EXPERT
Dr. Bahram Forouzandeh
Gastroenterologist
Dr. Bahram Forouzandeh is a top Gastroenterologist in Prestonsburg, . With a passion for the field and an unwavering commitment to their specialty, Dr. Bahram Forouzandeh is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Bahram Forouzandeh is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Bahram Forouzandeh is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Prestonsburg, Kentucky , Dr. Bahram Forouzandeh is a true asset to their field and dedicated to the profession of medicine.
Dr. Bahram Forouzandeh
- Prestonsburg, Kentucky
- MD at Tehran University of Medical Sciences
- Accepting new patients
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Blood in stool?
You have more likely to have anorectal causes of bleeding such as hemorrhoids or anal fissures if you have pain during defecation. However based on your age increasing colorectal READ MORE
You have more likely to have anorectal causes of bleeding such as hemorrhoids or anal fissures if you have pain during defecation. However based on your age increasing colorectal cancer even in young populations, we recommend a colonoscopy if you have not had a recent colonoscopy. Rectosimoid tumors can mimic hemorrhoids.
Do I need to see a dr.?
Yes. You definitely need to see a specialist after checking with your primary care physician. You have acid reflux due to smoking and overweight problems. Also, we have to make READ MORE
Yes. You definitely need to see a specialist after checking with your primary care physician. You have acid reflux due to smoking and overweight problems. Also, we have to make sure you don’t have any bleeding lesion in your stomach or gut causing dark stool after checking your blood count and stool for blood before doing the endoscopy. You also need to be checked for pancreatitis if you are still drinking alcohol or suffering from chronic pancreatitis if you have left upper flank pain and smoking will make it a more likely diagnosis. As you see you have many problems which need to be addressed by an expert.
Gastritis development?
The definition of gastritis is not clear. Indigestion, acid reflux disease, drug-induced indigestion, peptic ulcer disease, stress-related dyspepsia all are called gastritis. Pregnant READ MORE
The definition of gastritis is not clear. Indigestion, acid reflux disease, drug-induced indigestion, peptic ulcer disease, stress-related dyspepsia all are called gastritis. Pregnant people have more acid reflux but if it happened before pregnancy, it could be related to medication you used or neuroanxiety induced dyspepsia or we call functional dyspepsia.
Lansoprazole OTC?
Yes. Two weeks is duration of therapy with over counter acid reducing medicines for the patients who have occasional or mild reflux disease. If you have throat irritation and regurgitation READ MORE
Yes. Two weeks is duration of therapy with over counter acid reducing medicines for the patients who have occasional or mild reflux disease. If you have throat irritation and regurgitation with more than twice a week acid reflux symptoms, you can continue up to 6 weeks. If symptoms recur after stopping your medicine, you need to see your primary care physician to be evaluated and assessed for more advanced therapy tailored to your needs and possible diagnostic tests.
Bloody Stools?
This is more related to fissure and hemorrhoids secondary to straining due to constipation. However, due to increased risk of colorectal cancer in young populations, it is recommended READ MORE
This is more related to fissure and hemorrhoids secondary to straining due to constipation. However, due to increased risk of colorectal cancer in young populations, it is recommended to do diagnostic test such as colonoscopy no matter how young you are. The population born after 1990 have 4 times the risk for rectal cancer and two times for colon cancer.
When should you seek medical attention for an ulcer?
If your symptoms of pain and ingestion do not respond to medication or you develop complications of ulcer such as bleeding from stomach or intestine or having nausea or vomiting. READ MORE
If your symptoms of pain and ingestion do not respond to medication or you develop complications of ulcer such as bleeding from stomach or intestine or having nausea or vomiting.
Is my problem urgent?
You need to go to the ER or see a general surgeon to incise the thrombosed hemorrhoid and to remove the blood clot which is causing pain and hemorrhoid bulging. Then, using topical READ MORE
You need to go to the ER or see a general surgeon to incise the thrombosed hemorrhoid and to remove the blood clot which is causing pain and hemorrhoid bulging. Then, using topical hemorrhoid medications containing analgesic such as lidocaine after sitz bath and stool softener will help before deciding to remove hemorrhoid if it cannot managed conservatively.
How long does a stomach ache last?
It depends what the origin of the pain is. If it is indigestion and having fullness and pressure in the upper portion of the abdomen, it usually happens after meals and improves READ MORE
It depends what the origin of the pain is. If it is indigestion and having fullness and pressure in the upper portion of the abdomen, it usually happens after meals and improves after a few hours, which can be shortened by anti-acids or gas medication. In more serious conditions such ulcer or gallbladder stones, it will recur unless the patient is diagnosed and receives therapy for ulcer or having the gallbladder removed. In acute pancreatitis, the pain is more severe, associated with occasional nausea and vomiting, and is steadily radiating to the left upper flank and back, and needs stronger pain medication to get temporary relief, but might stay for several days. Chronic pain in the upper abdomen in older people in combination with poor appetite and weight loss might signal the development of cancer of the stomach or pancreas, which needs investigation such as a CAT scan of the abdomen or upper endoscopy to find the diagnosis.
Is there a specific treatment for E-coli?
It depends where you get the infection with E. coli. If you have, for example, urinary tract infection, or E. coli invading the blood stream, then different po or iv antibiotics READ MORE
It depends where you get the infection with E. coli. If you have, for example, urinary tract infection, or E. coli invading the blood stream, then different po or iv antibiotics based on the severity of infection is appropriate. You don’t treat E. coli in the stool in the patients with diarrhea since most of them are self limited. E. coli responds to many antibiotics such as sulfa drugs, second and third generations of penicillin including Cefaten or Rocephin, as well as Cipro.
Blood test result?
I don’t know why your physician started with tumor markers which are not very high, although you did not give the normal range for them. These tumor markers are good to follow READ MORE
I don’t know why your physician started with tumor markers which are not very high, although you did not give the normal range for them. These tumor markers are good to follow a diagnosed cancer before and after therapy to guide us if the cancer is coming back. Also, it helps to see how advanced cancer is before surgery or chemotherapy indicating spreading of tumor to other organs particularly the liver when they are very high. Mild elevation of tumor markers such as CEA which is used in the colon cancer is common in smokers. In your case, I would recommend upper endoscopy, US of gallbladder as well as CT scan of abdomen with contrast before I order tumor markers.
Elevated blood pressure?
You doctor's impression that estrogen might be contributing to the increased blood pressure was correct, but it doesn’t mean we should sacrifice your quality of life for controlling READ MORE
You doctor's impression that estrogen might be contributing to the increased blood pressure was correct, but it doesn’t mean we should sacrifice your quality of life for controlling your high blood pressure when we have so many options including lifestyle changes as you need with weight loss, low salt diet in combination with many good medications we have for high blood pressure. If you cannot use any other alternative contraceptive, I think you can continue your current pill and try to work on other aspects of lifestyle changes to help your high blood pressure. Exercise, good sleep, and reducing stress level can also help to lower your blood pressure as well.
Bile Reflux?
The bile reflux entity in general has not been clearly defined as a specific disease although it can occasionally contributes to the patient’s underlying disorders such as esophageal READ MORE
The bile reflux entity in general has not been clearly defined as a specific disease although it can occasionally contributes to the patient’s underlying disorders such as esophageal reflux disease or functional dyspepsia.In some patients when standard treatment is the completely effective, we can add bile acid binding resins such as cholestyramin to see if it can improve the symptoms.
Bleeding after a bowel movement?
There are many reasons for rectal bleeding such as hemorrhoid, fissure due to constipation and straining. However due to the increased risk of colorectal cancer in young populations, READ MORE
There are many reasons for rectal bleeding such as hemorrhoid, fissure due to constipation and straining. However due to the increased risk of colorectal cancer in young populations, we don’t want to miss less frequent but more serious diseases.
Please see your family doctor to refer you to a gastroenterologist for possible colonoscopy.
Please see your family doctor to refer you to a gastroenterologist for possible colonoscopy.
Does pancreatitis affect bowel movements?
Yes. Due to inflammatory reaction adjacent to stomach,the small and large intestine, it can paralyze the movement of intestinal contents through the bowel making the patients READ MORE
Yes. Due to inflammatory reaction adjacent to stomach,the small and large intestine, it can paralyze the movement of intestinal contents through the bowel making the patients nauseated and occasional vomiting , as well as constipation with abdominal bloatness during initial stage of acute pancreatitis.
These symptoms start to improve as the disease starts to settles down with the patients starting tolerating firt liquid and then solid food.
Early feeding is encouraged in acute pancreatitis to reduce the chance of infections and also to shorten the hospital stay.
These symptoms start to improve as the disease starts to settles down with the patients starting tolerating firt liquid and then solid food.
Early feeding is encouraged in acute pancreatitis to reduce the chance of infections and also to shorten the hospital stay.
Why am I passing blood in my stools?
I do not know how old are you, but even if you are young, due to increased colorectal cancer in young adults, any rectal bleeding or change in bowel habits as well as unusual and READ MORE
I do not know how old are you, but even if you are young, due to increased colorectal cancer in young adults, any rectal bleeding or change in bowel habits as well as unusual and persistent abdominal pain need to be investigated. Attributing rectal bleeding to hemorrhoids, although correct most of the time, it could be an ultimately fatal misdiagnosis by the patient or his or her doctor which needs to be avoided in any circumstances.
After gall bladder surgery, when can I resume my normal diet?
There is no special diet after gallbladder surgery and if it is a non complicated cholecystectomy, the patient can start anytime after surgery.
What kind of medications are given to treat parasite infection?
There are several medications available in the market to treat intestinal worms and the choice is based on the kind of worm you have. The etiology of perianal itching is not just READ MORE
There are several medications available in the market to treat intestinal worms and the choice is based on the kind of worm you have.
The etiology of perianal itching is not just worm and other causes such as retained smal of stool around anus after whipping following bowel movement, allergy , hemorrhoid , anal fissure and some systemic diseases can present with perianal itching. Pinworm is the most common parasitic etiology for this problem. Mebendazole therapy and following strict hygiene guidelines such as washing underwears and bed sheets with hot water can solve the problem although it may recur occasionally if somebody else it your household carrying the parasite.
There are other medication such as Albendazole which can be used for other parasites such as hookworms.
The etiology of perianal itching is not just worm and other causes such as retained smal of stool around anus after whipping following bowel movement, allergy , hemorrhoid , anal fissure and some systemic diseases can present with perianal itching. Pinworm is the most common parasitic etiology for this problem. Mebendazole therapy and following strict hygiene guidelines such as washing underwears and bed sheets with hot water can solve the problem although it may recur occasionally if somebody else it your household carrying the parasite.
There are other medication such as Albendazole which can be used for other parasites such as hookworms.
Why do I feel bloated after eating rice?
Rice is one of the few crops which usually does not cause gas or bloating, but in your case, a food allergy can be a cause of bloating. Rice is the main substitute crop for wheat READ MORE
Rice is one of the few crops which usually does not cause gas or bloating, but in your case, a food allergy can be a cause of bloating. Rice is the main substitute crop for wheat and barley for people with a gluten allergy or Celiac disease.
Should I have soda if I have acid reflux?
It is reasonable to avoid any caffeinated and mildly acidic beverages when you have acid reflux disease. Besides, the volume of fluid you take, particularly in the late evening, READ MORE
It is reasonable to avoid any caffeinated and mildly acidic beverages when you have acid reflux disease. Besides, the volume of fluid you take, particularly in the late evening, can increase your stomach content to enhance regurgitation with worsening acid reflux symptoms.
I have a weird sensation in my upper chest and throat. Is it a sign of concern?
It is more likely, as you indicated it to be acid reflux disease. A short trial of over-the-counter omeprazole for 2-4 weeks will help to see if this is acid reflux disease or READ MORE
It is more likely, as you indicated it to be acid reflux disease. A short trial of over-the-counter omeprazole for 2-4 weeks will help to see if this is acid reflux disease or needs to be investigated by X-ray and endoscopy if it does not work.
Also, if you are at a high risk for hearing disease, getting a baseline EKG and even stress test if indicated by your family doctor in case the medication does not work will be reasonable.
Also, if you are at a high risk for hearing disease, getting a baseline EKG and even stress test if indicated by your family doctor in case the medication does not work will be reasonable.
