404-257-0000

RESOURCE ROOM

GENERAL FAQs

We specialize in the treatment of several conditions:

  • IBS
  • Heartburn
  • Colon Cancer Screening
  • Fatty Liver


We frequently evaluate patients with:

  • Abdominal pain
  • Abnormal liver tests
  • Anemia
  • Intestinal bleeding
  • Abnormal CT scan
  • Abnormal liver enzymes
  • Bloating
  • Diarrhea
  • Constipation
Please go to the top of the page and in the navigation bar click on “Make an Appointment”. Enter your information and pick a desired time for the visit. Our staff will contact you and confirm the appointment. Our scheduler will need a copy of your driver’s license and updated insurance cards, with a photo of the front and back.

Our main office is located at:
2006 Macy Drive
Roswell, GA 30076

What is your contact information?
Our phone number is: 404-257- 0000
Our Fax number is: 404-257-1122

We will confirm that you are in our network during your phone call prior to your visit.

Yes. We accept cash pay for visits and procedures.
No. Most patients do not need an official referral from a primary care physician in order to schedule an appointment at our center.
Our practice is primarily an outpatient center. We recommend any patient with severe symptoms to go to their local ER to get more rapid assessment and treatment. Most hospitals have entire teams of doctors working in the hospital setting and are able to help with severe complaints.

IBS FAQs

This condition is characterized by some combination of abdominal cramping, diarrhea, constipation, or change in stool consistency. There are many conditions that can mimic IBS and therefore all patients should undergo a battery of tests to ensure the right diagnosis.

The list of conditions that may cause symptoms similar to IBS is very long but would include : inflammation in the colon (colitis), intestinal enzyme deficiency, medication side effects, food sensitivities, bacterial and parasitic infections, bacterial overgrowth, and hormonal imbalance. Rarely, cancers and other conditions can cause IBS symptoms.

The diagnosis of IBS may require additional testing such as stool analysis for bacteria/parasites, blood work, imaging studies, breath tests for bacterial overgrowth, and endoscopic examination to look directly at the lining of the intestinal tract.

IBS is not typically life threatening or dangerous. However, it is very important to be sure that IBS is the correct diagnosis. With some very simple testing IBS can be confirmed.

There is a long list of symptoms that are not normally associated with IBS. Patients experiencing these symptoms should undergo a thorough evaluation to determine the cause.

Unusual symptoms for IBS includes: rectal bleeding, anemia, weight loss, significant abdominal pain, abdominal tenderness, fever, chills, night sweats, nausea,  and vomiting.

HEARTBURN FAQs

Heartburn can cause a wide variety of symptoms including chest pain, fullness in the chest, nausea, and more. When someone feels what we call “classic symptoms” they will often report chest burning, a feeling of stomach contents coming up into the chest and mouth, and a sour taste that follows.

There are also “atypical symptoms” where an individual may not feel chest burning and regurgitation, but they may feel a sore throat, ear pain, a cough, and even sinus problems. These can all be caused by acid reflux.

Absolutely. When acid and bile travel from your stomach and into your esophagus and mouth, there can be irritation and soreness in the throat. If the acid and bile are also leaking into the airway, a chronic cough may occur. Interestingly, many patients are not even aware that acid is causing their cough. When stomach contents are dripping into the airways, we call this “aspiration.” When a reflux is severe, patients can even develop pneumonia and chronic lung injury due to the harmful effects of acid and bile in the lungs.

Heartburn can certainly cause esophageal cancer. Any patient with a history of more than 5 years of reflux, is over 50 years old, male, and Caucasian, is at much higher risk of esophageal cancer than the average population.

Symptoms that cause us to worry about cancer include weight loss, difficulty swallowing, blood in stool, or sudden increase in pain with swallowing. These can all be signs that heartburn has led to an esophageal cancer.

Back pain is a little bit unusual as a symptom of heartburn.

Most patients with heartburn experience chest tightness, burning, and pain in the throat and sinuses.

Vomiting can occur when acid and bile are burning and irritating the stomach lining.

When the stomach is unhappy due to acid irritation, nausea often follows.

If acid and bile are refluxing into your lungs, you may feel shortness of breath, wheezing, and coughing.

Acid and bile are very irritating to the lungs.

Heartburn is now considered a serious medical condition. There is a strong correlation with chronic heartburn and esophageal cancer.

Any individual with over a 5 year history of heartburn or severe symptoms should have an evaluation to be sure early cancer and pre-cancers have not developed within the esophagus.

When acid levels in the stomach are high, some individuals will feel bloated and full.

Stomach bloating just by itself is not the most common symptom of heartburn.

The symptom of jaw pain is not typical for heartburn.

Heartburn is a very common symptom. Perhaps 20-40% of the US population experience some heartburn.

About 20% of all heartburn patients develop a condition known as Barrett’s esophagus. Barrett’s is a precancerous change in the esophageal lining. About 20% of Barrett’s patients may develop an esophageal cancer.

So yes, heartburn can kill you if it leads to Barrett’s esophagus and progresses to esophageal cancer. Cancer of the esophagus has a very poor survival rate.

Yes.

  • One of the fastest growing cancers in the US is esophageal cancer caused by heartburn.
  • Any patient with a history of heartburn and acid reflux for more than 5 years should be evaluated by a gastroenterologist.
  • Any patient with heartburn noticing pain with swallowing, weight loss, or decreased appetite should also be evaluated.

Yes.

  • When acid and bile travel from the stomach to the esophagus, inflammation and injury may occur.
  • The esophagus is very sensitive to acid and bile and was not built to handle low pH caustic juices from the stomach.
  • Pain fibers in the chest may be activated and lead to a sense of chest discomfort, burning, fullness, or chest wall tenderness.

Heartburn can feel like a fluttering in the chest but it is not causing heart palpitations or irregular heart beats. When acid and bile travel up into the esophagus, there can be spasm of the esophageal wall, even fluttering that may mimic a heart palpitation.

Having said that, any individual who has unusual chest or palpitation symptoms should be evaluated by their doctor. You should never assume that chest complaints are being caused by heartburn until a complete medical evaluation has been performed.

Heartburn is not a typical cause of diarrhea. However, the antacids that are used to treat heartburn can cause diarrhea.

Patients having chronic diarrhea usually require a different evaluation focusing on the lower intestinal tract.

In some cases, high stress conditions can trigger excessive stomach acid production and more reflux. Also, individuals under stress may be drinking more coffee or alcohol and are less active and over eating – all factors that may cause more reflux.

So it’s hard to say what caused the symptoms, if it was the body’s reaction, or if it was the behaviors that are associated with stress that caused the increase in heartburn.

Heartburn is often associated with pregnancy and is well documented as a common occurrence. Heartburn often begins later in pregnancy and would be unusual as a first sign of being pregnant. However, morning sickness and nausea are often reported early in pregnancy.

Heartburn caused by pregnancy will usually resolve over time. During the pregnancy antacid medications may be required to control acid reflux.

In most cases, these medications can be discontinued when the mother returns to normal health after the pregnancy.

COLONOSCOPY FAQs

Our main practice location is:
Neighborhood Gastroenterology & Nutrition
2006 Macy Drive
Roswell, GA 30076

No. We only do medical consultation and lab testing in our main office. Colonoscopy and other procedures requiring sedation are performed in a surgery center. Colonoscopy can be performed at these centers:
Following your office visit with our team, we will send a request to your insurance company to approve the procedure. Once approved, our scheduler will be in touch to select a date, time, and location for your colonoscopy. For healthy patients needing a screening colonoscopy, direct colonoscopy scheduling may be a possibility. Direct colonoscopy scheduling does not require an office visit. Our medical staff will need to ask a few questions and decide if this is a good option.
After your clinic visit, our office will provide a packet with important details about your upcoming procedure. The packet will go over instructions for diet, medications, the colon prep, as well as the location of your procedure. Be sure to review the checklist and contact our office for any remaining questions.
  • Go Lytely Prep
  • Suprep
  • Miralax / Gatorade Prep

The details for each prep can be located in your information packet.

For mild nausea, cramping, and bloating, we often recommend slowing down and taking mini breaks as needed. We can also prescribe anti-nausea medications to help reduce symptoms.

For severe nausea, vomiting, or pain, we recommend stopping the prep completely and if symptoms don’t improve rapidly, go to your local ER for evaluation.

Yes. You will need to arrange a ride to and from the surgery center. Patients are not allowed to drive, take a cab, or Uber after an endoscopic procedure.
We recommend a follow up visit after testing so that you can review results with the medical team and decide next steps. Usually visits are scheduled 1-2 weeks after a test is performed. This allows time for our center to receive biopsy and pathology reports taken during your procedure.
Our practice is primarily an outpatient center. We recommend any patient with severe symptoms to go to their local ER. Most hospitals have dedicated teams of doctors working in the hospital 24 hours per day and are able to quickly evaluate severe complaints.
Fortunately, patients are given sedation by an anesthesia team and this has virtually eliminated the element of pain or discomfort during a colonoscopy. The most common sedation medication used is called Propofol which appears to be very safe and effective. The patient is typically asleep for the entire procedure and monitored closely for adequate respiration, pulse, and blood pressure.

FATTY LIVER FAQs

This condition is associated with diabetes, elevated cholesterol, or being overweight.

The liver is a very important storage organ and when cholesterol, fats, and glucose levels are elevated, the liver will deposit the excess and save for later use.

Additional causes of fatty liver can be related to medication side effects and excessive alcohol consumption.

In some cases, excess fat in the liver can cause inflammation and even cirrhosis. Fatty liver (not related to alcohol use) causing liver inflammation is called NASH (Non Alcoholic Steatohepatitis). If NASH goes untreated it may lead to cirrhosis of the liver.
Cirrhosis indicates that the liver has become scarred and may no longer be functioning normally. A number of tests such as ultrasound, CT scan, MRI, and liver biopsy can be used to help determine if liver injury has occurred.
Patients with elevated liver enzymes often undergo a battery of tests to ensure there are no other causes of their condition. Other conditions to consider when evaluating a patient with increased liver enzymes include:
  • Hepatitis B and C
  • Hemochromatosis
  • Wilson Disease
  • Primary Biliary Cirrhosis
  • Primary Sclerosing Cholangitis
  • Autoimmune Hepatitis
  • & others
The good news is that fatty liver and NASH are very treatable. A program that focuses on weight management, control of diabetes, and high cholesterol can be very effective. There are also medications that may be helpful in improving this condition.