HORIZON GASTROENTEROLOGY & NEUROLOGY PC'S SERVICES
The Upper Gastrointestinal Endoscopy (EGD)
The Upper GI Tract
The upper GI (gastrointestinal) tract starts from the mouth and leads into the food tube, or esophagus. The esophagus brings the food to the stomach, which breaks the food into smaller pieces, mixes them with a potent acid, and pushes them into the upper part of the small intestine called the duodenum. In the duodenum, the juices from the liver and the pancreas combine with the food to help aid digestion.
The endoscope is a flexible, fiber-optic, small diameter tube with a small computer chip installed in it that acts as a camera. The upper GI endoscope is introduced through the patient's mouth into the esophagus and thence on to the stomach and duodenum. The images captured by the computer chip can be seen on a video monitor. The endoscope has an open channel through which the gastroenterologist can introduce equipment to take samples and perform treatment procedures.
Colonoscopy is a procedure by which a fiber-optic, flexible, small diameter tube is introduced into the large intestine (colon) to view the interior. The colon is the last part of the intestine where the stool is formed.
The colonoscope is a flexible, fiber-optic tube that has a computer chip installed that acts like a camera. It transmits pictures of the interior of the colon to a video screen. The colonoscope also has an open channel through which instruments can be passed to take biopsies and treat certain conditions.
Endoscopic Retrograde Cholangiopancreatography (ERCP)
ERCP is performed by using a flexible, small diameter, fiber-optic tube (endoscope), that has a computer chip that transmits images to a video monitor. The endoscope has an open channel, through which instrumentation of the bile and the pancreatic duct is possible to take biopsies and remove stones, among other things.
Uses and Advantages of the Procedure
ERCP helps in diagnosing and treating diseases of the bile and pancreatic ducts and gall bladder. Some of these are:
- Gallstones Trapped in the Main Bile Duct can be Seen and Removed
- Blockages of the Bile and Pancreatic Ducts can be Removed, and Tubes called Stents Placed to Maintain Patency of Ducts
- Jaundice due to Blockage of Bile Ducts may be Helped by Removing the Blockage
- Cancer of the Bile Ducts or Pancreas can be Diagnosed and Measures Taken Towards Treatment
- Pancreatitis (Pancreatic Inflammation) can Improve After Blockage Removal
Promising New Treatment for Gastroparesis
Gastroparesis is a chronic gastric disorder in which food moves more slowly than normal through the stomach in the absence of mechanical obstruction, resulting in nausea and vomiting and significantly affecting quality of life. The effect of gastroparesis on physical wellbeing can be devastating and lead to malnutrition, dehydration, altered blood glucose level and significant decrease in work performance and social activities.
Treatment options are limited, with only a few medicines available to help. Therapy includes dietary measures, prokinetic agents, Reglan, Erythromycin and anti-emetics such as Phenergan and Compazine. Injections of Botox endoscopically into the pylorus provide some relief of symptoms, at least transiently. One study showed reduction of symptoms for five to six months.
Enterra is a gastric stimulation device about the size of a pocket watch surgically placed in the patient's abdominal wall and connected to two electronic leads implanted in the stomach muscle. Enterra is indicated in patients with chronic drug-refractory symptoms due to gastroparesis or diabetes or idiopathic origin.
The Enterra device sends mild electrical impulses to stimulate gastric muscle and nerves to help move food from the stomach to the small intestine and control symptoms of nausea and vomiting.
Nerve Conduction Study (NCS)
Nerve Conduction Study (NCS) is a very important neurological test. Dr. Ahmed performs the test herself. This test evaluates the conduction of electrical impulses down the nerve. By placing small electrodes on the skin (and occasionally a tiny needle in muscles), Dr. Ahmed can examine the electrical properties of both nerves and muscles. This test is invaluable for picking up damage and dysfunction of nerves that cannot be detected through the routine neurological examination.
EMG test is performed by our board-certified neurologist Dr. Shameela Ahmed. Electromyography (EMG) is a test for evaluating and recording the electrical activity produced by skeletal muscles. The test uses a needle to evaluate the electrical activity of muscle fibers. It can provide information about the function and integrity of your individual muscle fibers. The signals can be analyzed to detect medical abnormalities, activation level, and recruitment order or to analyze the biomechanics of human or animal movement.
Dr. Shameela Ahmed (along with our technicians) is highly skilled in performing EMGs and nerve conduction studies. They take ample time to hook up the patient and then record and study the EMG report. We have acquired state-of-art EMG equipment from CADWELL Laboratories.
Contact us if you have:
- Any Numbness or Weakness in Your Limbs
- Any Nerve Injuries
- Muscle Weakness
- Carpal Tunnel Syndrome
- Individual Nerve Injuries
Dr. Shameela Ahmed is board certified in Neurology, EMG/Nerve Conduction Studies, EEG, and Sleep Studies. Please contact us if you have any questions or would like to make an appointment to see her. We take most insurance plans, but feel free to call if you have any concerns. She can treat most neurological disorders, including:
- Muscle Weakness
- Poor Coordination
- Loss of Sensation
- Sleep Disorders
Sleep & Epilepsy
A lot of us suffer from sleep apnea, a sleeping disorder in which a patient has one or more pauses in breathing or breathes shallowly while they are sleeping.
Apnea Symptoms Experienced by the Patient Themselves
This is example text. Please click here to edit the text.
- Waking Up Tired with a Morning Headache
- Daytime Lethargy
- Frequent Need to Urinate During the Night
- High Blood Pressure
- Swelling of the Legs
- Waking Up with a Dry Mouth or Sore Throat
Apnea Symptoms Observed by Others Close to the Patient
- Periods of Not Breathing During Sleep (Up to 2 Minutes at a Time or More)
- Snoring (Might be Relative)
- Snorting, Gasping, or Choking During Sleep
- Restless Tossing and Turning During Sleep
Of the many treatment options, CPAP (continuous positive airway pressure) is the most effective treatment for moderate or severe sleep apnea in adults. A CPAP machine uses a mask that fits over the mouth and nose, and it provides air at constant, prescribed pressure through a tube. The pressure of the air is determined during your sleep study, and your doctor will prescribe a CPAP machine at that pressure for you.
Because of the constant airflow, the airway remains open for uninterrupted breathing during sleep. This eliminates sleep apnea events and allows the patient to get restful sleep. The result is a higher quality of life, more energy during the day, and better overall health. Failure to use CPAP therapy may increase your risk for conditions that include:
- Congestive Heart Failure (CHF)
Don't be afraid if you or someone you love is suffering from epileptic episodes. Now there is a place at which you can be evaluated and start on treatments that will improve your quality of life and that of those around you. Epileptic seizures are definitely treatable, and in most cases, containable. But you need the right doctor to help you in this regard.
Dr. Shameela Ahmed is board-certified in Advanced Central Clinical Neurophysiology with Competency in Epilepsy Monitoring. She is compassionate and very thorough when dealing with her epilepsy patients.
"Epilepsy is a disorder that results from the surges in electrical signals inside the brain, causing recurring seizures. Seizure symptoms vary. Some people with epilepsy simply stare blankly for a few seconds during a seizure, while others have full-fledged convulsions.
About 2 in 100 people in the United States will experience an unprovoked seizure once in life. However, a solitary seizure doesn't mean you have epilepsy. At least two unprovoked seizures are generally required for an epilepsy diagnosis.
Even mild seizures may require treatment because they can be dangerous during activities such as driving or swimming. Treatment - which generally includes medications and sometimes surgery - usually eliminates or reduces the frequency and intensity of seizures. Many children with epilepsy even outgrow the condition with age." — Homestead Oxygen