The Real GI Doc Show

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo tackles listener questions in a candid Q&A session, providing valuable insights into genetic conditions and colonoscopy procedures. Key discussions include: - An exploration of the MUTYH gene mutation, its implications for colon cancer risk, and the importance of regular screenings for those affected. - A detailed explanation of the co...

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo reviews current concerns surrounding heartburn drugs called proton pump inhibitors (PPIs) and their potential risks with a focus on the risk of dementia. Key discussions include: - An in-depth look at PPIs, including their mechanism of action, common uses, and the historical context of their development. - The array of misconceptions surro...

Dr. Fred Gandolfo dives into a rapid-fire Q&A session, addressing a backlog of listener questions that cover a variety of gastrointestinal topics. Key highlights include: - The pros and cons of capsule endoscopy versus traditional endoscopy and colonoscopy, particularly regarding the visualization of the small intestine. - A listener who appreciates Dr. Gandolfo's detailed explanations, leadin...

In this episode of The Real GI Doc Show, Dr. Gandolfo takes a moment to highlight an important guest appearance he made on The Positive Gene Podcast, hosted by cancer previvor and cancer prevention advocate Sara Kavanaugh, in honor of Colorectal Cancer Awareness Month. What is a "previvor" you may ask? A previvor is a survivor of a predisposition for cancer or another disease. In Sara's case that...

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo welcomes back Clinical Psychologist Dr. Noreen Vail to delve into the complex relationship between anxiety and medical conditions. The discussion is sparked by a heartfelt letter from a listener named David, who struggles with severe anxiety and challenges related to preparing for a colonoscopy. Dr. Vail explores the nuances of anxiety, it...

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo shares key tips for patients to enhance their doctor visits. Building on the previous episode, he highlights the importance of preparation and communication for productive appointments. Dr. Gandolfo opens with a current events story about Dodgers pitcher Dustin May, who experienced a life-threatening esophageal tear after eating salad (art...

In this episode of The Real GI Doc Show, Dr. Gandolfo discusses the critical dynamics between patients and physicians, highlighting common pitfalls in healthcare experiences. He shares a cautionary tale involving a 62-year-old man who insisted on having a colonoscopy in an office setting, despite Dr. Gandolfo's strong recommendation for a hospital procedure due to safety concerns. Dr. Gandolfo emp...

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo tackles the intricacies of colonoscopy experiences, inspired by a detailed message from listener Michael. Dr. Gandolfo shares Michael's insights and tips on preparing for a colonoscopy, addressing common concerns and misconceptions about the procedure. From selecting the right endoscopist to understanding the significance of adenoma detect...

In this New Year's episode of The Real GI Doc Show, Dr. Fred Gandolfo shares his personal mantra for 2025: Simplify. As a gastroenterologist with a busy practice in New York, Dr. Gandolfo reflects on the pressures of balancing professional growth and personal well-being. He candidly discusses his tendency to overcomplicate life and the mental and physical toll it takes. Dr. Gandolfo outlines nine...

In this year-end episode of The Real GI Doc Show, Dr. Gandolfo takes a candid look back at the events of 2024, offering insights into both the personal and professional challenges faced throughout the year. As his medical practice experienced significant growth, Dr. Gandolfo shares the impact of increased patient visits and procedure volumes on his work-life balance and the podcast's production sc...

In this episode, Dr. Fred Gandolfo delves into the perplexing condition known as a tortuous colon, a common yet challenging issue that often leads to chronic constipation. Dr. Gandolfo explains the anatomy and terminology behind this condition, including its synonyms like redundant colon and dolichocolon, and addresses the frustration faced by both patients and gastroenterologists due to the limit...

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo introduces the concept of direct access colonoscopy, a streamlined approach allowing patients to undergo a colonoscopy without a pre-procedure visit. This initiative is particularly beneficial for healthy individuals aged 45 to 75 who require routine screenings. Dr. Gandolfo discusses the efficiency and convenience of this method, highligh...

In this episode, Dr. Gandolfo addresses a compelling question from a listener who is curious about the use of GLP-1 drugs, such as Ozempic and Mounjaro, in patients with inflammatory bowel diseases like Crohn's and ulcerative colitis. Dr. Gandolfo provides a comprehensive overview of GLP-1 drugs, explaining how they function as agonists to stimulate insulin secretion and promote weight loss by alt...

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 mult...

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo takes on a challenging listener question from David in San Diego, who struggles with anxiety and nausea related to colonoscopy prep. David's query opens up a broader discussion on the importance of colonoscopy in preventing colon cancer, and the unfortunate lack of an IV alternative for bowel prep. Dr. Gandolfo delves into the various opti...

This is a replay of my first guest episode: "The Psychology Behind Healthy Habits: Expert Tips for Real Change With Noreen Vail, PhD." I spent my podcasting time this week working on my new studio space...excited to start recording there soon! See you next week with new content! -- In this episode, Dr. Fred Gandolfo welcomes a special guest, Dr. Noreen Vail, a licensed psychologist with expertise...

In this unique episode of The Real GI Doc Show, Dr. Fred Gandolfo takes a moment to reflect on the journey of the podcast and shares exciting future plans. With 25 episodes under his belt, Dr. Gandolfo opens up about the challenges of podcasting, including the importance of listener feedback in shaping the content. He shares his vision for the show, including plans for a dedicated recording space,...

In this episode of The Real GI Doc Show, Dr. Gandolfo dives into the lesser-known topic of sucrose intolerance, just in time for the candy-filled festivities of Halloween. Many individuals with irritable bowel syndrome (IBS) experience difficulty digesting certain carbohydrates, including sucrose, commonly known as table sugar. Dr. Gandolfo explores the complexities of disaccharidase deficiency, a...

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo delves into the common yet often misunderstood issue of rectal bleeding. Rectal bleeding is a frequent cause for visits to healthcare providers and can affect individuals of any age. Dr. Gandolfo uses a real patient case to highlight the importance of understanding and evaluating rectal bleeding, emphasizing the need for proper testing and...

In this episode, Dr. Gandolfo explores a lesser-known side effect of heavy marijuana use: Cannabinoid Hyperemesis Syndrome (CHS). Although marijuana use is becoming even more prevalent, awareness of this severe vomiting illness still remains low. Dr. Gandolfo shares a compelling case study of a young patient suffering from CHS, detailing the symptoms, diagnosis, and treatment options available for...

In this episode of The Real GI Doc Show, Dr. Fred Gandolfo answers a listener's question about the connection between stress and diverticular disease. Dr. Gandolfo explores the potential impact of chronic stress on the development and exacerbation of diverticular conditions. He explains the difference between acute and chronic stress, and how these can influence overall health, particularly in rel...

In this Q&A episode, Dr. Fred Gandolfo addresses a listener's concern about the risk of pancreatic cancer, especially in the context of family history. Dr. Gandolfo dives deep into understanding pancreatic cancer, its symptoms, and the importance of early detection. He explains who should consider screening, the methods used for screening, and the balance between the benefits and potential har...

In this episode, Dr. Fred Gandolfo tackles a pressing question: Is your doctor's time valued in today's fast-paced, on-demand world? Drawing from a recent patient case involving a bad review, Dr. Gandolfo delves into the complexities of managing patient expectations, the pressures of private practice, and the true cost of follow-up phone calls. Dr. Gandolfo shares his candid thoughts on the challe...

In this episode, we cover the relationship between food and gut inflammation. Using a case of diverticular disease, Dr. Gandolfo and guest Stephanie Schiff, RDN discuss the best way to start eating an anti-inflammatory diet. Registered Dietitian Stephanie Schiff explores how dietary choices can influence the onset and recurrence of diverticulitis, a common yet often misunderstood condition. Throug...

In this episode, Dr. Gandolfo covers the essential yet often dreaded topic of colonoscopy preparation, aka cleaning out your colon. With a mix of humor and expert advice, Dr. Gandolfo demystifies the process, emphasizing the importance of a thorough prep to ensure a successful colonoscopy. He shares practical tips and personal anecdotes to help you navigate the prep with ease, making sure you're w...