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 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.
Watch this episode on The Real GI Doc Show YouTube channel!
Popular Podcasts
Las Culturistas with Matt Rogers and Bowen Yang
Ding dong! Join your culture consultants, Matt Rogers and Bowen Yang, on an unforgettable journey into the beating heart of CULTURE. Alongside sizzling special guests, they GET INTO the hottest pop-culture moments of the day and the formative cultural experiences that turned them into Culturistas. Produced by the Big Money Players Network and iHeartRadio.
Crime Junkie
Does hearing about a true crime case always leave you scouring the internet for the truth behind the story? Dive into your next mystery with Crime Junkie. Every Monday, join your host Ashley Flowers as she unravels all the details of infamous and underreported true crime cases with her best friend Brit Prawat. From cold cases to missing persons and heroes in our community who seek justice, Crime Junkie is your destination for theories and stories you won’t hear anywhere else. Whether you're a seasoned true crime enthusiast or new to the genre, you'll find yourself on the edge of your seat awaiting a new episode every Monday. If you can never get enough true crime... Congratulations, you’ve found your people. Follow to join a community of Crime Junkies! Crime Junkie is presented by audiochuck Media Company.
The Brothers Ortiz
The Brothers Ortiz is the story of two brothers–both successful, but in very different ways. Gabe Ortiz becomes a third-highest ranking officer in all of Texas while his younger brother Larry climbs the ranks in Puro Tango Blast, a notorious Texas Prison gang. Gabe doesn’t know all the details of his brother’s nefarious dealings, and he’s made a point not to ask, to protect their relationship. But when Larry is murdered during a home invasion in a rented beach house, Gabe has no choice but to look into what happened that night. To solve Larry’s murder, Gabe, and the whole Ortiz family, must ask each other tough questions.