Can Heartburn Medicines Cause Dementia?

The above headline and sound bite has generated many conversations in my gastroenterology practice.  Many of my patients who take proton pump inhibitors (PPI’s) for heartburn developed worse heartburn when they thought that these medicines might be frying their brains.  After some calm and reassuring conversations, I was able to put the fires out. Common … Continued

Medical Judgement

Our gastroenterology practice does colonoscopies every day.  We are passionate about preventing colon cancer, which is a preventable disease.  Moreover, nearly every adult who has their eyes and ears open knows that age 50, they need to submit to a thorough examination of their colon, also known as the large bowel. The benefits of colonoscopy … Continued


Several times each week, I am asked about the value of probiotics.  Many of my patients are already on them, based on a personal recommendation or an advertisement.  As a gastroenterologist, I routinely treat patients with all varieties of diarrhea conditions, such as irritable bowel disease, ulcerative colitis, Crohn’s disease, lactose intolerance, celiac disease and … Continued

Can someone help my constipation, please?

Yes.  I’ve seen 1000’s of women with constipation, and nearly all of them can be helped. First, let’s try to agree on what constipation is.  While there is an ‘official definition’, most of us have a more liberal understanding of what constipation is.   Here are some examples of what typical patients regard as constipation. I … Continued