Acid Reflux vs. GERD: When Heartburn Needs More Than Antacids
Introduction Occasional acid reflux is common. It can happen after a large meal, spicy food, alcohol, coffee, or lying down too soon after eating. GERD,
Upper Endoscopy: What It Can Find and How to Prepare
Introduction Upper endoscopy, also called EGD, is a procedure that allows a gastroenterologist to examine the esophagus, stomach, and first part of the small intestine.
Screening vs. Diagnostic Colonoscopy: What’s the Difference and Why It Matters for Insurance
Introduction A screening colonoscopy is usually done when you have no symptoms and are being checked for colorectal cancer as part of preventive care. A
Rectal Bleeding: Common Causes and When to See a Gastroenterologist
Introduction Rectal bleeding is common, but it should not be ignored. Bright red blood on toilet paper or in the toilet bowl may come from
IBS, Bloating, and the Low-FODMAP Diet: A Practical Starter Guide
Introduction IBS, or irritable bowel syndrome, is a disorder of gut-brain interaction that can cause abdominal pain, bloating, gas, diarrhea, constipation, or alternating bowel habits.
Constipation, Diarrhea, or Changing Bowel Habits: when It Needs Medical Evaluation
Introduction Bowel habits do not have to be identical every day. Travel, stress, diet changes, dehydration, mild infections, and new medications can all affect how
Colonoscopy Prep Timeline: What to Do 7 Days, 2 Days, and 1 Day before the Procedure
Introduction Colonoscopy prep works best when you start before the day you drink the laxative. A good preparation gives your gastroenterologist a clear view of
Colonoscopy at 45: What Patients Should Know before Their First Screening
Introduction Most adults at average risk should begin colorectal cancer screening at age 45, even if they feel well and have no digestive symptoms. Colonoscopy
Colon Polyps: What They Are, Why They Matter, and What Happens After Removal
Introduction Colon polyps are growths on the inner lining of the colon or rectum. Most colon polyps are not cancer, but some types can become
Barrett’s Esophagus: Who Is at Risk and Why Monitoring Matters
Introduction Barrett’s esophagus is a condition in which the lining of the lower esophagus changes, often in people with long-standing acid reflux or GERD. Barrett’s
Heartburn or GERD. When Reflux Symptoms Need Medical Evaluation
Most adults have experienced heartburn at least once: that familiar burning discomfort rising behind the breastbone after a heavy meal, late-night snack, or glass too
H. pylori After Treatment: How Do You Know the Infection Is Really Gone?
Finishing a course of antibiotics for H. pylori often feels like the end of the story. For many patients, it is not. Some feel better
Diverticulosis vs Diverticulitis: Understanding the Difference
The terms diverticulosis and diverticulitis are often confused because they sound so similar, but medically they do not mean the same thing. Diverticulosis refers to
Constipation in Adults: When It Is Mild, Chronic, or a Sign You Need Further Testing
Constipation is common enough that many people treat it as a minor inconvenience by default. Sometimes that is fair. A few days of harder stools
Capsule Endoscopy: Who It Helps and How It Differs From Standard Endoscopy
Capsule endoscopy is one of the more specialized tests in gastroenterology, and it tends to attract interest because the concept is so unusual: you swallow
Blood in the Stool: Common Causes and When You Should Not Ignore It
Seeing blood in the stool can be frightening, even when the amount is small. Many patients immediately think of cancer; others assume it must be
Barrett’s Esophagus Explained: Who Is at Risk and What Happens Next
Hearing the phrase Barrett’s esophagus for the first time can be unsettling. Many patients immediately assume it means cancer or that cancer is inevitable. That
IBS vs IBD: How to Tell the Difference Between Functional and Inflammatory Bowel Problems
Patients often mix up IBS and IBD because the names sound similar and the symptoms can overlap. Both can involve abdominal pain, bloating, diarrhea, urgency,
Abdominal Pain After Eating: Is It Your Stomach, Gallbladder, or Intestines?
Abdominal pain after eating is one of those symptoms that sounds simple but is not simple at all. Patients often describe it as “my stomach
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Digestive Disease Week 2025 – From IBD Breakthroughs to AI in Endoscopy. Reflections from Dr. David A. Lieberman
Inflammatory Bowel Disease (IBD): The Era of Mechanistic Precision In early 2025, the ongoing debate over coverage of GLP-1 receptor agonists (the class of medications
ACG 2025 – What to Watch. AI Endoscopy, Metabolic IBD, and the Future of CRC Screening
Introduction As 2025 draws to a close, the ripple effects of the CMS pause on broad coverage of anti-obesity GLP-1 receptor agonists are still being
Capsule Endoscopy + AI – What’s Already Available in the U.S.
Introduction – Innovation Moving Faster Than Policy As clinicians, we often find ourselves practicing at the intersection of discovery and delay. On one side, science
AI-Assisted Colonoscopy in the Real World – Lessons from the Latest U.S. Multicenter Trial
Introduction – Policy Stagnation, Technologic Acceleration As we enter the last quarter of 2025, the effects of the CMS pause on broad coverage for anti-obesity
The First Cloud-Based AI System for Colonoscopy – What FDA Clearance Means for U.S. Clinics
Introduction: When Policy Slows Down, Technology Speeds Up This year has reminded us how uneven the pace of medical progress can be. In one corner
State Pilots and What This Means for MASH and IBD Patients with Obesity
How the CMS Pause on GLP-1 Coverage Shapes Patient Access in the U.S. In 2025, the debate over coverage of anti-obesity GLP-1 drugs reached a
Obefasimod (ABX464) in Ulcerative Colitis – What the Phase 3 Results Mean for U.S. Approval
Introduction – When Innovation Meets Momentum By Dr. Bruce E. Sands, MD, MS – Chief of Gastroenterology, Mount Sinai Hospital, New York If 2024 has
How to Take Dicyclomine (Bentyl) – Onset, Duration, Dosing Basics, and Interactions
How and when the drug starts working Many people taking Dicyclomine for the first time want to know how quickly they should expect relief. The
Dicyclomine (Bentyl) – What It Is, How It Works, and What It Treats
What Is Dicyclomine / Bentyl Dicyclomine is a prescription antispasmodic medicine used primarily in gastroenterology, and it has been on the market for several decades
Dicyclomine for IBS, Gastritis, Diarrhea, Gas, and Bloating – What It Really Helps With
Dicyclomine for IBS Dicyclomine (Bentyl) has a long-standing role in the management of Irritable Bowel Syndrome (IBS), but its usefulness depends heavily on the nature