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Please be advised that our Rhinebeck Urgent Care is currently closed. If you require Urgent Care services, please visit our Kingston location, or any surrounding Urgent Care location. All other offices are open for normal hours.

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Clinical Specialties

Gastroenterology & Hepatology

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Board Certified Physicians Ready to Treat Your Every Need

The Gastroenterology and Hepatology department at CareMount Medical is comprised of board-certified physicians specializing in the prevention, diagnosis and treatment of the digestive system and its disorders. Our team of gastroenterologists perform diagnostic procedures and surgical services at our on-site Endoscopy Suites.

Conditions Treated

Some of the common conditions treated by our physicians include:

  • Abdominal Pain
  • Anal and Rectal Problems
  • Anemia (Iron deficiencies)
  • Barrett’s Esophagus
  • Cirrhosis
  • Colon Cancer Prevention
  • Colon Polyps
  • Diarrhea and Constipation
  • Diseases of the Pancreas
  • Diverticulosis
  • Esophagus Disorders
  • Gallstones
  • Heartburn/Reflux Disease (GERD)
  • Hemorrhoids
  • Hepatitis A, B, & C
  • Inflammatory Bowel Diseases (Crohn’s, Ulcerative Colitis)
  • Intestinal Bleeding
  • Intestinal Motility Disorders
  • Irritable Bowel Syndrome
  • Liver Diseases (Auto Immune, Alcohol and Fatty Liver)
  • Pancreatitis
  • Pediatric Digestive Disorders
  • Proctitis
  • Swallowing Disorders
  • Ulcer Conditions

Procedures and Treatments

  • Capsule Endoscopy
  • Colonoscopy
  • Colon Polyp Removal
  • CT & MRI Enterography
  • EGD (Upper Endoscopy)
  • Endoscopic Ultrasound (EUS)
  • Esophageal Dilation
  • Esophagogastroduodenoscopy
  • ERCP (Endoscopic Retrograde Cholangio – Pancreatography)
  • Gastrointestinal Bleeding
  • Iron Infusion
  • Push enteroscopy
  • Stents for the Gastrointestinal Tract
  • Variceal Banding

Common Gastrointestinal Disorders and Diseases

The digestive system is made up of the gastrointestinal (GI) tract (stomach, small intestine, and colon), liver, pancreas, and gallbladder which help the body digest food. Digestion is important for breaking down food into nutrients, which your body uses for energy, growth, and cell repair.

There are many different gastrointestinal diseases and disorders. Some are acute, lasting only a short time, while others are chronic, or long-lasting.  Below are a few common ones, but our healthcare providers diagnose and treat all GI disorders and diseases.

Irritable bowel syndrome (IBS) is a group of symptoms that occur together, including repeated pain in your abdomen and changes in your bowel movements, which may be diarrhea, constipation, or both. With IBS, you have these symptoms without any visible signs of damage or disease in your digestive tract. The most common symptoms of irritable bowel syndrome (IBS) are pain in your abdomen, often related to your bowel movements, and changes in your bowel movements. These changes may be diarrhea, constipation, or both, depending on what type of IBS you have. Doctors aren’t sure what causes IBS.

To diagnose irritable bowel syndrome (IBS), doctors review your symptoms and your medical and family history and perform a physical exam. Your doctor will look for a certain pattern in your symptoms. In some cases, doctors may order tests to rule out other health problems.

Doctors may treat irritable bowel syndrome (IBS) by recommending changes in what you eat and other lifestyle changes, medicines, probiotics, and mental health therapies. You may have to try a few treatments to see what works best for you. Your doctor can help you find the right treatment plan.  Your doctor may recommend changes in your diet to help treat symptoms of irritable bowel syndrome. Changes may include eating more fiber, avoiding gluten, or following a special diet called the low FODMAP diet. Book your appointment online at caremountmedical.com/247 to schedule a visit with a CareMount Medical primary care provider.

 

Crohn’s disease is a chronic, or long lasting, disease that causes inflammation and irritation in your digestive tract. The most common symptoms of Crohn’s disease are diarrhea, cramping and pain in your abdomen, and weight loss. Doctors aren’t sure what causes Crohn’s disease.

Doctors typically do not use a single test to diagnose Crohn’s disease. You may need a combination of tests. Your doctor will also ask you about your medical history and your family history and will perform a physical exam.  A colonoscopy may be recommended to diagnose Crohn’s disease. Doctors treat Crohn’s disease with medicines, bowel rest, and surgery. The goal of treatment is to decrease the inflammation in your intestines, to prevent flare-ups of your symptoms, and to keep you in remission. Book your appointment online at caremountmedical.com/247 to schedule a visit with a CareMount Medical primary care provider.

 

Celiac disease is a digestive disorder that damages the small intestine. People with celiac disease cannot eat gluten, a protein found in wheat, barley, and rye. The disease can cause long-term digestive problems and keep you from getting nutrients you need.

If you have celiac disease, you may experience digestive symptoms or symptoms in other parts of your body. Digestive symptoms are more common in children than adults. Some people with celiac disease have no symptoms. Your doctor may diagnose celiac disease with a medical and family history, a physical exam, blood tests, an intestinal biopsy during colonoscopy, a skin biopsy, and genetic tests.

Doctors treat celiac disease by prescribing a gluten-free diet. Symptoms significantly improve for most people with celiac disease who follow a gluten-free diet. A dietitian can teach you how to avoid gluten while following a healthy and nutritious diet. Book your appointment online at caremountmedical.com/247 to schedule a visit with a CareMount Medical primary care provider.

 

Appendicitis is an inflammation of your appendix. The most common symptom of appendicitis is dull pain near the navel or the upper abdomen that becomes sharp as it moves to the lower right abdomen. Loss of appetite, abdominal swelling and a fever of 99-102 degrees F are other related symptoms.  Appendicitis is a medical emergency that almost always requires prompt surgery to remove the appendix. Left untreated, an inflamed appendix will eventually burst, or perforate, spilling infectious materials into the abdominal cavity. This can lead to peritonitis, a serious inflammation of the abdominal cavity’s lining (the peritoneum) that can be fatal unless it is treated quickly with strong antibiotics. Health care professionals can diagnose most cases of appendicitis by taking your medical history, performing a physical exam, and through an imaging test. Book your appointment online at caremountmedical.com/247 to schedule a visit with a CareMount Medical primary care provider if you are having pain in your abdomen accompanied by a fever, loss of appetite or abdominal swelling.  For immediate care, visit one of our urgent care locations.

 

Lactose intolerance. If you have lactose intolerance, you have digestive symptoms—such as bloating, diarrhea, and gas—after you consume foods or drinks that contain lactose (for example, dairy products). Lactose intolerance may affect your health if it keeps you from getting enough nutrients, such as calcium and vitamin D.  Symptoms of lactose intolerance may include bloating, diarrhea, gas, nausea, and pain in your abdomen. Lactose intolerance is caused by lactose malabsorption, a condition in which your small intestine makes low levels of lactase and can’t digest all the lactose you eat or drink.

To diagnose lactose intolerance, your doctor will ask about your symptoms, family and medical history, and eating habits. Your doctor may perform a physical exam and tests.  You can manage lactose intolerance symptoms by changing your diet to limit or avoid foods that contain lactose. Some people may only need to limit lactose, while others may need to avoid lactose altogether. Using lactase products can help some people manage their symptoms.

Talk with your doctor about changing your diet to help manage lactose intolerance symptoms and make sure you get enough nutrients. Most people with lactose intolerance can eat or drink some lactose without symptoms. Book your appointment online at caremountmedical.com/247 to schedule a visit with a CareMount Medical primary care provider.