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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acid reflux and sibo/imo
Your case sounds a bit complicated, and you may not like my opinion on this, but in my experience, most diagnoses of LPR and SIBO are erroneous. This is because 1) acid suppression READ MORE
Your case sounds a bit complicated, and you may not like my opinion on this, but in my experience, most diagnoses of LPR and SIBO are erroneous. This is because 1) acid suppression is generally excellent with PPIs and full acid control can be proven by doing a Bravo pH study while on PPI; and 2) the testing for SIBO is notoriously unreliable with many false positives.
In short, your mouth/chest problems are probably neither reflux nor SIBO. I would look for another cause, the most common being visceral hypersensitivity.
In short, your mouth/chest problems are probably neither reflux nor SIBO. I would look for another cause, the most common being visceral hypersensitivity.
Constipated for a long time, stuck my finger up there and felt something unsettling.
You may have a stool impaction in the rectum. This needs to be cleared out either by a massive oral prep, large volume enema or a manual disimpaction (by a health provider). Once READ MORE
You may have a stool impaction in the rectum. This needs to be cleared out either by a massive oral prep, large volume enema or a manual disimpaction (by a health provider).
Once the colon is cleared of stool,, then stay on an aggressive daily bowel regimen with 2 or more laxatives.
Once the colon is cleared of stool,, then stay on an aggressive daily bowel regimen with 2 or more laxatives.
Is it IBS
You are not asking too much if you want a clear diagnosis and a plan to help relieve symptoms. Your physicians should take sufficient time to explain your diagnosis. If they cannot READ MORE
You are not asking too much if you want a clear diagnosis and a plan to help relieve symptoms. Your physicians should take sufficient time to explain your diagnosis. If they cannot do this or they have no diagnosis then seek another opinion.
2 different results on celiac blood test
On the second TTG test, were you gluten free when they did that test? if so, then it could be a false negative. You must be consuming gluten in order to diagnose celiac. So if READ MORE
On the second TTG test, were you gluten free when they did that test? if so, then it could be a false negative. You must be consuming gluten in order to diagnose celiac.
So if you want to make the diagnosis once and for all, then you need to do a gluten challenge for at least 2 weeks, get the TTG test, then do the EGD if the TTG is high.
So if you want to make the diagnosis once and for all, then you need to do a gluten challenge for at least 2 weeks, get the TTG test, then do the EGD if the TTG is high.
What is wrong with my stomach all of a sudden?
Hard to make a diagnosis without a lot more information on the specific symptoms. It might be IBS or dyspepsia. If you lose weight, have anemia or blood in the stool then you need READ MORE
Hard to make a diagnosis without a lot more information on the specific symptoms. It might be IBS or dyspepsia. If you lose weight, have anemia or blood in the stool then you need to see a doctor.
Gallbladder is removed, will it affect nutrient absorption?
There is no evidence that the gallbladder removal causes any clinically relevant malabsorption. You don't need to take any supplements for this concern.
Is this a parasite
Hard to identify what is shown in the photos, but parasites are very rare in the US. I don't think this is a parasite.
Should I be concerned?
Just 2 days of symptoms is probably not enough to require a doctor visit, but if the symptoms do not resolve after 1-2 weeks, or you develop blood in the stool, weight loss, then READ MORE
Just 2 days of symptoms is probably not enough to require a doctor visit, but if the symptoms do not resolve after 1-2 weeks, or you develop blood in the stool, weight loss, then you should be seen.
Mucous in stool
Unlikely to be cancer. Bleeding is usually from an anal fissure or internal hemorrhoids. Its not wrong to see the doctor though to reassure yourself.
Acute pancreatitis
No. You are playing with fire. It is too dangerous to keep drinking alcohol. You have risk of another bout of pancreatitis and with necrosis. This could destroy your pancreas completely READ MORE
No. You are playing with fire. It is too dangerous to keep drinking alcohol. You have risk of another bout of pancreatitis and with necrosis. This could destroy your pancreas completely and you will not want to live if that were to happen.
Hemorrhoid procedure decision
This is more the realm of a surgeon rather than a gastroenterologist. To my knowledge, the two methods you name have not been compared in a definitive randomized trial. They both READ MORE
This is more the realm of a surgeon rather than a gastroenterologist. To my knowledge, the two methods you name have not been compared in a definitive randomized trial. They both can be helpful, so I think either choice is ok, but both are not as effective as a surgical hemorrhoidectomy.
Do I have peptic ulcer disease, a gastrinoma or IBD?
What you describe is not concerning for either gastrinoma or IBD. Do your best to not allow your fears about these conditions to add to your anxiety.
Sleeping and eating
I don't think what you describe is true as a general rule. How you feel after a meal and how soon you sleep afterwards depends on many factors and will change from day to day and READ MORE
I don't think what you describe is true as a general rule. How you feel after a meal and how soon you sleep afterwards depends on many factors and will change from day to day and even within the same day. Some of the factors are: what is ingested, how much is ingested, the fat and calorie content of what is ingested, the time of day, recent sleep patterns, mood, ingestion of medicines, alcohol, caffeine, etc etc.
Is this some kind of warm in stool?
That does not appear to be a worm. To make a diagnosis of worm or any other parasite in stool requires a stool sample test for ova and parasites.
What causes severe nausea and vomiting out of no where??
There are many causes for nausea, both GI and non-GI. I need more information, but common causes in your situation are manifestation of headache, marijuana or other drug use, anxiety/depression, READ MORE
There are many causes for nausea, both GI and non-GI. I need more information, but common causes in your situation are manifestation of headache, marijuana or other drug use, anxiety/depression, recent enteric infection with post-infectious dyspepsia and functional nausea.
Possible Bowel Obstruction?
Luckily, it doesn't sound like this is a bowel obstruction. Constipation prevents you from having a bowel movement, but the rest of the GI tract (stomach and small intestine primarily) READ MORE
Luckily, it doesn't sound like this is a bowel obstruction. Constipation prevents you from having a bowel movement, but the rest of the GI tract (stomach and small intestine primarily) tends to function normally. You probably need to be more aggressive treating the constipation with OTC or prescription medications.
Related to NAFLD
It can but it usually requires significant weight loss and/or tight control of lipids, diabetes and hypertension.
Do I have a blockage?
You probably had a bout of food poisoning or gastroenteritis. It should resolve with time and conservative management. If not, then see a GI doctor.
Loose Stool
Sounds like you have a normal bowel pattern but you want the stools to be more formed. This might be accomplished by dietary changes, e.g. reducing carbohydrates and caffeine. READ MORE
Sounds like you have a normal bowel pattern but you want the stools to be more formed. This might be accomplished by dietary changes, e.g. reducing carbohydrates and caffeine. You could also try an antidiarrheal like imodium at bedtime. Probiotics don't help. I would need to know more about your diet and daily activities to advise further.
My stomach problems
Need more information, but most bloating and flatus are due to carbohydrate malabsorption.
If you have constipation to then best to take more fiber and use laxatives.
If you have constipation to then best to take more fiber and use laxatives.
