Gastroenterology

Gasztroenterológia - Medical Center Hatvan

What does gastroenterology deal with?

Gastroenterology is the medical specialty that focuses on the functioning and diseases of the digestive system. The gastroenterologist's role is to identify, diagnose, treat, and prevent diseases of the digestive system, which includes the oesophagus, stomach, small and large intestines, rectum, and related organs such as the liver, gallbladder, and pancreas.

To make a diagnosis, gastroenterologists perform various tests such as endoscopic procedures (gastroscopy, colonoscopy), ultrasound, and laboratory tests. Gastroenterology plays a crucial role in the early detection and treatment of abdominal pain, digestive issues, bleeding, and more serious diseases.

Most treated diseases:

  • Reflux disease (GERD – gastroesophageal reflux disease) – The backflow of stomach acid into the oesophagus, which can cause heartburn, acid regurgitation, and esophagitis.
  • Stomach and duodenal ulcers – Sores that develop on the mucous lining of the stomach and duodenum, often due to Helicobacter pylori infection or excessive acid production.
  • Irritable bowel syndrome (IBS) A functional bowel disorder that can cause abdominal pain, bloating, diarrhea, or constipation.
  • Inflammatory bowel diseases (IBD – Crohn’s disease and ulcerative colitis) – Chronic, autoimmune-induced inflammation in the intestines that can cause pain, bloody diarrhea, and nutrient deficiencies.
  • Liver diseases (hepatitis, fatty liver, cirrhosis) – Inflammatory and degenerative liver diseases, which can be viral (Hepatitis A, B, C) or caused by alcohol or fat accumulation.
  • Gallbladder diseases (gallstones, cholecystitis) – Gallstones that can block the bile ducts, causing cramp-like abdominal pain and digestive issues.
  • Pancreatitis (acute and chronic) – Inflammation of the pancreas, often caused by alcoholism, gallstones, or metabolic diseases.
  • Celiac disease (gluten sensitivity) – An autoimmune response to gluten that damages the small intestine.
  • Lactose intolerance – The inability to break down lactose, causing bloating, diarrhea, and abdominal pain after consuming dairy products.
  • Colorectal polyps and colorectal cancer – Polyps that develop in the colon, which can become malignant, making their timely removal crucial.

When should you see a gastroenterologist?

Gastrointestinal complaints
Gasztroenterológia - Medical Center Hatvan
  • Persistent or recurring abdominal pain (in the middle, right or left side, lower abdominal pain).
  • Bloating, feeling of fullness, frequent gas production.
  • Heartburn, acid regurgitation, chest burning sensation, especially after meals or when lying down (suspected reflux).
  • Nausea, vomiting, loss of appetite.
  • Constipation or diarrhea that is persistent or recurring.
  • Blood, black, or mucus-like stool, which may indicate gastrointestinal bleeding.
  • Changes in bowel habits, such as alternating between constipation and diarrhea.
Changes in body weight and nutritional issues
Gasztroenterológia - Medical Center Hatvan
  • Unexplained weight loss that occurs without any changes in diet.
  • Symptoms of nutrient deficiencies (e.g., iron), such as fatigue and weakness.
  • Suspected food intolerances, such as symptoms after consuming dairy products or gluten.
Symptoms suggesting liver and gallbladder disease
Gasztroenterológia - Medical Center Hatvan
  • Jaundice; yellowing of the skin and the whites of the eyes.
  • Dark urine, light-colored stool, which may indicate liver or bile duct issues.
  • Pain under the right rib cage, especially after meals.
  • Nausea or abdominal discomfort after consuming fatty foods.
Swallowing and digestion issues
Gasztroenterológia - Medical Center Hatvan
  • Difficulty swallowing (dysphagia), or the sensation that food is stuck in the throat or chest.
  • Persistent throat clearing or chronic coughing, which could be a result of acid reflux.
General symptoms that may indicate digestive disorders
Gasztroenterológia - Medical Center Hatvan
  • Chronic fatigue, weakness, which may be a sign of anaemia or malabsorption issues.
  • Fever and abdominal pain, which could indicate inflammatory bowel disease or infection.
  • Skin rashes, itching, which may point to celiac disease or liver disease.
Increased risk of cancer
Gasztroenterológia - Medical Center Hatvan

If there is a family history of colorectal cancer, stomach cancer, or other digestive system cancers, especially after the age of 50, regular screening is recommended, including colonoscopy or other diagnostic methods.

When is immediate gastroenterological examination necessary?

The following symptoms may require urgent medical intervention: 

  • Severe, sudden onset abdominal pain.
  • Repeated vomiting, especially if it is bloody or resembles coffee grounds.
  • Persistent high fever with abdominal symptoms.
  • Sudden onset jaundice.
  • Bloody or black stool.

Gastroenterological examinations help in the early detection and proper treatment of digestive system problems. Therefore, if you experience any of the symptoms mentioned above, it is advisable to consult a specialist as soon as possible.

What gastroenterological services are available at MC60?

  • Gastroscopy
  • Colonoscopy
  • Breath tests
Gasztroenterológia - Medical Center Hatvan

What do these mean exactly?

Gastroscopy – Also known as an upper endoscopy, this is a diagnostic procedure in which the doctor inserts a thin, flexible tube (endoscope) through the mouth into the oesophagus, stomach, and duodenum (the initial part of the small intestine). The endoscope has a camera at its tip that transmits live images of the examined organs, allowing for a detailed examination of the upper digestive tract. The procedure can be performed while the patient is awake or under sedation.

Colonoscopy – A diagnostic procedure in which the doctor inserts a long, flexible endoscopic instrument (colonoscope) through the anus into the large intestine to examine its inner lining. The camera at the end of the colonoscope transmits live images to a monitor, allowing detailed examination of the bowel lining, removal of polyps, and tissue sampling (biopsy). This procedure can also be performed while the patient is awake or sedated.

Breath tests – The H₂ (hydrogen) and CH₄ (methane) breath tests are non-invasive diagnostic methods used to diagnose digestive problems such as lactose, fructose, and sorbitol intolerance, small intestinal bacterial overgrowth (SIBO), and malabsorption disorders. Undigested carbohydrates (such as lactose, fructose) that reach the colon are fermented by bacteria, producing hydrogen (H₂) and methane (CH₄) gases, which enter the bloodstream and can be exhaled through the lungs. The test measures changes in these gases. H₂ and CH₄ breath tests are an effective tool for diagnosing digestive disorders, carbohydrate intolerances, and bacterial overgrowth, helping to determine the appropriate diet or treatment.

During gastroscopy and colonoscopy examinations, recording is not part of basic care. If you would like to have the examination recorded, please inform our staff in advance. Recording is a service subject to a fee.

Our institution's gastroenterologist:

Dr. Alibrahim Jihad
internist, gastroenterology and endoscopy specialist

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