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A gastrointestinal physician also known as a gastroenterologist is a division of medicine that focuses on medical diagnosis and treatment conditions of the digestive tract, liver, gallbladder, pancreas, and bile ducts. They also perform routine procedures like colonoscopies and treat common diseases that include but are not limited to:

• Crohn’s disease
• Ulcerative colitis
• Esophageal cancer
• Hepatitis
• Polys that may or may not be precancerous
• Gastro-esophageal reflux disease (GERD) also known as heartburn
• Food allergies

Your primary care physician may refer you to a gastroenterologist is you are experiencing

• Trouble swallowing
• Heartburn
• Regurgitation
• Severe diarrhea
• Constipation
• Bloating

Appendicitis can be fatal if the appendix bursts and infection spreads throughout the body. Although now a days fatality due to appendicitis is very unlikely. This illness is inflammation of the appendix caused by infection and pus build up inside of the finger like sack. Symptoms include:

• Sudden pain which begins on the right side of the lower abdomen
• Gas
• Abdominal bloating
• Constipation or diarrhea
• Low grade fever that will worsen as disease progresses
• Sudden pain that begins around your navel and then shifts
• Nausea, vomiting, and loss of appetite.

Ulcerative colitis is an inflammatory bowel disease that develops and progresses over time. It causes inflammation and ulcers in the innermost lining or your colon and rectum. It can be a debilitating illness and sometimes lead to life-threatening complications. It does not have a cure, but treatment helps reduce symptoms significantly. Most people suffering with ulcerative colitis experience the following symptoms:

• Diarrhea with blood and/or pus in it
• Failure to grow in children
• Abdominal pain and cramps
• Fever
• Fatigue
• Weight loss
• The feeling of urgency to defecate and sometimes patients feel urgency with the inability to go.
• Rectal bleeding and pain

There are many types which include:

• Ulcerative proctitis causes the inflammation to be confined to the area closest to the rectum. Rectal bleeding is the main and sometimes only sign of the disease
• Proctosigmoiditis involves the rectum and sigmoid colon which is the lower end of the large intestine. Signs include bloody diarrhea, abdominal cramps, and the inability to move bowels even though the feeling of urgency is there
• Pancolitis this type affects the entire large intestine and causes bloody diarrhea, fatigue, and weight loss.
• Left-sided colitis – inflammation extending from the rectum up through the descending colon. Symptoms include bloody diarrhea, abdominal cramping, and pain on the left side.

Without any family history or risk factors for colon cancer, it is recommended to start your routine colonoscopy care at the age of 45 and you should continue routine colonoscopy every 10 years unless concerning symptoms arise that would cause you to get one sooner. If you have a family history of colon caner it is possible that your physician will suggest you get your first colonoscopy before the age of 45 and/or get them more frequently than every 10 years apart. High risk individuals fall under the following categories:

• Family history of a hereditary form of colorectal cancer such as Lynch syndrome or Familial adenomatous polyposis
• Family history of polyps
• Inflammatory bowel disease (IBS) diagnosis
• A personal history of radiation focused on the pelvic region for past treatment of cancer
• Previously positive for certain types of polys found at an earlier exam