What does a pediatric gastroenterologist do (with pictures) gas house dance hall


A pediatric gastroenterologist specializes in identifying and treating digestive tract problems in young patients. He or she possesses expert knowledge of digestive disorders as well as the unique developmental issues that face some infants and children. Doctors assess the results of clinical tests, prescribe medications, and administer minimally invasive treatment procedures. Experienced pediatric gastroenterologists work in many different settings, including children’s hospitals, general hospitals, specialty clinics, and private offices.

Most patients that pediatric gastroenterologists see have been referred to them by primary care pediatricians. When meeting with a new patient and his or her parents, the gastroenterologist asks questions about symptoms and reviews previous medical findings to get a basic understanding of the problem. The doctor usually conducts a physical examination and takes diagnostic images of the gastrointestinal tract to look for physical abnormalities. He or she may also decide to collect blood and urine samples for laboratory analysis.

Pediatric gastroenterologists see patients who have common digestive problems, such as diarrhea and lactose intolerance, as well as more complex issues, such as Crohn’s disease and pancreatitis. Such disorders often require more detailed diagnostic procedures. A doctor may need to insert an endoscope, a tiny camera on the end of a lighted tube, through the mouth and into the gastrointestinal tract to discover inflammation or blockages.

After making a certain diagnosis, the pediatric gastroenterologist can determine the appropriate treatment measures to take. Many problems can be treated with prescription medications and laxatives, though more direct therapies are needed for difficult cases. Blockages and structural disorders often require surgery to prevent serious health complications. A pediatric gastroenterologist may be able to perform simple procedures that can be accomplished with an endoscope in his or her office. If a problem cannot be corrected without major intervention, the doctor can refer the patient to an experienced pediatric surgeon.

An individual who wants to become a pediatric gastroenterologist must complete four years of medical school followed by up to seven years of practical training. After earning a doctor of medicine degree, a new doctor usually joins a three-year internal medicine residency program at a general hospital to gain supervised experience working directly with patients of all ages. He or she then enters a two- to four-year specialty fellowship, during which time the doctor works exclusively with young patients who suffer from digestive disorders. Following a fellowship and success on a board certification exam, a pediatric gastroenterologist can begin practicing independently.

saw the doctor a month or so later, when it wasn’t getting better). He sent us to a pediatric doctor. For months, she insisted nothing was wrong, that my mother was neurotic, that I was obviously a healthy child. Because it’s a universal health care system, you have no control over whether you see a specialist or not. You must be referred by your family doctor, or you cannot see one. My doctor wouldn’t refer me until my parents insisted.

When I was referred to the pediatric gastroenterologist (there was only one in our area), we were given an appointment for February of the next year (it was August of the previous year). Meanwhile, I was getting sicker and sicker and the primary doctor still insisted nothing was wrong.

Finally, my parents called and said I would need to be seen sooner (waiting lists are the downfall of universal health care), and they said there was nothing they could do. Eventually, they changed my appointment to December. So, between symptoms and diagnosis, I had to wait eight months. In that time, I got so sick, by the time they diagnosed me (ulcerative colitis), I was almost too far gone to save. They sent me back home (with no real treatment), and within three months I was almost dead. They refused to admit me to the hospital.

My dad is a surgeon, and he had to call the ped gastro and said that if I wasn’t admitted by that night, he would sue the hospital. They admitted me that day. They then told me it was too late, I was too sick, they had waited too long to treat me, and I had to have emergency surgery a couple of weeks later (which I had a 50/50 percent chance of surviving at that point), to have my entire large intestine removed. Three surgeries later, they created a j-pouch. I’ve had that ever since, but have developed a series of significant medical problems since. I now have Crohn’s, pouchitis/Crohn’s Disease of the J-Pouch, fistula, fissures, cuffitis, acute pancreatitis, and a bunch of other treatment-related problems. I’m old enough now to be under a regular gastroenterologist’s treatment, and so my treatment has improved.

The treatment I got as a child was horrific, and there was severe medical negligence occurring through all stages of "treatment". Don’t trust a doctor just because you feel you should. Demand the treatment/tests you want, or feel your child needs. Your doctor doesn’t know your child as you do.