Page 25

Medical Professionals Medical Professionals

25 31

Bloating And Gas And What You Can Do About It Medical Professionals 22 Bloating And Gas And What You Can Do About It Dr. Glazier was selected as one of Abdominal distention and bloating are thought to be due to too much gas and are somedistention of the most common Abdominal and bloatinggastrointestinal are thought to complaints. be due to tooThese much symptoms cansome be eliminated with the help of your gastroenterologist. gas and are of the most common gastrointestinal complaints. These

symptoms can be eliminated with the help of your gastroenterologist.

Q: How do salads and vegetables cause gas? A: Q: There gastrointestinal Howare dobacteria salads in andthevegetables causetract gas?that

convert foods as salad, and beans into A: There aresuch bacteria in thebroccoli, gastrointestinal tract that gas.convert Small foods intestinal occurs suchbacterial as salad,overgrowth broccoli, and beanswhen into toogas. many bacteria formbacterial in the small intestine and can Small intestinal overgrowth occurs when cause bloating, diarrhea Kenneth Glazier, MD too gas, many bacteriaabdominal form in thediscomfort, small intestine and can and anemia. It can be abdominal caused by slow motilitydiarrhea of the cause gas, bloating, discomfort, intestine that can occur normal aging,motility diabetesofand and anemia. It can be in caused by slow the scleroderma. Other causes include decreased stomach Kenneth Glazier, MD intestine that can occur in normal aging, diabetes and acid from medications such as omeprazole gastriccauses surgery, NSAID use, Crohn’s scleroderma.orOther include decreased stomach disease, pancreatitis, cirrhosis, celiac disease, diverticulosis of the small bowel and prior acid from medications such as omeprazole or gastric surgery, NSAID use, Crohn’s surgeries. Bacterial overgrowth can be diagnosed in our office with a simple breath test disease, pancreatitis, cirrhosis, celiac disease, diverticulosis of the small bowel and prior and is treated with antibiotics.

PATIENT TESTIMONIALS New Jersey’s top doctors for 2017!

“I have nothing but the best to say about Dr. Glazier and his staff. They are very attentive, knowledgeable, PATIENT TESTIMONIALS caring, and very pleasant. I recommend “I have nothingDr. butGlazier the besttotoanyone say about Dr.asks!” Glazier who and his staff. They are very attentive, knowledgeable, ~ Sandra, 50, Lanoka Harbor caring, and very pleasant. I recommend Dr. Glazier to anyone who asks!” “I have been a patient for many years. ~ Sandra, 50, Lanoka Harbor

Dr. Glazier is the best and so is his staff in all offices.” “I have been a patient years. ~ John,for68,many Jackson

Dr. Glazier is the best and so is his staff in all offices.”

surgeries. Bacterial overgrowth can be diagnosed in our office with a simple breath test ~ John, 68, Jackson and is treated antibiotics. Q: I never hadwith a problem with milk when I was younger but now it gives me gas, how is that possible?“First of all, I want to thank Dr. Glazier and his staff for

A: Lactose is present in most dairy as milk, cheese and ice cream and ishow digested an enzyme Q: I never had a problem with milkproducts when I such was younger but now it gives me gas, is thatbypossible? in the lining of the intestine. This enzyme can sometimes be missing at birth. The enzyme can also be lost A: Lactose is present in most dairy products such as milk, cheese and ice cream and is digested by an enzyme later in life due to injury of the intestine from an infection, celiac disease, alcoholism, and Crohn’s disease. in the lining of the intestine. This enzyme can sometimes be missing at birth. The enzyme can also be lost More commonly, the enzyme simply disappears with aging. This late-onset lactose malabsorption affects later in life due to injury of the intestine from an infection, celiac disease, alcoholism, and Crohn’s disease. people more depending on their race and ethnicity and can affect close to 100% of Asians in the U.S., 80% More commonly, the enzyme simply disappears with aging. This late-onset lactose malabsorption affects of African Americans and 70% of Italians. Symptoms of lactose intolerance include abdominal cramps, people moreflatulence, dependingdiarrhea on theirand/or race and ethnicityLactose and can affect closeis to 100% of Asians U.S.,breath 80% distention, vomiting. intolerance also diagnosed withinathe simple of African Americans and 70% of Italians. Symptoms of lactose intolerance include abdominal cramps, test offered in the office. distention, flatulence, diarrhea and/or vomiting. Lactose intolerance is also diagnosed with a simple breath Q: Yogurt me distended, does that mean I am lactose intolerant? test offeredmakes in the office.

“First I want to thank Dr. Glazier and his staff for taking careofofall,me during my colonoscopy procedure. of mewhen duringexplaining my colonoscopy procedure. Hetaking is verycare precise the procedure He is very precise when all explaining and very kind. I would give them 10 starsthe forprocedure the job and very kind. I would give them all 10 stars for the well done. And, of course, I will recommend job well done. And, of course,and I will recommend Dr. Glazier to my family, friends neighbors.” Dr. Glazier to my family, friends62, andToms neighbors.” ~ Patricia, River ~ Patricia, 62, Toms River

A: No. The cultured yogurt at the grocery store does not contain lactose. More likely you are having trouble

Q: Yogurtthe makes that I am lactose intolerant? digesting fruitme on distended, the bottom does part of themean yogurt, which contains fructose. Fructose is a sugar found in A: No. The cultured yogurt at the grocery store does not contain More likely you arewatermelon, having trouble candy, soda, barbecue sauce, ketchup, jellies, fruit-on-the-bottomlactose. yogurts, apples, mangos, digesting the fruit on the bottom part of the yogurt, which contains fructose. Fructose is a sugar canned fruit, honey, corn syrup and many other food products. Fructose can be malabsorbed byfound the in candy, soda, barbecue sauce, ketchup, jellies, fruit-on-the-bottom yogurts, apples, mangos, watermelon, intestine and produce symptoms of gas and bloating. Fructose intolerance can also be diagnosed by a simple canned fruit, corn syrup and many other food products. Fructose can be malabsorbed by the intestine breath test in honey, our office. and produce symptoms of gas and bloating. Fructose intolerance can also be diagnosed by a simple breath test Q: our Is there in office.a diet for bloating?

A: My first approach is to have patients write a diet/symptom diary of what they eat and how they feel.

Q: Is can there diettoforpinpoint bloating? This be aused what foods are causing bloating and eliminate those foods from the diet rather A: My first approach is to have patients writeresults a diet/symptom diary of what eat and theywith. feel. than making drastic dietary changes. These can also help guide whichthey breath testshow to start This can be used to pinpoint what foods are causing bloating and eliminate those foods from the diet rather An alternative is to follow the low FODMAP diet. This diet tries to eliminate foods that can commonly than making drastic dietary changes. These results can also help guide which breath tests to start with. cause bloating. FODMAP stands for Fermentable Oligo-Di-Monosaccarides and Polyols. These include An alternative is to follow thebeans, low FODMAP diet. garlic, This diet tries and to eliminate foods thatelimination can commonly fructose, lactose, sweeteners, wheat, onion, lentils, some fruits. This diet is cause stands Fermentable Oligo-Di-Monosaccarides includetrigger usuallybloating. followedFODMAP for 6 weeks. Afterforthis, high FODMAP foods are added oneand at aPolyols. time to These see if foods symptoms. fructose, lactose, sweeteners, beans, wheat, onion, garlic, lentils, and some fruits. This elimination diet is usually followed for 6 weeks. After this, high FODMAP foods are added one at a time to see if foods trigger Q: How do breath tests work? symptoms.

A: Bacterial overgrowth and lactose and fructose malabsorption can be detected using a hydrogen breath

Q: How do breatheither tests drink work?a can of soda for fructose intolerance or a glass of whole milk for lactose detector. Patients intolerance at home. Three to the office blow intousing the machine once, which A: Bacterial overgrowth andhours lactoselater andpatients fructosecome malabsorption canand be detected a hydrogen breath takes a few seconds. For the bacterial overgrowth test, patients drink something one hour before coming detector. Patients either drink a can of soda for fructose intolerance or a glass of whole milk for lactose to the office and have toThree blow hours into the machine testinto is positive. This can from intolerance at home. later patientsevery come20tominutes the officeuntil andthe blow the machine once,take which one hour up to three hours. Our practice has an entire office dedicated to breath testing at least one morning takes a few seconds. For the bacterial overgrowth test, patients drink something one hour before coming to a week. the office and have to blow into the machine every 20 minutes until the test is positive. This can take from one hour up to three hours. Our practice has an entire office dedicated to breath testing at least one morning a week. If you suffer from symptoms of bloating and gas,

contact your proper If you gastroenterologist suffer from symptomsto of initiate bloating and gas, testing. contact your gastroenterologist to initiate proper testing.

Call today to schedule your appointment at Call today to schedule your appointment at Gastroenterologists Gastroenterologists of of Ocean Ocean County. County.

Hospital

Gastroenterologists of Ocean County

Board Certi

Hospital Privileges at Community and Medical Centers Centers Hospital Privileges at Community &Ocean Ocean Medical

• • • •

Colonoscopy and colon polyp removal Colon cancer detection & screening Rectal bleeding evaluation Ulcer pain evaluation and treatment

473 & 477 Lakehurst Rd.

• • • •

Swallowing disorders Endoscopic treatment of hemorrhoids Capsule Endoscopy Bravo pH Monitoring

7 Sherwood Dr.

473 & 477 Lakehurst 7 Sherwood Drive Route 9 Toms River,Road NJ 08755 Lakewood, NJ355 08701 Toms River, NJ 08755 Lakewood, NJ 08701 Bayville, NJ 08721* 732-349-4422 732-367-3338732-349-4422 732-349-4422 732-367-3338

939 Lacey Rd. Forked River, NJ 08701 609-971-5949

Medicare, HMO’s and most insurance accepted.

1617 Rte. 88 W. Brick, NJ 08724 732-349-4422

Forked River

* Limited hours by appointment.

www.GastroOfOcean.com 355 Rte. 9 Bayville, NJ 08721* 732-349-4422 *Limited hours by appointment

Medicare, HMO’s and most insurance accepted.

www.GastroOfOcean.com

www.TheCountyWoman.com www.TheCountyWoman.com The County WomanWoman Magazine The County Magazine www.TheCountyWoman.com The County Woman Magazine

|

Allan Cohen, MD •Omar Tamimi, MD• Jill Collier, MD • Edgar Bigornia, MD

May/June 2018 March/April November/December 2016

Monmouth County Woman - May/June 2018  

The County Woman ™ is part of a nationally syndicated publication and has been around for over 31 years. There are over 371 other counties t...

Monmouth County Woman - May/June 2018  

The County Woman ™ is part of a nationally syndicated publication and has been around for over 31 years. There are over 371 other counties t...