Do I have Reflux? This is the question we need to ask when acid reducing symptoms fail to resolve our symptoms of Gastroesophageal Reflux Disease (GERD) or Laryngopharyngeal Reflux (LPR or Silent Reflux). We also need to ask if it is truly Reflux when symptoms are not typical such as the patient with Non-Cardiac Chest […]Continue reading
Gastroesophageal reflux is an incredibly common disorder affecting up to 40% of adults. With such a common disease, you might expect the diagnosis to be fairly straightforward. In fact it is particularly complex as we will see. There are three main components, including symptoms of reflux, the damage it causes, and measurements of acid or other fluids coming […]Continue reading
As of July 28, 2014 Dr. David Gutman has relocated to a new location, at 366 N. Broadway, in Jericho, New York 11753. Our office is conveniently located on Route 106/107 just half a mile north of Ikea, at exit 35S on the Northern State and 41S on the Long Island Expressway. You can contact us at (516) 495-5280 or firstname.lastname@example.org.
We will continue to focus on the diagnosis and treatment of Gastroesophageal Reflux, Silent Reflux (LPR), Irritable Bowel Syndrome, Eosinophilic Esophagitis, Barrett’s Esophagus, GI Cancer Prevention, and your overall gastrointestinal wellness. We will be offering a wider range of state of the art treatment options for these disorders.Continue reading
Research has shown that more than a third of patients with eosinophilia of the esophagus respond to Proton Pump Inhibitors with resolution of the findings clinically and on biopsy. Eosinophilic Esophagitis is an allergic disorder seen in adults and children who develop scar tissue and narrowing in the esophagus food pipe due to a food allergy. The most common symptom is swallowing disturbance but heartburn and regurgitation are very common. It is called Eosinophilic Esophagitis due to the presence of allergic cells called eosinophils on the biopsy specimens of the esophagus. It is usually treated with dietary elimination of potentially offending food allergies. It can also be treated with swallowed corticosteroids that coat the esophagus.Continue reading
The most common side effects of PPI are: Headache Diarrhea Constipation Abdominal Pain Flatulence Joint Pain Heartburn can be intense during pregnancy. Can I take medicine for relief? Prilosec, Zegerid, Omeprazole are pregnancy category C meaning that adverse outcomes are reported in animal but not human studies. Aciphex, Nexium, Protonix, and pantoprazole are pregnancy category […]Continue reading
Patients often complain of chronic cough or a hoarse voice or frequent clearing of the throat, and are referred to their Ear, Nose, and Throat specialist. The ENT finds on exam redness and swelling in the back of the larynx and changes of the vocal cords. These changes are from Laryngopharyngeal Reflux, a common form […]Continue reading
Many times, people will say they have diverticulitis,a dangerous condition, when they have the more benign and common diverticulosis. Diverticulitis is a serious infection and inflammation of the bowel wall. It requires treatment with antibiotics, and often leads to hospitalization and surgery. People with diverticulosis have large intestinal pockets called diverticula. From the inside of […]Continue reading