuvir (Sovaldi) and ledipasvir. In clinical trials, the most common side effects in both drugs were fatigue and headache.




Who is at risk for colon cancer?

  • Men and Woman age 50 or older.
  • African Americans of age 45 or higher.
  • People with a personal or family history of colorectal cancer or benign (not cancerous) colorectal polyps
  • People with a personal or a familial history of inflammatory bowel diseases, such as long-standing ulcerative colitis or Chron’s disease
  • People with a family history of inherited colorectal cancer

#coloncancer #preventable #atrisk

Digestive & Liver Center of Florida
Digestive and Liver Center of Florida was founded to deliver the very best medical care in an environment that supports and comforts patients. Our physicians, Dr. Seela, Dr. Sheela, Dr. Ramesh, Dr. Larach and Dr. Delimata, are recognized authorities in the field of gastroenterology, conducting research and teaching other physicians. We treat the entire range of liver and gastrointestinal conditions and perform most diagnostic procedures including colonoscopy,  endoscopy and more advanced tests.
Our state-of-the-art facility on Dean Road in East Orlando includes the Endo-Surgical Center, which is equipped to handle many procedures on site.


By Digestive and Liver Center of Florida
April 20, 2017
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Welcome to the Blog of Digestive and Liver Center of Florida

Digestive and Liver Center of Florida would like to welcome you to our blog. Here you will find informative and useful postings about gastroenterology and our practice.

At Digestive and Liver Center of Florida we believe that educated patients are better prepared to make decisions regarding the health of their digestive system.  Our blog was designed to provide you with the latest gastroenterology developments and valuable health advice from our dedicated team. 

Digestive and Liver Center of Florida hopes you find our blog to be a great resource for keeping up to date with proper digestive health care and treatments.

We welcome all comments and questions.

-- Digestive and Liver Center of Florida

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