The Gut Doctor: Recent Episodes
Neil D. Parikh, MD
Dr. Neil D. Parikh, a gastroenterologist with Connecticut GI, discusses common gut topics in a patient-friendly manner. He interviews fellow GI specialists to provide a better understanding for the general public. He also includes episodes on food as medicine as the worlds of culinary medicine and gastrointestinal health intertwine.
A successful bowel preparation is a prerequisite for a successful colonoscopy. In today's episode I interview Rob Raleigh, Chief Operating Officer and General Counsel for Sebela Pharmaceuticals. Rob details the numerous barriers that can potentially prevent a patient from having a successful clean out prior to their colonoscopy and what we can do about them. This episode is brought to you by Sebela Pharmaceuticals.
What is reiki? How does it interact with the gut-brain axis? Dr. Parastoo Jangouk, a certified mindfulness business coach, Reiki instructor and gastroenterologist, answer these questions and more in this episode of the Gut Doctor Podcast.
In this episode of the Innovation series, Dr. Parikh interviews Asaf Kraus, CEO and founder of Dieta Health. Dieta's core application is to use artificial intelligence to monitor a patient's bowel movements and improve digestive health.
Dr. Parikh interviews Noam Kalina, Chief Business Officer for GistMD. GistMD is an AI-driven personalized patient education platform. Noam explains how GistMD is hoping to help GI patients better understand their disease states and have more success with their bowel preparations.
In today's episode of the Innovation series, Dr. Parikh interviews Dr. Latha Alaparthi who is associate chief medical officer of Yale New Haven Health's Bridgeport Hospital Milford campus and co-founder of Olvi Health. They discuss digital health, precision medicine and the virtual digestive platform for women's GI disorders, Olvi Health.
Everyone says breakfast is important. But why? What makes a good breakfast? Does it matter when you eat it? Jamie Allers, a registered dietician and frequent contributor on the show, answers these questions and more.
In the spirit of World IBD Day, today's episode in the Innovation series focuses on IBD in the South Asian population. Tina Aswani-Omprakash is President and co-founder of the South Asian IBD Alliance (SAIA) and she discusses the origin and mission of her patient advocacy organization.
In this episode of the Gut Doctor podcast, Dr. Parikh interviews Dr. Amanda Ayers, a colorectal surgeon. They discuss the surgical perspective and treatment of colorectal cancer.
We continue the Innovation series where I will speak with physicians, executives, entrepreneurs and leaders who are spearheading us into the next frontier of medicine and gastroenterology. Torrey Smith, an aerospace engineer by training, fits that description completely. He is CEO and co-founder of Endiatx which is pioneering the PillBot - a remotely controlled, motorized pill camera that can look at the stomach. Listen in and if you want to learn more, visit https://www.endiatx.com/mission.
This is the inaugural episode in the new Innovation series. In this series of the Gut Doctor Podcast, I will speak with physicians, executives, entrepreneurs and leaders who are spearheading us into the next frontier of medicine and gastroenterology. In this episode we discuss physician burnout with Parastoo Jangouk, MD. Parastoo is a gastroenterologist, certified mindfulness business coach and the co-founder of SOULpreneurMD (https://www.soulpreneurmd.com/).
In the GI 101 series, Dr. Parikh interviews one of the training physicians to get their perspective on a variety of gastrointestinal topics. In today's episode, he speaks with Dr. Neil Khoury, a gastroenterology fellow at the University of Connecticut. Dr. Khoury discusses the new guidelines for management of acute pancreatitis.
March is colon cancer awareness month so in today's episode, I discuss oncologic treatment options for colorectal cancer with Dr. Hardeep Phull. Dr. Phull is Medical Director of Oncology at Palomar Health and Clinical Instructor at the University of California San Diego. He gives a bird's-eye perspective on the steps from colon cancer diagnosis to potential therapy as well as discusses chemotherapy and radiation therapy.
The doctor becomes the patient in this episode of the Gut Doctor podcast when Dr. Parikh's partner, Dr. John Wysocki- a fellow gastroenterologist- comes to the endoscopy center for his first screening colonoscopy.
In this episode of the Gut Doctor podcast, Dr. Michael Wallace, Professor of Medicine and Director of Digestive Research and Innovation at the Mayo Clinic in Florida, discusses current and future applications of artificial intelligence in the field of GI endoscopy.
In the GI 101 series, Dr. Parikh interviews one of the training physicians to get their perspective on a variety of gastrointestinal topics. In this episode, Dr. Kevin Groudan, a gastroenterology fellow at Baystate Health, discusses one of the most commonly used first line agents for constipation: polyethylene glycol.
Does wine have health benefits? In this episode of the Food as Medicine series, Dr. Parikh interviews Dhavan Parikh, an interventional gastroenterologist who practices in the Pacific Northwest, a burgeoning wine region in America. They discuss all things wine and health including polyphenols, resveratrol, and the "French paradox."
In this Food as Medicine episode, Dr. Anjiya Shaikh, a current third year resident at the University of Connecticut and future gastroenterology fellow at Yale University, discusses the potential health benefits of turmeric.
In honor of Crohn's and Colitis week, here is an episode that I originally recorded with Dr. Nandi in February of 2023. We discuss fitness and nutrition in the IBD population by breaking down what a patient should eat and do when they are in remission and when they are having a clinical flare. Dr. Nandi is Associate Professor of Clinical Medicine at the University of Pennsylvania and host of Reach MD's GI Insight: IBD Cross Talk podcast. He also sits on the editorial board of Crohn's and Colitis 360 and the executive board of Philadelphia Crohn's and Colitis Foundation.
In honor of GERD awareness week, Dr. Parikh and Dr. Disiena discuss a new therapy that could potentially revolutionize how we treat acid-mediated disorders.
Is coffee really good for you? Good for your heart? Your liver? Your brain? How does coffee interact with your gut? In this episode of the Food as Medicine series, Dr. Parikh interviews Dr. Vaishal Tolia, Professor of Internal and Emergency Medicine at the University of California San Diego. Dr. Tolia answers these questions and more.
While mast cell diseases may be rare overall, patients with mast cell diseases such as mast cell activation syndrome and systemic mastocytosis often present with an atypical presentation which can be challenging for both the patient and provider. In this episode, Dr. Parikh interviews Erin Kolb, an Allergy Family Nurse Practitioner who specializes in mast cell diseases. They discuss symptoms, diagnostic tests and treatment options.
Cysts in the pancreas commonly appear on imaging studies done for other reasons. What should the patient and healthcare provider do about these cysts? Dr. Veeral Oza, Medical Director of Interventional Endoscopy at University of South Carolina Greenville and Director of the Pancreatic Cancer Center, explains what these cysts are, which ones we need to be worried about, and what we should do about them.
What's in a name? Liz Richardson, a hepatologist with CTGI and Director of Hartford Healthcare's Metabolic Liver Disease program discusses the new nomenclature when it comes to steatotic (fatty) liver disease.
Have you heard about congenital sucrase-isomaltase deficiency (CSID)? Symptoms include bloating, diarrhea, gas pains among others. While traditionally considered a rare disease, it may be more common than we think as Daksesh Patel, a gastroenterologist with GI Alliance of Illinois, tells us. Dr. Patel details how one can acquire a sucrase-isomaltase deficiency, the common symptoms of CSID, and the treatment strategies - both dietary and pharmaceutical.
In the GI 101 series, Dr. Parikh interviews one of the training physicians to get their perspective on a variety of gastrointestinal topics. In this episode, Dr. Rushi Talati, one of the gastroenterology fellows at New York University, explains what are gallstones, how they form, who is at risk for them, and if you can treat them with diet and exercise.
Dr. Parikh welcomes back Dr. Alex Perelman, a gastroenterologist at Vanguard Gastroenterology, to discuss the latest news on proton pump inhibitors (PPIs) and their association with dementia.
Dr. Parikh discusses the brain-gut axis with health and wellness coach Erica Buss, RN. They discuss how breathing techniques, meal challenges and eating in a calm state all interplay with the enteric nervous system - the nervous system found within your GI tract.
In this Food as Medicine episode, Dr. Parikh asks one of his research mentees, Dheera Grover MBBS, to investigate apple cider vinegar and share what we do and do not know about this ever so popular food substance.
We have discussed colon cancer screening on this podcast before but what techniques make for a high quality colonoscopy? In this episode, Dr. Parikh interviews three community gastroenterologists to answer this question. Drs. Sarah Canavan, Krzysztof Kopec, and Adam Schoenfled discuss the tips, tricks, and tools that make them high quality endoscopists.
In this episode of the Gut Doctor podcast, Dr. Parikh interviews Melissa Bray and Rebekah Charles of the UConn School of Psychology. Dr. Bray is a Professor of School Psychology and Director of the program. In collaboration with PhD candidate Rebekah Charles, they discuss the mind body connection, the role of a GI psychologist, and how GI providers can recommend brain-gut psychotherapy to their patients.
In this episode of the Gut Doctor podcast, Dr. Parikh interviews Dr. Thiru Muniraj, Director of the Yale Center for Pancreatitis and Associate Chief of Digestive Health at Yale New Haven Hospital. Dr. Muniraj discusses symptoms, risk factors, and diagnostic tools for pancreatic cancer.
Diet and lifestyle choices play critical roles in the management of small intestinal bacterial overgrowth and similar conditions of gut dysbiosis. In this Food as Medicine episode, registered dietician Erika Bay goes beyond the low FODMAP elimination diet and shares her insight on how to approach this challenging topic.
Have you just been diagnosed with inflammatory bowel disease? Not sure what to discuss next with your GI provider? In this episode, Dr. Koliani-Pace answers common questions and addresses concerns that likely worry a newly diagnosed IBD patient.
March is colon cancer awareness month so it is only appropriate that I repost an episode I initially produced back in March of 2022. Remember please talk to your provider and go get screened!
What is a colon polyp? What does it look like? How is it removed? And what happens when it is not removed? Dr. Parikh elicits the expertise of gastroenterologist Dr. Alexandre to answer these questions and offer their take on colon cancer screening.
Dr. Jeff Weiser, a gastroenterologist and avid cyclist, explains how exercise can affect one's GI tract. He not only shares benefits to specific GI diseases but also details some common adverse GI issues that can be seen with exercise. He tells Dr. Parikh what motivates him to exercise and highlights both the Crohn's and Colitis Foundation Team Challenge (www.crohnscolitisfoundation.org/) and the Juvenile Diabetes Research Foundation Ride (www.jdrf.org/) as great exercise opportunities for providers and patients.
While scientific literature and FDA regulation is lacking on herbal supplements, they are becoming increasingly more popular for general gut health as well as specific gastrointestinal diseases. Dr. Megan Lester, a naturopathic doctor at Collaborative Natural Health Partners LLC, is back on the show to share her opinion on which herbal supplements on the market today may benefit gut health.
My IBD patients often ask me: what should I eat? What should I not eat? Does exercise matter? What type of exercise? In this Gut Doctor episode, Dr. Parikh interviews Dr. Neilanjan Nandi. Dr. Nandi is Associate Professor of Clinical Medicine at the University of Pennsylvania and host of Reach MD's GI Insight: IBD Cross Talk podcast. He also sits on the editorial board of Crohn's and Colitis 360 and the executive board of the Philadelphia Crohn's and Colitis Foundation. But beyond these accolades, Dr. Nandi's passion is fitness and nutrition and he is responsible for fitwitmd.com. Dr. Parikh and Dr. Nandi discuss fitness and nutrition in the IBD population by breaking down what a patient should eat and do when they are in remission and when they are having a clinical flare.
In this episode Dr. Parikh interviews Dr. Prithi Choday, who is not only a physician but also a certified yoga instructor. Dr. Choday describes the origins of yoga, its benefits on health in general and how it can positively impact gut health.
In this episode of the Gut Doctor podcast, Dr. Jenna Koliani-Pace, a gastroenterologist who specializes in inflammatory bowel disease, reviews two of the latest therapeutics to be approved by the FDA and discusses where they may fit in her clinical toolbox when treating Crohn's disease and ulcerative colitis.
In the GI 101 series, Dr. Parikh interviews one of the training physicians to get their perspective on a variety of gastrointestinal topics. In today's episode, he speaks with Dr. Arshia Khorasanizadeh, a gastroenterology fellow at Baystate Health. Arshia reviews Clostridiodes difficile or C.diff: what is the bacteria, how it can result in symptoms, and how to treat it.
Dr. Parikh interviews Dr. Prabin Sharma, an interventional gastroenterologist with Hartford Healthcare and Connecticut GI. Dr. Sharma discusses transoral incisionless fundoplication, TIF, as a treatment modality for patients with gastroesophageal reflux disease.
In the GI 101 series, Dr. Parikh interviews one of the training physicians to get their perspective on a variety of gastrointestinal topics. Today he speaks with Dr. Kamesh Gupta, a gastroenterology fellow at Baystate Health. Kamesh provides an overview of Hepatitis C: from risk factors and screening to symptoms and treatment.
Dr. Parikh and Leslie Brown, a physician's assistant with CTGI, discuss diverticulitis: from risk factors to symptoms to management. Leslie provides our listeners an update on when to use antibiotics, when to make dietary changes, and when to meet with a surgeon.
Dr. Parikh discusses cannabinoid hyperemesis syndrome (CHS) with Dr. Neil Khoury, a gastroenterology fellow at the University of Connecticut. They review symptoms and treatment options as well as dive into why some patients get CHS and others do not.
Last week a patient asked me how they could make their Thanksgiving meal more gut friendly so in this episode of the Gut Doctor podcast, I bring back a frequent contributor to the show, Jamie Allers, to help me answer that question. Jamie is a registered dietician with Hartford Healthcare's Digestive Health Center. Jamie and I discuss the full Thanksgiving menu from cheese plate appetizers to the Turkey and stuffing to the delicious side dishes of mashed potatoes and green bean casserole. We discuss tips and tricks to make these items potentially more gut friendly. And not to worry we don't forget dessert!
In today's Gut Doctor episode, Dr. Parikh reviews how and when he tries to get his patients off proton pump inhibitors (PPIs). While there are some very important reasons you need to remain on PPIs, not all patients need them forever. Dr. Parikh provides tips on how to get off the medication in collaboration with your provider.
In this episode of the Gut Doctor podcast, Dr. Parikh discusses cognitive behavioral therapy with Dr. Emily Wyckoff, a clinical psychology fellow with Hartford Hospital's Digestive Health Center. Dr. Wyckoff reviews the structure and goals of cognitive behavioral therapy , its application in GI diseases, and even does an impromptu session of diaphragmatic breathing.
Long distance running can result in a variety of gastrointestinal complaints. In this episode of the Gut Doctor podcast, Dr. Parikh interviews Dr. Drew Triplett, DO of Dayton Gastroenterology. Dr. Triplett is not only a gastroenterologist but an avid runner who has completed eighteen marathons. They discuss common GI symptoms associated with running and what patients could do to prevent them.
Dr. Parikh discusses one of the most challenging aspects of every gastroenterology patient's medical journey: the bowel preparation or cleanse that is done prior to the colonoscopy. He gets tips and tricks from Karly Grady, central scheduling supervisor for CTGI.
In the GI 101 series, Dr. Parikh interviews one of the training physicians to get their perspective on a variety of gastrointestinal topics. In today's episode he welcomes back Dr. Bashar Sharma, a gastroenterology fellow at the University of Connecticut. Bashar is certified by the American Board of Obesity Medicine and in this episode he reviews current and future endoscopic options for weight loss management.
Dr. Parikh discusses a practical approach to gastroesophageal reflux disease with Dr. Alex Perelman, a gastroenterologist with Vanguard Gastroenterology and clinical instructor at New York University. They discuss symptoms, diagnostic tests beyond the endoscopy, and management strategies.
For today's gut doctor podcast, Dr. Parikh interviews Dr. Michael Karasik, Director of Interventional Endoscopy for Hartford Healthcare's Digestive Health Center and an interventional gastroenterologist with CTGI. Dr. Karasik discusses per-oral endoscopic myotomy (POEM) for the treatment of achalasia, an esophageal condition that results in trouble swallowing.
Dr. Parikh and APRN Priscilla Quilter discuss microscopic colitis - a condition where the colon looks normal endoscopically but there is underlying inflammation that can lead to symptoms such as diarrhea and weight loss. They discuss common presentations, diagnostic tests and treatment strategies.
In this episode of the Gut Doctor podcast, Dr. Parikh interviews Megan Lester, a doctor of naturopathic medicine at Collaborative Natural Health Partners LLC. They discuss a non-traditional approach to small intestinal bacterial overgrowth. In this episode, they focus on Dr. Lester's preferred diagnostic strategies and her antimicrobial therapies including traditional antibiotics, herbal antimicrobials, and an elemental diet.
In the GI 101 series, Dr. Parikh interviews one of the training physicians to get their perspective on a variety of gastrointestinal topics. In today's episode he talks with Dr. Bashar Sharma, a gastroenterology fellow at the University of Connecticut. Bashar is certified by the American Board of Obesity Medicine and he provides another overview of the currently available pharmaceutical options for weight loss management.
In this Food as Medicine episode, Dr. Parikh discusses probiotics. It is a topic that he frequently encounters with his patients and his family as everyone is intrigued. He tries to provide some general clinical guidance based on his own patient experience and the limited studies available in the literature.
Dr. Parikh interviews Dr. Michael DiSiena, a gastroenterologist with CTGI. They discuss the common allergens, symptoms and treatment of eosinophilic esophagitis including the new therapeutic frontiers on the horizon.
Dr. Parikh discusses chronic pancreatitis with Anisha Mistry, PA-C. PA Mistry details the etiology and risk factors for chronic pancreatitis, common symptoms, and typical first line treatment options.
The Gut Doctor interviews Dr. Michael Selden, a gastroenterologist with CTGI who manages complex and refractory gastroparesis patients in the greater Hartford area. They discuss risk factors, symptoms, medical treatments, and endoscopic therapy.
In this episode of the Gut Doctor podcast, Dr. Parikh interviews Stephanie Gort, PA-C. PA Gort reviews the popular pharmacotherapy options for weight loss and when they should be considered. She also details common side effects of these medications.
Drs. Parikh and Singhania discuss Helicobacter pylori which is a highly prevalent bacteria that can affect almost anyone. They discuss symptoms, diagnostic tests, and treatment options. They also discuss what can happen if Helicobacter pylori is left untreated.
On this episode of the Gut Doctor podcast, Dr. Parikh speaks with Dr. Rohit Singhania. Dr. Singhania provides a patient-friendly general overview of inflammatory bowel disease - both ulcerative colitis and Crohn's disease. They discuss causes, symptoms, diagnostic tests, and treatment options.
In today's Gut Doctor episode, Dr. Parikh welcomes back APRN Priscilla Quilter. They discuss pouchitis, which is a condition that ails certain patients with inflammatory bowel disease and familial adenomatous polyposis after they have undergone surgery. In this episode, APRN Quilter who is at risk for pouchitis as well as common symptoms and treatment options.
Dr. Parikh talks acupuncture with Matt Maneggia, licensed acupuncturist and owner of CT Family Acupuncture. They discuss the roots of acupuncture, the potential mechanisms of action, benefits and side effects. Finally they discuss how acupuncture can play a role in GI diseases. After listening to the episode, if you are interested in learning more, please visit www.CTfamilyacupuncture.com, email matt@CTfamilyacupuncture.com, or call 860-633-6022.
Dr. Parikh and registered dietician Jamie Allers discuss one of the most well studied diets: the Mediterranean Diet. They discuss what the diet entails, diseases that may benefit from it, and potential adverse effects. Jamie also touches on the anti-inflammatory nature of the Mediterranean diet and potential GI benefits. Finally she comments on other anti-inflammatory strategies.
Dr. Parikh interviews Dr. Sarah Canavan, a member of CTGI's Celiac Disease Center of Excellence. They discuss the clinical presentation, pathophysiology, diagnostic options, and treatment of Celiac disease. Dr. Canavan also touches upon non-celiac wheat intolerance, diseases associated with Celiac disease, and what to look for when going gluten free does not help.
In the GI 101 series, Dr. Parikh discusses "bread-and-butter" gastrointestinal topics with one of the training physicians. In this episode, he discusses liver diseases unique to pregnancy with Dr. Eric Vecchio, a gastroenterology fellow at the University of Connecticut.
In this food as medicine episode, Dr. Parikh and registered dietician Jamie Allers review Paleo and Whole 30 diets. They discuss the food restrictions and preferences advocated by these diets and how these diets can provide clinical benefits. Jamie is a registered dietician with Hartford Healthcare's Digestive Health Center.
Dr. Parikh and Jamie Allers do a deeper dive into intermittent fasting (IF). Jamie is a registered dietician with Hartford Healthcare's Digestive Health Center. They discuss the different types of IF, how to implement an IF diet, potential setbacks and risks of IF, and which disease states could benefit from intermittent fasting.
Dr. Parikh does a deep dive into the histopathology of Celiac disease with Dr. Anshu Trivedi- a gastrointestinal pathologist with Eastern Connecticut Pathology Consultants and the medical director of Connecticut GI Pathology Laboratory. Dr. Trivedi explains how gluten results in an immune reaction which causes inflammation in the small intestine. They also discuss what happens when a patient with Celiac disease continues to expose themselves to gluten, the role of repeating endoscopic biopsies, and novel point of care diagnostic tests.
Dr. Parikh talks Barrett's esophagus with David Chaletsky. Dr. Chaletsky manages one of the largest Barrett's esophagus treatment programs in New England. They discuss how acid reflux leads to Barrett's, how endoscopy is used to make the diagnosis, which lifestyle changes can delay disease progression and when to pursue treatment options such as radio-frequency ablation.
Dr. Parikh discusses the nuances and challenges of inflammatory bowel disease in pregnancy with APRN Carli Willard. APRN Willard reviews blood work, diagnostic studies, safe medications, contraindicated medications, optimal mode of delivery and when to refer to maternal-fetal medicine.
Since March is colon cancer awareness month, Dr. Parikh discusses colorectal cancer. He addresses the increasing incidence, the risk factors, the protective factors, symptoms of CRC, the new screening age of 45, and briefly reviews the various screening modalities.
In this episode of the gut doctor podcast, Dr. Parikh talks with Dr. Kevin Jo as they discuss hemorrhoids: what they are, how they present, and how we can manage them.
Dr. Parikh discusses non-alcoholic fatty liver disease with APRN Priscilla Quilter. They discuss who is likely to get it, how to diagnose it and what to do about it.
In this food as medicine series episode, Dr. Parikh discusses the gluten free diet for Celiac disease with Jamie Allers, a registered dietician with Hartford Healthcare's Digestive Health Center.
In this food as medicine series episode, Dr. Parikh welcomes back Jamie Allers, a registered dietician with Hartford Healthcare's Digestive Health Center. They discuss two popular weight loss strategies: intermittent fasting and low carb diets.
In the GI 101 series, Dr. Parikh discusses "bread-and-butter" gastrointestinal topics with one of the training physicians. In this episode, he discusses the extra-intestinal manifestations (EIMs) of inflammatory bowel disease with Dr. Sanket Patel, a gastroenterology fellow at the University of Connecticut.
Dr. Parikh interviews Dr. Chioma Anjou regarding the role of fecal microbiota transplantation in GI diseases, especially Clostridium difficile.
In this food as medicine series episode, Dr. Parikh speaks with Liberty Delassus, a registered dietician, who specializes in gut health. They discuss a low FODMAP diet and how it can be part of the solution for a variety of GI illnesses.
In this food as medicine series episodes, Dr. Parikh discusses yogurt and its benefits to the GI tract.
In the GI 101 series, Dr. Parikh discusses "bread-and-butter" gastrointestinal topics with one of the training physicians. In this episode, he interviews Dr. Marianna Mavilia, a gastroenterology fellow at the University of Connecticut. Dr. Mavilia discusses small intestinal bacterial overgrowth.
Dr. Parikh talks with Dr. Amir Masoud, co-director of Hartford Healthcare's Neurogastroenterology and Motility Center. Dr. Masoud discusses the clinical utility of EndoFLIP.