Our Gastroenterology Blog

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September 06, 2019
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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. 

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
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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. 

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. 


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! 

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



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."

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.




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

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

April 28, 2017
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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
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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
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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
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We’ve had a great time attending fitness and wellness health fairs with members of our community! 

April 28, 2017
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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
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#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