Podcasts about Gandolfo

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo tackles listener questions in a candid Q&A session, providing valuable insights into genetic conditions and colonoscopy procedures. Key discussions include: - An exploration of the MUTYH gene mutation, its implications for colon cancer risk, and the importance of regular screenings for those affected. - A detailed explanation of the colonoscopy process, including preparation tips and the significance of frequent monitoring for individuals with a history of polyps or genetic predispositions. - Dr. Gandolfo addresses concerns surrounding the safety of colonoscopies, debunking myths and clarifying the risks associated with the procedure, including a discussion on the tragic case of Joan Rivers. - Insight into the rationale behind the recommended 10-year interval between routine colonoscopies for individuals with no significant findings, emphasizing the importance of adhering to screening guidelines. - A lighthearted yet informative exchange about the challenges of navigating healthcare systems, including patient experiences with insurance providers and the complexities of scheduling procedures. As the episode concludes, Dr. Gandolfo encourages listeners to submit their own questions about gastrointestinal health. Watch The Real GI Doc Show on YouTube! Click here! Listen to my guest appearance on The Positive Gene Podcast for more about genetic colon cancer syndromes. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo reviews current concerns surrounding heartburn drugs called proton pump inhibitors (PPIs) and their potential risks with a focus on the risk of dementia. Key discussions include: - An in-depth look at PPIs, including their mechanism of action, common uses, and the historical context of their development. - The array of misconceptions surrounding PPIs, especially concerning their association with serious side effects, including dementia risk. - A breakdown of the scientific method and how to critically evaluate research studies, illustrating the importance of understanding study design and evidence quality. - The definition of pseudoscience and how it contrasts with legitimate scientific inquiry, emphasizing the dangers of starting with conclusions rather than evidence. - The challenges of conducting long-term studies on PPIs and dementia, highlighting the need for rigorous, well-designed research. As the episode wraps up, Dr. Gandolfo emphasizes the importance of discerning credible medical information from pseudoscience and encourages listeners to engage with their healthcare providers about any concerns regarding medications. Stay tuned for part two, where Dr. Gandolfo will delve deeper into the existing studies on PPIs and dementia, providing insights on how to approach treatment decisions. Referenced in this episode: Episode 3: Stomach Acidity Episode 5: Understanding GERD: Diagnosis, Treatment, and Prevention Watch The Real GI Doc Show on YouTube! Click here! Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Dr. Fred Gandolfo dives into a rapid-fire Q&A session, addressing a backlog of listener questions that cover a variety of gastrointestinal topics. Key highlights include: - The pros and cons of capsule endoscopy versus traditional endoscopy and colonoscopy, particularly regarding the visualization of the small intestine. - A listener who appreciates Dr. Gandolfo's detailed explanations, leading to a discussion on the balance between clarity and conciseness in patient communication. - An exploration of swallowing difficulties related to a "twisty esophagus," including potential treatments and the importance of specialized care. - A review of the safety and efficacy of the supplement Preservision for patients with chronic pancreatitis and macular degeneration. - A discussion on the challenges of managing SIBO (small intestinal bacterial overgrowth) and the low FODMAP diet, with a promise of a future deep dive into this topic. - An examination of the long-term effects of proton pump inhibitors (PPIs) and the complexities of their use in clinical practice. As the episode concludes, Dr. Gandolfo shares a rant about the frustrations of navigating insurance hurdles in patient care, particularly concerning inflammatory bowel disease treatments. His reflections shed light on the often unseen struggles healthcare providers face while advocating for their patients against insurance denials of necessary treatment. Listeners are encouraged to submit their own questions for future episodes, ensuring that the conversation continues to address the topics that matter most to them. Watch The Real GI Doc Show on YouTube! Click here! Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.  

In this episode of The Real GI Doc Show, Dr. Gandolfo takes a moment to highlight an important guest appearance he made on The Positive Gene Podcast, hosted by cancer previvor and cancer prevention advocate Sara Kavanaugh, in honor of Colorectal Cancer Awareness Month. What is a "previvor" you may ask? A previvor is a survivor of a predisposition for cancer or another disease. In Sara's case that condition is Lynch Syndrome-the most common hereditary cancer predisposition syndrome. With colorectal cancer being the fourth most commonly diagnosed cancer and the second leading cause of cancer death in the United States, Dr. Gandolfo emphasizes the urgency of discussing this critical topic. During the episode, Dr. Gandolfo and Sara delve into various aspects of colorectal cancer, including: - The significance of understanding Lynch Syndrome, a genetic condition that increases the risk of several cancers, including colorectal cancer. - Preventative measures through diet and lifestyle that can help reduce the risk of colorectal cancer. - The concerning rise of colon cancer diagnoses among younger individuals and what symptoms to watch for. - The importance of timely screening and colonoscopy, especially for those with risk factors, regardless of age. Listeners will gain valuable insights into colorectal cancer prevention, the role of genetics in cancer risk, and practical advice for discussing symptoms and screening with healthcare providers. Tune into The Positive Gene Podcast to listen to the full 58-minute interview using the links below: Listen on Apple: https://podcasts.apple.com/us/podcast/the-positive-gene-podcast/id1708990295?i=1000699080929 Listen on Spotify: https://open.spotify.com/episode/53zke5DCLEehnLLLcM2x5P?si=c93068d7a1c549e8 Visit The Positive Gene Podcast page for all other ways to listen: https://thepositivegenepodcast.podbean.com/ Follow Sara Kavanaugh on Instagram https://www.instagram.com/positivegenepodcast/ --- Watch The Real GI Doc Show on YouTube! Click here! Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.  

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo welcomes back Clinical Psychologist Dr. Noreen Vail to delve into the complex relationship between anxiety and medical conditions. The discussion is sparked by a heartfelt letter from a listener named David, who struggles with severe anxiety and challenges related to preparing for a colonoscopy. Dr. Vail explores the nuances of anxiety, its irrational nature, and how it can manifest in specific situations, particularly around medical procedures. She discusses  the importance of self-awareness, coping mechanisms, and the role of psychological support in managing health-related fears. Key topics include: - A patient's experience with anxiety and colonoscopy prep - Understanding the definition and symptoms of anxiety - The impact of anxiety on decision-making and health outcomes - Strategies to cope with medical anxiety - The importance of patient autonomy and informed decision-making Listeners will gain valuable insights into the psychology of anxiety, the significance of open communication with healthcare providers, and the importance of addressing mental health as part of overall well-being. Related: Episode 27-Practical Solutions for Severe Anxiety Related to Colonoscopy Prep Watch The Real GI Doc Show on YouTube! Click here! Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo shares key tips for patients to enhance their doctor visits. Building on the previous episode, he highlights the importance of preparation and communication for productive appointments. Dr. Gandolfo opens with a current events story about Dodgers pitcher Dustin May, who experienced a life-threatening esophageal tear after eating salad (article link below).  Then switching gears, Dr. Gandolfo discusses five actionable strategies patients can use to improve their doctor visits: 1. Clearly articulating symptoms. 2. Bringing relevant medical records. 3. Preparing a prioritized list of questions. 4. Maintaining an updated medication list. 5. Choosing supportive companions. By following these strategies, patients can improve communication with healthcare providers, leading to better care and outcomes. -- Link to NY Post article about Dustin May Watch The Real GI Doc Show on YouTube! Click here! Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Comedian Steven Briggs drops in and Mike from Gandolfo's broght in some sandwhiches as well!

In this episode of The Real GI Doc Show, Dr. Gandolfo discusses the critical dynamics between patients and physicians, highlighting common pitfalls in healthcare experiences. He shares a cautionary tale involving a 62-year-old man who insisted on having a colonoscopy in an office setting, despite Dr. Gandolfo's strong recommendation for a hospital procedure due to safety concerns. Dr. Gandolfo emphasizes the ethical principle of beneficence—prioritizing patient well-being. He also addresses misconceptions about financial motivations in healthcare, clarifying that physicians often earn less for hospital procedures. Listeners will gain insights into the doctor-patient relationship, the importance of adhering to medical advice, and the impact of patient choices on health outcomes. Topics covered include: - Patient-Doctor Dynamics - The Case of the 62-Year-Old Patient - Importance of Patient Safety - Misconceptions About Financial Motivations - The Ethical Principle of Beneficence Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.  

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo tackles the intricacies of colonoscopy experiences, inspired by a detailed message from listener Michael. Dr. Gandolfo shares Michael's insights and tips on preparing for a colonoscopy, addressing common concerns and misconceptions about the procedure. From selecting the right endoscopist to understanding the significance of adenoma detection rates, Dr. Gandolfo offers guidance on navigating the complexities of colonoscopy preparation and execution. Michael's message highlights the challenges patients face in making informed decisions about their healthcare providers and the limitations of relying on ratings and reviews. Dr. Gandolfo emphasizes the importance of quality care and the role of adenoma detection rates in assessing an endoscopist's effectiveness. The discussion also explores the timing of appointments, the variety of bowel preps available, and the debate over non-invasive tests like Cologuard. Listeners will gain valuable insights into the nuances of colonoscopy preparation, including practical tips on managing bowel preps and understanding the limitations of alternative screening methods. Dr. Gandolfo encourages patients to be proactive in their healthcare decisions while acknowledging the inherent uncertainties in the process. Topics covered include: - Introduction and Michael's Message - Selecting a Quality Endoscopist - Timing of Colonoscopy Appointments - Bowel Prep Tips and Recommendations - Evaluating Alternative Screening Methods - Closing Remarks  Link to the free colonoscopy ebook referenced in this episode. Link to the colonoscopy prep YouTube video referenced in this episode. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Cristóbal Romero Gandolfo (Jerez de la Frontera, 1952), escritor e investigador. Durante el período comprendido entre 1975 y 1977 obtuvo diversos primeros premios literarios en la revista empresarial de distribución nacional Biela, llegando incluso a lograr la codiciada «Biela de Oro». En 1977, Romero Gandolfo publicó Semana Santa en Jerez de la Frontera; obra que se convirtió en la más consultada en la Biblioteca Municipal ese año, una vez que abordaba la historia de las cofradías de la ciudad. Una edición rápidamente agotada. Hacia 1978, Romero Gandolfo asumió la dirección de la revista cultural Xera. Años más tarde publicó el libro de poemas Mi Andalucía y en 1983 editó Historia de Jerez, la historia básica de un pueblo desde sus orígenes más remotos hasta finales del siglo XIX. Además de su labor como escritor e investigador, también ha desempeñado cargos públicos, como concejal del ayuntamiento de Jerez desde 1983 hasta 1995, y diputado provincial de Cádiz durante la corporación de 1987-1991. Desde 1985 hasta hoy día, Romero Gandolfo ha participado de forma activa como voluntario en el movimiento social. A lo largo de su trayectoria ha sido autor de numerosos artículos sobre historia local y andaluza. La presente novela histórica representa la culminación de un minucioso trabajo documental sobre el Jerez y la Andalucía del siglo XIX. Lo puedes comprar en Amazon https://www.amazon.es/Sue%C3%B1os-gloria-libertad-Crist%C3%B3bal-Romero/dp/8410825910/ref=sr_1_1?crid=3PHOEQDJ88DQC&dib=eyJ2IjoiMSJ9.bmJWL3dyT0S69kbs8oIeH7XVNDw3EuveT_CJEahybDzxz0H9gvzYxcMp6HEchXJKzj1UlQsGISZtlegdo_8yiSUtam8Iynk7xPGuT5AwTGjs0_p7-xmIWtESebwU8W2Ddcfi-g33aklBAXavY_UEuw.PQPsvhezWGu8sSH6L5T4xBctE3n8NtHfjSgWCz701h4&dib_tag=se&keywords=libro+sue%C3%B1os+de+gloria+y+libertad&nsdOptOutParam=true&qid=1737453587&sprefix=sue%C3%B1os+de+gloria+y+lib%2Caps%2C90&sr=8-1 Muchas gracias por escucharme y espero que te guste.

In this New Year's episode of The Real GI Doc Show, Dr. Fred Gandolfo shares his personal mantra for 2025: Simplify. As a gastroenterologist with a busy practice in New York, Dr. Gandolfo reflects on the pressures of balancing professional growth and personal well-being. He candidly discusses his tendency to overcomplicate life and the mental and physical toll it takes. Dr. Gandolfo outlines nine resolutions aimed at simplifying his life, from delegating tasks at his practice to reducing his podcast production schedule. He emphasizes the importance of limiting time spent on social media and news consumption, and instead prioritizing essential aspects of life such as sleep, diet, exercise, and quality family time. Listeners will gain insights into Dr. Gandolfo's commitment to freeing up time for hobbies, social interactions, and self-care. He shares his determination to stop over-explaining and respect both his own and others' time. This episode is a relatable exploration of the challenges of modern life and the pursuit of simplicity. Topics covered in this episode: - Introduction and New Year Resolutions - Simplifying Practice Management - Adjusting Podcast Schedule - Reducing Screen Time and News Consumption - Prioritizing Basic Necessities - Increasing Family Time - Simplifying Social Schedule - Rediscovering Hobbies and Fitness - Overcoming the Habit of Over-Explaining Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.  

In this year-end episode of The Real GI Doc Show, Dr. Gandolfo takes a candid look back at the events of 2024, offering insights into both the personal and professional challenges faced throughout the year. As his medical practice experienced significant growth, Dr. Gandolfo shares the impact of increased patient visits and procedure volumes on his work-life balance and the podcast's production schedule. He contemplates the possibility of adopting a bi-weekly release format to maintain quality and engagement. Dr. Gandolfo also unveils plans for 2025, including the introduction of video podcasts and inviting guests to the show, adding new dimensions to the content. He expresses excitement about the potential for video to enhance audience connection and expand the show's reach through social media platforms. The episode takes a turn as Dr. Gandolfo addresses the shocking murder of United Healthcare executive Brian Thompson, exploring the public's mixed reactions and the broader implications for the healthcare industry. He delves into the systemic issues plaguing healthcare, from the disproportionate profits of insurance companies to the overwhelming administrative burden that detracts from patient care. Dr. Gandolfo highlights the financial challenges faced by healthcare providers, with rising costs and reduced reimbursements threatening the sustainability of private practices. He discusses potential solutions, such as capping insurance company profits and simplifying insurance payment regulations, while acknowledging the complexities involved in overhauling the system. Looking ahead, Dr. Gandolfo remains committed to delivering valuable content and fostering meaningful discussions in 2025. He invites listeners to engage with the show, leave questions, and explore topics ranging from nutrition to bowel habits, all while navigating the realities of a flawed healthcare system. - Introduction and Reflection on 2024 - Growth of Medical Practice and Podcast Challenges - Plans for 2025: Video Podcasts and Guest Appearances - Discussion on the Murder of Brian Thompson - Systemic Issues in Healthcare - Financial Challenges for Healthcare Providers - Potential Solutions for Healthcare Reform - Looking Forward to 2025 Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode, Dr. Fred Gandolfo delves into the perplexing condition known as a tortuous colon, a common yet challenging issue that often leads to chronic constipation. Dr. Gandolfo explains the anatomy and terminology behind this condition, including its synonyms like redundant colon and dolichocolon, and addresses the frustration faced by both patients and gastroenterologists due to the limited understanding of this ailment. Dr. Gandolfo answers a listener question from Elizabeth, a 60-year-old woman dealing with a tortuous colon and chronic constipation. He discusses the potential causes, symptoms, and the distinction between a redundant colon as a cause or effect of constipation. The episode explores the average colon length, its variation among individuals, and why women are often more affected by redundant colons than men. Throughout the discussion, Dr. Gandolfo highlights various treatment options, ranging from dietary changes and laxatives to the potential role of surgery in severe cases. He also touches on the concept of autointoxication and how fecal stasis might stimulate an immune response, leading to non-specific symptoms like brain fog. Listeners will gain insights into the complexities of managing this condition, the importance of personalized care, and the potential benefits of testing for bacterial overgrowth. Dr. Gandolfo emphasizes the need for patience and collaboration with healthcare professionals to find effective solutions. Referenced in this episode: Segmental colon length and mobility study (2015) Dolichocolon review article (2018) Watch this episode on YouTube! Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Scott, Nick and Brian sat down with Matt Gandolfo, Master Taster of Penrod Ricard. We discuss his bourbon journey from Jim Beam, Rabbit Hole and Penrod Ricard. We also taste through a few of their products like Jefferson Tropics and Rabbit Hole Starlino. 

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo introduces the concept of direct access colonoscopy, a streamlined approach allowing patients to undergo a colonoscopy without a pre-procedure visit. This initiative is particularly beneficial for healthy individuals aged 45 to 75 who require routine screenings. Dr. Gandolfo discusses the efficiency and convenience of this method, highlighting its potential to reduce unnecessary office visits, save time, and lower healthcare costs. Dr. Gandolfo reviews the importance of colonoscopy in preventing colon cancer, emphasizing its role as the gold standard in screening. He notes the alarming rise of colon cancer in younger populations, which prompted the reduction of the screening age to 45. By removing polyps during a colonoscopy, the risk of developing colon cancer is significantly decreased. The episode also outlines who may not be suitable for direct access colonoscopy. Patients with significant medical conditions such as active cardiac disease, severe sleep apnea, or those on blood thinners may require a more thorough pre-procedure evaluation to ensure safety. Schedule a direct access colonoscopy with Precision Digestive Care  Referenced in this episode: - Previous episodes on Cologuard and blood-based tests for colon cancer Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link. Watch this episode on YouTube!  

Afro House from Manuela Gandolfo on the 1 year Anniversary of Podcast Resident.

In this episode, Dr. Gandolfo addresses a compelling question from a listener who is curious about the use of GLP-1 drugs, such as Ozempic and Mounjaro, in patients with inflammatory bowel diseases like Crohn's and ulcerative colitis. Dr. Gandolfo provides a comprehensive overview of GLP-1 drugs, explaining how they function as agonists to stimulate insulin secretion and promote weight loss by altering gut motility and suppressing appetite. Delving into the potential implications for patients with inflammatory bowel disease, Dr. Gandolfo explores recent studies suggesting that GLP-1 drugs might be well-tolerated and could even offer benefits in reducing bowel frequency for patients who have undergone colectomy. While these findings are promising, he emphasizes the need for further human studies to confirm these effects. Dr. Gandolfo also addresses common side effects associated with GLP-1 drugs, such as nausea, and reassures listeners about the overall safety of these medications. He highlights the importance of discussing individual risks and benefits with a healthcare provider before starting any new treatment. Referenced in this episode: DDW abstract on safety of GLP-1 drugs with IBD Study of GLP-1 drugs and risk of IBD flare GLP-1 drugs and possible mechanism of benefit in IBD patients Pilot study using GLP-1 agonist to reduce diarrhea in colectomy patients Review of mechanism of action of GLP-1 Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.  

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo delves into a complex patient case submitted by a listener, showcasing the often difficult process of diagnosing and treating chronic gastrointestinal issues. The episode features a 59-year-old woman who has been experiencing chronic epigastric fullness, bloating, and dependency on laxatives, with no clear diagnosis despite consulting multiple specialists. Dr. Gandolfo walks listeners through the step-by-step approach a gastroenterologist might take on such a challenging case. He emphasizes the importance of understanding the patient's history, avoiding repetitive tests, and sticking with a trusted physician to ensure a thorough, stepwise evaluation. The discussion covers potential diagnoses like dyspepsia, gastroparesis, bacterial overgrowth, and the role of psychological factors in GI symptoms. Listeners will gain insights into the various diagnostic tests available, including blood work, imaging, endoscopy, and breath tests for bacterial overgrowth. Dr. Gandolfo also touches on the therapeutic trials of medications and the potential need for dietary adjustments or specialist referrals. In addition to the medical discussion, Dr. Gandolfo shares his experience recording the first video episode in his new studio, highlighting the ongoing evolution of the podcast. Mentioned in this episode: Episode 4: Bezoars Episode 24: Sucrose intolerance Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.  

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo takes on a challenging listener question from David in San Diego, who struggles with anxiety and nausea related to colonoscopy prep. David's query opens up a broader discussion on the importance of colonoscopy in preventing colon cancer, and the unfortunate lack of an IV alternative for bowel prep. Dr. Gandolfo delves into the various options available, including the limitations of oral prep solutions and some unconventional methods that might be considered in extreme cases. Dr. Gandolfo emphasizes the significance of addressing anxiety, which not only impacts the ability to undergo medical procedures but also affects overall quality of life. He offers practical advice on managing anxiety and suggests alternative screening methods like Cologuard as a temporary measure. The episode also sheds light on lifestyle modifications to reduce colon cancer risk, such as adopting a high fiber diet and avoiding smoking and excessive alcohol consumption. Mentioned in today's episode: Colonoscopy prep videos on Dr. Gandolfo's YouTube channel Cologuard podcast episode Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

This is a replay of my first guest episode: "The Psychology Behind Healthy Habits: Expert Tips for Real Change With Noreen Vail, PhD." I spent my podcasting time this week working on my new studio space...excited to start recording there soon! See you next week with new content! -- In this episode, Dr. Fred Gandolfo welcomes a special guest, Dr. Noreen Vail, a licensed psychologist with expertise in behavioral change, to discuss the psychological aspects of making lifestyle changes for managing fatty liver disease. Building on last week's episode about natural treatments for fatty liver, Dr. Gandolfo and Dr. Vail dive into why some patients struggle to make essential changes and how clinicians can better support them. Topics covered in this episode: - Recap of our prior episode on fatty liver disease and natural treatments. - Common excuses patients give for not making lifestyle changes. - The Transtheoretical Model: Understanding the five stages of change. - Effective strategies for clinicians to assess and support patients in making behavioral changes. - Practical advice for patients on how to foster positive changes at home. - The role of family support and how loved ones can help without nagging. - The importance of a multi-specialty approach to treating fatty liver disease. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Referenced in today's show- Episode 10: The Natural Way to Treat Fatty Liver Disease at Home Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this unique episode of The Real GI Doc Show, Dr. Fred Gandolfo takes a moment to reflect on the journey of the podcast and shares exciting future plans. With 25 episodes under his belt, Dr. Gandolfo opens up about the challenges of podcasting, including the importance of listener feedback in shaping the content. He shares his vision for the show, including plans for a dedicated recording space, the addition of video elements, and more engaging interviews. Dr. Gandolfo emphasizes the need for shorter, more dynamic episodes and highlights the popularity of Q&A sessions, encouraging listeners to continue submitting their questions. Listeners are invited to provide valuable feedback to help steer the direction of the podcast, ensuring it remains relevant and engaging. Dr. Gandolfo also encourages fans to share the show with friends and on social media to expand its reach. This episode is a call to action, inviting the audience to be an integral part of the show's evolution. Help shape the future of the podcast and join Dr. Gandolfo on this exciting journey! To contact Dr. Gandolfo by email: fred@realgidoc.com -- Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode of The Real GI Doc Show, Dr. Gandolfo dives into the lesser-known topic of sucrose intolerance, just in time for the candy-filled festivities of Halloween. Many individuals with irritable bowel syndrome (IBS) experience difficulty digesting certain carbohydrates, including sucrose, commonly known as table sugar. Dr. Gandolfo explores the complexities of disaccharidase deficiency, a condition often overlooked in both diagnosis and treatment. Topics covered in this episode: Understanding sucrose intolerance and its impact on gastrointestinal health. The process of sugar digestion in the body and what goes wrong when sucrose isn't properly broken down. Common symptoms associated with sucrose intolerance, such as bloating, diarrhea, and gas. The prevalence of sucrose intolerance among individuals with IBS and how sucrose intolerance is an underdiagnosed condition. Testing methods for sucrose intolerance, including breath tests and small intestinal biopsies. Treatment options, including dietary modifications and enzyme replacement therapy. The importance of recognizing sucrose intolerance for effective management of IBS symptoms. Dr. Gandolfo also discusses the high sugar content in popular Halloween candies and offers insights into how excessive sugar consumption can affect those with and without sucrose intolerance. References: Intestinal Disaccharidase Deficiency in Adults: Evaluation and Treatment Sucrose intolerance in adults with common functional gastrointestinal symptoms ___ Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link. Royalty Free Music from Tunetank.com Track: A Spooktacular Day by DASAINTZ https://tunetank.com/track/5556-a-spooktacular-day/

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo delves into the common yet often misunderstood issue of rectal bleeding. Rectal bleeding is a frequent cause for visits to healthcare providers and can affect individuals of any age. Dr. Gandolfo uses a real patient case to highlight the importance of understanding and evaluating rectal bleeding, emphasizing the need for proper testing and diagnosis. Topics covered in this episode: Understanding rectal bleeding and its prevalence across different age groups. The importance of distinguishing between different types of gastrointestinal bleeding, such as melena and hematochezia. Common causes of rectal bleeding, including hemorrhoids and more serious conditions like rectal cancer. Evaluating the symptoms and risk factors associated with rectal bleeding. Diagnostic tools and procedures, including endoscopy, colonoscopy, and capsule endoscopy. The significance of not attributing rectal bleeding to hemorrhoids without proper investigation. The importance of routine screenings, especially for individuals over the age of 45. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode, Dr. Gandolfo explores a lesser-known side effect of heavy marijuana use: Cannabinoid Hyperemesis Syndrome (CHS). Although marijuana use is becoming even more prevalent, awareness of this severe vomiting illness still remains low. Dr. Gandolfo shares a compelling case study of a young patient suffering from CHS, detailing the symptoms, diagnosis, and treatment options available for this condition. Topics covered in this episode: Understanding Cannabinoid Hyperemesis Syndrome and its link to cyclic vomiting syndrome. The phases of cyclic vomiting and how they relate to CHS. The physiological mechanisms behind CHS, including the role of CB receptors and THC. The impact of high THC concentrations in modern marijuana products. Complications associated with CHS, from dehydration to more serious issues. Strategies for managing CHS, including the importance of long-term cessation of marijuana use. The role of therapy and medication in treating underlying anxiety and depression linked to heavy cannabis use. Referenced in today's episode: AGA Clinical Practice Update on CHS (2024) Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.    

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo answers a listener's question about the connection between stress and diverticular disease. Dr. Gandolfo explores the potential impact of chronic stress on the development and exacerbation of diverticular conditions. He explains the difference between acute and chronic stress, and how these can influence overall health, particularly in relation to diverticulitis. Topics covered in this episode: Understanding diverticular disease and its prevalence. The role of diet and lifestyle in preventing diverticulitis. How chronic stress can contribute to inflammation and physical ailments. The physiological mechanisms of stress, including cortisol and other stress hormones. Anecdotal evidence linking stress with diverticulitis flare-ups. Tips for managing stress and promoting a healthier lifestyle. Encouragement to seek mental health support for stress management. Referenced in today's episode: Episode 18 on healthy eating for diverticular disease. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this Q&A episode, Dr. Fred Gandolfo addresses a listener's concern about the risk of pancreatic cancer, especially in the context of family history. Dr. Gandolfo dives deep into understanding pancreatic cancer, its symptoms, and the importance of early detection. He explains who should consider screening, the methods used for screening, and the balance between the benefits and potential harms of such screenings. Topics covered in this episode: - The role and function of the pancreas. - Why pancreatic cancer is often diagnosed late. - Symptoms and risk factors for pancreatic cancer. - Statistics on the prevalence and survival rates of pancreatic cancer. - Who should be screened for pancreatic cancer. - Genetic syndromes and their link to pancreatic cancer. - Screening methods: MRI and Endoscopic Ultrasound (EUS). - Modifiable risk factors: Smoking, chronic pancreatitis, obesity, and diet. - Importance of consulting with a healthcare provider for personalized advice. Referenced in today's episode: AGA Clinical Practice Update on Pancreas Cancer Screening Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode, Dr. Fred Gandolfo tackles a pressing question: Is your doctor's time valued in today's fast-paced, on-demand world? Drawing from a recent patient case involving a bad review, Dr. Gandolfo delves into the complexities of managing patient expectations, the pressures of private practice, and the true cost of follow-up phone calls. Dr. Gandolfo shares his candid thoughts on the challenges faced by doctors in balancing patient care with personal time, especially in a private practice setting where patient satisfaction is paramount.  Topics covered in this episode: - The value of a doctor's time in the age of immediate gratification. - Challenges of managing patient expectations and satisfaction in private practice. - The inefficiencies and frustrations of follow-up phone calls. - The importance of follow-up visits for comprehensive patient care. - The impact of online reviews on medical practices. - Comparing the value of time between doctors and other professionals like lawyers. - The personal cost of after-hours calls and maintaining work-life balance. - Legal and ethical considerations for patient privacy and follow-up care. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode, we cover the relationship between food and gut inflammation. Using a case of diverticular disease, Dr. Gandolfo and guest Stephanie Schiff, RDN discuss the best way to start eating an anti-inflammatory diet. Registered Dietitian Stephanie Schiff explores how dietary choices can influence the onset and recurrence of diverticulitis, a common yet often misunderstood condition. Through a real patient case, Dr. Gandolfo illustrates the challenges and treatment strategies for managing diverticulitis. Stephanie provides invaluable insights into the Mediterranean diet and its benefits on reducing gastrointestinal inflammation, debunking myths about seeds and nuts, and offering practical advice for incorporating high-fiber foods into your diet. Topics covered in this episode: - Introduction to diverticular disease and diverticulitis. - Case study of a 59-year-old woman with recurrent diverticulitis. - Risk factors for developing diverticular disease. - The role of diet in preventing and managing diverticulitis. - Debunking myths about seeds and nuts in diverticular disease. - The benefits of the Mediterranean diet and its anti-inflammatory properties. - Practical tips for increasing dietary fiber intake safely. - The impact of processed foods and lifestyle choices on gut health. - Supplements and other considerations for managing diverticulitis. Referenced in today's show: Review article on diverticular disease in Gastroenterology Seeds and nuts in diverticular disease in JAMA Dietary fiber and diverticulitis in Nutrients AGA guidelines on diverticular disease   Follow Stephanie Schiff, RDN on Facebook, Instagram, TikTok, X, and LinkedIn Read Stephanie's articles about healthy lifestyle and nutrition on medium.com ... Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.  

In this episode, Dr. Gandolfo covers the essential yet often dreaded topic of colonoscopy preparation, aka cleaning out your colon. With a mix of humor and expert advice, Dr. Gandolfo demystifies the process, emphasizing the importance of a thorough prep to ensure a successful colonoscopy. He shares practical tips and personal anecdotes to help you navigate the prep with ease, making sure you're well-prepared for this crucial cancer screening procedure. Topics covered in this episode: - The importance of colonoscopy prep for effective screening. - Colorectal cancer statistics and the significance of early detection. - The process of finding and consulting with a gastroenterologist. - The role of polyps in the development of colorectal cancer and how colonoscopy can prevent cancer. - Different types of bowel preps: liquid, pill, and over-the-counter options. - Practical tips for a successful bowel prep, including dietary adjustments, medication management, and logistical considerations. - Troubleshooting common issues with bowel prep, such as nausea and an incomplete cleanout. - The benefits of split-dose prep and the importance of following instructions. - The impact of insurance policies on pre-procedure consultations and prep coverage.   Referenced in today's show: - Dr. Gandolfo's YouTube channel for detailed prep instructions and troubleshooting tips. - The Real GI Doc Show Episode 15 on non-invasive colorectal cancer screening options. ... Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode, Dr. Gandolfo dives into a recent and rather sensational news story about a colonoscopy that took a troubling turn. The case involves an 84-year-old doctor in Florida who allegedly performed a colonoscopy without wearing his hearing aids, resulting in the patient screaming in pain without the doctor's knowledge. Dr. Gandolfo provides his expert insights and thoughts on this unusual situation, discussing the importance of proper sedation, communication in the operating room, and the potential consequences of such incidents on the reputation of critical medical procedures like colonoscopies. Topics covered in this episode: - Overview of the Florida colonoscopy incident. - The importance of sedation during colonoscopy. - Communication and teamwork in the endoscopy suite. - Implications of sensational news stories on public perception of medical procedures. - Proper protocols and practices for performing colonoscopies. - The role of age and physical condition in a doctor's ability to perform procedures. - Encouragement for proper colorectal cancer screening. Referenced in this episode: Fox News article "Tampa doctor couldn't hear colonoscopy patient scream because he wasn't wearing hearing aids, board finds" Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode, Dr. Gandolfo explores the latest advancements in non-invasive colorectal cancer screening, including the new FDA-approved "Shield" blood test and the updated Cologuard stool test. With only 60% of eligible individuals getting screened in the US, these new tests offer alternatives for those who are unable or unwilling to undergo a colonoscopy. Dr. Gandolfo dives into the pros and cons of these non-invasive tests and discusses their effectiveness compared to the gold standard of colonoscopy. Topics covered in this episode: - Introduction to non-invasive colorectal cancer screening options. - Detailed explanation of the Shield blood test and its recent FDA approval. - Overview of the updated Cologuard stool test and its improvements. - Case study of a 73-year-old patient with undiagnosed colon cancer. - The importance of early detection and screening for colorectal cancer. - Sensitivity and specificity of non-invasive tests versus colonoscopy. - Practical advice on choosing the right screening method based on age, health, and risk factors. - The role of non-invasive tests in increasing screening rates among the unscreened population. Referenced in today's show: - Study on the new generation of Cologuard - New England Journal of Medicine article on the Shield blood test ... Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Dr. Gandolfo dives deep into the common yet often misunderstood issues of constipation and bloating. Drawing from real-life clinical experiences, Dr. Gandolfo provides valuable insights and practical advice for managing these prevalent gastrointestinal concerns. Topics covered in this episode: - A detailed case study of a 34-year-old woman with chronic bloating and constipation. - The differential diagnosis process for bloating, including ruling out serious conditions. - The difference between bloating and abdominal distension. - Understanding the causes of bloating and constipation. - Practical dietary and lifestyle changes to improve bowel movements. - The role of fiber, water, and exercise in promoting digestive health. - Effective use of over-the-counter remedies like psyllium husk and Miralax. - The importance of bowel hygiene and daily routines to facilitate regular bowel movements. - When to consider medical evaluation and prescription medications for chronic constipation and bloating. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode, Dr. Fred Gandolfo explores the importance of taking action when faced with complicated health issues, drawing parallels between medical treatment and business management. Dr. Gandolfo emphasizes the need to start somewhere, even if everything isn't perfectly understood or optimized, and discusses how to avoid the pitfalls of over-researching and under-acting. Topics covered in this episode: - Understanding the urgency of addressing immediate health problems. - The value and limitations of using the internet for medical research. - Finding a trusted medical team and making informed decisions. - The concept of "paralysis by analysis" and how to overcome it. - Creating actionable plans with realistic timelines for health improvements. - Breaking down long-term goals into daily, weekly, and monthly tasks. - The importance of continuous action and adjustment in achieving health goals. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Referenced in today's show- Episode 12: When the House is on Fire: Prioritizing Health Emergencies Over Root Causes Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.    

In this unique episode, Dr. Fred Gandolfo steps away from the usual format to share a recent patient interaction that highlights the complexities of finding the "root cause" of health problems during a crisis. Through an engaging analogy, Dr. Gandolfo illustrates the importance of addressing immediate health emergencies before diving into the root causes. Topics covered in this episode: The House Fire Analogy: Understanding the urgency of immediate health issues. Case Study: A 62-year-old woman with poorly controlled diabetes, high blood pressure, and GI symptoms. Root Cause vs. Immediate Treatment: Why focusing on the root cause during a crisis can be detrimental. Human Psychology and the Internet: How the quest for the "root cause" may be manipulated more by "influencers" on the internet and less by reality. Practical Advice: Addressing immediate health concerns and planning for long-term solutions rather that focusing mainly on a theoretical root cause.  Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Referenced in today's show- Episode 10: The Natural Way to Treat Fatty Liver Disease at Home Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.  

In this episode, Dr. Fred Gandolfo welcomes a special guest, Dr. Noreen Vail, a licensed psychologist with expertise in behavioral change, to discuss the psychological aspects of making lifestyle changes for managing fatty liver disease. Building on last week's episode about natural treatments for fatty liver, Dr. Gandolfo and Dr. Vail dive into why some patients struggle to make essential changes and how clinicians can better support them. Topics covered in this episode: - Recap of last week's episode on fatty liver disease and natural treatments. - Common excuses patients give for not making lifestyle changes. - The Transtheoretical Model: Understanding the five stages of change. - Effective strategies for clinicians to assess and support patients in making behavioral changes. - Practical advice for patients on how to foster positive changes at home. - The role of family support and how loved ones can help without nagging. - The importance of a multi-specialty approach to treating fatty liver disease. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Referenced in today's show- Episode 10: The Natural Way to Treat Fatty Liver Disease at Home Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode, Dr. Gandolfo delves into fatty liver disease, affecting over 30% of Americans. Dr. Gandolfo explains what fatty liver disease is, how it develops, and most importantly, how to manage and treat it naturally at home with minimal cost. He introduces a patient case to illustrate common scenarios and provides actionable advice on diet and lifestyle changes that can make a significant difference. Topics covered in this episode: - Defining Fatty Liver Disease: What it is and how it happens. - Patient Case: A 48-year-old man with prediabetes, mild hypertension, and elevated liver enzymes. - Terminology Updates: Understanding MASLD, MASH, and MetALD. - Risk Factors: How diet, lifestyle, and genetics contribute to fatty liver disease. - Natural Treatment: Effective weight loss strategies and exercise routines. - Diet Recommendations: Sustainable eating plans and the benefits of the Mediterranean diet. - Exercise Benefits: How regular physical activity can improve liver health and overall well-being. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. References cited in this episode: - AASLD Practice Guideline on Fatty Liver Disease Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

In this episode, Dr. Gandolfo will address a common clinical question: What should you do if you have a stool test positive for blood but recently had a colonoscopy? Dr. Gandolfo explores the purposes of stool tests in colorectal cancer prevention, comparing their strengths and weaknesses to colonoscopy. He reviews a patient case and discusses the utility of performing stool guaiac tests after a recent colonoscopy. Topics covered in this episode: - Stool Tests: Understanding their role in colorectal cancer prevention. - Colonoscopy vs. Stool Tests: Strengths and weaknesses. - Patient Case: A 52-year-old woman with a positive guaiac test two years after colonoscopy. - Quality of Colonoscopy: Key factors to ensure a protective exam. - Practical Advice: When to consider a repeat colonoscopy and when it might be unnecessary. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. References cited in this episode: VA study on fecal occult blood testing Australian study "To scope or not..." Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Join Gastroenterologist Dr. Fred Gandolfo as he delves into a common and often deadly liver disease related to excessive alcohol consumption called alcoholic hepatitis. In this episode, Dr. Gandolfo reviews a tragic patient case to discuss the risk factors, symptoms, and treatment options for alcoholic hepatitis. Learn about the amount of alcohol it takes to develop this severe condition, the impact of nutritional status and other risk factors, and the importance of alcohol abstinence and proper nutrition in managing the disease. Topics covered in this episode: Understanding Alcoholic Hepatitis: What is it and how does it develop? Risk Factors: How much alcohol is too much? Symptoms: What to watch out for? Treatment Options: From alcohol abstinence, to medications, to liver transplant. Case Study: A detailed look at a tragic patient case of a young woman with alcohol-related hepatitis.  Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. References cited in this episode: Resources to get help with alcohol problems Alcohol-related hepatitis: A review article Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Join Dr. Gandolfo as he delves into the pervasive and often devastating impacts of alcohol consumption on our health. In this eye-opening episode, Dr. Gandolfo discusses the definitions of light, moderate, and heavy alcohol use, and reviews the myriad ways that alcohol can harm your body. Learn about the signs of alcohol use disorder and discover simple questions you can answer to assess whether you or a loved one may have a problem with alcohol. Dr. Gandolfo shares a poignant case study of a patient with alcohol-induced liver cirrhosis, illustrating the severe consequences of long-term heavy drinking. He also explores the broader societal impact of alcohol, including its role in accidents, violence, and various cancers. Whether you drink occasionally, socially, or heavily, this episode provides crucial insights into the risks associated with alcohol consumption. Tune in to understand how alcohol can affect your heart, liver, brain, and overall health, and learn why it's important to address alcohol use issues early. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. References cited in this episode: Resources to get help with alcohol problems Estimated Deaths Attributed to Excess Alcohol Use Among U.S. Adults Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Join Dr. Fred Gandolfo in this engaging Q & A session where he tackles some of the most intriguing questions submitted by listeners. From the intricacies of colostomies to the potential benefits of acupuncture, and even the curious reason why poop is brown, Dr. Gandolfo provides insightful answers with his signature blend of expertise and humor. Plus, learn about his personal journey into the field of gastroenterology. Topics covered in this episode: Colostomies and Colonoscopies: Can you still get a colonoscopy if you have a colostomy? Acupuncture: What does the evidence say about its effectiveness for gastrointestinal issues? The Color of Poop: Why is poop brown, and what do different colors indicate? Career Path: How did Dr. Gandolfo decide to become a gastroenterologist? Have a question for Dr. Gandolfo? Reach out on social media @realgidoc or visit realgidoc.com to leave a voice message question. References cited in this episode: Acupuncture fMRI review article   Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

Join Dr. Fred Gandolfo as he delves into one of the most common gastrointestinal complaints: acid reflux, or gastroesophageal reflux disease (GERD). In this insightful episode, Dr. Gandolfo discusses a real patient case, shedding light on the presentation, workup, and management of GERD. Discover effective strategies for treating acid reflux through diet, lifestyle changes, and medication. Learn about the importance of recognizing alarm signs, the role of endoscopy in diagnosing conditions like Barrett's esophagus, and the potential complications of untreated GERD. Dr. Gandolfo explains the nuances of proton pump inhibitors (PPIs) and offers practical tips for managing this uncomfortable condition. Whether you or someone you know suffers from acid reflux, this episode provides valuable information and actionable advice to improve quality of life and prevent serious complications. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question at realgidoc.com. References cited in this episode: American College of Gastroenterology Guidelines: GERD Management 2022   Dr. Gandolfo's Bio The Real GI Doc Show Monthly Newsletter Stay updated with the latest episodes and exclusive content by subscribing to our monthly newsletter!

What do psychiatric patients, gastroenterologists, Queen Elizabeth I, and prisoners all have in common? If you guessed bezoars, you're correct! Join Dr. Fred Gandolfo as he delves into two odd and uncommon conditions that gastroenterologists sometimes encounter: Pica, the eating of non-food substances, and bezoars, masses of non-digestible material stuck in the GI tract. In this episode, Dr. Gandolfo shares a fascinating case study, discusses the treatment of these rare conditions, and explores the blurred lines between psychiatric and medical issues. Tune in for an informative and entertaining discussion on these medical curiosities! -- Link to My Strange Addition episode discussed in this episode.   Dr. Gandolfo's Bio The Real GI Doc Show Monthly Newsletter Stay updated with the latest episodes and exclusive content by subscribing to our monthly newsletter!

Dive into this episode of The Real GI Doc Show where Dr. Fred Gandolfo unpacks the case of a 51-year-old complaining of abdominal pain and fatigue. Discover the pivotal role of the differential diagnosis and the power of second opinions in medical practice. Dr. Gandolfo emphasizes the necessity of patient advocacy and the dangers of common diagnostic fallacies. Listen as he recounts the patient's path to uncovering a hidden condition, highlighting the significance of an open-minded medical approach. This episode is a must-listen for anyone interested in the intricacies of gastrointestinal health and the art of accurate diagnosis. Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc. References cited in this episode: American College of Gastroenterology Guidelines Update: Diagnosis and Management of Celiac Disease --- Dr. Gandolfo's Bio The Real GI Doc Show Monthly Newsletter

Explore the secrets of stomach acid with board-certified gastroenterologist Dr. Fred Gandolfo. Learn about the critical role of acid in digestion and how medications affect stomach acid. Discover when to schedule your next colonoscopy, and get expert advice on increasing dietary fiber without unwanted gas. Dr. Gandolfo covers the following topics on this episode: - The Mystery of Stomach Acid: Functions and Medication Effects - The Colonoscopy Conundrum: Timing Your Next Procedure - Battling Bloat: Tips for a High-Fiber, Low-Gas Diet   To submit a question for our next Q & A episode, message us on social media @realgidoc or send us an audio question here.   References cited in this episode: ACG Clinical Guidelines: Colorectal Cancer Screening 2021 --- Dr. Gandolfo's Bio The Real GI Doc Show Monthly Newsletter  

Chi è il vero capitano in casa Martínez-Gandolfo? Ovviamente lei, Agustina! Attraverso il racconto del loro trasferimento, giovanissimi, a Milano, passando per i successi con l'Inter e la costruzione di una splendida famiglia, in questa puntata di “Mamma Dilettante” Lautaro e Agustina si mostrano finalmente insieme in una veste meno conosciuta, quella di genitori. Il capitano dell'Inter Campione d'Italia si racconta, spiegando come diventare padre l'abbia reso un uomo migliore, dentro e fuori dal campo. Il loro mantra per i figli Nina e Theo: inseguite i vostri sogni con responsabilità, umiltà e voglia di fare! Produzione Dopcast. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Why do we need another gut health podcast? In this introductory episode you will get to know more about Dr. Gandolfo and his journey to becoming a gastroenterologist. He will cover his training from college to fellowship, and discuss his career path to becoming a private practitioner. We also discuss the purpose of "The Real GI Doc Show" and why we need more health podcasts from real medical doctors. We clarify who should listen to the show, and what the show is NOT going to be about. Be sure to subscribe so you don't miss an episode. You can also follow Dr. Gandolfo on social media @realgidoc for more GI insights! Related links: Dr. Gandolfo's practice: Precision Digestive Care The Real GI Doc Show Monthly Newsletter

In celebration of 20 years of Road Less Traveled Productions, Executive and Artistic Director Scott Behrend and Managing Director Gina Gandolfo spend a little time reminiscing and appreciating their partnership. Included are memories of all that went right due to hard work, as well all that went unexpectedly awry along the way. It's a tribute to two primary forces who created, from the ground up, and maintained, in the face of myriad challenges, a completely new and award winning theater in downtown Buffalo. Also featured is an interview with Jon Elston who, as a co-founder, was there at the very beginning, and whose life changed utterly because he made the fateful decision to travel the “road less taken.”  

We are privileged and honored to have Assemblyman Jarett Gandolfo on See Us, Hear Us! Assemblyman Gandolfo represents the 7th Assembly District on Long Island, and is the ranking member on the Committee of Mental Health. Listen on to hear more about services for mental health in schools, staffing challenges faced in our industry, and the integration of the Office of Addiction Services and Supports into mental health services. 

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Paine Radio ClassicsWe Cannot Say Much of the 'Really Good Stuff' on Here That's Why We Created Paine.tv YOU CAN CONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE *** GET the Intel that's Too Hot For Anywhere Else at P A IN E. TV CONTRIBUTE TO THE SHOW BY CLICKING THIS LINK -- *** DONATE HERE *** ...This show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/5788750/advertisement