Family Medicine  |  FibroScan  |  Gastroenterology   |  Vascular Study

Bowie Internal Medicine

Capsule Endoscopy

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Capsule Endoscopy is a non-invasive, high quality, disposable, diagnostic imaging device for the use in the gastrointestinal tract. Capsule Endoscopy uses a disposable miniature video camera contained in a capsule (Camera Pill Endoscope) that is ingested by the patient. It is propelled by peristalsis to naturally move through the digestive tract. The Camera Pill contains a complete optical system with a video chip, light source, transmitter, and energy source designed specifically for direct imaging within the intestinal tract. The camera takes two images per second, which is approximately 50,000 pictures in a 8 hour period. It transmits the data to a recording device worn around the waist of the patient. 

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Once the study is completed, the recording device is connected to a computer whose software provides the images to the computer screen. The procedure is ambulatory, allowing patients to continue daily activities throughout the endoscopic examination.

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Vascular Studies

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Heart disease and stroke can be prevented, detected, and treated – that’s the good news. However, most people don’t take the opportunity to get screened. Typically, during these screenings, 5- 10% percent of people looked at can have signs of vascular conditions, including blocked carotid arteries, aortic aneurysms and PAD. Most people never know they have a problem.

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Vascular disease outside of the heart – in the carotid arteries in the neck, the aorta, the arteries in the legs and arms or veins – is similar to heart disease in the sense it is caused by atherosclerosis (hardening of the arteries) of the arteries or venus insufficiency (poorly functioning veins). The potential severity of these diseases is significant. It can lead to hospitalization, severe disability long term and can even be fatal. With early detection, most vascular disease cases can be treated effectively. There are several simple ultrasound screening tests that detect these problems, all of which are non-invasive and painless.

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Colonoscopy

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Colonoscopy is a procedure in which your physician examines the colon lining, (large bowel), for abnormalities. This is done by inserting a flexible colon scope into the anus and advancing it slowly into the rectum and up to the cecum of your colon.

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If your doctor thinks an area of the colon needs to be evaluated in greater detail, a forceps instrument is passed through the colon scope in order to obtain a biopsy (sample of the colon lining). A biopsy or specimen is then submitted to the pathology laboratory for further analysis. If polyps are found, they are generally removed and also sent for biopsy. In most cases, the procedures mentioned above will not cause additional pain. Note that in most cases biopsies can be done for many reasons, such as preventive measures. Biopsies usually do not indicate that cancer is suspected.

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FibroScan

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Bowie Internal Medicine now offers FibroScan, an accurate, non-invasive, painless aid for managing patients with liver disease. Fibroscan is FDA-approved for clinical management of patients with liver disease and is covered by most insurance carriers.

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FibroScan works by emitting a pulse of energy, which you may feel as a slight vibration on your skin. FibroScan then measures the speed of this energy and immediately provides this information to your physician, who then uses it as part of a broader evaluation of your liver health.

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Hemorrhoid Banding

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Hemorrhoid Banding is a painless same day procedure and successful in most patients. Rubber bands or rings are placed around the base of an internal hemorrhoid. As the blood supply is restricted, the hemorrhoid shrinks and degenerates over several days. Many patients report a sense of "tightness" after the procedure. You may practice warm baths exercise for comfort. Patients are encouraged to use fiber supplements to avoid constipation. This procedure rarely causes serious complications.

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Upper Endoscopy

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Upper Endoscopy (EGD) is a procedure that enables your physician to examine the lining of the upper part of your gastrointestinal tract i.e. the esophagus (swallowing tube), stomach, and duodenum (first portion of the small intestine) using a thin flexible tube with its own lens and light source. 

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Upper Endoscopy is usually performed to evaluate symptoms of persistent upper abdominal pain, nausea, vomiting, or difficulty swallowing. It is also the best test for finding the cause of bleeding from the upper gastrointestinal tract. This procedure can detect early cancer and can distinguish between benign and malignant (cancerous) conditions when small samples of tissue of suspicious areas are obtained.

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