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.
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.
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 recommended 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.
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."
Though increasingly common, cancer is almost always a frightening diagnosis to receive. However, with the proper knowledge of the disease 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
- 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
DR. SAM ATALLAH PERFORMED THE FIRST OPERATION OF ITS KIND FOR INTESTINAL CANCER WITH A SPECIALIZED FLEXIBLE ROBOTIC SYSTEM AT OVIEDO MEDICAL CENTER OVIEDO, FL
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.
How your gastroenterologists in Orlando can help
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
Find out how gastroenterological care can keep your GI tract healthy and happy.
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
- 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.
Find out why a gastroenterologist may recommend a 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.
Approximately half of all Americans experience some type of hemorrhoid symptoms by the age of 50. It can be a difficult and uncomfortable 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.
At the Digestive and Liver Center of Florida, our providers see patients with numerous gastrointestinal, or GI, problems each day. The GI system 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.
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!
Screening and diagnostic colonoscopies help protect your gastrointestinal health. The Orlando, FL, gastroenterologists at Digestive and Liver 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.
14 Easy Yoga poses to help your Digestion!
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:
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
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!
Check out this short animation by the World Health Organization on precautions you can take to lessen the spread of hepatitis
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.
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!
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.
We’ve had a great time attending fitness and wellness health fairs with members of our community!
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.
#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!
#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
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!
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
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!
Will we see you here!!!
#HealthFair #CommunityOutreach #FreeHealthScreening #Free4Riverbbq #Fun #Friends #Family #KidsFacePainting
Digestive and Liver Center of Florida(DLCFL) and The Endo-Surgical Center of Florida will be closing at noon today Thursday, October 6th, and will be closed on Friday, October 7th.
Please take this time to prepare for the hurricane and be safe.
We have provided helpful links below to assist in your preparation:
For more information, suggested supplies and things to consider while preparing for a storm, visit
Orange County Emergency Management:
City of Orlando Emergency Management:
Seminole County Emergency Management:
City of Winter Springs:
City of Kissimmee:
WUCF 89.9 FM
WMFE FM 90.7
WTKS FM 104.1
WDBO AM 580
WWNZ AM 740
WESH TV-Channel 2
WCPX TV-Channel 6
WFTV TV-Channel 9
UCF Emergency Management: www.emergency.ucf.edu
Federal Emergency Management Agency (FEMA)- www.fema.gov
National Weather Service: Melbourne, FL - www.srh.noaa.gov/mlb
Florida Division of Emergency Management www.floridadisaster.org
10 Interesting Facts about Labor Day!!!
LEARN MORE ABOUT PEPTIC ULCERS!!!
Learn more about the power of probiotics…
Take a video tour of the Endo-Surgical Center of Florida!
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
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.
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)
- 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…
Please come join us for our Patient & Community Appreciation Breakfast :)
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:
- 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.
- 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.
- 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.
- 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.
- 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.
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:
- Jaundice (a condition that causes yellow eyes and skin, as well as dark urine)
- Stomach pain
- Loss of appetite
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.
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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