The Real GI Doc Show

In this episode, Dr. Fred Gandolfo welcomes a special guest, Dr. Noreen Vail, a licensed psychologist with expertise in behavioral change, to discuss the psychological aspects of making lifestyle changes for managing fatty liver disease. Building on last week's episode about natural treatments for fatty liver, Dr. Gandolfo and Dr. Vail dive into why some patients struggle to make essential changes and how clinicians can better support them.

Topics covered in this episode:

Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here.

Referenced in today's show- Episode 10: The Natural Way to Treat Fatty Liver Disease at Home

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In this episode, Dr. Gandolfo delves into fatty liver disease, affecting over 30% of Americans. Dr. Gandolfo explains what fatty liver disease is, how it develops, and most importantly, how to manage and treat it naturally at home with minimal cost.

He introduces a patient case to illustrate common scenarios and provides actionable advice on diet and lifestyle changes that can make a significant difference.

Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here.

References cited in this episode:

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In this episode, Dr. Gandolfo will address a common clinical question: What should you do if you have a stool test positive for blood but recently had a colonoscopy?

Dr. Gandolfo explores the purposes of stool tests in colorectal cancer prevention, comparing their strengths and weaknesses to colonoscopy. He reviews a patient case and discusses the utility of performing stool guaiac tests after a recent colonoscopy.

Topics covered in this episode:

- Stool Tests: Understanding their role in colorectal cancer prevention.

- Colonoscopy vs. Stool Tests: Strengths and weaknesses.

- Patient Case: A 52-year-old woman with a positive guaiac test two years after colonoscopy.

- Quality of Colonoscopy: Key factors to ensure a protective exam.

- Practical Advice: When to consider a repeat colonoscopy and when it might be unnecessary.

Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here.

References cited in this episode:

• VA study on fecal occult blood testing

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Join Gastroenterologist Dr. Fred Gandolfo as he delves into a common and often deadly liver disease related to excessive alcohol consumption called alcoholic hepatitis. In this episode, Dr. Gandolfo reviews a tragic patient case to discuss the risk factors, symptoms, and treatment options for alcoholic hepatitis. Learn about the amount of alcohol it takes to develop this severe condition, the impact of nutritional status and other risk factors, and the importance of alcohol abstinence and proper nutrition in managing the disease.

Topics covered in this episode:

• Understanding Alcoholic Hepatitis: What is it and how does it develop?

Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here.

References cited in this episode:

• Resources to get help with alcohol problems

Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Join Dr. Gandolfo as he delves into the pervasive and often devastating impacts of alcohol consumption on our health. In this eye-opening episode, Dr. Gandolfo discusses the definitions of light, moderate, and heavy alcohol use, and reviews the myriad ways that alcohol can harm your body. Learn about the signs of alcohol use disorder and discover simple questions you can answer to assess whether you or a loved one may have a problem with alcohol.

Dr. Gandolfo shares a poignant case study of a patient with alcohol-induced liver cirrhosis, illustrating the severe consequences of long-term heavy drinking. He also explores the broader societal impact of alcohol, including its role in accidents, violence, and various cancers.

Whether you drink occasionally, socially, or heavily, this episode provides crucial insights into the risks associated with alcohol consumption. Tune in to understand how alcohol can affect your heart, liver, brain, and overall health, and learn why it's important to address alcohol use issues early.

Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here.

References cited in this episode:

• Resources to get help with alcohol problems

Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Join Dr. Fred Gandolfo in this engaging Q & A session where he tackles some of the most intriguing questions submitted by listeners. From the intricacies of colostomies to the potential benefits of acupuncture, and even the curious reason why poop is brown, Dr. Gandolfo provides insightful answers with his signature blend of expertise and humor. Plus, learn about his personal journey into the field of gastroenterology.

• Colostomies and Colonoscopies: Can you still get a colonoscopy if you have a colostomy?

Have a question for Dr. Gandolfo? Reach out on social media @realgidoc or visit realgidoc.com to leave a voice message question.

References cited in this episode:

Acupuncture fMRI review article

Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Join Dr. Fred Gandolfo as he delves into one of the most common gastrointestinal complaints: acid reflux, or gastroesophageal reflux disease (GERD).

In this insightful episode, Dr. Gandolfo discusses a real patient case, shedding light on the presentation, workup, and management of GERD. Discover effective strategies for treating acid reflux through diet, lifestyle changes, and medication.

Learn about the importance of recognizing alarm signs, the role of endoscopy in diagnosing conditions like Barrett's esophagus, and the potential complications of untreated GERD. Dr. Gandolfo explains the nuances of proton pump inhibitors (PPIs) and offers practical tips for managing this uncomfortable condition.

Whether you or someone you know suffers from acid reflux, this episode provides valuable information and actionable advice to improve quality of life and prevent serious complications.

Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question at realgidoc.com.

American College of Gastroenterology Guidelines: GERD Management 2022

Dr. Gandolfo's Bio

What do psychiatric patients, gastroenterologists, Queen Elizabeth I, and prisoners all have in common? If you guessed bezoars, you're correct!

Join Dr. Fred Gandolfo as he delves into two odd and uncommon conditions that gastroenterologists sometimes encounter: Pica, the eating of non-food substances, and bezoars, masses of non-digestible material stuck in the GI tract.

In this episode, Dr. Gandolfo shares a fascinating case study, discusses the treatment of these rare conditions, and explores the blurred lines between psychiatric and medical issues.

Tune in for an informative and entertaining discussion on these medical curiosities!

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Link to My Strange Addition episode discussed in this episode.

Dr. Gandolfo's Bio

Explore the secrets of stomach acid with board-certified gastroenterologist Dr. Fred Gandolfo. Learn about the critical role of acid in digestion and how medications affect stomach acid. Discover when to schedule your next colonoscopy, and get expert advice on increasing dietary fiber without unwanted gas.

Dr. Gandolfo covers the following topics on this episode:

- The Mystery of Stomach Acid: Functions and Medication Effects

- The Colonoscopy Conundrum: Timing Your Next Procedure

- Battling Bloat: Tips for a High-Fiber, Low-Gas Diet

To submit a question for our next Q & A episode, message us on social media @realgidoc or send us an audio question here.

References cited in this episode:

ACG Clinical Guidelines: Colorectal Cancer Screening 2021

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Dr. Gandolfo's Bio

The Real GI Doc Show Monthly Newsletter

Dive into this episode of The Real GI Doc Show where Dr. Fred Gandolfo unpacks the case of a 51-year-old complaining of abdominal pain and fatigue. Discover the pivotal role of the differential diagnosis and the power of second opinions in medical practice. Dr. Gandolfo emphasizes the necessity of patient advocacy and the dangers of common diagnostic fallacies.

Listen as he recounts the patient's path to uncovering a hidden condition, highlighting the significance of an open-minded medical approach. This episode is a must-listen for anyone interested in the intricacies of gastrointestinal health and the art of accurate diagnosis.

Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc.

References cited in this episode:

American College of Gastroenterology Guidelines Update: Diagnosis and Management of Celiac Disease

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Dr. Gandolfo's Bio

The Real GI Doc Show Monthly Newsletter