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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Is surgery the only option for an inguinal hernia?
Yes, surgery is the only option. This is a question more appropriate for a general surgeon rather than a gastroenterologist, but surgery is needed if an inguinal hernia is causing READ MORE
Yes, surgery is the only option. This is a question more appropriate for a general surgeon rather than a gastroenterologist, but surgery is needed if an inguinal hernia is causing enough symptoms.
Do I need colon and rectal surgery?
In general, IBS would rarely require surgery. Only in the most severe cases of constipation might someone benefit from partial colon resection. If you have doubts, then get other READ MORE
In general, IBS would rarely require surgery. Only in the most severe cases of constipation might someone benefit from partial colon resection. If you have doubts, then get other opinions from both a GI doctor and a colorectal surgeon.
The best treatment options for IBD?
Treatment depends on location of disease, severity and other factors. Main advice is make sure that your GI doctor has a lot of experience treating IBD, ideally someone who focuses READ MORE
Treatment depends on location of disease, severity and other factors. Main advice is make sure that your GI doctor has a lot of experience treating IBD, ideally someone who focuses mainly or exclusively on IBD, e.g., at an academic center.
What relieves constipation?
More fruits and vegetables. More activity/exercise. More fiber, e.g. Citrucel daily Laxative tea Over the counter laxatives e.g. Dulcolax and Miralax. Prescription laxatives if READ MORE
More fruits and vegetables.
More activity/exercise.
More fiber, e.g. Citrucel daily
Laxative tea
Over the counter laxatives e.g. Dulcolax and Miralax.
Prescription laxatives if the above don't help.
More activity/exercise.
More fiber, e.g. Citrucel daily
Laxative tea
Over the counter laxatives e.g. Dulcolax and Miralax.
Prescription laxatives if the above don't help.
What are the treatment options for colon polyps?
It's important to know the type of polyp that you have. The pathology from the polyp(s) might be adenoma or hyperplastic and this makes a big difference in terms of follow-up. READ MORE
It's important to know the type of polyp that you have. The pathology from the polyp(s) might be adenoma or hyperplastic and this makes a big difference in terms of follow-up. In general, there is no effective treatment for polyps.
What causes chronic hemorrhoids?
We don't really know, but they probably form as a result of high pressures in the rectum associated with a lot of straining with bowel movements, especially in environments with READ MORE
We don't really know, but they probably form as a result of high pressures in the rectum associated with a lot of straining with bowel movements, especially in environments with low fiber diets. For symptomatic hemorrhoids, you can see a GI specialist and get them banded serially - simple procedures.
How can I treat IBS at home?
Best to see a GI specialist who can assess your specific symptoms and offer some treatment options. Examples: for cramp pain, try dicyclomine; for diarrhea, try diet changes, imodium, READ MORE
Best to see a GI specialist who can assess your specific symptoms and offer some treatment options. Examples: for cramp pain, try dicyclomine; for diarrhea, try diet changes, imodium, neuromodulators, rifaximin, and Viberzi.
Will gastritis go away on its own?
It depends on the cause, but many times, the answer is no. If H. pylori is causing gastritis then treating that infection can make gastritis better. Most of the time, gastritis READ MORE
It depends on the cause, but many times, the answer is no. If H. pylori is causing gastritis then treating that infection can make gastritis better. Most of the time, gastritis is found during an EGD, but there is no obvious cause and the gastritis actually doesn't cause any symptoms. In this situation, no specific treatment is required. Sometimes, doctors will tell a patient that gastritis is causing their GI symptoms, but be careful because this is often not the case. A good GI doctor will be able to tell you if symptoms are secondary to gastritis or something else.
Are there at home tests for celiac disease?
No, there is no home test. Celiac is diagnosed as follows:
First, doctor orders a blood test for antibodies, specifically tissue transglutminase antibody. Second, if the antibody READ MORE
No, there is no home test. Celiac is diagnosed as follows:
First, doctor orders a blood test for antibodies, specifically tissue transglutminase antibody. Second, if the antibody is positive, then an endoscopy with biopsy needs to be done. An upper endoscopy is not a particularly invasive test. It is safe and fast. 13 years old is not too young to have the endoscopy if the antibody is positive. I would say this about my own child. A correct diagnosis for celiac is too important to refuse to do the endoscopy. It is not advised to put anyone on a gluten free diet without clearly establishing the diagnosis.
First, doctor orders a blood test for antibodies, specifically tissue transglutminase antibody. Second, if the antibody is positive, then an endoscopy with biopsy needs to be done. An upper endoscopy is not a particularly invasive test. It is safe and fast. 13 years old is not too young to have the endoscopy if the antibody is positive. I would say this about my own child. A correct diagnosis for celiac is too important to refuse to do the endoscopy. It is not advised to put anyone on a gluten free diet without clearly establishing the diagnosis.
Is irritable bowel syndrome manageable?
Yes, there are many ways to treat IBS. Diet changes, over-the-counter medications, prescription medications are all available. A GI specialist would best be able to assist you. READ MORE
Yes, there are many ways to treat IBS. Diet changes, over-the-counter medications, prescription medications are all available. A GI specialist would best be able to assist you. Goal would be to reduce symptoms so that they don't bother you as much and affect your daily activities.
Can family history play a role in hemorrhoids?
There is no known direct genetic or hereditary risk for hemorrhoids. They form from increased rectal pressures related to constipation and difficult defecation, which are extremely READ MORE
There is no known direct genetic or hereditary risk for hemorrhoids. They form from increased rectal pressures related to constipation and difficult defecation, which are extremely common in our environment of low fiber diets. So, if your family tends to have more constipation and straining with stools, then more hemorrhoids will arise.
What is the cause of my stomach pain?
See a primary care doctor or gastro specialist so that they can ask you questions about the location, character of the pain, if it associated with eating or bowel movement, etc.
READ MORE
See a primary care doctor or gastro specialist so that they can ask you questions about the location, character of the pain, if it associated with eating or bowel movement, etc.
Are celiac disease and lactose intolerance related?
No direct relationship between the two. Lactose intolerance is a common condition that may arise with or without celiac disease, which is not common (<1% of US population). Might help to diagnose lactose intolerance with a breath test. Also important to confirm that the celiac disease is completely controlled, by checking antibodies or getting duodenal biopsies, since
gluten can easily sneak into foods even when on a GFD.
gluten can easily sneak into foods even when on a GFD.
Can I take painkillers for gas pain?
Not a good idea. First, you should be sure that the pain is from gas. Often, patients think that gas is the problem but it's not. Identifying what the pain is from is the key to READ MORE
Not a good idea. First, you should be sure that the pain is from gas. Often, patients think that gas is the problem but it's not. Identifying what the pain is from is the key to finding the right treatment. You may need to see a gastro specialist to help figure it out. If you do have excessive gas, then it is better to alter the diet to reduce gas rather than give pain medications. Lower carbohydrates in the diet will help reduce gas.
What causes colon cancer?
We don't know exactly what causes colon cancer. Like most cancers, it is a combination of genetic predisposition and environmental factors. Most colon cancer starts from a small READ MORE
We don't know exactly what causes colon cancer. Like most cancers, it is a combination of genetic predisposition and environmental factors. Most colon cancer starts from a small colon polyp that over time enlarges and transforms into cancer. The U.S. has a lot of colon cancer compared to the rest of the world, maybe due to high consumption of red meat, low fiber in the diet.
Good luck. I hope that you can be cured.
Good luck. I hope that you can be cured.
What are the treatment options for chronic constipation?
First line: diet change, much more fiber, laxative tea Second: over the counter laxatives such as Miralax, dulcolax, MOM, etc. Third: prescription medications such as Linzess, READ MORE
First line: diet change, much more fiber, laxative tea
Second: over the counter laxatives such as Miralax, dulcolax, MOM, etc.
Third: prescription medications such as Linzess, Viberzi
Second: over the counter laxatives such as Miralax, dulcolax, MOM, etc.
Third: prescription medications such as Linzess, Viberzi
How often should one have bowel movements?
The "normal" range for bowel movements is from 1 stool every 3 days to 3 stool per day. However, even if you in this range, if you are uncomfortable with 1 stool every 3 days, READ MORE
The "normal" range for bowel movements is from 1 stool every 3 days to 3 stool per day. However, even if you in this range, if you are uncomfortable with 1 stool every 3 days, then this is not the right bowel habit for you and you will want to aim for a stool every other day or daily. Okay to change diet (more fruits, vegetables), add fiber, use over-the-counter laxatives.
Is diarrhea something to go to the hospital for?
Usually no, buy it depends on how severe it is. Diarrhea usually only needs hospitalization if it is causing dehydration or there is significant bloody diarrhea.
Celiac disease and drinking?
If your celiac is well controlled by a strict gluten free diet, then your nutrient absorption in the small intestine will be normal - no better or no worse than anyone else. If READ MORE
If your celiac is well controlled by a strict gluten free diet, then your nutrient absorption in the small intestine will be normal - no better or no worse than anyone else. If you follow a strict GFD then your celiac should be controlled and should not cause any symptoms. What you are describing may have nothing to do with celiac, especially if the celiac is well controlled (this can be confirmed with evaluation by a GI physician with antibody testing and confirmation of normal small bowel biopsy). Having celiac does not change your ability to absorb alcohol. Remember that women in general process alcohol differently than men and thus may have higher alcohol levels despite the same amount ingested. One alcoholic drink for a man is like 2 for a woman.
Do I have appendicitis?
Candy or anything else that you swallow will not block the appendix. I cannot tell what your pain is from. You need to be examined by a doctor, especially if this is an ongoing READ MORE
Candy or anything else that you swallow will not block the appendix. I cannot tell what your pain is from. You need to be examined by a doctor, especially if this is an ongoing problem. You can see a pediatrician and your parents can help get an appointment.
