Gastroenterology and hepatology care

Specialist care for the digestive tract and liver

The director is board certified in gastroenterology and hepatology. We review digestive symptoms, health-screening results, alcohol use, medication and metabolic conditions before deciding the next step.

Symptoms you can discuss

• Diarrhea or constipation that persists or alternates, especially with abdominal pain
• Constipation, hard stool, straining or a feeling of incomplete evacuation
• Bloating, abdominal fullness, increased gas or belching
• Heartburn, acid reflux, throat discomfort or recurrent reflux symptoms
• Stomach pain, heaviness, early fullness, nausea or poor appetite
• Abdominal pain, diarrhea, blood in stool or a change in stool shape
• Unexplained anemia or weight loss
• Fatty liver, abnormal liver tests or concern about alcohol and liver health

Liver clinic: MASLD, MetALD and alcohol-related liver disease

We distinguish fatty liver associated with metabolic dysfunction (MASLD), its inflammatory form (MASH), fatty liver associated with both metabolic dysfunction and a defined level of alcohol use (MetALD), and alcohol-related liver disease (ALD). Testing may include blood tests, abdominal ultrasound, waist and weight measurements, and InBody body composition.

• Fatty liver or abnormal AST, ALT and gamma-GTP at screening
• MASLD and the inflammatory form MASH
• MetALD associated with metabolic risk and alcohol use
• Alcohol-related liver disease (ALD)
• Viral hepatitis and other liver conditions
• Assessment and referral for cirrhosis, liver tumors or liver cancer

Persistent or alternating diarrhea and constipation

We review stool frequency and form, whether abdominal pain changes with bowel movements, bloating, timing and the effect on daily life. Irritable bowel syndrome (IBS) is one possibility, but blood in stool, weight loss, fever or anemia may require investigation for another cause.

Constipation and bloating

We review stool frequency and form, straining, incomplete evacuation, current laxatives, diet, fluid intake, activity, menstruation and changes in daily routine. Constipation consultation is available through insured outpatient care.

Heartburn and reflux symptoms

We review heartburn, acid coming up, throat discomfort, when symptoms occur, their relation to meals and sleep, medication and previous gastroscopy. Gastroesophageal reflux disease (GERD) is one possibility. Treatment may include practical lifestyle adjustments and medication, with gastroscopy considered when clinically indicated.

How the consultation proceeds

• Review the onset, pattern and daily impact of symptoms.
• Review medical history, surgery, medication, screening and previous tests.
• Explain treatment, monitoring and any tests that may be appropriate.
• Review the response and decide whether to continue, change or refer care.

How to visit

General gastroenterology and hepatology consultations do not require an appointment. Visit during clinic hours and bring screening results, previous imaging and a medication list when available.