ABDOMINAL PAIN/DYSPEPSIA

Upper and Lower GI symptoms which may be from Heartburn, Hpylori, Celiac Sprue, Gluten Allergy, Crohn’s Disease, Ulcerative Colitis,  Irritable Bowel Syndrome.

Bloating • Abdominal Pain • Indigestion​

This symptom is called Dyspepsia (fancy medical term). This is a common condition which can affect A person's daily living. Dr. Oliner and the staff at NYC Gastro and Nutrition, serving the five boroughs of NYC, can help If your quality of life is suffering from bloating and constant upset stomach.

What is Dyspepsia?


Dyspepsia, otherwise known as “indigestion” or “sour stomach” generally affects the upper GI tract. It has associated symptoms of belching and bloating. Functional dyspepsia, a fairly common condition in about 1in every 4 individuals, is a term that is used to describe a condtion derived from the foods that you eat.




What are the Symptoms of Dyspepsia?


Common symptoms of Dyspepsia include:

  • Bloating in the morning
  • “Feeling Heavy” after or during a meal
  • Burning in the upper abdomen




What are the Causes of Dyspepsia?


Diet: Acidic foods (spicy, citrus, alcohol, caffeine); greasy and fatty foods, high FODMAP (for more check out..)

Anatomical and other Gastrointestinal disorders including GI Ulcers, Gallbladder problems (Gallstones), Celiac Sprue, Celiac Sensitivity, Pancreatitis, GERD, Stomach and Intestinal Cancers and Lymphoma, H.pylori




What is the treatment for Dyspepsia?


Dr Oliner treats dyspepsia with the use of education, diet, nutrition, stress management and occasionally medications if necessary. Prior to treatment, a diagnosis will need to be clarified by taking a complete medical history and may also require help of diagnostic input including:

Lab work (liver markers, celiac markers, Hpylori breath testing, stool studies, Imaging (ultrasound, sometimes a CT or MRI will need to be ordered), Endoscopic evaluation (EGD/Colonoscopy).





Find Out More About Dyspepsia

Once a diagnosis is made, NYC Gastroenterology will do everything in their power to make your quality of life the best it should be. If you are suffering from bloating, indigestion, sour stomach and you would like to discuss your issues with an empathetic and caring medical team, please contact NYC Gastro and Nutrition. Dr. Oliner is here for you.   

What is Abdominal Pain?


The area between our chest and pelvis is called abdomen and any discomfort or pain in this area is called abdominal pain. Many important organs reside in our abdomen including stomach, liver, gall bladder kidney, pancreas, spleen, appendix and intestines. The pain originating in any of these organs is felt as abdominal pain. The pain varies in its location and characteristics. It might be persistent or intermittent. Dyspepsia is the feeling of discomfort in the upper abdomen and is due to stomach problems.




What are the signs and symptoms of abdominal pain?


Abdominal pain is usually accompanied by additional symptoms like:

  • Indigestion

  • Bloating

  • Diarrhea

  • Constipation

  • Nausea

  • Vomiting

  • Flatulence




What causes abdominal pain?


There is a list of causes that might cause abdominal pain. The most common causes which we come across are:

  • Appendicitis

  • Pancreatic or gastric ulcer

  • Hepatitis

  • Kidney stones’

  • Urinary Tract infections

  • Irritable bowel syndrome

  • Diverticulitis

  • Gastric or duodenal ulcers

  • Gastric cancer

  • Colitis

  • Colorectal cancer

  • Pancreatitis

  • Crohn’s disease

There are also certain gynecological conditions as well which act as additional causes of abdominal pain in women.




How do we diagnose it?


At NYC Gastroenterology and Nutrition we diagnose abdominal pain using following methods:

  • Blood, urine and stool examination and analysis

  • Imaging tests (Sonogram, MRI, CT scan)

  • Endoscopy/Colonoscopy




How do we treat abdominal pain?


Our treatment plan is based on treating the cause of abdominal pain. We begin with a conservative management of the disease which includes modification in diet and lifestyle. This involves changing diet and weight loss. Then we proceed towards using diagnostic tools (labs, imaging, endoscopic intervention if necessary)and then medication.





Abdominal Pain/Dyspepsia
Abdominal Ultrasounds

What is an Abdominal Ultrasound?


Abdominal Ultrasound is basically a screening method used to examine the structures present within the abdomen including organs and abdnominal aorta. This is used by clinicians to evaluate the condition of abdominal structures and to look for any pathology like abdominal aneurysms or tuberculous masses.




What are the indications for ultrasound?


Ultrasound is usually indicated in patients who are suspected to have an aortic aneurysm. This a sac like dilation in the wall of aorta due to the weakening of the wall. Abdominal aortic aneurysm screening is done by ultrasound in following patients who are:

  • men

  • between ages 65 to 75

  • current or former cigarette smokers and have smoked at least 100 cigarettes

  • White people

  • Have a history of atherosclerosis

  • Have a family history of abdominal aortic aneurysm

  • High blood pressure

  • Obesity

  • Other possible reasons in which you might need an ultrasound examination are:

  • a problem with another organ in your abdomen

  • kidney stones

  • tumors

  • abnormal liver function

  • abdominal pain

  • bloating




How do you prepare for it?


Fasting for 8-12 hours is recommended before an ultrasound exam because presence of food and water makes it difficult to do the exam and might impede in picking up of findings by the doctor.




How is it done?


Ultrasound examination is a painful procedure and requires only about 30 minutes to complete. A Sonographer is a specially trained technician who performs ultrasound. The exam is done in the following steps:

  • You will be asked to lie on your back on an examination table

  • A small amount of warm gel will be applied to your abdomen which helps prevent the formation of air bubbles between the skin and transducer.

  • The transducer is pressed against the skin of your abdomen and is moved from one point to another

  • The transducer sends images to a computer screen which is monitored by the sonographer.

  • The sonographer monitors the blood flow in the aorta to check for any aneurysm present in its wall