EXPERT
Dr. Christian Diaz Stone, MD
Gastroenterologist
Dr. Christian Stone is a gastroenterologist practicing in Las Vegas, NV. Dr. Stone specializes in the digestive system and its diseases that affect the gastrointestinal tract, which include organs from the mouth to the anus as well as liver disorders. Gastroenterology includes conditions such as hepatitis, peptic ulcer disease, colitis, nutritional problems and irritable bowel syndrome. Dr. Stone performs colonoscopy and endoscopy procedures and provides accurate and thorough care for patients suffering from digestive issues.
33 years
Experience
Dr. Christian Diaz Stone, MD
- LAS VEGAS, NV
- Unicersity of California Berkeley
- Accepting new patients
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Can a rectal exam detect hemorrhoids?
Yes, internal hemorrhoids can be felt during a rectal exam. An anoscopy or colonoscopy can be done to actually visualize the hemorrhoids.
Lower abdominal pain?
You need a history and physical exam to figure out what is going on. There are many possible causes and I need more information to venture a guess as to the etiology.
What diarrhea medications are the safest?
Imodium over the counter is quite safe
How long after the gastric sleeve will I lose weight?
This is best answered by your bariatric surgeon, but most people lose weight over 1-2 years. How much you lose and your ability to keep it off depend on how disciplined you are READ MORE
This is best answered by your bariatric surgeon, but most people lose weight over 1-2 years. How much you lose and your ability to keep it off depend on how disciplined you are about not overeating. Many people stretch the size of the sleeve so that it ends up holding almost the same amount of food as it did before the surgery. As a result they regain most of the weight lost initially.
What is my body reacting to?
Tough to say but ramen noodles have an enormous amount of salt and other additives, preservatives. Maybe your body is telling you something and you should stop eating ramen noodles. READ MORE
Tough to say but ramen noodles have an enormous amount of salt and other additives, preservatives. Maybe your body is telling you something and you should stop eating ramen noodles.
Every day diarrhea
There are many causes for diarrhea, but a basic work up should be done to make sure that it is not from an inflammatory process vs. the more common irritable bowel syndrome.
Vitamin D3 for Celiac patients
You may not like my answer but it is not clear that vitamin D needs to be supplemented. The published literature on this is of poor quality. Measuring vit D levels in the blood READ MORE
You may not like my answer but it is not clear that vitamin D needs to be supplemented. The published literature on this is of poor quality. Measuring vit D levels in the blood may be a reflection of an underlying inflammatory process (such as celiac) rather than a true deficiency. Once inflammation is successfully resolved, vit D levels return to normal even without supplementation.
There is no vit D "specifically designed for patients with celiac". This is a marketing ploy.
There are no randomized controlled trials of vitamin D vs placebo in people with inflammatory bowel disorders thus no clear benefit has ever been demonstrated. Association studies, anecdotes and theoretical advantages do not count.
Bottom line: my advice is to focus on control of the celiac with a gluten free diet and not get hung up on how much vit D should be given.
There is no vit D "specifically designed for patients with celiac". This is a marketing ploy.
There are no randomized controlled trials of vitamin D vs placebo in people with inflammatory bowel disorders thus no clear benefit has ever been demonstrated. Association studies, anecdotes and theoretical advantages do not count.
Bottom line: my advice is to focus on control of the celiac with a gluten free diet and not get hung up on how much vit D should be given.
Colon Cancer Progression Questions
Here are my answers, one by one: 1. Yes, WBC and SED rate may increase over time if colon cancer is not treated. 2. Those symptoms would only occur at a very late stage, though READ MORE
Here are my answers, one by one:
1. Yes, WBC and SED rate may increase over time if colon cancer is not treated.
2. Those symptoms would only occur at a very late stage, though in general fever and vomiting are not common.
3. From stage 1 to 3 may take many months but progression is highly variable from person to person.
4. No, at early stages there are usually no symptoms. The first sign of cancer is often anemia, which may happen with no other symptoms being evident.. Late symptoms are weight loss and blood in the stool.
1. Yes, WBC and SED rate may increase over time if colon cancer is not treated.
2. Those symptoms would only occur at a very late stage, though in general fever and vomiting are not common.
3. From stage 1 to 3 may take many months but progression is highly variable from person to person.
4. No, at early stages there are usually no symptoms. The first sign of cancer is often anemia, which may happen with no other symptoms being evident.. Late symptoms are weight loss and blood in the stool.
Why are my stools always so hard
Drinking water does not help you move your bowels. You can do tests to measure the motility of the colon and determine if it is slow. Another possibility is having a defecation READ MORE
Drinking water does not help you move your bowels. You can do tests to measure the motility of the colon and determine if it is slow. Another possibility is having a defecation disorder, though this would usually be found in someone much older than you. A good GI doctor can help do a diagnostic workup. Try to find a GI doctor who is capable of doing more than just a colonoscopy, which is not often helpful in the workup of constipation. Try over-the-counter Dulcolax and Miralax.
Otherwise, prescription laxatives may be needed.
Otherwise, prescription laxatives may be needed.
Do I have an impacted bowel
Unlikely. Keep using laxatives to have regular stools. This should prevent any possibility of an impaction.
persistent gastritis from last one year
H pylori can be tough to eradicate and the bacteria may be resistant to the usual antibiotics that are given to treat it. You should make a list of each regimen that you took and READ MORE
H pylori can be tough to eradicate and the bacteria may be resistant to the usual antibiotics that are given to treat it. You should make a list of each regimen that you took and the doses of the medications. Clarithromycin is the antibiotic with highest resistance and should not be used. You can do sensitivity testing to find out which antibiotics the H pylori will respond to and use this information to guide the choice of the medications. You should see a doctor with experience in treating refractory H pylori. Most likely you will need high dose PPI, high dose amoxicillin and maybe rifampin to get rid of the infection.
Abdomen issue
Need more information to try to guess what could explain your symptoms.
Can IBD be treated with medications?
Yes there are many medications used to treat IBD and get it into remission.
See crohnscolitisfoundation.org and https://patient.gastro.org/inflammatory-bowel-disease-ibd/
See crohnscolitisfoundation.org and https://patient.gastro.org/inflammatory-bowel-disease-ibd/
Can gastritis pain go away on its own?
A lot of pain is blamed on gastritis but in reality, it's usually something else. Gastritis does not cause chronic pain. But in the case of acute gastritis (e.g. after an infection) READ MORE
A lot of pain is blamed on gastritis but in reality, it's usually something else. Gastritis does not cause chronic pain. But in the case of acute gastritis (e.g. after an infection) then the pain should go away on its own eventually.
What type of anesthesia is the safest for a colonoscopy?
The standard IV sedation using midazolam, fentanyl or propofol is safe for the vast majority of people getting colonoscopy.
Air after swallowing
This might be normal belching, since air is always swallowed along with food or drink. Another possibility is supragastric belching.
What painkillers can I take with IBD?
Most everything is safe, including tylenol, opioids, and even ibuprofen in most patients.
Abdomen pain
I cannot comment since there is so little detail provided. Need to know when the problems started, exact location of pain, exacerbating and mitigating features, associated symptoms, READ MORE
I cannot comment since there is so little detail provided.
Need to know when the problems started, exact location of pain, exacerbating and mitigating features, associated symptoms, etc etc.
Need to know when the problems started, exact location of pain, exacerbating and mitigating features, associated symptoms, etc etc.
Can IBD cause any serious damage?
Yes, it can. Bowel strictures, fistulas, obstruction, bleeding, perforation and cancer are all possible complications of IBD that is not well controlled by medications.
What causes abdomen cramps?
Tough to say but it might be gas causing stretching of the bowel. It would help to know if the cramps are related to oral intake or bowel movement.
