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 abdominal cramping a sign of IBS?
Yes, cramping and change in bowel habits are classic for IBS, but a formal diagnosis should be made by a GI physician. Make sure something else is not being missed.
Is Pepto Bismol a safe medication for stopping motions?
Yes, it is safe.
Is giving enema a good way to cleanse the colon system?
It is not necessary to cleanse the colon by enema or any other means. Even if you do that, the bacterial population re-establishes itself in 14-48 hrs. You are wasting your time READ MORE
It is not necessary to cleanse the colon by enema or any other means. Even if you do that, the bacterial population re-establishes itself in 14-48 hrs. You are wasting your time and money. Eat healthy and have regular bowel movements. No need for anything else.
Can consuming excess seltzer affect the acid levels in my stomach?
The answer is no. Seltzer water will not alter the acid level in the stomach to any significant extent. The CO2 in any carbonated beverage will stay in gas form after it is consumed, READ MORE
The answer is no. Seltzer water will not alter the acid level in the stomach to any significant extent. The CO2 in any carbonated beverage will stay in gas form after it is consumed, but then the CO2 is absorbed through the intestinal lining and will disappear as a gas. This is why drinking sodas or seltzer does not increase flatulence and why CO2 gas rather than room air is sometimes used during colonoscopy.
What could be the reason for my persistent bloating?
I have found that most patients with bloating respond to a low carbohydrate diet. Many carbs are poorly digested and they tend to enter the small intestine and draw fluid into READ MORE
I have found that most patients with bloating respond to a low carbohydrate diet. Many carbs are poorly digested and they tend to enter the small intestine and draw fluid into the lumen, resulting in bloating. This is assuming that the bloating is worse after you eat. If your abdomen is getting distended with no relation to the diet then you need to see a doctor promptly to get evaluated.
Why do I feel nausea after eating my food?
Nausea is quite a non-specific symptom, so it's hard to tell why that is happening without more information. It could be so many things....Best to get evaluated by a primary care READ MORE
Nausea is quite a non-specific symptom, so it's hard to tell why that is happening without more information. It could be so many things....Best to get evaluated by a primary care or GI doc.
What could be the impact of all the medications on my digestive system?
Difficult to say, but meds for hypertension and diabetes are extremely common and most people don't have any digestive issues as a result. Of course, side effects are possible READ MORE
Difficult to say, but meds for hypertension and diabetes are extremely common and most people don't have any digestive issues as a result. Of course, side effects are possible but most patients have no GI side effects to these type of medications. If you are overweight or obese, then losing weight will probably help control diabetes and high blood pressure and reduce the need for medications to treat those conditions.
Why do I get heartburn in the evening?
Heartburn tends to happen after a meal. Dinner is often the largest meal of the day so you are more likely to have heartburn after this particular meal. If you lie down after dinner READ MORE
Heartburn tends to happen after a meal. Dinner is often the largest meal of the day so you are more likely to have heartburn after this particular meal. If you lie down after dinner then this increases the risk for heartburn.
In general, to reduce heartburn, eat smaller meals, less fatty or lower calorie foods, don't lie down for several hours after eating, avoid caffeine, chocolate, and peppermints.
In general, to reduce heartburn, eat smaller meals, less fatty or lower calorie foods, don't lie down for several hours after eating, avoid caffeine, chocolate, and peppermints.
Why would some foods cause stomach aches?
I would need to know a bit more about the symptoms before being able to comment specifically. It's helpful to know the location of pain (epigastroun vs. lower abdomen) and if any READ MORE
I would need to know a bit more about the symptoms before being able to comment specifically. It's helpful to know the location of pain (epigastroun vs. lower abdomen) and if any bowel movement is associated with the ache. If the ache is coming from the stomach itself, then this may be caused by having a sensitive stomach, or what we call visceral hypersensitivity. Certain foods will do this more than others, though it is hard to predict and it may have to do with the amount eaten or the total calories/fat content consumed. A GI doctor can help sort through the possibilities.
I eat so little, but still I feel heavy. Is there a problem with my digestive system?
Maybe, but the symptoms are a bit vague and thus it's tough to make any conclusions with so little information. Bloating is usually due to carbohydrate malabsorption so you might READ MORE
Maybe, but the symptoms are a bit vague and thus it's tough to make any conclusions with so little information. Bloating is usually due to carbohydrate malabsorption so you might consider reducing carbs in your diet. This usually help reduce bloating. A visit to your primary care doctor or a GI doctor will help make sure nothing else is going on.
My upper abdomen is bloated because of gas. What should I do?
It may not actually be gas. Most people with bloating think that gas is causing the problem but it's usually not gas accumulation. Rather it is often fluid accumulation in the READ MORE
It may not actually be gas. Most people with bloating think that gas is causing the problem but it's usually not gas accumulation. Rather it is often fluid accumulation in the small intestine due to ingested carbohydrates that are not well digested. My first recommendation is to lower the carbohydrates in the diet. That will help in many cases. Otherwise, consider seeing a GI doctor to get a proper evaluation, especially if other symptoms are present, such as vomiting, pain, weight loss or anemia.
Is Crohn's disease a hereditary disease?
There is some genetic risk for Crohn's disease, so yes, your son will have an above-average risk for also getting Crohn's, but the absolute risk for him is still fairly low. There READ MORE
There is some genetic risk for Crohn's disease, so yes, your son will have an above-average risk for also getting Crohn's, but the absolute risk for him is still fairly low. There are no ways to test for the genetic risk. You only need to simply observe him for symptoms. IBD can present at any age, but often does so in adolescence or early adulthood. Avoid all
unnecessary antibiotic exposure, especially in early years of life. Avoid exposure to cigarette smoke. Hopefully your son will never develop IBD.
Good luck.
unnecessary antibiotic exposure, especially in early years of life. Avoid exposure to cigarette smoke. Hopefully your son will never develop IBD.
Good luck.
Do I need another endoscopy?
No, it doesn't sound like another endoscopy would be helpful. First, you probably had a regular upper endoscopy (EGD) and not an endoscopic ultrasound. The latter is used to visualize READ MORE
No, it doesn't sound like another endoscopy would be helpful. First, you probably had a regular upper endoscopy (EGD) and not an endoscopic ultrasound. The latter is used to visualize structures outside the walls of the stomach and duodenum and it doesn't sound like you had something like that.
Acid reflux should be fairly easily treated with anti acid pills like Protonix. Lack of improvement can be evaluated further, but should be discussed in clinic. Abdominal pain is more elusive and could be from H. pylori infection or more often dyspepsia or hypersensitivity. A simple follow-up with your GI doc should suffice for now.
Acid reflux should be fairly easily treated with anti acid pills like Protonix. Lack of improvement can be evaluated further, but should be discussed in clinic. Abdominal pain is more elusive and could be from H. pylori infection or more often dyspepsia or hypersensitivity. A simple follow-up with your GI doc should suffice for now.
Is there a cure for IBS?
There is no cure for IBS, but none of the medications that you listed are treatments for IBS, meaning irritable bowel syndrome. I would advise you to make sure that a proper diagnosis READ MORE
There is no cure for IBS, but none of the medications that you listed are treatments for IBS, meaning irritable bowel syndrome. I would advise you to make sure that a proper diagnosis is made and that appropriate therapy is given. See a GI physician, and if you have already seen one, then you can seek a second opinion.
Loss of appetite and nausea
No, I don't think it is normal to have problems with nausea after eating more than 1 year after that surgery. The nausea may have started as a result of everything that you went
through, READ MORE
No, I don't think it is normal to have problems with nausea after eating more than 1 year after that surgery. The nausea may have started as a result of everything that you went
through, but now the nausea is its own separate problem. We often call this functional nausea and it can be treated with medications. An evaluation by a GI doctor is reasonable to make sure it is not something else.
through, but now the nausea is its own separate problem. We often call this functional nausea and it can be treated with medications. An evaluation by a GI doctor is reasonable to make sure it is not something else.
Anal fissure
That's a long time to be having symptoms from an anal fissure. Assuming that you have been treated in the usual manner with nitroglyercine ointment four times per day, laxatives, READ MORE
That's a long time to be having symptoms from an anal fissure. Assuming that you have been treated in the usual manner with nitroglyercine ointment four times per day, laxatives, etc., and assuming that this medical treatment did not work, then surgery can be appropriate for a non-healing anal fissure. Nothing is 100%, but relief from surgery is a likely outcome and I would refer to surgery if a fissure is not healing after medical treatment.
After colonoscopy
The doctor who performed the colonoscopy should be able to confirm that the bleeding is from hemorrhoids and nothing else. If the cause of bleeding is hemorrhoids and you wish READ MORE
The doctor who performed the colonoscopy should be able to confirm that the bleeding is from hemorrhoids and nothing else. If the cause of bleeding is hemorrhoids and you wish to have this addressed, then potential treatments include hemorrhoid banding or surgical hemorrhoidectomy. Again, whomever performed the procedure may be able to offer these treatments so I would start by contacting that physician. If he/she cannot help with hemorrhoids then you may need to seek advice from another doctor who does.
Best of luck.
Best of luck.
Crohn's disease and Lupus
It's not common for lupus and Crohn's to co-exist but anything is possible. More likely are lupus-like syndromes that can occur with certain treatments for Crohn's disease. Patients READ MORE
It's not common for lupus and Crohn's to co-exist but anything is possible. More likely are lupus-like syndromes that can occur with certain treatments for Crohn's disease. Patients would need to see a rheumatologist to help sort things out if lupus is suspected. It all depends on the specific symptoms and the history. Diagnosis is by clinical picture and blood tests ordered by the rheumatology doctor.
Hope this helps.
Hope this helps.
I have Celiac disease. I was diagnosed appx. 15 years ago.
First, we must be careful with the diagnosis of celiac. It is often misdiagnosed. If you came to see me as a patient, I would first get documents of the prior work up to convince READ MORE
First, we must be careful with the diagnosis of celiac. It is often misdiagnosed. If you came to see me as a patient, I would first get documents of the prior work up to convince myself that the celiac diagnosis is correct. If the celiac diagnosis is true and accurate, then persistent symptoms on a gluten-free diet generally have 2 main explanations:
1) You are exquisitely sensitive to gluten and it is getting into your diet surreptitiously. It does this via food ingested, not due to utensils used, so I don't think you need to change the cutlery that you use to eat with.
2) The symptoms are not due to gluten at all but rather another condition may be at play. Typically nonulcer dyspepsia or visceral hypersensitivity, which is very common in the setting of fibromyalgia, are high on the list of possibilities.
A GI doctor can help sort this out.
Good luck.
1) You are exquisitely sensitive to gluten and it is getting into your diet surreptitiously. It does this via food ingested, not due to utensils used, so I don't think you need to change the cutlery that you use to eat with.
2) The symptoms are not due to gluten at all but rather another condition may be at play. Typically nonulcer dyspepsia or visceral hypersensitivity, which is very common in the setting of fibromyalgia, are high on the list of possibilities.
A GI doctor can help sort this out.
Good luck.
Light brown
It's normal for the stool to vary in color depending on your diet. Light brown is normal and nothing to be concerned about.
