Quick Hits

Irritable bowel syndrome (IBS) is a complex, multifactorial disorder characterized by chronic or recurrent abdominal pain associated with altered bowel habits. My general approach is to identify the predominant or most bothersome symptoms and the most likely pathophysiologic mechanisms underlying these symptoms. Then I target treatment toward these predominant symptoms and mechanisms. Validating symptoms, building […]

Pediatric to adult
Quick Hits

As the underlying pathologies of common GI diseases are elucidated, it has become increasingly clear that many prevalent GI conditions first diagnosed in adult practice find their roots during development — from the prenatal period through childhood. Genetic variants or the presence of stressors during these key developmental stages play important roles in negative GI-health […]