What to expect: your first visit to a gastroenterologist
A gastroenterologist is a medical doctor who specializes in the diagnosis and treatment of conditions involving the gastrointestinal (GI) tract. The GI tract includes several organs and structures, such as the esophagus, stomach, small intestine, colon, rectum, pancreas, gallbladder, bile ducts and liver.
Were you or your loved one recently referred to a gastroenterologist? Knowing what to expect at your first appointment will help you feel more at ease and ensures you get the most out of your time with your provider.
To help you prepare for your initial visit, read on about some things you can expect.
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Health history interview
Your first GI appointment will take around 30 to 60 minutes. It will be held in a private room. This face-to-face time is essential for helping our team to get to know you and develop an appropriate plan of care.
To guide diagnosis and treatment, your gastroenterologist will ask several questions about your health, lifestyle and current concerns. These questions make up what we call the health history interview . Expect questions about:
- Your symptoms, including their type, location, duration, intensity, frequency and triggers or precipitating factors
- Your overall health, including whether you're currently being treated for any other medical conditions
- Whether you have a history of surgery, trauma and/or illness affecting your GI tract
- Whether you're currently taking any medication or supplements, including prescription and over-the-counter (it helps to bring a written list!)
Many GI conditions have a genetic component (it runs in the family). Your gastroenterologist may ask whether anyone in your family has ever been diagnosed with a digestive disease or related issue. Be sure to go over your family health history with loved ones before your appointment. That way, you'll be able to provide your doctor with as much information as possible.
During your first appointment, your GI doctor will also review any other pertinent medical information or records from other health care providers that you've agreed to share with our team. This could include notes from your referring physician and pre-appointment lab work.
Physical examination
During your first visit, your GI provider will conduct a thorough physical examination. To ensure this examination is comprehensive and accurate, you may be asked to undress and change into a hospital gown before your doctor enters the room.
Examination techniques may include the following:
- Observation of your abdominal area. Your doctor will visually inspect your abdomen and look for things like scars, rashes and swelling
- Palpation of your abdominal area. Using their hands, your doctor will systematically press on and feel different parts of your belly to check for areas of tenderness, pain, lumps or other abnormalities
- Listening to your abdominal area. Your doctor will put a stethoscope on your belly to hear any sounds coming from your bowels, a process called auscultation.
If necessary, your doctor may perform a rectal examination by gently inserting a lubricated, gloved finger into your rectum. This allows them to assess your rectal muscle tone and check for any masses, bulges or other issues.
Before your gastroenterologist enters the room, a nurse may also collect other objective data about your health, including your weight, height, temperature, heart rate and blood pressure.
Diagnostic tests and lab work
At SIU Medicine, our gastroenterology doctors diagnose, treat and manage a wide range of GI-related conditions, including Crohn's disease, irritable bowel syndrome, ulcers, stomach cancer, esophageal and colorectal cancer, as well as hepatitis and other liver diseases. To help rule in or out certain conditions and to guide treatment, your doctor may order additional tests and techniques, including:
- Blood and/or stool samples
- Colonoscopy
- Upper GI endoscopy
- Barium swallow or enema
Some of these tests can be done on the same day as your initial visit, or may need to be done later during a follow-up appointment. Before any procedure or technique, your doctor will discuss the indications, risks and benefits to make sure you're well informed. You are also encouraged to ask questions at any time! Our front office team is also available to answer any questions about scheduling, billing and insurance.
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Your First Visit with the Gastroenterologist
Jennifer Nayor MD, of Concord Gastroenterology Associates sat down for an episode of Emerson’s Health Works Here podcast series to provide tips for your first visit to the gastroenterologist. Continue reading for her insights or listen to the podcast below .
Seeing a specialist for the first time can be stressful. A trip to the gastroenterologist can be especially nerve-wracking. “Patients don’t always feel comfortable talking about gastrointestinal (GI) issues,” notes Dr. Nayor of Concord Gastroenterology Associates . “We’re talking about things like bowel movements, farts and burps; about diarrhea and things that naturally give people the giggles. I don’t think these issues are anything to be anxious or nervous about, because that is why you are coming to see me.”
Preparing for Your Visit
Dr. Nayor recommends doing some homework before your visit. “I think coming prepared just helps reduce the anxiety.” She urges patients to assemble these items for the most effective and efficient visit:
- First, bring any records from previous testing and visits. This includes recent blood test results, prior endoscopy or colonoscopy results, and imaging results like ultrasounds or CAT scans.
- In addition, she urges patients coming from another gastroenterologist or primary care doctor to bring clinic notes from those visits. “It can be really helpful. I can get a sense of what other doctors have been thinking about.”
- Bring a list of current medications and dosages, including all prescriptions and supplements. If you don’t have time to write down each and every one, take the prescription bottles to the appointment with you.
- Lastly, prepare notes on your concerns and symptoms. Document the symptoms that brought you to the gastroenterologist with as many details as you can to provide a better picture of the issue you hope to resolve. Creating a list of questions helps the visit go smoothly. With an expert in front of you, it is the perfect opportunity to get answers.
What to Expect
While you are technically visiting a “specialist’s” office, expect to be checked over similar to a primary care visit. “I typically do a physical exam on any patient who I am meeting for the first time. I am a gastroenterologist, but I am also an internal medicine doctor. So I examine the patient from head to toe. I will examine the heart, the lungs, in addition to doing an abdominal exam and other GI assessments,” explains Dr. Nayor.
For rectal complaints, an examination of that area may be necessary. Rectal or anal pain, blood from the rectum, and itching or discomfort from the perianal area require closer inspection. Another member of the staff is present in the room during such an examination.
“I always tell patients everything I am doing at the time I do a rectal exam, so they know the steps involved. That tends to make them feel a bit more at ease,” shares Dr. Nayor.
An additional piece of advice is to learn who you will see at your first visit. At Concord Gastroenterology Associates, you will first meet with a specialist physician. However, some practices will schedule you with a nurse practitioner or physician’s assistant for the first appointment.
Plan for 20 to 40 minutes for a full evaluation on the initial visit. Depending on your needs and GI history, it may take longer or shorter.
“Coming to the gastroenterologist should not be something that makes you anxious. You are coming to get help, and our job is to provide you with the help you need. Try to think about it like any other visit; you are there to get your questions answered and to feel better. And that is what we want for you.”
Listen to the Podcast
Dr. Jennifer Nayor talks about what to expect at your first visit with a gastroenterologist and provides tips to make your visit a valuable experience.
Subscribe to the Health Works Here Podcast on Apple Podcasts , Spotify , Google Podcasts and wherever podcasts can be heard.
About Dr. Jennifer Nayor
Dr. Jennifer Nayor is a board-certified gastroenterologist with Emerson’s Concord Gastroenterology Associates. Dr. Nayor performed her residency at Johns Hopkins Hospital. Please visit Dr. Nayor’s physician profile to learn more and request an appointment.
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What To Expect at a Gastroenterologist Appointment (VIDEO)
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What Does a Gastroenterologist Do?
Dr. Anisa Shaker and Dr. Damie Odufalu break down the role of a gastroenterologist and how it can be both lifesaving and life-changing.
00:00:00:00 - 00:00:13:06 Dr. Anisa Shaker Some of the common questions that we get as gastroenterologists is: What do you do? What kind of patients do you treat? What kind of symptoms do your patients have?
00:00:13:08 - 00:00:50:08 Dr. Damie Odufalu A gastroenterologist sees patients and manages patients with diseases that affect the GI [gastrointestinal] tract, including the esophagus, stomach, small intestine, and the colon, as well as the liver, and the pancreas. We do procedures, oftentimes endoscopy, upper endoscopy, colonoscopy, and variations of those procedures that can be both diagnostic and therapeutic.
Dr. Shaker Issues that frequently are seen by a gastroenterologist are diseases such as gastroesophageal reflux disease, abdominal pain, and then bowel disorders are also frequently seen by the gastroenterologist.
00:00:50:10 - 00:01:13:15 Dr. Shaker One of the things that I really enjoy about being a gastroenterologist is that I get to listen to patients in the clinic, hear their stories, try to figure out what's bothering them from that standpoint.
Dr. Odufalu The reason I wanted to become a gastroenterologist is I think that it’s an amazing specialty. I get to be involved in the patients’ care for a very long time, which can be lifesaving and life-changing.
00:01:13:17 - 00:01:17:07 Dr. Odufalu Learn more at MyCrohnsAndColitisTeam.com.
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If you’ve had digestive issues, you may have been referred to a gastroenterologist for further testing. A gastroenterologist — or GI doctor, for short — is a specialized medical doctor who diagnoses and treats disorders affecting the digestive or gastrointestinal system. The digestive system includes the esophagus, stomach, small intestine, colon, rectum, pancreas, gallbladder, bile ducts, and liver.
A visit to a gastroenterologist can be a crucial part of managing inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis. A gastroenterologist will perform tests, like a colonoscopy , to figure out what’s going on in your digestive tract and ensure you get the right treatment. They’ll work with you to come up with a plan that works with your body and lifestyle to help control inflammation and symptoms.
Each person’s experience with IBD is unique. Knowing what to expect at a gastroenterologist appointment and how to best communicate with the GI doctor can allow you to be more involved in your health care. This article will guide you through your first gastroenterologist appointment, provide insights into the process, and help you prepare for the visit.
How Long Will a Gastroenterologist Appointment Last?
The first visit to the gastroenterologist usually lasts between 20 and 40 minutes. During this time, you’ll tell the specialist about your health, lifestyle, and concerns. This face-to-face communication can help the doctor understand your unique situation and plan your care.
What Questions Will a Gastroenterologist Ask?
The gastroenterologist will take your medical history and have questions about how you’re feeling, perhaps asking about pain, bloating, or heartburn. They’ll want to know if certain foods or drinks make your symptoms worse and where you feel discomfort. They might ask if you have undergone any surgeries, have other medical conditions, and take any medications or supplements.
You and the gastroenterologist will likely discuss your:
- Family history
- Medical history and medications
- Mental health
Your Family History
Because IBD runs in families , your doctor might ask if anyone in your family — your parents, siblings, or children — has had digestive issues. It’s helpful to talk with your loved ones about their health history before your appointment so you can give your doctor the necessary information.
Your Medical History and Medications
When answering questions about your health, try to be as thorough as possible. Detailed information about all your symptoms, treatments, and any other health conditions helps your doctor better understand your situation and tailor the right care plan for you.
Your Mental Health
People with IBD may be prone to depression and anxiety , partly due to the challenges of managing a chronic disease. Some studies have also associated depression with the inflammation caused by IBD. If you feel stressed or in low spirits, it’s important to tell your gastroenterologist about these symptoms. The more openly you communicate with your doctor, even about mild symptoms, the better they can assess your condition and decide what tests or exams are needed.
Your Questions
When you have a health care expert in front of you, it’s the perfect chance to get answers. Have a list ready, and be clear about your priorities. The discussion will ensure that you and your doctor are on the same page and that you get the information you need.
You might consider asking questions such as these:
- What new symptoms should I watch for?
- What are my treatment options, and what are their side effects?
- How can I reduce the risk of side effects?
- What can I do at home to feel better and prevent IBD flares?
- Should I avoid specific exercises, foods, or any over-the-counter medications or supplements because of my diagnosis or treatment?
- What are the latest advances in IBD treatment?
What Happens During the Physical Exam?
A thorough physical examination is a standard part of a first appointment with a gastroenterologist. You might be asked to undress and change into a hospital gown before the test. The doctor will gently press and feel different parts of your belly to check for tenderness, pain, lumps, or other abnormalities. They might listen to your abdominal area using a stethoscope — a process called auscultation — to hear any sounds coming from your bowels.
If needed, the doctor might do a rectal exam to check those muscles and look for any lumps, bulges, or other concerns in your rectal area. They’ll do this part of the exam carefully and communicate clearly to keep you comfortable.
Other Possible Tests
A gastroenterologist might suggest a few tests to figure out what’s going on with your gut. Usually, these tests are scheduled for another visit:
- Blood tests check for signs of inflammation. High levels of certain markers, like C-reactive protein or erythrocyte sedimentation rate, could mean there’s inflammation in your intestines.
- The fecal calprotectin test reveals any inflammation in the intestines. A normal level usually means the disease is improving, but a high level may lead to more tests, like a colonoscopy.
- Other stool studies look for infectious pathogens (germs) if you have chronic (long-lasting) diarrhea. The need for these tests might be based on your travel history and how severe your symptoms are.
What Follow-Up Tests May Be Done?
If your initial test results show signs of active IBD — when you have severe inflammation and experience symptom flare-ups — the gastroenterologist may suggest follow-up appointments. They might want to run additional tests to get a closer look inside your body.
During an endoscopy , a long, thin tube with a tiny camera attached explores your digestive system. The doctor also might take a small sample of your intestinal tissue (biopsy) to study under a microscope.
Computed Tomography or Magnetic Resonance Enterography
Computed tomography (CT) or magnetic resonance (MR) enterography is like a high-tech photo scan inside your belly, providing a clear view to help the doctor figure out what’s going on. Before a CT scan, you might drink a special liquid called a contrast, which allows a better look at your gut. Both scans create detailed images of your stomach and intestines, revealing any inflammation, blockages, or other problems.
How Can You Prepare for Your First Appointment?
It’s important to take time to prepare for your first appointment with a gastroenterologist. Bring any records from previous visits and testing, including imaging and blood test results. If you’re transferring from another gastroenterologist or primary care doctor, gather any notes you have from those visits. Make a list of all the prescription and over-the-counter medications and supplements you take, including their dosages.
Finally, take time to make notes of all your concerns and symptoms so that you can quickly and completely answer the gastroenterologist’s questions. This preparation will help streamline your visit and help you make the most of your time with the specialist.
Seeing a specialist for the first time, especially for gastrointestinal issues, can be nerve-wracking. However, it’s essential to remember that you’re seeking help, and the goal of your first appointment is for the medical team to learn more about you. Careful preparation will give you a successful start on your medical journey. Ask questions, share your concerns, and work closely with your GI doctor to best manage your condition.
Talk With Others Who Understand
MyCrohnsAndColitisTeam is the social network for people with Crohn’s disease, ulcerative colitis, and their loved ones. Join a community of over 181,000 members sharing experiences, asking questions, and supporting each other on their journey with these conditions.
Are you living with IBD and have been referred to a gastroenterologist? What was your first appointment like? Share your experience in the comments below, or start a conversation by posting on your Activities page .
- What Is a Gastroenterologist (GI Doctor)? — American College of Gastroenterology
- What Is Inflammatory Bowel Disease (IBD)? — Centers for Disease Control and Prevention
- Inflammatory Bowel Disease (IBD) — Mayo Clinic
- Diagnosing Inflammatory Bowel Disease — NYU Langone Health
- Familial and Ethnic Risk in Inflammatory Bowel Disease — Annals of Gastroenterology
- Prevalence of Symptoms of Anxiety and Depression in Patients With Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis — The Lancet. Gastroenterology and Hepatology
- Abdominal Sounds — Mount Sinai
- Crohn’s Disease: Diagnosis and Management — American Family Physician
- Serum Biomarkers for Inflammatory Bowel Disease — Frontiers in Medicine
- Prediction of Complications in Inflammatory Bowel Disease Using Routine Blood Parameters at Diagnosis — Annals of Translational Medicine
- Fecal Calprotectin for the Evaluation of Inflammatory Bowel Disease — American Family Physician
- Cytotoxic Synergism of Clostridioides Difficile Toxin B With Proinflammatory Cytokines in Subjects With Inflammatory Bowel Diseases — World Journal of Gastroenterology
- Therapeutic Interleukin-6-Trans-Signaling Inhibition by Olamkicept (sgp130Fc) in Patients With Active Inflammatory Bowel Disease — Gastroenterology
- Endoscopy in Inflammatory Bowel Disease: From Guidelines to Real Life — Therapeutic Advances in Gastroenterology
- Consensus Recommendations for Evaluation, Interpretation, and Utilization of Computed Tomography and Magnetic Resonance Enterography in Patients with Small Bowel Crohn’s Disease — Radiology
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Your First Appointment with a Gastroenterologist: What to Expect
Gastroenterologists are internists or doctors trained in internal medicine who specialize in problems concerning your digestive tract. Some of the most common conditions they deal with are diarrhea, constipation, gastroesophageal reflux (GERD), and ulcers.
You may consider consulting with a gastroenterologist if you have symptoms concerning any digestive system structure between the esophagus and rectum. On the first consult, you can expect your doctor to ask questions regarding your symptoms. A physical exam and specialized tests may follow. To help you prepare, let’s talk about what you can expect from your first visit.
Your primary care doctor may refer you to a gastroenterologist for further assessment of your condition. You may see your doctor in a hospital or outpatient clinic. The first appointment will take 30 minutes to an hour to complete. During your first visit with your gastroenterologist, they will ask you about your family and personal health history, symptoms, previous treatments, and medications.
To make the most out of your first appointment, be sure to bring all the necessary documents or notes about your health history. Likewise, prepare questions you want to ask your gastroenterologist and remember to take notes.
Questions to Expect from Your Gastroenterologist
Expect your gastroenterologist to ask you detailed questions about your condition. For them to give you an accurate diagnosis and prescribe the appropriate treatment, it’s vital that you answer them as correctly as you can. It is also helpful if you took note of your symptoms and any over-the-counter medications you take.
The following are some of the questions your doctor can ask:
- What are the symptoms (pain, bloating, heartburn, bleeding) you experience?
- What triggers the symptoms?
- When do the symptoms start? When do they get better or worse?
- Where do you feel the symptoms?
- What is the intensity of pain?
- How often and for how long do you feel the signs and symptoms?
- Does the pain move or change location?
- Do you have a family history of digestive diseases or related health problems?
- Do you have a history of gastrointestinal illnesses or surgery?
Physical Exam
After inquiring about your medical history, your gastroenterologist will conduct a physical exam, which includes:
- Observation of your belly area. Your doctor will check your abdomen for signs that may indicate abnormalities, like visible masses or surgical scars with bulges.
- Auscultation of bowel sounds. The gastroenterologist will listen to each abdominal quadrant for bowel sounds or bruits (vascular sounds linked with turbulent blood flow). Your doctor will note the duration, pitch, and intensity of the sounds.
- Palpation of the four quadrants in your belly area. This is done to feel around for masses or tenderness. You may be asked to take a deep breath or cough, or explain if palpation elicits pain.
- Rectal exam . Your gastroenterologist will feel for bulges, masses, signs of inflammation , and muscle tone.
Additional Diagnostic Tests
Your doctor may ask you to undergo additional tests after a physical examination to rule out other possible conditions. These tests may include:
- Blood or stool exam
- Barium swallow or enema You will be asked to swallow barium liquid and take an X-ray to highlight different parts of the digestive system.
- Upper GI endoscopy A tube with a light and camera at the end (endoscope) will be passed through the mouth to better view your upper digestive tract. This is usually performed for patients with GI complaints such as vomiting and heartburn, as well as to perform biopsies.
- Colonoscopy A tube with a camera is passed through the rectum to visualize the lower digestive tract better. Colonoscopy is usually done for patients with bloody stools, as well as to screen for colorectal cancer.
Depending on whether you need additional tests, your doctor will schedule a follow-up visit to discuss the results and possible treatment plan with you.
Top-Notch Gastroenterologists in California
Visiting a gastroenterologist for the first time may be nerve-wracking for some. You have to prepare for it in order to make the most of your visit. Likewise, it’s important to consult with a provider who values quality and safety and can provide personalized care.
At Genensis Healthcare Partners, we are dedicated to giving you the cost-effective and high-quality care you deserve. For your convenience, you may visit any of o ur offices located across California. You can also choose the right gastroenterologist for you and request an appointment online . We look forward to serving you!
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What Does a Gastroenterologist Do?
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A healthcare provider may refer you to a specialist called a gastroenterologist if you're experiencing persistent or severe digestive problems. These healthcare providers are experts in the digestive system, including the esophagus, stomach, and colon.
A gastroenterologist is trained to treat digestive diseases, such as gastroesophageal reflux disease (GERD) and inflammatory bowel disorder (IBD). GERD causes stomach acid to flow backward up the esophagus, and IBD is inflammation of the digestive tract. Some gastroenterologists specialize in one part of the digestive system, such as hepatologists who treat liver disease.
It's important to understand what conditions a gastroenterologist treats before going to see one. Here's what you need to know about the procedures they perform, what to expect from your first appointment, and more.
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Gastroenterologists diagnose and treat conditions affecting the gastrointestinal (GI) tract. The GI tract includes the organs you use when swallowing, digesting, absorbing, and emptying the food and drinks you consume.
This means gastroenterologists can help manage conditions that affect the:
- Colon
- Small intestine
Gastroenterologists can also help manage the conditions of other organs involved in the digestive process, including the:
- Gallbladder
Gastroenterologists can perform imaging tests, analyze blood and stool test results, and ask about symptoms to make a diagnosis. They can then prescribe medication, order follow-up tests, and monitor symptoms to manage any diagnosis.
What Conditions Do They Diagnose and Treat?
Gastroenterologists can provide long-term management for conditions that affect each part of the GI tract or related organs. Common conditions of the esophagus (the tube that connects the throat and stomach) include:
- Barrett's esophagus: A change in the lining of the lower portions of the esophagus
- Esophagitis: A persistent inflammation and irritation of the esophagus
- Gastroesophageal reflux disease (GERD): A condition that develops when stomach acids flood the esophagus
- Hiatal hernia : A condition that occurs when the stomach pushes through the diaphragm (the thin layer of tissue that separates the chest from the abdomen)
Gastroenterologists also treat conditions like food allergy or small intestinal bacterial overgrowth (SIBO). These conditions impact the health of the stomach and intestines.
Other common intestinal conditions gastroenterologists manage are:
- Appendicitis : An infection of the appendix
- Celiac disease : An immune reaction to eating gluten (a protein found in barley, rye, or wheat)
- Certain cancers: Includes cancers of the colon, rectum, intestines, or stomach
- Diverticulitis : Inflammation of small pouches in the intestines
- Gastritis: Inflammation of the stomach lining
- Hemorrhoids: Swollen veins in the anus or rectum
- Inflammatory bowel disease (IBD): Includes Crohn's disease or ulcerative colitis, or two conditions marked by inflammation in the GI tract
- Irritable bowel syndrome (IBS): Swelling and bloating in the stomach or intestines
Gastroenterologists can also manage conditions affecting the liver, including:
- Cirrhosis : Late-stage liver disease caused by hepatitis, excessive alcohol use, or fatty liver disease
- Fatty liver disease: Excess fat stored in the liver
- Hepatitis: Inflammation of the liver caused by a viral infection or damage due to drug or alcohol use
Gastroenterologists can diagnose and treat conditions that affect the gallbladder, such as:
- Cholecystitis: Inflammation of the gallbladder, often due to gallstones
- Gallstones : Hardened build-ups of bile within the gallbladder
- Pancreatitis : Irritation and inflammation of the pancreas due to alcohol use or gallstones
Procedures They Perform
Gastroenterologists have expertise in a wide range of conditions. They may perform many kinds of procedures for diagnosis, monitoring, and treatment, and screening.
The most common of these procedures include:
- Colonoscopy : An endoscope (camera) is inserted into the rectum to examine the rectum and colon for signs of inflammation, cancer, or abnormal growths.
- Dilation: This procedure mildly stretches the esophagus (esophageal dilation) or intestines (intestinal dilation) to ease inflammation and narrowing within the tube.
- Endoscopic biliary examination: This endoscopic procedure allows gastroenterologists to observe and evaluate the biliary tract. The biliary tract includes the liver, gallbladder, and bile ducts. This procedure is also known as endoscopic retrograde cholangiopancreatography (ERCP).
- Endoscopic mucosal resection (EMR): This endoscopic procedure is used to remove cancerous, precancerous, or other abnormal tissues from the esophagus, stomach, intestines, or rectum.
- Endoscopic ultrasound (EUS): EUS combines endoscopy with ultrasound imaging to assess the health of the GI tract. This is also known as echo endoscopy.
- Esophageal endoscopy: A gastroenterologist inserts a thin, flexible, lighted tube with an endoscope down the throat and esophagus. The endoscope assesses the stomach and small intestine. This is also known as an upper endoscopy.
- Hemostasis: This procedure treats internal bleeding, often in the upper gastrointestinal tract. Hemostasis uses an endoscope, an injection of a special substance, the application of heat, or a hemoclip. A hemoclip is a kind of clamp that's used temporarily.
- Polypectomy: This minimally invasive alternative to abdominal surgery is the removal of polyps from the colon. Polyps are abnormal growths. A gastroenterologist will typically perform this procedure with the aid of sigmoidoscopy or colonoscopy. They may remove polyps using forceps or burn them off with a surgical device called a snare.
- Sigmoidoscopy: The sigmoid is a portion of the lower part of your colon. A gastroenterologist will use a type of endoscopic device called a sigmoidoscope to observe and evaluate the sigmoid. They will insert the device up the rectum and into the colon. This procedure can be performed with a flexible tube (flexible sigmoidoscopy) or a rigid one (rigid sigmoidoscopy).
- Stent placement: A gastroenterologist may use endoscopic procedures to place hollow tubes called stents. Stents can expand or prop open a blocked section of the intestine. The placement of stents helps treat obstructions in the digestive tract.
Gastroenterologists may opt to receive further training in specific sub-specialties of the field. They can specialize in hepatology, for example, which treats conditions that affect the liver.
Other sub-specialties include:
- Functional bowel disease
- Gastrointestinal cancer
- Interventional endoscopy
- Pancreatic disease
- Reflux esophagitis, or inflammation of the esophagus
- Transplantation
Going to the Gastroenterologist
There are several reasons you might need to see a gastroenterologist. You may need to get an opinion on symptoms you are experiencing, undergo diagnostic or preventative testing, or keep up with monitoring a condition.
A healthcare provider can let you know when to see a gastroenterologist based on your symptoms, current conditions, and medical history. Common symptoms that call for a referral to a gastroenterologist include:
- Abdominal pain
- Blood in the stool
- Constipation
- Difficulty swallowing (dysphagia)
- Persistent nausea and vomiting
- Signs of jaundice, including yellowing of skin and eyes
- Sudden weight gain or loss
Many people visit a gastroenterologist to screen for colorectal cancer, which develops in the colon (large intestine) or rectum. The gastroenterologist will search the colon and rectum for polyps and other abnormal growths.
Getting screened regularly can prevent the development of colorectal cancer or find the cancer early so it's more easily treated. The recommendation for colorectal cancer screening is to start at age 45 and continue to get it every five to 10 years. You may need to start testing early and more regularly if you have any risk factors.
What To Expect
The first appointment with a gastroenterologist typically takes anywhere from 30 minutes to an hour. They will ask about your medical history and talk to you about your symptoms.
A gastroenterologist will also perform a physical exam. This exam may involve:
- Auscultation: The gastroenterologist uses a stethoscope to listen to any sounds your bowels or abdomen makes.
- Palpation: The gastroenterologist will feel around the four quadrants of your abdomen to check for any abnormal growths, pain, or tenderness in any areas. You may be asked to breathe deeply or cough during this exam.
- Rectal exam: The gastroenterologist may need to insert a finger into your rectum to feel for any abnormal growths, masses, or any signs of inflammation.
- Visual observation: The gastroenterologist will examine your abdomen to check for abnormal growths or other issues.
You may need to schedule a different time for further testing, such as a colonoscopy, if necessary. The office will guide you on preparing before any follow-up procedure.
How To Prepare for a Visit
It's important to be prepared if you've been referred to a gastroenterologist. Having certain information with you can help them make a diagnosis:
- Keep track of your symptoms: Keep a log of your symptoms, including any medications or home remedies you've taken to manage them. It may also be helpful to track your diet. Bring these notes to your appointment so you can discuss them with the gastroenterologist.
- Know your medical history: Come prepared to talk about any conditions you currently have or have had in the past, as well as any previous treatments or procedures. The gastroenterologist will also ask about medications you're taking, allergies, and family history . The more they know about your medical status and history, the better they can identify and treat you.
- Send any test results ahead of time: The gastroenterologist will likely want to review your results from any relevant imaging, stool, or blood tests. This includes any test results related to conditions you may have, such as diabetes or IBD. You can typically have a healthcare provider or testing facility send these directly to the gastroenterologist's office.
It'll be important to learn as much as you can about your condition and potential treatments. Here are potential questions to ask a gastroenterologist:
- How long have you been practicing gastroenterology?
- How many times have you performed this procedure?
- How severe is my condition?
- What are my treatment options?
- What does recovery from my treatment look like?
- What may be causing my symptoms?
- What sorts of dietary adjustments or lifestyle changes do I need to make?
- What tests do I need to take? How can I prepare for them?
- What will follow-up or additional care look like?
A Quick Review
Gastroenterologists are highly trained specialists in the GI tract, as well as other organs involved in the digestive process. They can diagnose and manage diseases that affect the esophagus, stomach, upper and lower intestines, gallbladder, liver, and rectum.
You'll go to a gastroenterologist when it's time for you to have a colon cancer screening. You might also be referred to a gastroenterologist if you have symptoms, such as abdominal pain, constipation, or diarrhea. The gastroenterologist will decide what the next best step is, which may be imaging, stool, or blood tests. You'll likely return to the gastroenterologist for follow-up monitoring if you receive a diagnosis.
Frequently Asked Questions
A hepatologist is a gastroenterologist who specializes in liver and biliary tract diseases. Gastroenterologists can treat these diseases, but hepatologists only treat them.
Liver and biliary tract diseases include:
- Bile duct cancer
- Biliary stricture, or narrowing of the bile ducts
- Cirrhosis of the liver
- Liver failure
Gastroenterologists undergo specific training following medical school. They spend an additional five to six years of training in gastroenterology before they can practice independently.
The next step after medical school is a residency in internal medicine. Residency is typically a rigorous, three-year program. Postgraduate medical students work and learn under the supervision of specialists and gain a foundation of medical practice.
A gastroenterologist will then receive training through a fellowship program that can last for two to three years. They'll learn how to diagnose and provide care for people with digestive diseases. Gastroenterologists are also trained in procedures like endoscopy and polypectomy during this time.
National organizations such as the American College of Gastroenterology and the American Gastroenterological Association establish guidelines for training. Gastroenterologists are considered "board-eligible" upon completion of their fellowships. They'll take a certification exam and are considered "board-certified" if they pass.
Common GI diseases that gastroenterologists treat include:
- Cancers that affect the digestive system, including cancers of the colon, rectum, intestines, or stomach
- Food allergies , such as lactose intolerance
- Hiatal hernia
American College of Gastroenterology. What is a gastroenterologist?
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Medline Plus. Colonoscopy .
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Your First Visit to a Gastroenterologist
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Gastroenterologists are internists or doctors trained in internal medicine who specialize in problems concerning your digestive tract. Some of the most common conditions they deal with are diarrhea, constipation, gastroesophageal reflux (GERD), and ulcers.
You may consider consulting with a gastroenterologist if you have symptoms concerning any digestive system structure between the esophagus and rectum. On the first consult, you can expect your doctor to ask questions regarding your symptoms. A physical exam and specialized tests may follow. To help you prepare, let’s talk about what you can expect from your first visit.
Your primary care doctor may refer you to a gastroenterologist for further assessment of your condition. You may see your doctor in a hospital or outpatient clinic. The first appointment will take 30 minutes to an hour to complete. During your first visit with your gastroenterologist, they will ask you about your family and personal health history, symptoms, previous treatments, and medications.
To make the most out of your first appointment, be sure to bring all the necessary documents or notes about your health history. Likewise, prepare questions you want to ask your gastroenterologist and remember to take notes.
Questions to Expect from Your Gastroenterologist
Expect your gastroenterologist to ask you detailed questions about your condition. For them to give you an accurate diagnosis and prescribe the appropriate treatment, it’s vital that you answer them as correctly as you can. It is also helpful if you took note of your symptoms and any over-the-counter medications you take.
The following are some of the questions your doctor can ask:
- What are the symptoms (pain, bloating, heartburn, bleeding) you experience?
- What triggers the symptoms?
- When do the symptoms start? When do they get better or worse?
- Where do you feel the symptoms?
- What is the intensity of pain?
- How often and for how long do you feel the signs and symptoms?
- Does the pain move or change location?
- Do you have a family history of digestive diseases or related health problems?
- Do you have a history of gastrointestinal illnesses or surgery?
Physical Exam
After inquiring about your medical history, your gastroenterologist will conduct a physical exam, which includes:
- Observation of your belly area. Your doctor will check your abdomen for signs that may indicate abnormalities, like visible masses or surgical scars with bulges.
- Auscultation of bowel sounds. The gastroenterologist will listen to each abdominal quadrant for bowel sounds or bruits (vascular sounds linked with turbulent blood flow). Your doctor will note the duration, pitch, and intensity of the sounds.
- Palpation of the four quadrants in your belly area. This is done to feel around for masses or tenderness. You may be asked to take a deep breath or cough, or explain if palpation elicits pain.
- Rectal exam . Your gastroenterologist will feel for bulges, masses, signs of inflammation, and muscle tone.
Additional Diagnostic Tests
Your doctor may ask you to undergo additional tests after a physical examination to rule out other possible conditions. These tests may include:
- Blood or stool exam
- Barium swallow or enema You will be asked to swallow barium liquid and take an X-ray to highlight different parts of the digestive system.
- Upper GI endoscopy A tube with a light and camera at the end (endoscope) will be passed through the mouth to better view your upper digestive tract. This is usually performed for patients with GI complaints such as vomiting and heartburn, as well as to perform biopsies.
- Colonoscopy A tube with a camera is passed through the rectum to visualize the lower digestive tract better. Colonoscopy is usually done for patients with bloody stools, as well as to screen for colorectal cancer.
Depending on whether you need additional tests, your doctor will schedule a follow-up visit to discuss the results and possible treatment plan with you.
Top-Notch Gastroenterologists in New Jersey
Visiting a gastroenterologist for the first time may be nerve-wracking for some. You have to prepare for it in order to make the most of your visit. Likewise, it’s important to consult with a provider who values quality and safety and can provide personalized care.
At Dr. Focazio’s office, we are dedicated to giving you the cost-effective and high-quality care you deserve. We look forward to serving you!
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Dr. John C Morgenstern
- MEDICARE CERTIFIED
- 37+ YEARS EXP
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Dr. John C Morgenstern, MD, is a Gastroenterology specialist in Moscow, Idaho. He attended and graduated from Univ Of Med & Dentistry Of Nj, Nj Dental School in 1987, having over 37 years of diverse experience, especially in Gastroenterology. He is affiliated with many hospitals including Clearwater Valley Hospital & Clinics, Gritman Medical Center, St Joseph Regional Medical Center, St Mary's Hospital, Tri-State Memorial Hospital. Dr. John C Morgenstern also cooperates with other doctors and physicians in medical groups including St Joseph Regional Medical Center. Dr. John C Morgenstern does not accept Medicare Assignment. Contact Dr. John C Morgenstern at 700 S Main St to request Dr. John C Morgenstern the information (advice, payment, ...) or simply to book an appointment.
Doctor Profile
Medical specialties.
- Gastroenterology (primary specialty)
- Over 37 years of diverse experience
Credentials
- Medical Doctor (MD) help Medical Doctor Doctor of Medicine (MD or DM), or in Latin: Medicinae Doctor, meaning "Teacher of Medicine", is a terminal degree for physicians and surgeons. In countries that follow the tradition of the United States, it is a first professional graduate degree awarded upon graduation from medical school.
Education and Training
- Dr. John C Morgenstern attended and graduated from Univ Of Med & Dentistry Of Nj, Nj Dental School in 1987.
- NPI #: 1740386432
- NPI Enumeration Date: Saturday, September 16, 2006
- NPPES Last Update: Friday, January 27, 2012
Quality Reporting
- eRx - He does not participate in the Medicare Electronic Prescribing (eRx) Incentive Program.
- PQRS - He does not report Quality Measures (PQRS). The Physician Quality Reporting System (PQRS) is a Medicare program encouraging health care professionals and group practices to report information on their quality of care. Quality measures can show how well a health care professional provides care to people with Medicare.
- EHR - He does not use electronic health records (EHR). The Electronic Health Records (EHR) Incentive Program encourages health care professionals to use certified EHR technology in ways that may improve health care. Electronic health records are important because they may improve a health care professional's ability to make well-informed treatment decisions.
- MHI - He does not commit to heart health through the Million Hearts initiative. Million Hearts is a national initiative that encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.
- MOC - He does not participate in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.
Language Spoken by Dr. John C Morgenstern
Medical licenses, affiliated hospitals, medical group practice, practice locations.
- Monday: 8:00 AM - 5:00 PM
- Tuesday: 8:00 AM - 5:00 PM
- Wednesday: 8:00 AM - 5:00 PM
- Thursday: 8:00 AM - 5:00 PM
- Friday: 8:00 AM - 5:00 PM
- Saturday: Closed
- Sunday: Closed
Contact Dr. John C Morgenstern for verification, detailed information, or booking an appointment before going to.
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Dr. Scott R. Mcduffie
Sumter gastroenterology.
Scott Mcduffie is a Gastroenterologist in Sumter, South Carolina. Dr. Mcduffie is highly rated in 43 conditions, according to our data. His top areas of expertise are Painful Swallowing, Swallowing Difficulty, Crohn's Disease, Endoscopy, and Gastrectomy. Dr. Mcduffie is currently accepting new patients.
Dr. John L. Wolford
Mcleod physician associates ii.
John Wolford is a Gastroenterologist in Florence, South Carolina. Dr. Wolford is highly rated in 42 conditions, according to our data. His top areas of expertise are Angiodysplasia of the Colon, Swallowing Difficulty, Painful Swallowing, Endoscopy, and Gastrectomy. Dr. Wolford is currently accepting new patients.
Dr. Manver Razick
Musc community physicians.
Manver Razick is a Gastroenterologist in Bamberg, South Carolina. Dr. Razick has been practicing medicine for over 39 years is highly rated in 42 conditions, according to our data. His top areas of expertise are Painful Swallowing, Swallowing Difficulty, Diverticular Disease, Endoscopy, and Colonoscopy. Dr. Razick is currently accepting new patients.
Dr. Haywood G. France
Spartanburg medical center.
Haywood France is a Gastroenterologist in Spartanburg, South Carolina. Dr. France is highly rated in 42 conditions, according to our data. His top areas of expertise are Benign Esophageal Stricture, Lower Esophageal Ring, Familial Adenomatous Polyposis, Endoscopy, and Colonoscopy. Dr. France is currently accepting new patients.
Dr. Andrew S. Brock
Andrew Brock is a Gastroenterologist in Charleston, South Carolina. Dr. Brock is highly rated in 41 conditions, according to our data. His top areas of expertise are Angiodysplasia of the Colon, Swallowing Difficulty, Painful Swallowing, Endoscopy, and Gastrostomy. Dr. Brock is currently accepting new patients.
How do I know if I should see a Gastroenterologist near Moscow, ID?
Typically, your primary care provider will refer you to a Gastroenterologist in Moscow, ID if they believe it to be necessary. You can also explore your symptoms or research your diagnosis to see what kinds of providers commonly treat your health condition.
How do I find the best Gastroenterologist near Moscow, ID?
It’s often important to find a Gastroenterologist who has extensive experience treating your specific health condition. But it can also be challenging to find the best Gastroenterologist near Moscow, ID. User review sites like Yelp are often of minimal help, especially since there can be a number of problems with relying on reviews of Gastroenterologists from other patients. Here at MediFind, we evaluate physicians according to their expertise so you can quickly find a Gastroenterologist near Moscow, ID that best fits you. Each Gastroenterologist in Moscow, ID is assessed based on research, patient volume, standing among peers, and connectedness to other physicians related to a specific health condition.
You can find a Gastroenterologist in any of the 10 largest U.S. cities by clicking below: Gastroenterologist near New York, NY Gastroenterologist near Los Angeles, CA Gastroenterologist near Chicago, IL Gastroenterologist near Houston, TX Gastroenterologist near Phoenix, AZ Gastroenterologist near Philadelphia, PA Gastroenterologist near Atlanta, GA Gastroenterologist near Boston, MA Gastroenterologist near Dallas, TX Gastroenterologist near San Jose, CA
In what order are Gastroenterologists near Moscow, ID displayed?
When you search for Gastroenterologists near Moscow, ID on MediFind, there are three ways you can sort the resulting list: Relevance, Rating, and Distance. Relevance is selected by default.
Relevance : Sorts Gastroenterologists near Moscow, ID based on the following combination of factors:
- Gastroenterologists near Moscow, ID with videos. Many patients prefer to get a better feel for a potential Gastroenterologist before choosing to make an appointment. In fact, research shows that patients typically judge their Gastroenterologist’s expertise based on a combination of competence and warmth. Outside of meeting in person, videos are the best way to get a sense for a doctor’s personality and approach, so MediFind prioritizes Gastroenterologists who have videos available
- Specialty rating. In descending order of the number of health conditions in which a Gastroenterologist near Moscow, ID is rated Advanced or higher
Rating : Sorts Gastroenterologists near Moscow, ID based on the number of conditions in which a doctor is rated Advanced or higher within the specified geographic area. Distance : Sorts Gastroenterologists near Moscow, ID by proximity, within the search radius you have set.
Gastroenterologists near Moscow, ID who are members of partner programs may also appear in one of the two positions at the top of the results page, and are labeled as “featured.”
Should I get a second opinion from another Gastroenterologist near Moscow, ID for my health condition?
When you’re making important health decisions, it’s always recommended to get medical opinions from more than one doctor, and sometimes even more than one Gastroenterologist. If you just received a diagnosis, but something in your gut tells you to seek more guidance, it’s OK to consult with another doctor or Gastroenterologist near Moscow, ID to get additional insight into your condition and care. Second opinions are highly valuable because they can either confirm or disprove your original diagnosis or provide different perspectives from different Gastroenterologists. If you are unsure about getting a second opinion from another Gastroenterologist in Moscow because you don’t want to offend your doctor, don’t let your concerns stop you. The fact is that most doctors, including Gastroenterologists, will not get offended and welcome second opinions, especially if you were diagnosed with a serious or rare condition. You can even use MediFind to search for another Gastroenterologist near Moscow, ID who can provide a second opinion .
How can I learn about the latest research and medical advances my Gastroenterologist in Moscow may know about?
Gastroenterologists know there is new scientific research happening all the time, and in fact, it’s estimated that the total body of medical knowledge now doubles every 73 days . That’s a lot of information to keep up with, even for an excellent Gastroenterologist. MediFind can help you explore the latest medical advances, research, and breakthroughs for your health condition, giving you access to the same cutting-edge information as your Moscow Gastroenterologist.
How can I research clinical trials my Gastroenterologist might tell me about, especially those located near Moscow, ID?
Depending on your specific health condition, your Gastroenterologist may bring up clinical trials during one of your appointments, including those located near Moscow, ID. Clinical trials are a type of medical research conducted by doctors and researchers, including Gastroenterologists, focused on evaluating the effects of new tests and treatments on human health. The purpose of clinical trials is to find improvements or discoveries for diseases and treatments, and your Gastroenterologist is likely working to stay on top of these developments. MediFind can help you easily search and filter clinical trials for your health condition , including those located near Moscow, ID, that your Gastroenterologist may bring up in conversation. You can also learn more about what to consider when exploring clinical trials that you may wish to discuss with your Gastroenterologist.
What should I bring with me to an appointment with my Gastroenterologist near Moscow, ID?
Bring your list of concerns (or reasons for your visit) with you on a piece of paper or your phone, so you can easily recall them when speaking to your Gastroenterologist in Moscow, ID. You may want to consider bringing a friend or loved one for support, and to help you recall the information after your Gastroenterologist visit. Bring a notebook so you can take notes, copies of your medical records (dating back at least one year), a list of current medications, supplements and allergies to medications, your family history of disease, and a list of symptoms (and details about how long they last and how often they occur) to discuss with your Moscow Gastroenterologist. When talking with your Gastroenterologist, be honest and don’t hold anything back, since your doctor can only help you with the information you give them. Understanding the full picture will give your Gastroenterologist more to work with and help them provide you with the best care.
How can I get the most out of my Gastroenterologist appointment near Moscow, ID?
Being a “ good patient ” isn’t just about listening to your Gastroenterologist. It’s about engaging in your health together to ensure you receive a high quality of care , which is called practicing patient autonomy . It’s important to be honest with your Gastroenterologist, and hide nothing, even if it’s embarrassing. You should also speak up and voice your concerns, and listen and ask questions of your Moscow Gastroenterologist. You may also consider doing your own research on your condition and talking to other patients before or after speaking with your Gastroenterologist.
What questions should I ask my Moscow Gastroenterologist?
A few topics you may wish to ask your Gastroenterologist about include: diagnosis details, symptom management, medical care, second opinions from other Gastroenterologists, whether you should see a specialist near Moscow, ID other than a Gastroenterologist, treatment plans, side effects, and expectations for follow-up appointments with your Gastroenterologist.
Can a Gastroenterologist near Moscow, ID help me check symptoms?
Depending on your symptoms, a Gastroenterologist near Moscow, ID may be able to provide a different point of view on your health than a primary care physician. You can also explore your symptoms and bring the results with you to your Gastroenterologist visit for discussion.
What types of insurance are accepted by Gastroenterologists near Moscow, ID?
You should always contact your Gastroenterologist’s office to make sure they take your health insurance in Moscow, ID. Every Gastroenterologist has different arrangements with insurance providers. The most commonly accepted insurance near Moscow, ID may not be the same as elsewhere, but some of the largest insurance providers are: Anthem/Blue Cross Blue Shield, Centene, UnitedHealthcare, Humana, HCSC (Health Care Service Corporation), CVS Health/Aetna, Kaiser Permanente, Molina Healthcare, and Cigna. You can also check with any Gastroenterologist near Moscow, ID to see if they accept Medicare and Medicaid.
How can I book an appointment online with a Gastroenterologist near Moscow, ID ?
While contacting the doctor’s office directly is usually the fastest way to determine availability of a Gastroenterologist near Moscow, ID, MediFind offers direct scheduling and appointment requests for some partners. These Gastroenterologists will have a “schedule” button on their profiles. Phone numbers are also always provided for Gastroenterologists near Moscow, ID where possible.
Can I book a video visit with a Gastroenterologist near Moscow, ID ?
While many primary care physicians have begun to see patients online through video visits (often called telehealth or telemedicine), many of the top specialists, including leading Gastroenterologists near Moscow, ID, do not yet offer this service. This is due to the complexity of seeing new patients and the ever-changing regulatory environment that governs this type of care in Moscow, ID. Contacting the Gastroenterologist’s office directly is usually the best course of action to determine how to make an appointment, and which kind is most appropriate for you.
What are the most common health conditions that a Gastroenterologist near Moscow, ID might treat?
Acute Pancreatitis Cirrhosis Colorectal Cancer Crohn's Disease 1630 Gastritis Gastroesophageal Reflux Disease (GERD) Hemorrhoids Hepatitis C Hernia Pancreatic Cancer Ulcerative Colitis
How do I find a female Gastroenterologist near Moscow, ID ?
Many patients prefer to see a Gastroenterologist near Moscow, ID of a specific gender, whether that be female, male, or non-binary. MediFind lets you filter your results by a number of factors, including gender, location, specialty, and years of experience.
What is a “Featured” result?
Search results for a Gastroenterologist near Moscow, ID may include “Featured” results that appear at the top of the page above MediFind’s organic gastroenterology results. “Featured” results include a blue banner and the label “Featured” so that you can tell them apart from the organic search results.
Gastroenterologist may be included in the “Featured” section for various reasons, such as if the providers offers additional features like appointment booking options.
A provider’s listing in “Featured” results does not impact their MediFind expertise rating.
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IMF to send first mission to Russia since Moscow’s invasion of Ukraine
![first visit gastroenterologist first visit gastroenterologist](https://static1.straitstimes.com.sg/s3fs-public/styles/large30x20/public/articles/2024/09/04/LYNXMPEK820N5-1.jpg?VersionId=ObPuNGPLVKB2E7A2R5vSsFooSFZA2Vrv&itok=vMgNfM09)
MOSCOW - The IMF will become the first major international financial body to send its official mission to Russia since the invasion of Ukraine in February 2022, Mr Aleksei Mozhin, the IMF's Russian executive director, told Reuters on Sept 3.
Mr Mozhin said the International Monetary Fund mission would start via an online format on Sept 16, and will continue with an IMF delegation visit to Moscow for meetings with Russian officials until Oct 1.
The IMF’s last annual mission visited Russia in November 2019, before the start of the Covid-19 pandemic. There have been no IMF missions to Russia since the start of Russia's war in Ukraine.
"We were excluded from this process under pressure from our Western 'friends' and there were no further missions in 2022-23," Mr Mozhin said, from his IMF office in Washington.
The mission will be led by Argentinian Jacques Miniane.
Many Western nations raised the possibility of Russia’s expulsion from the IMF in the aftermath of the Ukraine invasion, but that proved difficult because of reluctance from other members with large voting quotas such as China and India.
The IMF has been criticised by Western member states since the start of the war for providing what they say are overly optimistic outlooks for the sanctions-hit Russian economy, and warnings that any decisions about seizing frozen Russian assets should be backed with "sufficient legal support".
Mr Mozhin, an IMF veteran who oversaw Russia's joining the organisation in 1992 after the collapse of the Soviet Union, is stepping down from his post from Nov 1. He said he will assist the IMF mission.
Mr Mozhin said he will be replaced by central banker Ksenia Yudaeva, a close associate of central bank governor Elvira Nabiullina.
Ms Yudaeva has been under US sanctions since April 2022.
"She will have to run the office from Moscow initially," Mr Mozhin said.
Ms Yudaeva was sanctioned as board chairman of Otkritie bank, which the central bank used to own. The bank was sold to state lender VTB in 2022. Ms Yudaeva has since left Otkritie.
The IMF said it is checking the information about Ms Yudaeva's nomination.
Russia's finance ministry officially confirmed Ms Yudaeva’s nomination.
Ms Yudaeva received a doctorate in economics from the Massachusetts Institute of Technology and did an internship at the Stockholm School of Economics. She joined the central bank together with Nabiullina in 2013 and was one of the architects of Russia’s transition to a floating exchange rate.
Ms Yudaeva stepped down as the first deputy governor of the central bank in August 2023 but stayed as an adviser to Nabiullina. REUTERS
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Mongolia ignores an international warrant for Putin's arrest, giving him a red-carpet welcome
Mongolia russia putin.
ULAANBAATAR, Mongolia (AP) — Russian President Vladimir Putin received a red-carpet welcome to Mongolia on Tuesday, as the country ignored calls to arrest him on an international warrant for alleged war crimes stemming from Moscow's invasion of Ukraine .
The trip, which concluded Tuesday night, was Putin’s first to a member nation of the International Criminal Court since it issued the warrant in March 2023. Ahead of his visit, Ukraine urged Mongolia to hand Putin over to the court in The Hague, and the European Union expressed concern that Mongolia might not execute the warrant.
The warrant put the government in a difficult position. After decades under communism with close ties to the Soviet Union, it transitioned to democracy in the 1990s and built relations with the United States, Japan and other new partners. But the landlocked country remains economically dependent on its two much larger and more powerful neighbors, Russia and China.
The ICC has accused Putin of being responsible for the abductions of children from Ukraine . Member countries are required to detain suspects if a warrant has been issued, but Mongolia needs to maintain its ties with Russia and the court lacks a mechanism to enforce its warrants.
The United States doesn't believe any country “should give Putin a platform to promote his war of aggression against Ukraine,” U.S. State Department spokesperson Matthew Miller said.
"We understand that position that Mongolia is in, you know, sandwiched between two much larger neighbors, but we do think it’s important that they continue to support the rule of law around the world,” he told reporters in Washington.
The Russian leader was welcomed in the main square in Ulaanbaatar, the capital, by an honor guard dressed in vivid red and blue uniforms styled on those of the personal guard of 13th century ruler Genghis Khan, the founder of the Mongol Empire.
A throng of people watched from behind barriers as Putin and Mongolian President Khurelsukh Ukhnaa walked up the red-carpeted steps of the Government Palace and bowed toward a statue of Genghis Khan.
A few protesters who tried to unfurl a Ukrainian flag were taken away by police. Five others who gathered a few blocks west of the square held up an anti-Putin banner and Ukrainian flag but disbanded after hearing about the arrests.
As Putin was welcomed in Mongolia, his forces struck a military training facility and nearby hospital in Poltava, Ukraine, killing at least 50 people , the country's president said. The strike appeared to be one of the deadliest by Russian forces since the war began on Feb. 24, 2022.
The two governments signed agreements on a power plant upgrade in Ulaanbaatar and on the supply of Russian aviation fuel to Mongolia. They also agreed to carry out an environmental study of a river where Mongolia wants to build a hydroelectric plant that Russia is concerned would pollute its Lake Baikal. Putin also outlined plans to develop the rail system between the countries.
He invited the Mongolian president to a summit of the BRICS nations — which include Russia and China among others — in the Russian city of Kazan in late October. Khurelsukh accepted, according to Russian state media.
After leaving Ulaanbaatar, Putin arrived early Wednesday in Russia's major Pacific port of Vladivostok, where he is to take part in an economic forum.
On Monday, the EU said it had shared its concerns with Mongolian authorities.
“Mongolia, like all other countries, has the right to develop its international ties according to its own interests,” European Commission spokesperson Nabila Massrali said. But she added that Mongolia has been a party to the ICC since 2002, "with the legal obligations that it entails.”
Given Mongolia's dependence on Russia and China for trade, energy and security, it was hardly possible to expect the government to arrest Putin, said Sam Greene, the director of democratic resilience at the Center for European Policy Analysis.
“The overriding reason for this trip will have been to show that Putin can travel right now,” he said.
But, Greene added, the warrant narrows the circle of possibilities for Putin, forcing “any government that’s going to think about hosting him to consider both the domestic and the international political consequences of that in a way they wouldn’t have had to before.”
Kenneth Roth, the former longtime director of Human Rights Watch, called Putin’s trip to Mongolia “a sign of weakness,” posting on X that the Russian leader “could manage a trip only to a country with a tiny population of 3.4 million that lives in Russia’s shadow.”
Kremlin spokesperson Dmitry Peskov said the trip wasn’t about “showing something to Western countries,” but rather about developing bilateral relations between two countries rooted in history and “wonderful glorious traditions.” His remarks were made to state TV reporter Pavel Zarubin, who posted them on his Telegram channel.
Dmitry Medvedev, the deputy secretary of Russia’s Security Council, denounced the warrant as “illegal” in an online statement Tuesday.
Putin, on his first visit to Mongolia in five years, participated in a ceremony to mark the 85th anniversary of a joint Soviet and Mongolian victory over the Japanese army in deadly fighting over the border between then-Japan-controlled Manchuria and Mongolia.
“I am very delighted about Putin’s visit to Mongolia," said Yansanjav Demdendorj, a retired economist, citing Russia's role against Japan. “If we think of the ... battle, it’s Russians who helped free Mongolia.”
Uyanga Tsoggerel, who supports the protests, said her country is a democracy that doesn't tolerate dictatorship and accused Putin of “recklessly humiliating and shaming Mongolia in front of the world.”
Putin has made a series of overseas trips to try to counter the international isolation he faces over the invasion of Ukraine. He visited China in May , made a trip to North Korea and Vietnam in June and went to Kazhakstan in July for a meeting of the Shanghai Cooperation Organization.
But last year, the South African government lobbied against Putin showing up in Johannesburg for the BRICS summit, which he ended up joining by video link. South Africa, an ICC member, faced criticism in 2015 when it didn't arrest then-Sudanese President Omar al-Bashir during a visit for an African Union summit.
Enkhgerel Seded, who studies at a university in Moscow, said that historically, countries with friendly relations don't arrest heads-of-state on official visits.
“Our country has obligations toward the international community," she said. "But ... I think in this case as well, it would not be appropriate to conduct an arrest.”
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US charges five Russian military hackers with targeting Ukraine's government with destructive malware
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![first visit gastroenterologist Gritman logo](https://www.gritman.org/wp-content/themes/gritman_theme/images/logo_print.png.webp)
Gastroenterologist Dr. Lee Hixson Joins Gritman System
Addition expands access to gi care on the palouse.
Dr. Lee Hixson , a Board-Certified Gastroenterologist with experience treating patients for a wide range of conditions, has joined the Gritman General Surgeons and Gastroenterology clinic in Moscow.
![Gastroenterologist Dr. Lee Hixson Joins Gritman System 2 Dr. Lee hixson](https://www.gritman.org/wp-content/uploads/Hixson-Lee.jpg.webp)
Dr. Lee Hixson
In addition to performing endoscopes and colonoscopies for polyp removal and cancer detection, Dr. Hixson specializes in treating both acute and chronic GI problems, including:
- Bowel Irregularity
- Heartburn and Swallowing Problems
- Hemorrhoid Bleeding
- Inflammatory Bowel Disease
- Liver and Gallbladder Disease
- Ulcer Symptoms
“We can often improve a person’s quality of health significantly with intervention,” Dr. Hixson said. “I would encourage people who are having symptoms to come in and let us help them.”
Dr. Hixson is eager to join the Gritman System to ensure patients get the services they need without having to travel long distances for care. He aims to both relieve symptoms, as well as prevent disease through screening procedures including colonoscopies.
Board-Certified in both Gastroenterology and Internal Medicine by the American Board of Internal Medicine, Dr. Hixson has already begun to interact with the region’s primary care providers to ensure synergy with their care and the services he is able to provide.
He joins the successful Gritman General Surgeons and Gastroenterology practice that includes Dr. Bryan Anderson , Dr. Brian Newell and Physician Assistant Andrew Schug . The practice provides general, acute and trauma surgery services, along with gastrointestinal care.
Dr. Hixson also currrently serves as clinical faculty with the University of Idaho WWAMI Medical Education Program . A graduate of the University of Utah School of Medicine, he comes to Gritman after an esteemed career serving patients in both Utah and the Lewiston-Clarkston Valley.
When not practicing medicine, he enjoys spending time with his family and raising blueberries on property in rural Latah County.
Gritman General Surgeons and Gastroenterology, first opened in 2021, is located at 2400 W. A St., Suite G, in Moscow. Referrals and appointments are accepted.
Learn more by visiting gritman.org/generalsurgeons or calling 208-883-1177 .
Pictured at Top: Dr. Lee Hixson is the only Board-Certified Gastroenterologist on the Palouse.
Dr. lee hixson joins gritman.
Watch to learn more about the Gastroenterology services provided by Dr. Hixson.
Learn More About Our Gastroenterology Services
Republican House panel subpoenas Gov. Walz in investigation of Minnesota nonprofit that ran a Covid aid scheme
![first visit gastroenterologist Image: Tim Walz politics political politician](https://media-cldnry.s-nbcnews.com/image/upload/t_fit-560w,f_auto,q_auto:best/rockcms/2024-09/240903-philadelphia-tim-walz-ac-1023p-d68eac.jpg)
WASHINGTON — The House Education and Workforce Committee issued subpoenas Wednesday to Minnesota Gov. Tim Walz, the Minnesota Department of Education and the U.S. Department of Agriculture for how they responded to what federal prosecutors have called the largest pandemic fraud scheme s in the country.
The subpoenas, obtained first by NBC News, demand that Walz, Minnesota Commissioner of Education Willie Jett, U.S. Agriculture Secretary Tom Vilsack and Agriculture Inspector General Phyllis Fong turn over documents concerning oversight of the nonprofit Feeding Our Future, which is alleged to have misused millions of dollars intended to feed children during the pandemic.
Walz's record has faced new scrutiny since Vice President Kamala Harris tapped him as her running mate last month, though this new request by the Republican-led committee is part of an investigative effort that goes back to 2022.
Rep. Virginia Foxx, R-N.C., the committee chair, wrote in a letter to Walz that the committee is requesting this information to show "the extent of your responsibilities and actions addressing the massive fraud that resulted in the abuse of taxpayer dollars intended for hungry children."
A Walz spokeswoman called the alleged fraud "an appalling abuse of a federal COVID-era program," adding: “The state department of education worked diligently to stop the fraud and we’re grateful to the FBI for working with the department of education to arrest and charge the individuals involved.”
According to a June state audit report , the Minnesota Education Department failed to properly oversee Feeding Our Future, saying the department's "actions and inactions created opportunities for fraud."
State education officials are tasked with overseeing federal programs that reimburse groups like Feeding Our Future for providing free, nutritious meals to children. The state audit called the Minnesota Education Department's oversight "inadequate."
Jett, the top education official, submitted a written response to the report that put the blame on the individuals involved in the scheme. “What happened with Feeding Our Future was a travesty — a coordinated, brazen abuse of nutrition programs that exist to ensure access to healthy meals for low-income children," he wrote. "The responsibility for this flagrant fraud lies with the indicted and convicted fraudsters.”
Following the report, Walz said there was no “malfeasance” at the state level. “There’s not a single state employee that was implicated in doing anything that was illegal,” Walz said at a press conference in June according to The Minnesota Star Tribune . “They simply didn’t do as much due diligence as they should have.”
In December 2022, Walz announced the addition of an inspector general position at the state department of education, “a critical step to ensuring proper oversight of federal funds,” he said in a statement at the time.
Prosecutors allege that Feeding Our Future opened more than 250 sites throughout Minnesota and submitted fraudulent attendance rosters of the names of fake children they claimed were receiving the meals.
The U.S. Justice Department has charged 70 individuals in connection to the scheme. Eighteen have pleaded guilty and five were convicted in June.
The state education department reported Feeding Our Future to the FBI in April 2021 on fraud suspicions, according to the audit . The FBI started an investigation the next month.
Prior to that, the education department had notified the USDA inspector general’s office in the fall of 2020 during President Donald Trump's administration about concerns over the growth of Feeding Our Future but the agency did not take action, the audit said.
Foxx, along with the Republican leaders of the House Oversight and Accountability Committee and the Agriculture Committee, first requested documents from the U.S. Agriculture Department in September 2022 after federal charges were unsealed in the case concerning Feeding Our Future. At that point, Republicans were in the minority in the House so they did not control committees.
Once in the majority in 2023, Foxx and her fellow committee chairs followed up with USDA. The group of Republicans also requested documents from Jett in June.
Foxx said in letters accompanying the subpoenas that both the USDA's and the Minnesota Education Department's "production of information has been neither timely nor fully responsive."
The top Democrat on the committee criticized the timing of the subpoena and noted in a timeline that it marks the first public outreach to Walz by Republicans. “The timing of the Republican’s subpoena to Governor Walz is weird,” Rep. Bobby Scott, D-Va., said.
Walz and the state and federal officials have until Sept. 18 to provide the requested documents, according to the subpoenas, though none of them are required to testify.
NBC News has reached out to all of the individuals subpoenaed for comment.
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Kyle Stewart is a field producer covering Congress for NBC News.
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Your first GI appointment will take around 30 to 60 minutes. It will be held in a private room. This face-to-face time is essential for helping our team to get to know you and develop an appropriate plan of care. To guide diagnosis and treatment, your gastroenterologist will ask several questions about your health, lifestyle and current concerns.
At Concord Gastroenterology Associates, you will first meet with a specialist physician. However, some practices will schedule you with a nurse practitioner or physician's assistant for the first appointment. Plan for 20 to 40 minutes for a full evaluation on the initial visit. Depending on your needs and GI history, it may take longer or ...
Gastroenterologists are internists (doctors trained in internal medicine). They complete up to 6 more years of specialized training after medical school. These doctors study the digestive system ...
A thorough physical examination is a standard part of a first appointment with a gastroenterologist. You might be asked to undress and change into a hospital gown before the test. The doctor will gently press and feel different parts of your belly to check for tenderness, pain, lumps, or other abnormalities. They might listen to your abdominal ...
The first appointment will take 30 minutes to an hour to complete. During your first visit with your gastroenterologist, they will ask you about your family and personal health history, symptoms, previous treatments, and medications. To make the most out of your first appointment, be sure to bring all the necessary documents or notes about your ...
Gastroenterologists are trained to diagnose, manage, and treat a variety of conditions, such as: Gastroesophageal reflux disease (GERD) or heartburn. Hiatal hernias. Colitis. Celiac disease ...
Many people visit a gastroenterologist to screen for colorectal cancer, which develops in the colon (large intestine) or rectum. ... The first appointment with a gastroenterologist typically takes ...
During your first visit with your gastroenterologist, they will ask you about your family and personal health history, symptoms, previous treatments, and medications. To make the most out of your first appointment, be sure to bring all the necessary documents or notes about your health history. Likewise, prepare questions you want to ask your ...
Dr. Lee J. Hixson, MD. Gastroenterology, Internal Medicine. 5.0. 21 Ratings. 44 Years Experience. 700 S Main St, Moscow, ID 83843 0.89 miles. Dr. Hixson graduated from the University of Utah School of Medicine in 1980. He works in Moscow, ID and 2 other locations and specializes in Gastroenterology and Internal Medicine. CD.
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Dr. Anderson's, specialties include everything from acute care, trauma surgery, colorectal, endocrine, endoscopy as well as minimally invasive techniques for surgeries including hernia, upper GI and reflux disease. Dr. Anderson's goal is to provide the most advanced general surgical care in a compassionate way that helps patients understand ...
Dr. Lee Hixson, MD is a Gastroenterologist in Moscow, ID and has 44 years experience. They graduated from University of Utah.They currently practice at Practice and are affiliated with Saint George Regional Hospital. At present, Dr. Hixson received an average rating of 4.4/5 from patients and has been reviewed 25 times.
Dr. Lee Hixson, MD, is a Gastroenterology specialist practicing in Moscow, ID with 44 years of experience. This provider currently accepts 42 insurance plans including Medicare and Medicaid. New patients are welcome.
16 Ratings. 48 Years Experience. 8000 Wolf River Blvd Ste 200, Germantown, TN 38138 24.72 miles. Dr. Cattau graduated from the University of North Carolina At Chapel Hill School of Medicine in 1976. He works in Germantown, TN and 1 other location and specializes in Gastroenterology. ...
Dr. Lee Hixson, MD is a gastroenterologist in Moscow, ID and has over 43 years of experience in the medical field. He graduated from University of Utah in 1980. He is affiliated with Saint George Regional Hospital. He is accepting new patients. 4.4 (25 ratings) Leave a review. Practice. 2400 W A St # G Moscow, ID 83843 ...
Gastroenterological diseases include gastritis, stomach and duodenal ulcers, dysbacteriosis, pancreatitis, constipation, diarrhoea, colitis. You may receive a doctor's prescription already on the day of the first visit having undergone the necessary testing. The procedures are performed in in-patient and out-patient settings.
Best Gastroenterologist in Moscow, TN 38057 - Michael S Dragutsky, MD, Daniel Kayal, DO, Gastro One - Wolf River, Digestive Health Specialists, P.A, Magnolia Gastroenterology Clinic & Magnolia Endoscopy Center, Gastro One - Wolf Park, Gastrointestinal Specialists PC, Horizon Gastroenterology & Neurology, Premier Gastroenterology, PC, Gastro One - DeSoto
Accepting appointments and referrals, please call the office or your primary care provider. 208-883-1177. Gastroenterology and General Surgery - treating a wide range of general, acute care and trauma surgery services, along with exceptional GI care.
Dr. John C Morgenstern, MD, is a Gastroenterology specialist in Moscow, Idaho. He attended and graduated from Univ Of Med & Dentistry Of Nj, Nj Dental School in 1987, having over 37 years of diverse experience, especially in Gastroenterology. He is affiliated with many hospitals including Clearwater Valley Hospital & Clinics, Gritman Medical ...
A gastroenterologist may also be known by the following names: GI specialist, GI doctor, or stomach doctor. There are 3 specialists practicing Gastroenterology in Moscow, ID with an overall average rating of 4.7 stars. There are 3 hospitals near Moscow, ID with affiliated Gastroenterology specialists, including Pullman Regional Hospital, Saint ...
Dr. Lee J Hixson has 4 locations. Gritman General Surgeons and Gastroenterology. 2400 W A St Ste G Moscow, ID 83843. Tel: (208) 883-1177. + −.
Each Gastroenterologist in Moscow, ID is assessed based on research, patient volume, standing among peers, and connectedness to other physicians related to a specific health condition. You can find a Gastroenterologist in any of the 10 largest U.S. cities by clicking below: Gastroenterologist near New York, NY Gastroenterologist near Los ...
MOSCOW - The IMF will become the first major international financial body to send its official mission to Russia since the invasion of Ukraine in February 2022, Aleksei Mozhin, the IMF's Russian ...
Russian President Vladimir Putin arrived in Mongolia late Monday, marking his first visit to a country that is a member of the International Criminal Court (ICC) since it issued an arrest warrant ...
Putin, on his first visit to Mongolia in five years, participated in a ceremony to mark the 85th anniversary of a joint Soviet and Mongolian victory over the Japanese army in deadly fighting over ...
The first batch of mpox vaccine arrived in Congo on Thursday, three weeks after the World Health Organization declared mpox outbreaks in 12 African countries a global emergency.
Addition Expands Access to GI Care on the Palouse. Dr. Lee Hixson, a Board-Certified Gastroenterologist with experience treating patients for a wide range of conditions, has joined the Gritman General Surgeons and Gastroenterology clinic in Moscow.
Ukraine has urged Mongolia to arrest Russian President Vladimir Putin ahead of his visit to the country next week, his first to an International Criminal Court (ICC) member state since the body ...
The top Democrat on the committee criticized the timing of the subpoena and noted in a timeline that it marks the first public outreach to Walz by Republicans. "The timing of the Republican's ...
UPDATE - September 4, 2024: Two students and two teachers died in the shooting at Apalachee High School earlier today. They have been identified as: - Mason Schermerhorn, age 14 (Student) - Christian Angulo, age 14 (Student) - Richard Aspinwall, age 39 (Teacher) - Christina Irimie, age 53 (Teacher)