Should I go gluten free?

Question: I am having difficulty with digesting food. I suffer from regular diarrhea as well as constipation at times. I am a 35 year old woman and consider myself in pretty good shape. I eat well and exercise. Take no meds and have no health problems. But why these stomach problems? I can’t figure out the problem. So I am starting to believe I have gluten or maybe wheat intolerance.  Should I Go Gluten-Free?

Best Answer: Gluten free is important only if you suffer from celiac disease or have a special sensitivity to gluten. Which is NOT the case for most people. The gluten free argument is just a trend promoted by people on social media that serves their own interests. I’d think twice before cutting it out from my diet.

Jack Mckinney

I had a feeling on the left of my Adam’s apple as if someone was placing their thumb on it.

Question: I am a 51 year old male. I have had heart burn from July 2018. Then July 2019 the acid went to my throat and just sits there. Even if i clear it it still sits there. From December 2020 i had a feeling on the left of my Adam’s apple as if someone was placing their thumb on it. Not with pressure but just placing it on my throat. But also at the same time December 2020 my throat became very itchy and dry. Then 28th of April i got a burning sensation in the exact same spot. Left of my Adam’s apple. I would not say it was painful but very uncomfortable and very conscious of it. Also my heart burn did clear from when i first got it in July 2018. Can’t remember when but it has come back and it seems higher up like just below my neck not my chest. Also from December 2020 along with my other symptoms i would say i had a voluntary cough. It is actually when i eat or drink that it makes me feel the urge to cough. I think also my burning pain i have now fluctuates to just a burning that i can feel to something bordering on quite painful. I think thats all and i dont think i have missed anything out.

Answer: Hello. Thanks for your question. Looks like you had (and still have) a serious GERD –
Gastroesophageal Reflux – problem. The pressure you describe in your throat -feeling of pressure or what some patients descibe as a lump like sensation is probably caused by LPR (Laryngopharyngeal reflux disease) – a result of your history and battle with acid reflux. As a result of acid reflux in your throat, your body is reacting through excess mucus and inflammation. In my opinion you need to get your acid reflux problem under control. First: Watch your diet – cut out coffee, acidic drinks, spice, fats, alcohol. Eat small meals. Don’t lie horizontal after your eat. 2. Other treatments you can use involves the use of antiacids, H-2-receptor blockers, proton pump inhibitors. If problem persists or worsens, you may also want to consult an ENT/Gastroenterologist for prescription strength medications as well as possible x-ray, acid (pH) probe test and upper endoscopy.

Let us know how it goes.

Dr. D. Zluf
Dr. D. Zluf

I am having heartburn and stomach pain. Is it due to GERD or peptic ulcer?

Question: I am a 52 year old woman, suffered from allergies and was prescribed antihistamine, omeprazole sometime ago.  and after about 10 weeks began experiencing heartburn, regurgitation, difficulty in swallowing, and sleep disorder. So I consulted a doctor and I was diagnosed with malaria and acidity. I did an ultrasound and it showed excess gas present in my stomach but no ulcer. I was prescribed Spasmodigestin for 10 days and Rabeprazole for a month. Felt better. I now am feeling more acidic with heartburn and having stomach pain occasionally. Is it due to GERD or peptic ulcer?

Answer: Ulcer in the stomach is not shown as a diagnosis in the ultrasound. Some antibiotics that you are taking can cause side effects with an erosion of the stomach wall. I am not sure whether you are taking medications to reduce the secretion of acid in the stomach. Based on the info you have provided, your stomach burn seems to be mostly antibiotic-induced. If you have heartburn with an acid taste in the mouth after sleeping for few hours, then it is likely due to regurgitation. Consult your Doctor who may recommend you take Omeprazole. It is used to treat certain stomach and esophagus problems (such as acid reflux, ulcers). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as heartburn, difficulty swallowing, and persistent cough. This medication helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Omeprazole belongs to a class of drugs known as proton pump inhibitors (PPIs).  Drink plenty of fluids. Avoid taking excess coffee or tea and spicy foods. Avoid smoking and drinking alcohol. Take a break of ninety minutes between your dinner and sleep. Do not sleep immediately after taking food. Keep your head end raised by placing pillows between your shoulder blades. Your Doctor may recommend you can take an upper GI (gastrointestinal) endoscopy if the severity persists or if the symptoms reappear after a month to know what is happening.


Dr. Javez Ernesto
Dr. Javez Ernesto

I am concerned about having 2 polyps – a benign at 5 mm and a 10 mm Precancerous sessile serrated adenoma polyp?

I am a 65 year old female who just had a colonoscopy 2 weeks ago,  They found 2 polyps, one of which is benign at 5 mm.
The concerning one is 10 mm Precancerous sessile serrated adenoma polyp which was removed.  I read that this type is very serious and is a precursor to colon cancer.  It seems to act differently than most polyps in that it has a different molecular structure that is malignant?
I understand that there is a higher chance of getting colon cancer even if the polyps are always removed.  Is this the case.
Also, when should I have the next colonoscopy?   Any preventative measures?
My dr. is out of town on vacation and I am extremely nervous and worried about this.
Any assistance you can give me is well appreciated…Truth always helps so I can be prepared and ready to monitor etc.
Thank you,


Doctor Answer:

The 10mm polyp is a premalignant lesion of the colon so its not the sign of
cancer but of malignancy, results of biopsy and evaluating the surgeon’s notes are important to understand the risks, whether there is cancer and more aggressive treatments, if any,  are needed. This type of polyp is a little more difficult to deal with, BUT If the polyp was COMPLETELY removed during the procedure and there are no additional elements, just regular follow up colonoscopies will be required 0 the first within a couple of months. Please follow the advice of your Doctor and Oncologist.

Below is a more comprehensive answer.


A sessile serrated adenoma (SSA) is a premalignant flat (or sessile) lesion of the colon,
predominantly seen in the cecum and ascending colon.
SSAs are thought to lead to colorectal cancer through the (alternate) serrated pathway. This
differs from most colorectal cancer, which arises from mutations starting with inactivation of
the APC gene.


Complete removal of a SSA is considered curative.
Several SSAs confer a higher risk of subsequently finding colorectal cancer and warrant more
frequent surveillance. The surveillance guidelines are the same as for other colonic
adenomas. The surveillance interval is dependent on ;
(1) the number of adenomas,
(2) the size of the adenomas, and
(3) the presence of high-grade microscopic features.
Prevention strategy
The usual approach to primary prevention of CRC or neoplastic colorectal polyps is to alter
modifiable risk factors as well as utilize effective nutritional or chemopreventive agents.
While tobacco use is associated with the presence of SSPs, there is relatively little else
known about the primary prevention of SSPs.
The focus of secondary prevention is on high quality surveillance colonoscopy, complete
eradication of SSPs is finally on improving our recognition and understanding of SPS.


I have been experiencing a rectal prolapse that happens when I pass a stool ?

I have been experiencing a rectal prolapse that happens when I pass a stool for about 2 years. I can push it back in each time and it doesn’t seem to be getting worse. Since this has been happening I also have trouble urinating if passing stool at same time. I saw a colorectal surgeon about 8 months ago who performed a Rigid Sigmoidoscopy and told me I have some “unhappy haemorrhoids”. He said he could offer the banding procedure but this may take several goes and may not work. He also said that it probably won’t help with the prolapse. As for the urination problem he said I would need to see a urologist.. I asked questions like “Could the banding procedure worsen the prolapse?” And he said “indeterminable” “If I do nothing will things get worse?” – “Indeterminable”. So I now feel like I should not do anything about it as the condition appears not to be getting worse and the banding may not just be a waist of time and discomfort but might make it worse? What should I do?? It cost me $300 to see the specialist and I really can’t afford a second opinion. I am waiting for my turn in a public hospital to have the banding procedure performed so I am looking for some advice before they call with my appointment. Thanks for any words of wisdom..

Age: 47
Medications: Metamucil

I have constant constipation?

I have constant constipation, I am 80 yr and have always been regular and have gone several times a day. I had prostate ca, currently under control, have been on many medications for over 20 yrs. I do eat a lot of fruit and cereal, balanced meals. I came down with shingles the last part of April and have been on all the shingles meds and I am still on the steroids. I take laxatives and use Fleet enema when it gets so bad, but even that has stopped working. I have talked to family dr and get no results. CA doctor said to take Miralax and it did nothing. I have taken Metamucil, milk and black strap molasses.
I need to know what I can do to get some relief. I walk every night around my 2 acres 3 laps to get my exercise. I have been eating a lot of fruit.

Age: 80
Medications: synthroid 175 mg,isosord 15 mg,crestor 20 mg,lupron shot every 3 mo.steroids 10mg

I’ve been struggling with a weird stomach condition for two years?

Hey, I’m a 20 year old college student who has been struggling with a weird stomach condition for two years. I wake up in the morning with a dry taste in my mouth and my stomach making embarrassing noises. I have went to the doctors numerous times and been prescribed medications such as pepsin for acid reflux, but they don’t work a single bit. After I eat my breakfast in the morning, I feel bloated and my stomach starts to make weird noises again. If I sit down my stomach feels compacted and again makes embarrassing noises. This has forced me to take only online college courses. After I use the restroom, my stomach feels completely empty and makes irritating sounds. It’s as if my stomach hasn’t digested any nutrients from the food I eat! I’ve tried many digestive enzymes as well and they’ve not helped the situation. This stomach condition is starting to effect my personal life, as I avoid hanging around people because of the stomach noises and sour taste in my mouth. I’ve seen so many doctors and they’ve completely overlooked the aspects of digestion and assigned me acid reflux medications. I honestly have felt hopeless with this medical condition. I would be more than grateful to receive medical suggestions about this condition I have. Thank you.

Age: 20
Medications: FDgard

I have this tender “bubble” on my anus, is this something I should get checked out?

I have this tender “bubble” on my anus, is this something I should get checked out? I have some digestive issues so this kind of worries me. It is sore to the touch, I don’t know what it could be. I wanted to check with you guys before I booked a doctors appointment but I imagine that’s what I should do. To my knowledge it has only appeared in the last couple of day

Age: 21
Medications: None
General Information: Digestive issues

I felt like vomiting, but I thought that it was because of the fatigue?

On the night of 9th May, I was busy doing work. I felt like vomiting, but I thought that it was because of the fatigue. I ordered a pasta from outside. I ate a little bit and after 20 minutes, I started vomiting. The vomiting occurred 9 times till the morning, waking up every hour or so to vomit. On the 8th time, the vomiting had blood coming out too. I vomited once more after that but no blood came out. I went to GP, the doctor who gave me a medicine called “Cyclizine”, which was so strong. She also asked me to suck ice cubes. Since that day till this moment, I get nausea every day. I do not vomit, but the feeling of nausea is strong, which makes me feel that I want to vomit. I do hear some noise in my stomach when its moving and I keep on bleaching burping a lot. When I burp, I feel like there is something at the top of my stomach that goes up and makes me burp. I do not feel comfortable at all and when I sleep if I sleep on left side, I feel not bad, but if I sleep on right side, it feels worse. I did take from chemist counter something called “Pepto-Bismol” and tried “Gaviscon”, but did not get better. This is now has been happening for around 5 weeks. Any advice for this nausea?
Just for your note, I am a 21 years old male.

Age: 21
Medications: Now: Pepto-Bismol for the nausea, but did not work
General Information: This is the first time that this happens to me. Please note that due to Ramadan, I have been fasting since 14t/15th May. The fasting is expected to end tomorrow or day after.

What happens when you lose sensation to have bowel movement?

what happens when you lose sensation to have bowel movement i did because for two month i was fore my self to pass what can they do fix the problem sometime think i did same to anal if i surgery can that fix problem with out for a bag because i am idot for do this ty

Age: 67
Medications: high blood pill sugar dietbeett

I’ve had chronic diarrhea for two years since I had hip replacement?

I’ve had chronic diarrhea for two years since I had hip replacement, started right after I stopped the pain meds. Also took alot of Advil etc before surgery from so much pain. I’ve had C-Diff test, parisite test, colona guard . I’ve done the brat diet, fodmap diet, no grains, no dairy, stopped nascort, stopped benadryl, I take only levothyroxine 100MCG, Colon probio. I really believe I need to heal my colon

Age: 61
Medications: levothyroxine

Every time I pass a stool I have a sharp knife – like pain on the right side of my anus?

Every time I pass a stool I have a sharp knife – like pain on the right side of my anus and then for a few hours after it is a gnawing almost unbearable pain. I get this exact condition every 1 – 2 months and symptoms last about a week, any idea of how I can fix this or what it could be ?


Age: 20
Medications: Birth Control